National Insurance Company — irrational (mediclaim) reimbursement claim settlement

Address:	Kolkata, West Bengal, 700054
Website:	www.geninsindia.com

On 21.4.2018, myself the primary policy holder of the health insurance policy no. Gini o[protected], was operated upon at apollo gleneagles hospital, kolkata to remove the implants (Two titanium plates and fourteen numbers of 3"& 2" sizes screws) from my right leg as i was not feeling well with those foreign bodies within me. Those implants were inserted during bone grafting operation at my right leg in the year '2016 to repair a comminuted fracture after an accident. This time, before going for operation, the treating surgeon informed the genins tpa by e mail that the implant removal operation would be a complex one which can not not be considered as a mere package deal and cost incurred should be taken into account accordingly. But, it is a matter of regret, despair and a feeling of being cheated that the genins tpa has made my well documented and valid reimbursement claim of rs. 139000/- into a final settlement of rs. 37000/- only as per a package of rs. 30000/-. Although, i have written at genins grievance with a protest against such irrational and whimsical claim settlement, nothing has been informed to me till now.in view of this hereby i am requesting you to please intervene into this matter so that justice can prevail in favour of a genuine patient and policy holder.