[Resolved]  United India Insurance Co. Ltd. — Deduction of Claim Amount.

Address:

Nandurbar, Maharashtra

My Mediclaim Policy amount is of Rs.2,75,000/-. In November 2009 i have faced an road accident and admitted in hospital. I have filled the Claim of Rs.121617.00 with TPA Vipukl MedcapTPA Pvt. Ltd. My claim was passed only of Rs.93,492/- + Rs.1536.00. Rs.26589 was deducted giving reason of Room rent capping. But in my policy terms and condition no such clause was there which i have shown to TPA and Insurance company. but of no use. Hence i have given my complain to The Insurance Ombudsman on 21.07.2009. As per the letter dtd.11.08.2010 of the Insurance Ombudsman i have submitted required document on 23.08.2010. Till date have not receicved answer for this office after several followup on telephone. Hence I want to fill the complain with Consumer Forum.