[Resolved]  ICICI Health Advantage Plus — ICICI Health Advantage Plus Fraud Policy and fraud People

When i took this policy (ICICI Health Advantage Plus for 15000/-) The Agent assured me that the OPD claim (7500) is for whatever u buy from medical store. just keep the bills and send it to there Hyderabad office.

There are no procedures just fill and send it. Lat month i claimed my OPD bills amounting 7500 and for first couple of weeks no reply from icici lombard. Last i called and came to know that they require original doctors prescription for getting OPD.

Any how i arranged it and send to them. after almost 10 days of sending the orginal doctors prescriptions, no reply from these guys.

Dont go for such policies, When we take policy these guys always mislead us..never get OPD unless you ready to give your orginal consultation papers.(NO HOSPUTALS GIVE THERE RECORDS)

I am attaching my email communication with them.

Gmail Gishore Kallarackal <[protected]@gmail.com>
RE:'ICICILom=[protected]' My OPD Claims - 4063i/HAP/W-581281/00/000
10 messages
ICICI Lombard Health Care <[protected]@icicilombard.com> Tue, Feb 2, 2010 at 6:48 PM
To: Gishore Kallarackal <[protected]@gmail.com>



Dear Sir/Madam,

We share your concern as a valued customer of the ICICI Lombard family.
Kindly do provide us the consultation papers.

Claim inward no.: CL[protected]

Status: Queried

Query Reason: KINDLY SUBMIT CONSULTATION PAPERS FOR MEDICINE BILLS SUBMITTED.


You can also login or visit http://www.icicilombard.com/app/ilom-en/icare.aspx to track claims status and access other services.

For further clarifications, please write to us at [protected]@icicilombard.com

Note: Kindly maintain the same subject line for all e-mail interactions concerning to this transaction.



Warm Regards,
Meher Apuroop
Customer Service Manager
Team I-Health Care
Toll Free Help Line[protected]
Toll Free FAX No.[protected]

-----Original Message-----
From: Gishore Kallarackal ([protected]@gmail.com)
Date: Tuesday, February 02, 2010 03:11 PM
To: [protected]@icicilombard.com ([protected]@icicilombard.com); [protected]@icicilombard.com ([protected]@icicilombard.com)
Subject: My OPD Claims - 4063i/HAP/W-581281/00/000

Dear Support,

My policy Number is 4063i/HAP/W-581281/00/000

15 days back i claimed my OPD bills and till now i did not heard anything from you people. Today i called your customer support and the tele support lady told me that there are some query regarding this claim.

I had submitted all the original bills to you along with claim form. The main one is my MRI SCAN, which i did from kerala and also submitted the original MRI report along with doctors sign.

Rest all the bills are of my medication during the period of last year and i consulted various doctors for fever , headache and other regular deceases.

When i took the policy the agent told me that what ever i buy from medical store i can claim under OPD. If you need i can get my regular doctors consultation report from mumbai.


So please process my OPD claim as soon as possibile,

For any quries please feel to call me at [protected]



Gishore J Kallarackal
Gishore Kallarackal <[protected]@gmail.com> Wed, Feb 3, 2010 at 11:45 AM
To: ICICI Lombard Health Care <[protected]@icicilombard.com>
Dear Support

I consulted multiple doctors . One is from kerala and the other ine (recent) from mumbai.Now i am in mumbai so can i get the mumbai doctors letter.


Gishore
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Gishore J Kallarackal
ICICI Lombard Health Care <[protected]@icicilombard.com> Wed, Feb 3, 2010 at 1:12 PM
To: Gishore Kallarackal <[protected]@gmail.com>



Dear Sir/Madam,

We share your concern as a valued customer of the ICICI Lombard family.
Pls send the relevant consultation papers of the concerned doctor/s for the bills submitted.

We hope the information provided in this mail has sufficed your query.

You can also login or visit http://www.icicilombard.com/app/ilom-en/icare.aspx to track claims status and access other services.

For further clarifications, please write to us at [protected]@icicilombard.com

Note: Kindly maintain the same subject line for all e-mail interactions concerning to this transaction.



Warm Regards,
Meher Apuroop
Customer Service Manager
Team I-Health Care
Toll Free Help Line[protected]
Toll Free FAX No.[protected]

-----Original Message-----
From: Gishore Kallarackal ([protected]@gmail.com)
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Gishore Kallarackal <[protected]@gmail.com> Wed, Feb 3, 2010 at 1:15 PM
To: ICICI Lombard Health Care <[protected]@icicilombard.com>



can i scan and mailed to you once i get these papers.


gishore
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Gishore J Kallarackal
Gishore Kallarackal <[protected]@gmail.com> Thu, Feb 4, 2010 at 11:49 AM
To: ICICI Lombard Health Care <[protected]@icicilombard.com>
Dear Support,

Claim inward no.: CL[protected]

Please find my consultation papers during the year April 2009 to till date.

