[Resolved]  United India Insurance Co. Ltd — rejection of hospitalization claim

Address:

Ranchi, Jharkhand

Sir I am a member of mediclaim scheme for the retired emloyees of SAIL for the last 11 years.the scheme is managed by MDindia Healthcare Services (TPA) Private Ltd.for the last two years.my MIN NO. is 3604979,MDI ID NO. MDI5-[protected].I was hospitalized in Raj Hospital,Ranchi in their Icu with extremely bad condition of abdominal distention&pain.since i am known patient of heart by-pass surgery and diabetes,i was admitted in the ICU ward for proper care.During hospitalization the hospital doctors did whatever they thought proper line of treatment and investigation.Firstly i was denied the cashless facility,later i submitted the hospitalization bill to the rourkela office of MDindia on 27.07.2010 with all the original documents. Sir, i waited for almost three months for the reimbursement of my claim,but it was not responded.later when i cotacted the MDindia Pune office,they denied having received my claim documents.on my insistence that the same has been sent to your rourkela office,they agreed having received and the same is being processed.iwas in constant touch with pune through e-mails.After few days i was informed that my claim has been rejected under clause 7.7 of theiy terms &conditions.Sir, this is simply unfair bullying the gullible consumers.I request you to look into it and do justice.
madhusudan gupta
52, heritage garden,Dipa toli,H.B.Road,P.O.RMCH,Ranchi Pin 834009.
e-mail [protected]@yahoo.com