[Resolved] Icici Lombard — health insurance claim settlement

VipinMalik

from Hisar, Haryana

Address:	122004
Website:	www.icicilombard.com

Hi,

I have taken health insurance policy for me and my wife from icici lombard health insurance on may 2016. My wife recently suffered from severe back pain which was diagnosed as spine disc desiccation and nerve root compression (Pivd) on 17th september 2018 followed by an mri on 02nd october 2018. My wife has undergone with a daycare surgery which i claimed to the insurance team.

Now claim team has rejected the claim stating "non-disclosure of spine disc desiccation and nerve root compression (Pivd) since april 2061". But this is not true as the disease is just diagnosed on above-mentioned dates and their reason is not valid.

Icici lombard team is not listening to my complaint and i want to register a case against icici lombard team for not giving the policy benefits to the consumer.

Policy number :4128i/ihpr/[protected]/02/000
Claim number :[protected]
Patient name : shivani malik

Regards,
Vipin malik

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Jan 29, 2019

Complaint marked as Resolved

ICICI Lombard customer support has been notified about the posted complaint.

Verified Support

Dec 17, 2018

ICICI Lombard Customer Care's response Dear Vipin,

Apologies for the inconvenience caused. We have made a note of the details mentioned. We will check this from our end and get back to you with an update on the same

Regards,
ICICI Lombard General Insurance

Verified Support

Dec 18, 2018

ICICI Lombard Customer Care's response Dear Sir,

We write this with reference to your below concern,

We tried to reach you on your registered contact number however was unable to establish contact with you.

Further, we would like to inform you that we are reviewing your claim with our senior claims official and we shall revert you within maximum 5 working days.

We request your co-operation in the interim and look forward to serve you.

Verified Support

Dec 28, 2018

ICICI Lombard Customer Care's response Dear Sir,

We write this with reference to your below concern,

As per our telephonic conversation held today, we would like to inform you that we have reviewed your claim with our senior claims official and regret to inform you that your claim stance of rejection remains the same.

Further, you can share the clinical details as discussed on our mentioned email id i.e. [protected]@icicilombard.com in order to review your claim further.

We value your relation with us and assure you best of our services.

We look forward to serve you.