[Resolved]  The Oriental Insurance Co Ltd — Claim in Mediclaim

Address:

Ahmedabad, Gujarat

I have been Passed by Stone Operation on 30.06.2010 from Siddhi Vinayak Hospital, Kankaria, Ahmedabad.

My MD India CCA No. 0715038. On 14.07.2010 i have to take out Stane kept after operation of Stone, & i have submitted all the required papers into Insurance co on 16.07.2010, as i have received all papers from above hospital on 15.07.2010 at evening.

I have applied for Cash-Less which was rejected for Lapse in Policy in the year[protected].

My Insurance in D.O.-III, 3rd Floor Agrawal Chambers, Nr. Town Hall, Ellisbridge, Ahmedabad.

I have visited my Oriental insurance Co.Ltd office on 03.08.2010 & contacted Divisional Manager for my Claim. Before that i have send a mail to D.M on 03.08.2010 from my email id for solving the problem, Divi.Manager told me that i will receive Answer of my mail within a week, but till today No answer is being Received by me.

Even than after I have called Divisional Manager on 12.08.2010 & requested to reply to my mail, but Divisional Manager replied that all Claim Department persons are busy in Flood Claim, so my answer will be send by her/his till some days & cut out my Phone.

Another thing, i have gone through Docket of my Mediclaim in the Division & found that At the time of said Lapse Policy, Authorised Person has Noted as below:

Sum Insured Renewed. Nothing else was written on it.

I want to complain for such., because if my said policy is Lapse, than Oriental insurance should Inform me by Letter or through my divisional Officer that Your Policy is been Lapsed & now onwards this Policy will be treated as FRESh.

Also, if as per terms of Oriental Insurance, if my Policy is to be treated as FRESH, than why did above Division of OIriental ionsurance Co. did not informed me? & also they have not asked me FILL NEW PROPOSAL FORM..

I want a Letter from Divisional Office that MY POLICY(ASHESH.D.TRIVEDI) IS CONTINUE & MY CLAIM SHOULD BE PASSED & the Division should send Original Copy to MD INDIA LTD & second copy to me for Passing my claim.

I have spend Rs. 41,248/- & paid to above hospital. I have taken a Loan from my relatives to Pay such Bill of Hospital, which I have to give them back as soon as possible.

I have not received even a Letter from MD INDIA & my DIVISIONAL OFFICE with Reason of Not passing my Claim i.e. NO CLAIM LETTER, so i think that i should get a letter from ORIENTAL INSURANCE CO. LTD addressing to MD INDIA for passing my claim & second or xerox copy should be posted to me or hand over to me.

Please take this SERIOUSLY, because it has been already 1 month & 15 days after i had passed through my Operation., and 1 month for submitting my papers in Insurance Co.

Waiting for your positive & URGENT reply.

Regards
Ashesh Trivedi
[protected].