Medi Assist India — policy number :[protected], claim number[protected],

Address:

C G Road, Ahmedabad, 380015

Sir,

This is in regards to above subject matter details ; i bharatbhai v savalia, age : 63 years am having national insurance policy no :[protected]. I have undergone a cancer surgery for which all documents have been submitted along with required reports and bills on 23rd nov 2018 for claim. The amount of claim was rs. 3, 07, 545/- (Three lacs seven thousand five hundred and forty five only), while the approved amount as per 12th february intimation through sms was rs. 1, 50.183/- (One lac fifty thousand one hundred and eighty three).

On 13th february my visit to your office and had a discussion with representative, he asked to submit hospital declaration on gst. However as per clause no 82, the hospital is not legally required to obtain gst no and hence attaching the declaration on the same by hospital.

Request you to please let me know the reason on deduction of following amount to me as soon as possible.

Description

Bill amount

Payable

Non payable / reason

Other miscellaneous charges

200

—

200

Ot charges

38000

21250

16750

Surgeon charges

124997

84997

40000

Anaesthaesthist charges

30000

25000

5000

Consultation / visit

25000

—

25000

Medicines/drugs

53725

—

53725

Deduction details:

Description

Deduction amount

Remarks

Copay

—

—

Hospital discount

16687

—

We have paid hospital bills by taking some financial support from relatives with a polite commitment of returning in 15- 20 days. Now my situation is worst to explain it in writing to you.

I am a senior citizen who is not having enough energy to follow every time as the medi assist and national insurance are actually passing the bucks.

Please understand sir, now i go to the medi assist office by spending 110 rs which is further disturbing my financial condition.