Comments
The Company Should pay the amount.
Rajesh Soni Vs National Insurance Company Limited
BHOPAL MP DIV III KOLKATA WB
Subject: Non settlement of Medical Claim
Claim of Rs 5, 00, 000.00 towards Mediclaim and herrishment
1. MEDICLAIM POLICY NO 100300/48/07/[protected] ISSUED ON 20.02.2008 TO 19.02.2009
2.MEDICLAIM POLICY REWENAL 100300/48/08/[protected] ISSUED ON 20.02.09 TO 19.02.10
3.MAY 2009 VISITED DUBAI WHERE REPORTED SWEATING AND LITTELE CHEST PLAIN,
HOSPITALIZED BETWEEN 22.05.09 TO 25.05.09, CORONARY ANGIOGRAPHY 24.05.09 SHOWS
3 VESSEL DISEASE.
4.ADMITTED IN B.M BIRLA HEART RES CENTRE KOLKATA ON 06.06.09, APPLY FOR CASHLESS
ADMISSION, BUT AS ALWAYS HAPPEN STEROPHONIC ANSWER AT 6.00 PM ON 06.06.09 FOR
REFUSAL OF APPROVAL.(SHOWN NO REASON).
5.HOSPITALIZED FOR CORONARY ARTERY BYPASS GRAFTING FROM 06.06.09 TO 19.06.09
ARRANGE MONEY FROM COMPANY FOR NECESSARY PAYMENT/ADV DEPOSITION.
6.ON DT 30.06.09 APPLY FOR MEDICAL CLAIM(ON DULY FILLED FORMATE AND DOCUMENTS)
7.MY CASE REFERED TO TPA M/S HERITAGE HEALTH VIDE CLAIM NO HH[protected] ON 21.07.09.
8.ON 25.07.09 1ST QUERY RAISED BY TPA FOR AFTER ADMISSION HISTORY SHEET FROM
HOSPITAL.WHICH EXECUTED WITH NECESSARY DOCUMENTS ON 06.08.09.
9.AGAIN ON 14.08.09 2ND QUERY RAISED FOR 1ST PRESCRIPTION OF THE CHEST PLAIN,
WHICH REPLIED ON 20.08.09.
10 FURTHER IN LINE OF HERRISHMENT 3RD QUERY RAISED STATING DETAIL OF DUBAI
HOSPITAL PATIENT SUFFERED SIMILAR CHEST PLAIN IN PAST-
REPLIED ON 21.10.09 ALONG WITH ALL TEST REPORTS COPIES PERFORMED ON 12.03.09.
11.FINAL ON 04.12.09 RECEIVED A PHONE CALL STATED THAT YOUR CASE WAS REJECTED
AND CLOSED AS PATIENT NOT COMPLITED HIS INSURANCE PERIOD OF 2 YAERS?
SIR, SURPRISE PERSON TAKE INSURANCE FOR HIM AND FOR HIS FAMILY TO PROTECT AGST
ANY TYPE OF DISEASE CAUSED OR OVERCOME SUDDENLY.ACCIDENT/DISEASE/CRITICAL
ILLNESS/ANY DISORDER AND SURGERIES ARE NOT COME WITH INTIMATION.I TAKE FAMILY
MEDICLAIM TO SUSTAIN IF ANY SUDDEN EXP TOWARDS MEDICAL GROUND OVERCOME, BUT
DUE TO HEAVY CORRUPTION /EGO IN INSURANCE COMPANY I SUFFER A LOT, FINANCIALLY
PHYSICALLY AND MENTALLY I WAS HERRISHED TOO MUCH.
SIR LAUGHED A CLAIM OF RS 5.0 LACS TOWARDS MY MEDICLAIM /HARRISHMENT WHICH I
FACED TILL THE DATE.
INSURABCE COMPANIES SALE THEIR PRODUCT BY BEFULLING THE CUSTOMER, THEY PLAY
WITH CUSTOMER'S SENTIMENTS.I REQUEST TO PL INTERVIENCE IN THIS CASE AND HELP
ME TO HAVE JUSTICE IN THIS CASE.ALSO FORCELY REQUEST TO TAKE ACTION AGST SUCH
INSURANCE COMPANIES IMMDIATELY.
