[Resolved]  TTK Healthcare + ICICI Lombard — non clearance of mediclaim pending for 7 months

Case History:
I had a mediclaim policy from ICICI Lombard no. 4034/CHC/03554224/00/000. I had a slight accident i.e. i fell of from steps, it seemed to be only leg injury for which i refered to an orthoped but it did not help - the condition was getting worst but he could not daignose the reason. On consulting another doctor who is a family relative & his colleague they were of the opinion that i should get admitted to the hospital since medication & physiotherapy did not work - on their diagnosis from all the reports they found it to be an injury in the lower back which was serious but could be cured by rest, medication & physiotherapy although it would take a longer time.

Reason for Complaint :
After my discharge i submitted all the documents & original MRI for claiming medical expenses well within timelimit for submission.there was no feed back from their side after that it was only when i called that they informed about document shortfall - these documents were not required as per policy documents - but still i provided the same immediately.where i was not able to provide i explained the reason thereof which they agreed upon every time i gave it but did not give any response thereafter. every time i called them they gave the same reply of shortfall of documents. till date the claim is pending.
again i am facing a back problem but i am not able to consult any doctor or physiotherapist as i dont have the original mri reports (these are not duplicable). even after asking the same they are not providing.
at last a female asked me to give a letter for getting the documents back which again will take atleast a week.
please help me get my claim & documents i am fed up of follow-ups that i have to do with them.
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Aug 14, 2020
Complaint marked as Resolved 
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My son was in om hospital from 11 april but has not got his approval letter yet his no is[protected] and his card no is ilgic/grt/[protected]/so please help me i have phoned many times but have not recieved it yet the fax no is [protected]please send it soon i am trobled by the hospital thankyou Irene Cobla
TTK
BLR-NC-S[protected]D
Surgery date:01/03/09
Preauthorisation #BlRPA 0001940
Approved amount Rs 69000/-
Till today claim has not been settled.fully.Only Rs 30000/ was paid and balance amount is still pending.
I have made 100 call sent no. of mails but they have standard reply that it is under processing .Can anyone help me on this.
dear sir,
My mother Ms.Jayarajavalli injured accidentally get fracture in leg foot wrist joint and the bone will break at the joint we have admitted her in hospital. Operation and other treatments were taken and got discharged from hospital . With all formalities we have sent mediclaim insurance application to your concern last month 10/08/2009 when will we get that claim can u please inform me.Her policy details:
Policy No: 4034/fps/02542987/00/000

Policy Tenure: 2years
patient Balbir Kaur card no-ilgic/psb/[protected]/w, policy no.-4016/0001725/02/000 operated(laparoscopic cholecystectomy) on 14/08//2009 and discharged on 17/08/2009.All required documents for claim has been submitted, but no payment has been recieved.so plz kindly go through the matter.

regards
chaudhary hospital
kurali distt mohali
Lunatic TNPSC and Government of Tamilnadu Complaints - Physiotherapy Subject NOT INCLUDED in the TNPSC Information Brochure in ANNEXURE – II (Page-18) with listed Name of Subject & Subject Codes
View all Lunatic TNPSC and Government of Tamilnadu complaints
Lunatic TNPSC and Government of Tamilnadu
Posted:[protected] by Hubertson Send email
Physiotherapy Subject NOT INCLUDED in the TNPSC Information Brochure in ANNEXURE – II (Page-18) with listed Name of Subject & Subject Codes
INDIAN NATIONAL CONGRESS

Hubertson,
State Secretary, National Students Union of India
78, Kuttyadapuvilai, Karungal, Pin-629157, Kanyakumari District, Tamilnadu
Mobile - [protected]

Petition before the
Hon. Chief Minister of Tamilnadu

Respondent:-

1. Thiru. Ramesh Chand Meena, I.A.S.,
Secretary, Tamilnadu Public Service Commission,
Phone:[protected], Fax:[protected]
2. Thiru K.K.S.S.R. Ramachandran,
Minister for Backward Classes, Govt. of Tamilnadu.
3. Thiru T.M. Anbarasan,
Minister for Labour, Govt. of Tamilnadu.
4. Thiru M. R. K. Panneerselvam,
Minister for Health, Govt. of Tamilnadu.
5. Dr. K. Ponmudy,
Minister for Higher Education, Govt. of Tamilnadu.
6. The Vice Chancellor, Dr. K. Ponmudy,
The Tamilnadu Dr. MGR Medical University, Chennai.

Sub: - “Partiality on Physiotherapy students who has completed the 4 ½ years Bachelor of Physiotherapy Degree Course – No way for Physiotherapist to get a JOB in Government Sector– 1. Physiotherapy Subject NOT INCLUDED in the TNPSC Information Brochure in ANNEXURE – II (Page-18) with listed Name of Subject & Subject Codes – 2. Rejection of Applications by candidates holding 4 ½ years Bachelor of Physiotherapy Degree Course for the post of HEALTH OFFICER [Advertisement No: 175, Tamilnadu Public Health Service(Code No.052), Post Code-2029] – 3. Requistion to ACCEPT the applications of candidates holding 4 ½ years Bachelor of Physiotherapy Degree Course – 4. To INCLUDE the Physiotherapy Subject for TNPSC Recruitments – Revenge on Physiotherapist by The Tamilnadu Dr. MGR Medical University - reg”

Honourable Chief Minister,

1. The lunatic act of TNPSC has failed to include the PHYSIOTHERAPY as one of the subjects in ANNEXURE – II at Page No.18 in the respective information Brochure. Hence there is no way for the Physiotherapy Degree Candidate to attend any TNPSC recruitments or to hold a Job in Government Sector. Clarify the reason for why physiotherapy was not included as a subject.

