Oriental Insurance Company — unexpected behaviour and mental agony regarding vipul medcorp insurance, tpa limited indore

 
1 Review
Indore, Indore District, Madhya Pradesh, India
 Vishvajeet15 on Feb 16, 2018
Dear Sir / Madam,

I would like to inform you that I am having a Oriental Insurance Mediclaim Health Insurance policy - (Vipul MedCorp Insurance TPA Private Limited) for the last more than 7/8 years and for the first time I had to visit hospital for my son's knee surgery (ACL Reconstruction).

The mediclaim department of Medicare Hospital, Indore sought an approval as per my mediclaim facility and Vipul MedCorp Insurance TPA Private Limited sanctioned approval mentioning that I am eligilble for a private room. Accordingly, the package was given by the hospital as approved by Vipul MedCorp Insurance TPA Private Limited. Unfortunately, at the time of discharge, when final bill was submitted for approval, to my surprise, Vipul MedCorp Insurance TPA Private Limited raised a query and said that I was eligible for a semi-private room package and not for a private room package. When contacted their executives and informed them about their sanction letter wherein it was clearly mentioned 'Private Room', they told that it was mentioned by mistake and they would approve amount as per semi-private room only. I told them that if they had informed me in the beginning at the time of booking room / package in the hospital, I would have booked semi-private room only. On this they could not give any satisfactory reply. Finally, I had to end up paying a hefty amount being the difference of both the packages for no fault of mine. Moreover, Vipul MedCorp Insurance TPA Private Limited took more than 6 hours to settle the claim which created unnecessary anguish and inconvenience.

I would request you to kindly appropriate action against Vipul MedCorp Insurance TPA Private Limited for this negligence on their part and advise them to reimburse me the difference amount of Rs.19, 881/- immediately along with penalty for causing unnessary mental agony.

The scanned copies of the initial sanction letter and final settlement letter are attached herewith, which are self-explanatory.

Thanking you and soliciting your kind cooperation.

Vishvajeet Chatterjee
[protected]

unexpected behaviour and mental agony regarding vipul medcorp insurance, tpa limited indore

Complaint Status


[Feb 17, 2018] Oriental Insurance Company customer support has been notified about the posted complaint.
Complaint comments  Add a CommentShare0Tweet0

Post your Comment

    I want to submit Complaint Positive Review Neutral Comment
    Your Rating (1 star is bad, 5 stars is good)
    code
    Customer satisfaction rating
    2%
    Complaints
    527
    Pending
    0
    Resolved
    13
    phone
    +91 11 3320 8485
    +91 11 4365 9595
    location
    Oriental House, A-25/27, Asaf Ali Road, New Delhi, Delhi, India - 110002
    Oriental Insurance Company - unexpected behaviour and mental agony regarding vipul medcorp insurance, tpa limited indore