[Resolved] National Insurance Company — Rejection of Mediclaim Insurance Claim | |||||
UHC Case ID 2951987 Patient Name K. Rajeswari Employee Name KARTHIK NARASIMHAN Email: [protected]@yahoo.com Mob:[protected] Employee No-341367 VMWARE SOFTWARE INDIA PRIVATE LTD My mother Mrs. K.Rajeswari was admitted in St.John's Hospital, Bangalore on 9-1-2016 for Exacerbation of Asthma, Severe OSA, HTN, Type 2 DM, Hypothyroidism, Osteoporosis. She was discharged on[protected]. I submitted a claim for Rs.34987/- under company’s group mediclaim insurance policy which was denied by the TPA United Health Care Parekh under the below mentioned exclusion clause. Clause Description: Treatment for obesity or condition arising therefrom ( including morbid obesity ) and any other weight control program services / supplies While the admission was done to undergo treatment for Acute Exacerbation of Asthma, the exclusion clause which mentions treatment for obesity was applied for the rejection of the claim. Please note it is Hospitalization policy and she was there in the hospital for more than 24 hours. Request to take necessary action. Was this information helpful? | |||||
Sep 9, 2016 Complaint marked as Resolved National Insurance Company customer support has been notified about the posted complaint. Verified Support Aug 09, 2016 National Insurance Company Customer Care's response Dear Sir,
We thankfully acknowledge your grievance.
Due to technical complicacy of grievance redressal, it is very difficult for us to redress grievance in this forum.
You are requested to write your grievance at customer.[protected]@nic.co.in
You can also directly lodge grievance at nationalinsuranceindia.nic.co.in or igms.irda.gov.in
Inconvenience caused is deeply regretted.
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 1 Comment | |||||
Comments
I got a call from the number +[protected] from a person Ravi who claims to be a manager from the claim department within minutes after this submitting the complaint. He asked for my debit/credit card number saying the claim amount will be settled within 1-2 minutes if I gave this detail. While I was surprised how they could refund the claim immediately without even going through the details, I said I am not comfortable to give the card details and suggested to refund into my registered account with the TPA or I could provide the IFSC code and account number. The call was disconnected abruptly.
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