The main claim is of my MRI. The doctors report is already send along with the medical bills. I am also attaching the same once again.

If any bills are not in the doctors prescription, then i had bought that medicine without doctors prescription. I was not knowing that for claiming OPD you require doctors prescription.

The agent who sold this policy to me told that i can claim OPD of any medical bill which i buy on this period. So he assured me that the OPD 7500 is must get back amount.

I request you to process my claim as soon as possible

If you need further clarrification please fell free to contact me at [protected]

Regards

Gishore Jacob


On Tue, Feb 2, 2010 at 6:48 PM, ICICI Lombard Health Care <[protected]@icicilombard.com> wrote:
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Gishore J Kallarackal

5 attachments
Leeha 4.pdf
60K
Leeja 2.pdf
169K
Leeja 1.pdf
125K
Leeja 3.pdf
55K
MRI.pdf
81K
Gishore Kallarackal <[protected]@gmail.com> Fri, Feb 5, 2010 at 12:47 PM
To: ICICI Lombard Health Care <[protected]@icicilombard.com>
Dear Support

What is the update? still waiting for your reply


gishore
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Gishore J Kallarackal
ICICI Lombard Health Care <[protected]@icicilombard.com> Sat, Feb 6, 2010 at 3:53 PM
To: Gishore Kallarackal <[protected]@gmail.com>



Dear Sir/Madam,

We share your concern as a valued customer of the ICICI Lombard family.

Pls be informed that all documents should be sent only in original and doctor's prescription is required for the OPD bills are required for reimbursement.

You can also login or visit http://www.icicilombard.com/app/ilom-en/icare.aspx to track claims status and access other services.

For further clarifications, please write to us at [protected]@icicilombard.com

Note: Kindly maintain the same subject line for all e-mail interactions concerning to this transaction.



Warm Regards,
Meher Apuroop
Customer Service Manager
Team I-Health Care
Toll Free Help Line[protected]
Toll Free FAX No.[protected]

-----Original Message-----
From: Gishore Kallarackal ([protected]@gmail.com)
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Gishore Kallarackal <[protected]@gmail.com> Mon, Feb 8, 2010 at 8:42 AM
To: ICICI Lombard Health Care <[protected]@icicilombard.com>
Dear Support


i couried the orginal documents


Gishore
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Gishore J Kallarackal
ICICI Lombard Health Care <[protected]@icicilombard.com> Mon, Feb 8, 2010 at 12:47 PM
To: Gishore Kallarackal <[protected]@gmail.com>



Dear Sir/Madam,

We share your concern as a valued customer of the ICICI Lombard family.
The claim shall be processed accordingly with the original documents.
You shall be contacted for further further queries, if any.

Kindly be patient and coordinate with us.

For further clarifications, please write to us at [protected]@icicilombard.com

Note: Kindly maintain the same subject line for all e-mail interactions concerning to this transaction.



Warm Regards,
Meher Apuroop
Customer Service Manager
Team I-Health Care
Toll Free Help Line[protected]
Toll Free FAX No.[protected]

-----Original Message-----
From: Gishore Kallarackal ([protected]@gmail.com)
Date: Monday, February 08, 2010 08:42 AM
To: ICICI Lombard Health Care ([protected]@icicilombard.com)
Subject: Re: My OPD Claims - 4063i/HAP/W-581281/00/000

Dear Support


i couried the orginal documents


Gishore


On Sat, Feb 6, 2010 at 3:53 PM, ICICI Lombard Health Care <[protected]@icicilombard.com> wrote:




Dear Sir/Madam,

We share your concern as a valued customer of the ICICI Lombard family.

Pls be informed that all documents should be sent only in original and doctor's prescription is required for the OPD bills are required for reimbursement.

For further clarifications, please write to us at [protected]@icicilombard.com
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For further clarifications, please write to us at [protected]@icicilombard.com
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Gishore J Kallarackal




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Gishore J Kallarackal




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Gishore J Kallarackal

Gishore Kallarackal <[protected]@gmail.com> Mon, Feb 15, 2010 at 3:40 PM
To: ICICI Lombard Health Care <[protected]@icicilombard.com>
Dear Support

Till now no one contacted me
I raised a complaint with your helpdesk regarding this, The complaint ID is[protected]

Please let us know the status


Gishore
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Gishore J Kallarackal