Universal Sompo — Refusal of genuine health insurance claim.

Address:	Mumbai City, Maharashtra, 400703
Website:	www.universalsompo.com

I had undergone a medical procedure under local anesthesia for an eye ailment in an operation theatre at KEM hospital in mumbai. The only medical charges i incurred were approximately 22000 INR. Post treatment, i filed a claim with Universal Sompo General insurance company (since i have purchased their insurance policy) as the procedure i underwent conforms to the eligibility criteria as mentioned on page 2 & 3 of their policy.
But after a delay of more than a month my claim has been declined with a verbal statement from the company that the claim was not admissible as it has been done on an out-patient basis (which is completely untrue) and no night-stay was involved.
Page 2 and 3 clearly mention that 'Day Care Treatment' are covered under my insurance policy, yet they refuse to pass my claim.
Policy No. 2817/54709319/00/000
Claim No.[protected]

This is unacceptable and i would like to voice my strong protest against the high-handedness of the company.

Investors in Universal mediclaim should understand that the company makes big claims while selling their policy but are on the backfoot when its comes to settling claims!!