Religare Health Insurance — Claim rejection despite all kind of medical papers

Address:Gurgaon, Haryana, 412207
Website:www.religarehealthinsurance.com

Respected authority,

I have taken religare medical policy for my parents in november 2014 & continued it till date, in april 2017 my mother went through the surgery & i have submitted all kind of original medical papers with religare office.
Policy was issued after all kind of medical test by religare doctor itself (I have the medical copy).
In submitted medical file, doctor has mentioned by mistake that my mother had hypertension since three years, which was clarified by doctor later on his official latter head, which was suggested by religare doctor (I have the call recording with me).
Despite giving all kind of medical papers, approval from doctor who had done surgery of my mother, religare is not approving my claim.
I have all medical papers with me along with clarification latter, i have photos & vedios of my mother's surgery as well.

For your note, there is no relation with hypertension with the surgery did to my mother, but religare is making excuse on basis of miscommunication on medical certifate on which doctor has clarified on his official latter head (Religare had suggested me to get the clarification from doctor to process the claim).

Request you to please help me.
I am from pune & surgery of my mother done in bharuch, gujrat.
Let me know if i need to contact any of your local office.

Thanks,
Chintan
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Religare Enterprises customer support has been notified about the posted complaint.
Jun 07, 2017
Updated by Chintankumar
Hello Sir,

If hypertension was there to my mother since three years then how come i get the policy? Policy was issued to my mother after all kind of medical eximination by religare doctor itself.
In clarification latter doctor who has done surgery of my mother, has clearly explained.
This latter was provided to religare on their requirement only, i have call recording with me.
I have medical report of my mother of 2014 & all the documents, photos & vedios, call recordings, religare's executives chat with me.

Thanks,
Chintan
Jun 07, 2017
Updated by Chintankumar
In clarification latter, it has been clearly mentioned by doctor that, 3 years was mentioned due to miscommunication & patient has it since 3 months, then what is the problem? which is clarified by doctor who is also religare authorized doctor. (Dr. Dilip Patel).
After that religare representative (Dr. Mahesh and Dr. Kurvik) also had a word with Dr. Dilip Patel for clarification.
Religare reprentative (or outsourced) Mr. Aslam, had personally visited my house & confirmed everything.

Thanks,
Chintan
Jun 08, 2017
Updated by Chintankumar
Religare executive even not responding properly on call neither arranging any call as well.
Religare executive even not responding properly on call neither arranging any call as well with their legal or medical team.

I want to know why this selective rejection. Religare is believing in a medical history written by doctor but same doctor has accepted his mistake regarding miscommunication on written in clarification latter which religare is not accepting, why?

My mother didn't have any medical history & there are enough proof available with me which i have provided to Religare as well.
After this only doctor has provided the clarification on official paper that it was a miscommunication & by his mistake he has mentioned 3 years, he has no proof either that my mother has this problem since 3 years.
We know this doctor since 3 to 4 months only then how can he write such statements.

I have checked with local representative of religare (or outsourced) who has examined my mother's case (I have their names & cell numbers) & spoke to doctor who has operated my mother, & got to know that they have cleared all the papers and provided their approvals.

I am ok to provide you any other official paper, whatever religare wants.

Thanks,
Chintan
Jun 10, 2017
Updated by Chintankumar
I have medical report my mother on 2014 which was given by Religare doctor only & after that i have got the policy which clearly shows that my mother did not have any issue related to health.
Also please find clarification latter from doctor over miscommunication on the hypertension.

Thanks,
Chintan

Jun 13, 2017
Updated by Chintankumar
As expected, Religare has wasted time intentionally & gave the same answer which they were giving since 20 days.
I have no option left but to take legal action in court of law for cheating and harassment against Religare.
Please do not fall in trap in Religare's false promises & don't waste your money.
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