Rajesh Soni
BHOPAL MP DIV III KOLKATA WB
Subject: Non settlement of Medical Claim
Claim of Rs 5, 00, 000.00 towards Mediclaim and herrishment
1. MEDICLAIM POLICY NO 100300/48/07/[protected] ISSUED ON 20.02.2008 TO 19.02.2009
2.MEDICLAIM POLICY REWENAL 100300/48/08/[protected] ISSUED ON 20.02.09 TO 19.02.10
3.MAY 2009 VISITED DUBAI WHERE REPORTED SWEATING AND LITTELE CHEST PLAIN,
HOSPITALIZED BETWEEN 22.05.09 TO 25.05.09, CORONARY ANGIOGRAPHY 24.05.09 SHOWS
3 VESSEL DISEASE.
4.ADMITTED IN B.M BIRLA HEART RES CENTRE KOLKATA ON 06.06.09, APPLY FOR CASHLESS
ADMISSION, BUT AS ALWAYS HAPPEN STEROPHONIC ANSWER AT 6.00 PM ON 06.06.09 FOR
REFUSAL OF APPROVAL.(SHOWN NO REASON).
5.HOSPITALIZED FOR CORONARY ARTERY BYPASS GRAFTING FROM 06.06.09 TO 19.06.09
ARRANGE MONEY FROM COMPANY FOR NECESSARY PAYMENT/ADV DEPOSITION.
6.ON DT 30.06.09 APPLY FOR MEDICAL CLAIM(ON DULY FILLED FORMATE AND DOCUMENTS)
7.MY CASE REFERED TO TPA M/S HERITAGE HEALTH VIDE CLAIM NO HH[protected] ON 21.07.09.
8.ON 25.07.09 1ST QUERY RAISED BY TPA FOR AFTER ADMISSION HISTORY SHEET FROM
HOSPITAL.WHICH EXECUTED WITH NECESSARY DOCUMENTS ON 06.08.09.
9.AGAIN ON 14.08.09 2ND QUERY RAISED FOR 1ST PRESCRIPTION OF THE CHEST PLAIN,
WHICH REPLIED ON 20.08.09.
10 FURTHER IN LINE OF HERRISHMENT 3RD QUERY RAISED STATING DETAIL OF DUBAI
HOSPITAL PATIENT SUFFERED SIMILAR CHEST PLAIN IN PAST-
REPLIED ON 21.10.09 ALONG WITH ALL TEST REPORTS COPIES PERFORMED ON 12.03.09.
11.FINAL ON 04.12.09 RECEIVED A PHONE CALL STATED THAT YOUR CASE WAS REJECTED
AND CLOSED AS PATIENT NOT COMPLITED HIS INSURANCE PERIOD OF 2 YAERS?
SIR, SURPRISE PERSON TAKE INSURANCE FOR HIM AND FOR HIS FAMILY TO PROTECT AGST
ANY TYPE OF DISEASE CAUSED OR OVERCOME SUDDENLY.ACCIDENT/DISEASE/CRITICAL
ILLNESS/ANY DISORDER AND SURGERIES ARE NOT COME WITH INTIMATION.I TAKE FAMILY
MEDICLAIM TO SUSTAIN IF ANY SUDDEN EXP TOWARDS MEDICAL GROUND OVERCOME, BUT
DUE TO HEAVY CORRUPTION /EGO IN INSURANCE COMPANY I SUFFER A LOT, FINANCIALLY
PHYSICALLY AND MENTALLY I WAS HERRISHED TOO MUCH.
SIR LAUGHED A CLAIM OF RS 5.0 LACS TOWARDS MY MEDICLAIM /HARRISHMENT WHICH I
FACED TILL THE DATE.
INSURABCE COMPANIES SALE THEIR PRODUCT BY BEFULLING THE CUSTOMER, THEY PLAY
WITH CUSTOMER'S SENTIMENTS.I REQUEST TO PL INTERVIENCE IN THIS CASE AND HELP
ME TO HAVE JUSTICE IN THIS CASE.ALSO FORCELY REQUEST TO TAKE ACTION AGST SUCH
INSURANCE COMPANIES IMMDIATELY.
Rajesh Soni
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+91 33 2283 1706
+91 33 2283 1705
3, Middleton Street, Prafulla Chandra Sen Sarani, Kolkata, West Bengal, India - 700071
I RAJIV DUBEY r/o of kanpur u.p. has submitted all documents and my claim was disposed by Honble HIGH COURT OF KARNATAKA. on 1/02/08 and the H"onble court directed the NATIONAL INSURANCE COMPANY to pay the sum of RS.3, 74, 000 on account of death of my elder son in a road accident but I still has not received the sum and neither any information from NATIONAL INSURANCE COMPANY.
My cell No.[protected].