I have submitted a proposal for family floater policy of ICICI Lombard through an agent, same day i paid the amount by Cheque for Rs. 16822/- for 2 year premium, after 25 days i got a cheque for Rs. 16822/- and a letter it shows my policy is cancelled. I don’t know with out approving a proposal how they can cancel it. After 5 days again i got a letter from ICICI Lombard that my policy is cancelled because Renal Failure of Spouse.
It is clearly mentioned in ICICI Lombard family floater plan that
Exclusions valid for the first 2 Years by ICICI Lombard
Treatment of the following diseases/illness/ailments
Cataract, Benign Prostatic Hypertrophy, Myomectomy, Hysterectomy unless because of malignancy, Hernia, Hydrocele, Fistula in Anus, Piles, Arthritis, Gout, Rheumatism, Joint replacement, unless due to accident, Sinusitis and related disorders, Stone in the urinary and biliary systems, Dilatation & Curettage, Skin and all internal tumors / cysts / nodules / polyps of any kind, including breast lumps, unless malignant / adenoids and hemorrhoids, Dialysis required for chronic renal failure, Surgery on tonsils, adenoids and sinuses and Gastric and duodenal ulcers.
If the Policy is renewed with us for two consecutive years, the above diseases/illness/ailments ( Dialysis required for chronic renal failure) will be covered from the 3rd year. If these are pre-existing diseases at the time of inception of the policy, the same will be covered from the 4th year onwards.
Permanent exclusions
Any illness/ disease/ injury/ pre-existing disease before the inception of the policy. However, this exclusion ceases to apply if the policy is renewed with the Company for 4 consecutive years (If they reject a policy like mine on the basis of renal failure for spouse then how can it be renewed for 4 consecutive years)
Any pre-existing illness - The claims arising on account of or in connection with any Pre-existing illness as defined in policy shall be excluded from the scope of cover under the policy until 48 months of continuous coverage have elapsed, since inception of the first individual health policy with the company
It is clearly mentioned in the website and brochure clearly that At the inception of policy Pre existing disease/ illness like Dialysis required for chronic renal failure will not be covered and the same will be covered form the 4th year onwards.
Please help me with a solution to get a mediclaim policy for my family.
Aug 14, 2020
Complaint marked as Resolved
ICICI Lombard — not giving my money back after cancelling my health policy
hi, my name is vishal kukreja, i was thinking of taking a mediclaim, family health floater policy on 1st dec2008, i gave my credit card no to 1 of the customer service agent & told him, i will let him know tomorrow for what amount i am looking for but that guy processed the request the next day & i was charged RS 6024, unauthorised & no verification done, policy no 4034/ffh/w-428051/00/000. i called icici lombard to cancel it . they cancelled it on 10/12/2008 & after calling them for upteen times said that they have refunded RS 4518, sent them my credit card statement to prove no money credited . they gave me service request no[protected] dated 13/1/2009 with 5 working days that my money will be refunded but the request is still pending, simultaneosly complained on their website, got reply with another request no [protected] on 13/01/2009 with 7 working days to be processed but still it shows pending .nobody is helping me out, please help me out
thanks
vishal kukreja