[Resolved]  Ttk Health Insurance — Fraud in bills

Address:Chennai, Tamil Nadu

Sir,
I have TTK health insurance for self and family through my Office group insurance. My Mother Mrs.Logammal (Card No. CHE-NC-T[protected]C) was admitted at Sri Ramachandra Hospital, Porur, Chennai, on 24/05/2011 and discharged on 28/05/2011. She had undergone surgery for TA rupture during this period.
At the time of discharge, I received the bill summary (Hospital No 858776) from the hospital stating the Net charges as Rs. 54359.60. I paid Rs. 10477 (Receipt No: 1708057) by cash towards non-medical items to the hospital and hence the Net amount to Pay is Rs. 43882.60.
However, TTK insurace approved amount is Rs. 46132 while the net amount to pay to hospital is Rs. 43882. Rs. 2250 more than the actual amount to be paid Rs. 43882 (as per the bill summary) to the hospital.
Eventhough, I sent mails and registered post, I did not receive any response from the hospital or TTK. My oofice also could not get any response from them
How can I take legal action against TTK and Sri Ramchandra hospital?
- Sivakumar,
Chennai,
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Aug 13, 2020
Complaint marked as Resolved 
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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

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