[Resolved] Ttk Health Care Services, Chennai — Issues with Cashless Mediclaim Policy and claim amount partially with-held | |
Dear Sir, I am holding a valid TTK Health Care card issued by the Chennai branch, which is "Cashless" in nature. Though my husband and I moved to Kochi in 2006, we have been maintaining the health card year after year by renewing the policy at Chennai. In 2008, when I suffered a heart ailment, my husband rushed me to Amrita hospital in Kochi and they would not admit me because TTK Health Care card issued in Chennai was not acceptable to them, though this hospital is in the approved list of TTK Health Care. They insisted that my husband should advance Rs 15,000 from his pocket, which was paid to them "in cash" considering the emergency and I gained admission in the Emergency Ward. TTK Health care was immediately notified both over the phone and in writting regarding the problem faced my me in the non- acceptance of their Medi-card. Later, upon enquiry with the top management of the hospital, my husband was informed that TTK Chennai card was not being honoured because TTK Chennai was with-holding some payments to the hospital in respect of earlier patients ! Therefore, in addition to the initial advance of Rs 15,000, it is pointed out that during the first 4 days of hospitalization, my husband had to procure medicines by cash purchase from the hospital's dispensary. On the day of discharge, the hospital with-held Rs 7049 from the amount I advanced stating these are non - medical items. Upon verification of the items, I observed the items are Lab tests done at the hospital as per attending Dr's advise, nursing expenses for me, test strips used to monitor blood sugar levels as per Dr's advise, surgical items used at the ICU, etc. Therefore, from the total deduction of Rs 7049, after ascertaining the non medical items, I submitted a claim for Rs 5239 to TTK Chennai alongwith the original bills. For the last 11 months, TTK Healthcare Chennai is being most lethargic in their attitude and avoiding the reimbursement of my genuine claim, though I have been repeatedly emailing them on this issue, but they just don't bother to redress the situation. I would appreciate if you could kindly intervene and advise them to reimburse my claim and not to treat policy holders in this manner. Thanking you, Mrs Usha Susan Thomas Was this information helpful? | |
Aug 13, 2020 Complaint marked as Resolved | |
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