Sir/Madam
This is with reference to above mentioned claim details. I was hospitalized in BLK Hospital on[protected] in emergency after suffering a severe chest pain, Seeing my condition worsening Doctors rightly took a decision for angioplasty where they implanted 1 stent right away as blockage was almost 100 % ¸ as I still had some uncomfortable feeling doctor decided for another implant of stent where blockage was 80-90% as not doing so was risking my life, so another Angioplasty was done on[protected] which was necessary and unavoidable. After 2nd angioplasty I start feeling better and was discharge on 21.12.2021. I could have stayed for 1-2 more days at hospital. As I was feeling much better my family and myself took decision to go home where better care can be given as the cases of new covid variant Omnicorn was spreading I didn’t wanted to risk myself to expose in hospital with other attends.
The total bill amount came to be Rs 248941/-. However, the settled amount was on Rs 202303/-. The deduction amount comes out to be Rs 43375/-. I was surprised to look at such a huge amount of deduction which was done. I was further surprised to look that the reason for deduction was given " As per PPN Package for General Ward".
I am not able to understand why the claim was settled as per package for general ward. I am a loyal customer and have been paying my mediclaim premium for more than 10 years now and having National Mediclaim Plus policy for sum insured 8 lacs.
Even after taking a policy for sum insured 8 lacs, I have been paid as per package for general ward then why should one take policy for higher sum insured. Then, it is good to have policy with sum insured 3 or 4 lacs if everyone is treated the same.
You are requested to look into the case again and settle the difference amount which has been deducted, Rs 43375/-.
thanks
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