[Resolved]  United India Insurance — reimbursement denied

Address:

West Bengal

my wife is a breast cancer patient.treatment is going on since April ,2012 mainly at Tata Memorial Hospital, Mumbai.
Chemotherapy and Zoledronat treatment was completed. Periodical consultation with the attending physician is required and a must as per their prescription. .Diagnostic, and Laboratory Examinations are a prescribed precondition of such consultation and this is consistent with or incidental to treatment in order to ascertain the degree of improvement or deterioration of the condition of the the patient under treatment. it is the ongoing process. Charges incurred for these treatment are denied on the ground that these are outdoor treatment and not eligible for reimbursement. Not only this , even charges for bone marrow operation and blood transfusion where admission in hospital are must are also denied.
how to combat this obnoxious rule of the insurance company? Legal provisions and / or court rulings are needed.