[Resolved]  Mediclaim — Mediclaim not settled

Sub: Mediclaim for Mr. Murari Lal Goel, Policy No. HWT[protected]
Membership No. A16171Y with Cholamandalam MS General Insurance Chennai

Dear Sir,

I have submitted a Medical bill of my father for Rs. 18, 700/-, which was hospitalized during 05th-MARCH-2009 to 08th-MARCH-2009 at BHAGAT HOSPITAL JANAKPURI NEW DELHI-110058.

Our Company has taken a Group Mediclame Policy along with all my family members for more than five years with Oriental insurance, ICICI Lombard, Reliance General Insurance & Cholamandalam MS General Insurance Company Ltd, (Photocopy of policies already given at time of renewal of policies)

Cholamandalam MS General Insurance, Chennai have denied my claim, on the basis of pre existing disease & policy discontinuity, but as per the IRDA norms my father has already been covered under mediclaim from General Insurance Companies for more than five years.

In view of the above the reason given on rejection is not satisfactory & request to reconsider my claim.

I write many times to the Insurance Company, they neither settle my claim nor given me the proper reply. Kindly look into the matter on urgently basic & settle my claim on priority basis.

Thanking you,

for INDFOS INDUSRIES LTD.

Raj Kumar Goal
E-343, Street No. 19
Sadh Nagar Palam Colony
Palam New Delhi-110045
Phone No. 25032640, [protected] (M)
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Aug 13, 2020
Complaint marked as Resolved 
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the point i would like to make is that there is difference in the individual and group mediclaim policies wrt pre existing deseases specially then the insurer has been changed.
please chek with your employer if the current policy with Chola MS covers pre existing deseasesas (an add on cover) if YES then you have a case worth fighting for.
regards


RD

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