Icici Lombard — Cashless request rejected

Address:	Mumbai City, Maharashtra, 425105
Website:	www.icicilombard.com

Dear sir,

I am uday y. Dahale, a jio policy holder under icici lombard (Cashless access) and details are mentioned below:

Claim of yogendra

Uhid : ilgic/yz5/00/[protected]/f
Policy number: 4015/[protected]/00/000
Policy period : 01-feb-2016 to 31-jan-2017
Date of admission: 25-mar-2016
Al number:[protected]

I had applied for the knee replacement operation for my father, mr. Yogendra dahale, recommended by dr. Nirad vengsarkar on 4th march 2016 (Doctor letter attached). The first denial for the cashless access by icici lombard was done on 15th march 2016 on the basis of policy's terms and conditions, reason "1 year waiting period".

But my father was not comfortable for undergoing the knee replacement surgery. Then, i consulted dr. Suhas shah and he suggested to go for a small surgery. But the cashless access was denied for the second time on 21st march 2016, saying that there was change in plan from our side to get the benefits of the cashless facility. I had submitted the required document justifying the change in plan of treatment from tkr to high tibial osteotomy with lizarov, dated[protected] and[protected]Doctor certificates attached) to icici lombard on mail.

Upon submitting the required letters from the treating doctors and other documents, icici lombard is repeatedly denying the cashless access. When i called up their customer support, they simply reply saying that it has been denied because of change of plan and it does not fit into their criteria.

It is my humble request to you to look into this matter and help me find solution for getting 100% cashless access for my father's treatment.

I am attaching doctor's certificates and email correspondence screenshots.


Thanking you.

Yours sincerely

Uday y. Dahale
Mob: +91 [protected], +91 [protected]
Email: dahale.[protected]@gmail.com