[Resolved]  Oriental Insurance Co Ltd — repudiation of my medi-claim

Address:

Mumbai City, Maharashtra

I underwent E E C P treatment at IPC Heart Care Centre in April-May2009,for Heart Disease and impoved my condition(physically & proper tests) ,even after advice by Doctor to go for By-pass surgery. It is only because E E C P treatment is non-invasive ,absolutely painless and less expensive.No cutting ,No blood, so at 60 I preferred E E C P .Then I submitted my claim to T P A.which was rejected for the reason 'it is un-proven treatment' Then I approached grievance cell of Ori Ins Co,,they also showed same reason.After I approached Ombudsman.In the hearing I submitted all supporting papers of other ins cos.govt of India ,state bank of India,Chennai port trust.Bajaj Allianz etc,,And most important document was of New India Assurance Co.who approved& riemburesed for same treatment, in same Hosp & in sameway.But in reply I found no change in status quo(recd on 15/06/2010).I think all public sector Insurance cos under one roof with same terms & conditions.My complaint is 'If New India Assu Co approves&reimburses ONE treatment,then why not Oriental Insu co? please inquire and give me justice.thanks Yours Truely Devdatt N Redkar 212,Sharda Sadan Shivaji Park Rd no 5 Mahim,Mumbai 400016 My policy no 111400/48/2010/709 Omb ref noOMB/MUM/GI-1111/09-10. Award no.IO/MUM/A-073/2010-11