[Resolved] The New India Assurance Company Ltd & Md India — mediclaim claim | |||
Dear Sir, I have claimed in MD INDIA for my medical expenses but I received very few amount cheque which is not acceptable by me. The recent letter which I wrote to MD India is below you will understand the whole matter. Kindly go through the letter. Regards, Madanlal Jain From, Madanlal M. Jain Mulund (W) Mumbai – 400 080 Date: 04/08/2010 To, MD India Ref : Policy No.140600/34/09/11/00009907 CCN No.MDI0686796; MDI ID No. : MDI5-[protected] Sub : Non Acceptance of claim cheque. Dear Sir, With reference to above please note that I hereby returned you the claim cheque amounted Rs.1,14,638/- dated 28/06/2010 cheque No.001582 . Also I request you to go through following points:- 1. I have mediclaim since more than 15years. 2. This is my first claim. 3. My Sum Insured is Rs.1,50,000/- Cumulative Bonus is Rs.75, 000/- 50% (check with NIA) Total Rs.2, 25,000/- 4. Also note that I have sent all the policy copy to you with this claim. 5. Total Sum Insured Rs.2,25,000/- Hiranandani Hospital Cashless Rs.13, 685/- Now eligible amount is RS. 2, 11,315/- 6. As per NIA mediclaim policy I am eligible for the package and all relevant medical expenses on the criteria of 1% of Sum assured. My 1% of Sum Insured is Rs.1500/-(Please check my policy is for Rs.1,50,000/-) 7. You had calculated all the expenses @ Rs.1000/- which means you have given 50% less amount than my eligible amount. 8. Now I request you to go through all the bills once again. 9. Total balance Sum Insured amount is Rs.2,11,315/- 10. I have received your cheque for Rs.1,14,638/- (which I hereby returned you back) Total Bill Submitted Claim Amt Eligible Amt • Cardio Vascular surgery Rs.2,49,000/- Rs.1,45,200/- • Bed Charges RS.3900/- Rs.1,500/- • Lab Medicine Rs.13,565/- Rs.5,426/- • Material Management Dept Rs.74,379=70/- Rs.29,751/- • Miscellaneous in Hospital Bill RS.1,523/-____ Rs.1,523/- TOTAL Hospital Bill Rs.3, 42,367=70/- Rs.1, 83,400/- • Pre Hospitalisation Doctor Charges Rs.2050/- Rs.2050/- • Pre Hospitalisation Doctor Charges Rs.250/- Rs.250/- • Pre Hospitalisation Investigation Rs.15,500/- Rs.15,500/- • Post Hospitalisation Rs.740/- Rs.740/- • Post Hospitalisation Medicine Rs.1258/- Rs.1258/- • Post Hospitalisation Medicine Rs.1771=25/- Rs.1771=25/- • Post Hospitalisation Medicine Rs.133=40/-____ Rs.133=40/-____ TOTAL Claim Amount RS.3, 64,070=35/- Rs.2, 05,102=65/- Now once again I request you to go through all the papers and please send fresh cheque with my eligible amount. Encl: As above Thanking You, Yours Faithfully, (Madanlal Jain) Note:- 1. If Rs.1700/- per day bypass package cost is Rs.1,65,000/- 2. Our Eligible amount Rs.1500/- per day allowed is Rs.1,45,200/- (Hospital Tariff attached herewith.) Was this information helpful? | |||
Aug 13, 2020 Complaint marked as Resolved | |||
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