Oriental Insurance Company — non payment of mediclaim medi claim no. [protected] & policy no. 243307/48/2019/796

Address:

458/4 RAJA PARK, JAIPUR 302004, Jaipur, Rajasthan, 302004

Refer to my so many mails to raksha tpa and oriental insurance co. But they send letter they have mentioned "said treatment does not require 24 hours hospitalization and comes under opd protocol"

Please note that 2* 500 mg mabtas injections doctor has given and before giving the injection they have done some test of blood and reports of haematology & biochemistry was attached even after test and after positive reports they have stated first solumedrol 125mg in n. S. 100ml after that dr. Has given 500 mg mabtas (Rituximab) in n. S.500 ml and after that wait for one hrs and they have started the same solumedrol 125mg in n. S. 100ml and after that 500 mg mabtas (Rituximab) in n. S. 500 ml so its take time and after completion of all drips they don't discharged and keep admitted whole night to check side effect if any.

This is not first time that we are admitted for mabtas and last time our bill was passed and we don't understand this time why its not payable kindly consider this that we are having the policy since last 10 years (Since 2009) and we are very thankful for kind supportby passing our mediclaim even in starting 4-5 years there was no claim and we was continuing and after starting of disease mediclaim has supported us and this time we are in very poor position as no one is earning person and my husband mr. Sanjay is a disable person and unemployed since last 5 years.
We are having the policy since last 10 years (Since 2009)
Last year we have submitted our claim for hospitalization on 11-may-2018 and on 28-06-18 we was reimburse the bill for same injection given - mabtas 2*500 mg so we don't understand this time with what reason claim is not payable