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[Resolved]  New India Insurance — Insurance claim

Hi,
I have just gotten discharged from the hospital with an ACL knee surgery as i fell off the stairs at home. I was covered under my fathers insurance fort he sum of 3 lakh rupees. New India insurance is being handled by a TPA. My initial approval given to me was 42000 where as my operation has costed 1 lakh rupees. my operation was of 2 days while i was informed by the doctors himself that the insurance ppl take around a day to process.

I was supposed to be discharged today, but then come 6 pm in the evening, my father received an sms that the insurance claim has been declined. no concrete reason was given. We were blatantly asked to pay the amount from ur own pockets and apply later for a possible reimbursement. We did talk to the agent to enquire but they simply did not have any answers. we had no choice but to pay the amount from our credit cards

This is ridiculous. What happends to a poor family who cannot afford to pay the whole amount and relying on the fact that the insurance should take care of this.
this has caused immense pressure on me and my parents. What other action can i take in this matter to make sure i get justice.
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Complaint marked as Resolved Aug 14, 2020
Complaint comments  2 CommentsShareTweet

Comments

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Max New York Life Worst Service Provider amongst all life insurance co. Dear all customer and people who planing to buy new insurance pl beware of this co. Sales people will run after you then u have to run. after 10 reminders of mail no single reply. i[censored] call customer there system is 24*7 down. even branch staff is total unaware of evey process and always down.. is my personal experience so who want suffer can go for this co..
I have purchased life insurance policy from Max New York Life Insurance LTD and now surrender that policy. co has give lumsum vlau against my policy without any calculation. when i demand that calculation co is now not at all responding.

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