United India Insurance Company [UIIC] — Health insurance reimbursement

Claim no.Un-6-2422.1, name : sanjay rungta.
Health policy no.052400/28/20/p101/098961.
We had submitted a reimbursement claim of rs.79205 on 06/05/2021,
we have submitted pre, post and in hospitalisation bills of total 79205 in which pre and post hospitalisation total was 45345 and in hospitalisation amount was 33860(which includes plasma therapy).

Whereas the amount reimbursed is only rs.50000/- which is not according to the policy terms.We can claim upto 10% of sum insured for pre and post hospitalisation expense, where as there is no such clause for cover of in hospitalisation expense.
The patient required plasma therapy as a part of treatment and plasma was not available in hospital as that hospital doesn't has blood bank. As per doctors advice and prescription we bought plasma from outside and the same was given to the patient. And i have informed the same to safewaytpa through a mail in which they replied that plasma therapy is payable if supported by doucments or doctor prescription, .I have sent all the supporting documents, so you cannot deny such claim. As per policy terms we can claim actual amount incurred for in -hospitalisation expense.I request you to kindly look into the matter and reimburse according to the terms.
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