Sub: Hospitalization Claim under policy H 069/[protected]/02 Smt T.Sujatha Regarding:-
Ref: Cliam Id: LIC.2038
With reference to your letter dated 10.08.2010 for the claim form dated 15.07.2010 submitted by me for HCB/MCB on the T.Sujatha the hospitalization during the period from[protected] to[protected]. the schedule of expenses is Rs. 1, 52, 855/-.
As per benefits under policy I am eligible to get HSB and MSB. Thank you for giving HSB an amount of Rs 1000/-(Rupees one thousand only) has been received by me.
Regarding MSB, You are informed me that I am not eligible to get HSB because the surgery partial menisectomy done and ACL graft proximal fixation is not covered in the policy . which is not listed in the allowed surgeries(1-49).So I am not eligible to get HSB amount . Please note that my surgery comes in to knee joint system . which is listed in your broacher. The system which works all the combinations of ACL, PCLand menisectomy .with out these parts knee joint system will not works. May I know, with out ACL, PCL and menisectomy how knee joint system works.
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Ref: Cliam Id: LIC.2038
With reference to your letter dated 10.08.2010 for the claim form dated 15.07.2010 submitted by me for HCB/MCB on the T.Sujatha the hospitalization during the period from[protected] to[protected]. the schedule of expenses is Rs. 1, 52, 855/-.
As per benefits under policy I am eligible to get HSB and MSB. Thank you for giving HSB an amount of Rs 1000/-(Rupees one thousand only) has been received by me.
Regarding MSB, You are informed me that I am not eligible to get HSB because the surgery partial menisectomy done and ACL graft proximal fixation is not covered in the policy . which is not listed in the allowed surgeries(1-49).So I am not eligible to get HSB amount . Please note that my surgery comes in to knee joint system . which is listed in your broacher. The system which works all the combinations of ACL, PCLand menisectomy .with out these parts knee joint system will not works. May I know, with out ACL, PCL and menisectomy how knee joint system works.
T.Venkata Ramana