[Resolved]  Mediclaim Of Oriental Insurance Co. — EXTRA LOADING ON YEARLY PREMIUM

I am a Mediclaim policy holder ( My Last Policy No: 313303/48/2009/423) of Oriental Insurance Co., Barrackpore Branch (W.B.), Branch Code:313303 since[protected]. Then my yearly Premium was Rs. 2491/- for full family of three members.Within 3 years of my continued policy I claimed twice for Rs. 3400/- & 20, 000/- .Due to two claims my present premium had reached at Rs. 6, 200/- for imposing extra loading on premium .Actually mediclaim is supposed to incur the medical expenses on requirement and premium is paid for that purpose as per agreement . It is obviously a hiden condition of the Co and it is not disclosed to the customer when he is becoming a Mediclaim policy holder . It comes to knowledge of a customer when premium is paid next year after claim .This hidden condition i.e. imposing extra loading on subsquent premium after any claim should be stopped or disclosed clearly to the customer while purchasing a mediclaim policy. It is also observed that extra loading varies from a branch to branch of the same Insurance Co. It is also experienced that officials of the Oriental Insurance Co. gives importance to agent than interest of a customer and despite of a written complaint against an agent a customer is not permitted to change his agent . I hope, IRDA will look into this injustice matter .
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Aug 13, 2020
Complaint marked as Resolved 
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I paid Rs 13100 in Dec, 2007. Then my wife suffered from Angina, for which she was treated in hospital for something called Angiography and later angioplasty and stent. I am having policy from 1994 0r 1995. Regularly paying premium year after year. Because the hospital charged the amount under cashless policy, I was asked to pay in December 2008 an amount of 23608 citing loading. Now the notice has come asking me to pay almost Rs 43000 because of loading second time. They know I can't migrate to another company because of age and health. After all the other companies are also Birds of the same feather flock together. The mediclaim policy appears to be sort of a loan repayable. If the central govt introduces a scheme of medical deposit with a little more interest for a long term which can be withdrawn only by hospitals till the date of maturity/death of the insured it will not cause any heartburn. AK

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