[Resolved] New India Assurance Company Pvt Ltd And Mediaassist — Claim Issues
Hello Mediaassist / New India Assurance Team,
My name is Bhanwarlal Jain P(MAID : [protected]) from Coimbatore, TN. I am holding medical insurance of 2 Lakhs with New India Assurance Company. My policy no : 721600/34/09/11/00000374.
My wife Leeladevi (Claim no : 4706755) had undergone surgery at Ganga Hospital. The total expenses at the hospital was 51956/-. But the Mediaassit team had admissed only 39247/-. Below is the reason they have mentioned regarding the nonadmissible amount.
1) For Investigation & Lab charges
Reason by MAID Team : X-ray film rs.1045/- Lab charges for reports not enclosed.
We need X-rays and Lab reports with us for future reference. We can submit to you for verification on condition if you send back to us.
2) Surgery Charges : Non admissible amount 6200/-
Reason by MAID TEAM : Excess of Reasonable.
We want to know on what basis you are saying it is not reasonable ? Why according to you for dressing 600/- is not reasonable?
We have truly paid the amount and you can verify the same with hospital. Ganga Hospital is one of the best Ortho hospital and such remarks on hospital, cant be agreed. I want to know are the New India Assurance and MAID Team purposely does not process the claims. Hereby i request you to admiss amount for above reason within seven working days or else i would be forced to take legal action against Mediaassit and New India Assurance.
I request the Life council Team, IRDA Team, Dr SR and Dr.SRS to look into this matter.
Thanks & Regards
Bhanwarlal Jain P
C/o Pukhraj & Co,
252 N.H Road, Townhall,
Complaint marked as Resolved Aug 14, 2020