[Resolved] Ttk Health Insurance — Fraud and Misrepresentation by TTK

[Resolved] Ttk Health Insurance — Fraud and Misrepresentation by TTK

S SS Eswaran from Delhi, Delhi

Respected Sir, I would like to have your views on my case:- My son is working for a corporate house in Mumbai. He has the medical insurance cover under TTK health care for himself and me 63 and my wife 56. I wanted to go in for a cataract eye operation. We approached Venu eye hospital and were given to understand that they dont have tie up with TTK. Immediately we rang up the helpline of TTK who assured us that we can operate in Vinayak Hospital and the card limit was 1 lakh and we could get cataract operation done there. We gave the papers to Vinayak hospital and the doctor had given estimate for the operation Rs. 25000. The same was faxed to them and in reply was Authorisation- Approved dt 10/11/09 Authorised- 15000(Fifteen Thousand only) Remarks Send full bill and discharge summary for further enhancement We were informed of the same and the operation took place on Friday 13/11/09. Before the operation we had seen the approval letter of TTK. After operation was over the final bill was sent to them for Rs. 27407 for which the reply by fax came as under Authorisation – Approved dt 13/11/09 Authorisation limits- 10,000 Remarks- This is the full and final approved which supersedes all previous approvals. (Maximum sum payable for cataract as per policy agreement. Non medical expenses are not payable to be collected by party) The hospital would not let us go without paying them, Rs. 17407 and I had to pay the same to keep a good relation with the doctor. As a reader of your column at first instance, I think it would have been proper for the hospital to claim from TTK as per earlier commitment. They did not as they have already a claim of Rs .10 lakhs due with them. Please take TTK to task for false commitment and not ethical business tactic. Sir I would also like to tell you that had I known that the limit is only Rs. 10,000 I would not have got the operation done there, I would have done somewhere near my house. When TTK knew that they can only pay Rs. 10000 maximum against my policy then why did they commit Rs 15000 and also the further bills on vouchers. We have faxed and written letters to TTK and they have replied back by saying that the policy is entitled for Rs.10.000/- Please help and guide. Yours truly, SS Eswaran D-02, Indraprastha Appartments Plot no-114, I.P extn Patpargunj Delhi-110092 [protected] +3 photos Was this information helpful? No (0) Yes (0)
Aug 14, 2020 Complaint marked as Resolved
2 Comments	Share
Submit Close

Related TTK Healthcare reviews

View all 78 TTK Healthcare Reviews

Comments

SivakumarT

from Delhi, Delhi

TTK is a fruad company. Never take any insurance from TTK. They won't even respond to any querries reagrding their discrepencies.

ravivenkatapur

Hello Everyone,

My mother had a throat operation on December 2011 and she undergone treatment which was not listed under TTK and they promised me that once i submit the original bills they will going to reimburse the total expense got completed.

After my mother throat operation I submitted all the original bills with doctor full report, however after one week TTK came back and asked me to get the original bills from the Hospital where my mother was undergone for operation, I had zerox copy of the initial bills and I replied to them stating that I have already submitted the bills why you are asking again, nothing they said for my question instead of that they said we need original bills to process your claim which is irritating and pathetic.

I would like highlight that TTK services are very worst and they will not provide the patient operation bill amount at once and they will ask several times to submit the Original bills but Original bills will be submitted only once and can not be taken from Hospital every time whenever they (TTK) want.

Hence I have stopped the TTK health insurance and planning to go for good health insurance company which is having good service in market.

Thanks
Ravi