Oriental Insurance Company — Reimbursement claim was not settled

Ni3 pawar

from Pune, Maharashtra

Address:	Aurangabad, Maharashtra, 431001
Website:	mdindiaonline.com

I have submitted the claim - mdi3024474 at MD india healthcare services pvt ltd on 2nd of Feb 2017 with all the original reports and supportive documents . after 15 days of submitting the claim i have called everyday and they told me it is under progress. And all the sudden they told me that the claim cant be processed. The insurance company or the broker did not inform me about the policy details. like what would get covered and what not .Policy no :- 182000/48/2016/3064. ( The orientel insurance company )

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Oriental Insurance Company customer support has been notified about the posted complaint.

Apr 18, 2017

Lalit Parab's response Gentle Reminder.

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Comments

Mayursharma

Due to 4.8 clauses my claim was not settled this reason insurance company has told me but same disease another person has paid .why I should not get .?
Mayur sharma
[protected]..

Lalit Parab

from Mumbai, Maharashtra

Date of incident - 19/12/2016
Patient name Sheela subhash Parab
contact no [protected]
Policy no 124600/48/2017/4890
claim No CCN no MDI2999750

1953

from Bengaluru, Karnataka

All health policies are having permanent exclusions for few diseases& specific & personal waiting periods of, 48/36/24 months of waiting period for pre existing diseases depending on policy variant issued. You may check the policy for detailed infmn. If your claim is out of these clauses, insurer has to accept your claim otherwise insurer has to notify you in writing specific reasons for denial of claim.

Mayursharma

Due to 4.8 clauses my claim was not settled this reason insurance company has told me but same disease another person has paid .why I should not get .?
Mayur sharma
[protected]...