| Address: KAJIPARA; NAGERBAZAR; KOLKATA-700028, North 24 Parganas, West Bengal |
Dear Sir/ Madam,
This is to bring your kind attention that I, Prasanta Choudhury, son of Mrs. Latika ChoudhurI, having HDFC ERGO Policy reference no.-HN[protected], registered a cashless claim on 26th June 2013 with HDFC ERGO Policy ID ER[protected]-02M, CCN NO. RC-HS[protected] and Reimbursement claim on 29th June 2013 as my mother, Latika Choudhuri, when she was admitted to Belle Vue Nursing Home, Kolkata on 24th June 2013 with difficulty in breathing & chest pain. After receiving the sms alert from HDFC ERGO that my claim is being rejected, I called to your customer care ([protected]) and came to know that the reason for rejection under the mental disorder ground and relevant clause is section-6, clause-e & point no.- vii) which states (as per the policy paper I have received with welcome kit) the following:
Section-6: Exclusion
Clause-e: "We will not make any payment for any claim in respect of any Insured Person directly or indirectly for, caused by, arising from or in any way attributable to any off the following unless expressly stated to the contrary in this policy":
Point no.- vii): "Psychiatric, mental disorders (including mental health treatments and, sleep-apnoea), Parkinson and Alzheimer's disease, general debility or exhaustion ("run-down condition"); external congenital disease, defects or anomalies, genetic disorder; stem cell implantation or surgery, or growth hormone therapy."
As I have discussed with the doctor (Dr. Mandal: [protected]) of Belle Vue Nursing Home who treated my mother in Belle Vue Nursing Home, Kolkata , he explained me that she is diagnosed as ' SEVERE OBSTRUCTIVE SLEEP APNOEA' which cause to breath problem, not 'MENTAL DISORDER SLEEP APNOEA. He also explained that due to deposition of fat in and around of her neck, my mother is suffering with deficiency of oxygen during inhaling at the time of sleep at night and use to feel drowsiness during day time. Moreover she is mentally perfectly fit.
Inspite of submitting the document proof of the same (submitting all test report) to HDFC Claim department and inspite of several telephonic and email communication, every time they rejected my claim with referring above mentioned clause. I strongly feel this is the case of cheating & fraudulent.
I sincerely request you to kindly look into the matter and suggest me what should I do get my reimbursement of my ethical claim.
I shall also request you to take strong punishable action against HDFC ERGO, so that they do not repeat this short of incident with any other policy holder.
I’m also attaching scan copy of all medical report of my mother which shall prove sanctity of my above statement.
Looking forward for your valuable reply.
Thanks & regards,
Prasanta Choudhury
Mobile: [protected]/ [protected]
HDFC ERGO Plocy Ref. No.- HN[protected]
Aug 14, 2020
Complaint marked as Resolved
HDFC CREDIT CARDS — Information to hdfc
Sir,I would like to give some useful information to HDFC Bank, Credit card division, Hyderabad. One person by name V.P.Srinivas S/o. Pentiah, aged about 35 years, resident of Jemini colony, Musheerabad, Hyderabad, misused the credit card and withdrawn huge amount and escapted to USA. He has managed to take vise from Chennai Consulate. Now he is residing in USA illegally. ---a well wisher of credit card division. --Ashok