[Resolved]  ICICI Prulife / Insurance — Not Paying claim amount

Address:

Karnataka

Respected sir,
I am writing this complaint after my ICICI Insurance Company denied to issue my claim amount. They are giving reason for denying that I have not given correct details while taking insurance. The details are as follows:
I have taken a health insurance from ICICIprulife in the year 2008. That time I have taken two insurance from that company. One is Life stage assure and a Healthcare policy. I have paid Rs 20000 to ICICI agent for these policies. After few questionnaires he got me these two polices. He told for this health policy we can get the claims if we have another heath policy paid. So I was interested in this policy, I have taken the same. While filling the information in the application I told to agent that, I had heart surgery in year 1997. Agent suggested that, this happened more than 5 year back, this is not the problem in getting policy and to not show in the application. So he only filled the application and taken my signature wherever is required. After some days, I got a call from ICICI Insurance company regarding approval of my application. Few days later I got Hard copies of insurance policy.
I have paid all the premiums up to date. Mean time I had met in minor road accident and fractured my left hand. I had an operation in Columbia Asia Hospital, Bangalore and discharged. After that I have approached ICICI Insurance to claim my medical expenses. At that time I had given all necessary documents, medical records, x-rays etc. After words also so many times I have couriered documents and records. Doctors always take my medical history while treating a patient. They are mentioned in my medical documents. This document also I have couriered in first post itself. After so many communications they are now denying to give my claim amount. This type insurance companies they are showing so much interest getting person in to insurance net by using their agents while issuing insurance and no one is coming to check personally to customer (like medical test) and during claiming time they are denying paying amount. They are Playing game with the customers. I am suffered from this company. They are not fulfilling their promise given in insurance policy.
Kindly get me compensation for this and teach a lesson for these types of insurance companies.
Please get me a justice from this company.
Kindly call back or email me for further details.
Regards,
Dinesh BR
ICICI Insurance no: 10017686
Mob: [protected]
Email: dinesh.[protected]@gmail.com