New India Assurance — mediclaim settlement dispute policy number[protected], claim no.[protected]

Address:

400066

This is with reference to my mediclaim policy number[protected], claim no.[protected]. I have been paying mediclaim premium for last 10 years for my family. The premium which i paid this year was rs. 25000. Recently my wife got operated and the expenses incurred was rs.93967. The claim which was settled by your company new india assurance company was only for rs.40582 which was really shocking. I am attaching the approved claim for your reference. The claim passed is not even closed to my total expenditure. I really see no benefit of mediclaim taken from new india assurance company. I really feel cheated here. The room charges mentioned in the settlement voucher is rs.2300, whereas the amount mentioned by us was rs. 1800. It is not clear how this amount was tampered.

The policy promises to cover the risk of the insured. After paying rs.25000 premium this is what an insured is getting, rs.53385 is the deduction made. The deductions made on surgeon fees and operation charges are really something which the company need to relook. I request you to look into this and revert with the revised claim. This is really not accepted from a reputed mediclaim company like new india assurance. The whole purpose of mediclaim is defeated here. I could have managed this expenses without paying the premium. I am sure that new india assurance also wants their policyholder to get benefited and this loss to me is not what they intended. I am expecting a favorable reply and looking for to solve this issue as soon as possible.