2. (a) As announced in paragraph 8 of the Commission’s Notification dated 20.09.2008, the SCHEME OF WRITTEN EXAMINATION (OBJECTIVE TYPE) AND ORAL TEST is from the Subject “Social and Preventive Medicine (Code No.105)”.
(b) Students of 4½ years Bachelor of Physiotherapy Degree Course from colleges affiliated to “The Tamilnadu Dr. MGR Medical University” at Chennai has to study “Social and Preventive Medicine” as one of the major papers and has to undergo an Written Exam by the University in the sixth semester.
(c) Hence the candidates holding 4½ years Bachelor of Physiotherapy Degree Course were eligible to attend this Exam.

3. Ms. R. Malliga, Under Secretary undersigned by Section Officer from TNPSC as Memorandum No.6741 HO/APD-J1/2008, Dt.[protected] with the sub: - Recruitment (Direct) – Health Officer in Tamilnadu Public Health service[protected] – Rejection of Applications –regarding has send an letter to Mrs. Annie N. Nisha, the Physiotherapist who has completed the 4½ years Bachelor of Physiotherapy Degree Course, intimating that the Application for Health Officer has been rejected.

4. The Tamilnadu Dr. MGR Medical University is already taking revenge over the Physiotherapist by spoiling the future of Physiotherapy students. Still there exist a cold war between Allopathic Doctors and Physiotherapists. Allopathic Doctors dominate the University and so students of many colleges affiliated to this University were failed intentionally and most of the students joined in the 4½ years Bachelor of Physiotherapy Degree Course in the year 1998 were still studying the same course and not able complete the courses for a prolonged period of ten years.

5. Hence it concludes that the above said crime was committed with a joint venture of “The Tamilnadu Dr. MGR Medical University and TNPSC.

Hence I humbly request you to
i). Direct the CBI to probe the hidden causes, which spoil the well being and bright future of young students and Physiotherapist and
ii). Instruct the TNPSC to accept the rejected Applications of the candidates who has completed the 4½ years Bachelor of Physiotherapy Degree Course.
iii). To INCLUDE the Physiotherapy subject as one of the subjects in the Annexure-II [Page No – 18] of TNPSC Information Brochure for Recruitment
iv). To save the young Physiotherapy students from the cruel and wicked hands of The Tamilnadu Dr. MGR Medical University. A separate University should be established for Paramedical courses and it should be headed only by the persons holding Paramedical Educational Qualifications and the Allopathic MBBS and so on should be strictly avoided.
v). The Rejected Applications of Candidates holding 4½ years Bachelor of Physiotherapy Degree Course for the Post of Health Officer, should be re-accepted and the Hall Tickets for the Written Exam on 21–Dec–2008 should be issued immediately before the date of Exam.
vi). Failing to RE-ACCEPT the Rejected Applications of Candidates holding 4½ years Bachelor of Physiotherapy Degree Course for the Post of Health Officer and to ISSUE the Hall Tickets will lead us to do things against the Present Government and the lunatic TNPSC by revealing the above said things across all Taluks & Districts of Tamilnadu by Public Meetings, Rallies, Newspapers, Internet, Email, sms and by possible means initially.

Expecting your favourable action,



[Hubertson]

Copy To: -
1. Hon. Sonia Gandhi, The Chairperson, UPA.
2. The Prime Minister of India
3. The President of India
4. The Chief Justice of Tamilnadu.
Dear sir,
I miss CHAITRALI GAJANAN GOLATKAR and was operated for excission of coccyx on 09/06/2010 from KLES PRABHAKAR KORE HOSPITAL BELGAUM. I have provided all the documents in original which were neccessory within the time limit. But in spite of that i m getting the letters saying kindly furnish "BREAK UP OF SURGICAL CHARGES" and i have got final reminder cum closure letter on 29th Oct.2010.

If you need any documents rather then i had submitted please furnish them from the above hospital. My date of admission is 09/06/2010 and date of discharge is 12/06/2010 and was under the treatment of DR. PUJAR VIJAY.
MY
CLAIM NO:[protected]
UHID: IHPN[protected]/01
POLICY NO: 4034I/CHT/05112343/00/000
HOSPITAL NAME: KLES DR. PRABHAKAR KORE HOSPITAL & MEDICAL RESEARCH CENTRE
NEHRU NAGAR BELGAUM
KARNATAKA- INDIA
PHONE NO:[protected] LINES)

Please go through this matter as early as possible(URGENT) and let me know your decision. My email id is [protected]@gmail.com

THANK YOU

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