[Resolved]  TTK Healthcare Service — Claim towards Brain Hammerage

Hi,
This is in reference to the mediclaim policy of my father Mr Shri Prakash Gupta.
The card number of the same is CHE-NI-GH[protected]B.

He had been hospitalised with Apollo Hospital, Kolkata on 28.06.2008 because of brain hammerage(as per the Dr B.K.Singhania's report). A request to TTK had been made for the cashless treatment of the same but there has been a rejection of the request from TTK. The cause of rejection as per the records sent by TTK is that the patient had a pre existing history of diabetes and hypertension. When enquired it asked for a re-application of the same with Clarification of the doctor(10thJuly). After several re-applications today(17th July) I called up to hear that its again rejected due to the same reason as earlier !! I dont understand if you people are not understanding the point OR you actually donot want to get my claims done !


The concern of mine is that, CAN A DIABETIC PATIENT NOT HAVE A BRAIN HAMMERAGE ?? And if it happens is the cause ONLY DIABETES / HYPERTENSION ??????

I had never been given any policy document mentioning that a brain hammerage for a diabetic patient will NOT be covered with a medical insurance. Had it been the case shouldn't it be properly documented???? Otherwise it seems to be a case of cheating with the customer.

Please look into the matter at highest priority otherwise I might need to take some other strict action for this matter.

Looking forward for your response.

Regards