This is to bring into your notice that I Mridula Madaan is a policy holder of PNB oriental mediclaim policy ( Policy no - 231290/48/2021/1754) from past 8 years. I have been consistent in paying my premium on time. I have a complaint regarding my hospitalization last month.
As on 24/1/2022 I was admitted to Max hospital Mohali due to severe infection in my legs. I was admited to emergency and was shifted to ICU for exceptional medical attention. After the infection was controlled I was shifted to the shared room for regular treatment.
I was discharged on 2/2/2022 and during that time I was told that I have to pay Rs 55851 from my pocket as there were certain expenses termed as Consumable charges and Non medical items which were not covered under the policy.
According to my understanding if Iam admitted to hospital then Iam expected to be taken care off completely. How can a patient being hospitalized know that their treatment is bifurcated into different expenses which are covered or not covered in their policy? I have not undergone any surgery and still the bill was too high but I have not raised any doubts on the same.
According to the hospital Bill and policy guideline I understand that ICU charges has a limitation of Rs 10000 per day which is acceptable. However, the other charges - Consumable charges and Non medical items are not acceptable and should be reimbursed to my account.
I am enclosing the Complete hospital Bill summary and my policy for your reference.
I would request you to please review this claim and reimburse the amount paid by me. Incase you need more information please contact me.
Sent mail also on crcm email id but no reply received. Pls contact [protected]@yahoo.com Was this information helpful? | 
Post your Comment