United India Insurance Company [UIIC] — Reimbursement of medical expenses

Address:	New Delhi, Delhi, 110095
Website:	www.uiic.co.in

Sub: reimbursement of medical expenses incurred – united india insurance co. Ltd. Mediclaim policy no.[protected]p[protected] : tpa east west assist : card no. Uiic-ihi[protected]. Claim id 364839.

Sir,

I was suffering from difficulty in breathing, uneasiness in chest, severe headache, feeing like my head is going to blast-of, difficulty in doing any task etc. Due to heart problem.

I consulted coordonator and head – department of cardiology, holy family hospital, new delhi on 4th april, 2016 and advised to undergo angiogram for detail investigation of my disease. After angiogram on 5th april, 2016, he advised me to immediately undergo cardio artery bypass grafting surgery (Cabg).

I was admitted to national heart institute on 6th april, 2016 and underwent cabg on 7th april, 2016, discharged on 13th april, 2016 and recovering.

I have submitted my claim to tpa east west assist by special messenger on their sainik farm office on 19th april, 2016. They assured me that the claim will be settled with 20 days from above date. After completion of 20 days i have not received the reimbursement of expenses incurred by me on my treatment. Thereafter i contacted the tpa innumerable times and registered my complaint and sent a number of emails for which no replay was received from them. Every time i call on their representative over phone, the person attending the phone told me that it is under process. When i insisted for the reason for such long delay, they have no reply to offer.

I opted for economy class for my treatment and paid the cost of operation through credit cards and borrowing money from various sources for which i am paying hefty interest. I am also spending huge amounts for post-operative case treatment also. I do not know to whom i have to approach for reimbursement from the tpa.

I am in great financial difficulty in repaying the money borrowed and interest thereon. The claim i submitted to the tpa, the documentary proof regarding payment of cost of treatment through credit card was very much available. If your good self needs proof for this, i am ready to provide the same.

I, therefore, humbly request your good self to kindly look into the matter and ask your inefficient tpa to settle my claim instead of harassing me. I am going through mental and physical stress due to above. Hope your good self will intervene and help me in solving my difficulties as mentioned above.

Thanking you,

Yours faithfully,


(B. Sadasivan nair)