Medi Assist India — short claim sanctioned

Address:

c/o FAST AND SAFE TRANSPORT : 42 Fancy Chambers, 94 Surat St, Masjid Bunder East, Mumbai 400009, Maharashtra, Mumbai City, Maharashtra, 400009

Sub : short claim amount sanctioned

Sir,

Mediassist id : [protected]
Policy no : [protected]p[protected] o[censored]nited india insurance
Reimbursement claim ref no : 21061898

Kindly refer your letter dated 15/01/2020 regarding my above mentioned claim in which you have sanctioned rs 89973/- only against claimed amount of rs 207023/- towards medical expenses incurred by me for treatment of haemorrhoids at saifee hospital - mumbai.

My observations towards the non - sanctioned amounts is as below :

- rs 20370/- which was charged by saifee hospital for the stapler gun (One time usable) for implanting the staplers. Whereas you are still treating it in miscellaneous income inspite of me submitting the freshly amended original invoice of saifee hospital on 09/01/2020 (As demanded by you).
This invoice clearly mention that this amount was charged for one time usable stapler gun. Hence, i see no reason for not sanctioning of this amount as this was the primary process in the said surgery.

- rs 23000/- was paid by me for pet ct scan at jhankaria imaging. I may mention here that as there is an existence of a big cyst in my pelvic region.in order to clear any doubts regarding any possible infection or cancer, doctor had advised to get this done before surgery so that he is assured to avoid any complication such as spreading of infection or cancer during or after the process of surgery. This should be reimbursed as it was an inseparable part of the process as it might have proved fatal. We may bring in your notice that after this test done and on the basis of its report, dr anup ramani (Senior onco uro surgeon) had given green signal and go ahead for the surgery (Remarks on his prescription can be referred which was provided at the time of filing the claim with other documents). Hence i request to reimburse as the testing was inevitable.

- i may mention here that i have taken lowest category room in single occupancy available in the hospital as per the tariff chart attached earlier. Rs 60366/- was less paid for policy excess / deductible is not not justified and puts burden on me inspite of paying regular premium for so many years.

- i observe that you have not sanctioned many petty charges by the hospital towards bandage, gauge, ecg, dressings, gluco test etc. I may mention here that these are a part of the hospital stay and the surgery. I feel these should be sanctioned.

Sir, i request your goodself to give a sympathetic approach to my above concerns and help me out by reimbursing the said balance non sanctioned amount. Hope you will use your good offices and help me on this matter.

Kindly help


With warm regards,

Anoop kumar gupta
Mobile : [protected]
Email : [protected]@hotmail.com