[Resolved]  ICICI Lombard General Insurance — Subject: Denial of claim of Mrs.Bharti Sharma vide letter Dated 17/8/2010 by ICICI Lombard.

Address:

Hyderabad, Andhra Pradesh

Subject: Denial of claim of Mrs.Bharti Sharma vide letter Dated 17/8/2010 by ICICI Lombard.

Dear Sir,

This is with ref. to the above we want to mention the following facts.

1.I am having my self, wife, and sons Mediclaim policy of 05 lakh coverage for the family and further extended no claim limits to Rs 5.50 lakh since last 5 years. on insistance of company officers i changed this from National Insurance Company to ICICI LOMBARD with an assurance that they will provide faster cashless facilities.

2.As we all are physically fit including wife. we never needed any hospitalisation & claim from any of the insurance company.

3.It is the first time that a doctor has advised for the hospitalisation for her knees and both the wrist for joints Sinovial Fluid Aspiration & the papers faxed to you intially was having her history from birth to till date this has been confirmed by the letter dated 19/8/2010 that is was not a pre existing disease.(Scan copy attached)

We sumitted the claim of Mrs.Bharti Sharma -UHID-IHPN-0507 having policy no-40341/CHI/03907604/01/000 after diagnosis of the disease named Joint Sinovial Fluid Aspiration for cashless benefits & to our utter surprise ICICI Lombard has sent us a denial stating it is an Pre Existing disease even after 4-5 Years of coverage with them.

It looks there is some malign interest to reject genuine case submitted for a claim mentioning unacceptable reasons to reject/deny.

You are therefore requested to accept the claim & oblige at the earliest.
Thanking you


L.K.Sharma
CEO
[protected]
Palam-Gurgaon Road, Gurgaon-122001(Hr.) INDIA
Tel.[protected], Mobile: [protected],
FAX :[protected]
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