[Resolved] HDFC Bank Ergo General Insurance — Cashless approval

sri_870

from Noida, Uttar Pradesh

Address:

Mumbai City, Maharashtra, 400059

Sir, i was taken HDFC health suraksha policy in jan 2014.I renewed policy on 20 Jan 2016. As per their terms and conditions iam eligible for cashless for joint replacement for my mother which is not pre existing.This problem was first reported in Aug 2015. After that we approached further. But insurance team not giving approval for cashless mentioning it as a pre existing.But that is not pre existed. If it is like this then we are asking to prove but they didn't so.Hospital team also cooperating with HDFC and they made wrong report.Based on that report they are deciding.How is it possible sir? If this is the condition Insurance company has to take health checkup and confirm accordingly blindly how they can judge sir? They are playing with our lives. This is totlly their mistake and denial to provide services as per agreement. If iam not eligible for cashless how can they give for cashback? Totally they are doing wrong

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Apr 10, 2016

Complaint marked as Resolved

Regarding my cashless approval claim number RC-HS15-10339248 dated February 25, 2016.I approached HDFC vide Complaint Number 013-684-691 raised on 01 Mar 16 and IRDAI vide Complaint number 03-16-003585 raised on 05 Mar 2016. But HDFC giving same reply and covering their mistake. They provide address and phone numbers emailed me HDFC Address : HDFC ERGO General Insurance Company Ltd. 5th floor, Tower 1, Steller IT Park, C-25, Sector-62, Noida -201301. Call : 1-800-2001-999 / 1-860-2000-700 Fax : 1-860-2000-600 Email : [email protected] IRDAI suggested to approach you because they are not giving proper justification. also If hospital team has done mistake they are giving penalty to us sir. They dont want to listen any thing from ourside. They dont want to undertake any health checkup and misguide the people when real problem occurs then they are saying like all this type of reasons and they deny it.

HDFC ERGO General Insurance customer support has been notified about the posted complaint.