Icici Lombard — issue:- did not get reimbursement of medical insurance claim amount

pranshusharr

Address:

Email: [email protected] Address: Contact Us ICICI Lombard GIC, ICICI Lombard Health Care, ICICI Bank Tower, Plot No 12, Financial District, Nanakram Guda, Gachibowli, Hyderabad – 500032, Telangana IRDA Registration No. 115 Toll Free Helpl

Hi,
I am pranshu sharma sister of satyam sharma to whom this request is being raised.
I am writing this complaint on befhalf of my brother for the reimbursement of accidental claim amount.
This is ridiculously have been frustrating experience with icici lombard in getting the reimbursement amount of worth rupee 120007/- (Twelve thousand seven rupees only) which now seems a dream to me which is never going to happen.
I have been continuously following up for this issue for 3-4 months and yet eagerly waiting to get our claimed amount.
They asked to submit all the documents and bills those were sent over email to respective email ids:-
([protected]@icicilombard.com,
[protected]@healthbeema.com,
Ravi. [protected]@healthbeema.com)

The treatment was done in blk hospital, new delhi patient satyam sharma was admitted on 13 january, 2020 and discharged on 16 january, 2020.

The hospitalization bill was of 1, 16, 000/-rupees which was paid thorough "delhi arogya kosh" by the govt. Of delhi.
We didn't apply for that bill, we only applied for a post hospitalization bill. 12, 007/- rs

Documents are already forwarded to icici multiple times but they are continuously denying it and emphasizing again and again for the amount of 1, 16, 000/- which has already been paid by delhi government. Perhaps we are paying the price for being a good citizen and not accepting the amount 1, 16, 000/- which does not belong to us.

Earlier,
Interaction id was[protected].
Reference id: :[protected]
After thousands of follow-ups, as expected i have again received one more interaction id from customer care - [protected].

Sharing details for reference:-
Policy holder: satyam sharma
Address: a-108 third floor shastri nagar nesr
New delhi, delhi-110052

Claim number [protected]
Claim of satyam sharma
Uhid [protected]
Policy number 4128i/ih/[protected]/00/000
Policy name
Coverage period 26-mar-19 to 25-mar-20
Date of admission 13-jan-20

Sharing icici details:

Contact details:
Email: [protected]@icicilombard.com
Address: contact us
Icici lombard gic, icici lombard health care, icici bank tower,
Plot no 12, financial district, nanakram guda, gachibowli,
Hyderabad – 500032, telangana
Irda registration no. 115 toll free helpline no.:
Fax no. Line 1:
Fax no. Line 2:1800 2 666
[protected]
[protected]

This is the only platform where i keep my hope alive.

Regards,
Pranshu sharma (Sister of satyam sharma)
Mobile - [protected]
Email id - pranshu. [protected]@gmail.com

+9 photos

Was this information helpful?

No (0)

Yes (0)

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

Jun 20, 2020

Updated by pranshusharr Just a small correction in above detail:

This is ridiculously have been frustrating experience with ICICI Lombard in getting the reimbursement amount of worth rupee 12007/*- (twelve thousand seven rupees only) which now seems a dream to me which is never going to happen.

Verified Support

Jun 22, 2020

ICICI Lombard Customer Care's response Dear Pranshu,

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

Jun 24, 2020

ICICI Lombard Customer Care's response Dear Ma’am,

Thank you for contacting ICICI Lombard General Insurance Company.

We have tried contacting you on your mobile number 88xxxx045 . However we were unable to establish any contact. If you wish to contact us please write to us at [protected]@icicilombard.com or reply to this without changing the subject line. We request you to share your convenient time or alternate contact number in order to assist you.

We understand that your concern is related to reimbursement of claim amount of Mr. Pranshu Sharma. We have forwarded your concern to our team and we will get back to you at the earliest.

Given the situation of lockdown in the country, due to the outbreak of CoVid-19 (coronavirus), we have streamlined our resources, giving priority to customer facing functions, namely, claims processing and customer service. Our endeavour is to ensure that we maintain our customer service standards while keeping in mind employee safety. If, however, you experience a delay in service, at any point of time, we request your patience.

We look forward to serve you.

Verified Support

Jun 25, 2020

ICICI Lombard Customer Care's response Dear Ma’am,

We write this with reference to your below concern.

As per telephonic conversation held yesterday, we would like to inform you that the claim is rejected due to non-receipt of queried documents. Hence, request to arrange for the same on priority and mail it to us at [protected]@icicilombard.com following the same subject line.

Claim Number: 220***564685
Policy Number: 4128I/IH/167****67/00/000
Insured Name: SATYAM SHARMA
Status: Rejected due to non-receipt of queried documents.
Query Remarks:
Document Deficiency –
1. Kindly furnish Original claim form ie., central KYC form (C-KYC) duly Filled and signed proposer (SATYAM SHARMA) and submit 1. Two Passport size photos of Proposer as Documents are Mandatory for Claims above Rs. 100, 000/- (Please mention mother's name in C KYC form as it is mandatory field)
2. Kindly furnish the original payment receipts towards final bill Rs. 116074/- for further processing of the claim.

Kindly provide us settlement letter or approval letter of Govt. of Delhi for the payment of Rs. 1, 16, 000/- to process the post hospitalization bills and to waive off the second query.

We assure you best of our services.

Verified Support

Jun 27, 2020

ICICI Lombard Customer Care's response Dear Ma’am,

Thank you for contacting ICICI Lombard General Insurance Company.

We have tried contacting you on your mobile number 88xxxx045. However, we were unable to establish any contact. If you wish to contact us please write to us at [protected]@icicilombard.com or reply to this without changing the subject line. We request you to share your convenient time or alternate contact number in order to assist you.

We understand that your concern is related to reimbursement of the claim amount of Mr. Pranshu Sharma. We have forwarded your concern to our team and we will get back to you at the earliest.

Given the situation of lockdown in the country, due to the outbreak of CoVid-19 (coronavirus), we have streamlined our resources, giving priority to customer facing functions, namely, claims processing and customer service. Our endeavour is to ensure that we maintain our customer service standards while keeping in mind employee safety. If, however, you experience a delay in service, at any point of time, we request your patience.

We look forward to serve you.

Jul 16, 2020

Updated by pranshusharr Guys, this is so RIDICULOUS that you do not even call and by default write that you tried contacting me.
You could drop an email regarding this or a TEXT message.

Have some courtesy and have some SHAME.
Have some courtesy and have some SHAME.
Have some courtesy and have some SHAME.

Fortunately I got ONLY ONE CALL and ONE TIME RING on my mobile from your side(confirmed from Truecaller app).

I have shared all the documents clearly mentioning LESS 1 Lakh amount claimed only 12007/- But as usual YOU, YOUR Call Center and other STAFF keep on doing the same mistake.

Government already paid that 1 LAKH expenses through (Delhi Arogya Kosh) then what. Are you guys trying to do fraud through us? Make your intention clear here only that you want to have that 1 LAKH money on behalf o[censored]s.

With No regards,
Pranshu