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20%
1.38 

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Verified Member MouthShut Verified Member
Greater Noida India
No claim Settlement + Fraud in paying
Dec 07, 2017 12:18 PM 30576 Views

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Myself amit mathur, have taken policy family Health Floater with royal sundaram, My Policy no. HLSBIL0029, Certificate No. - HSAA066037000100. My wife, daughter, & Me covered under this policy. I took this policy on my SBI Credit Card. Sum Insured Rs 300000/- in July'17.


Due to pain in Lower side abdomen I admitted my wife in Hospital, whiuch was covered under RS Insuarance. I informed well in advance to them on Toll free no. 1800-425-0000 about the happenings, they assured me to settlement the claim within time frame. My wife admitted for 2 days in Sharma Medicare Hospital. ECG, City scan, MIR, Ultrasound Whole abdomen tests being done. As per Staff of Hospitals the expenses of medicines, all tests, Doctor Fees, Room charges will be cost upto Rs 2.5 lacs all inclusives. As the sum insured was Rs 300000/-, there was no tension in it.


all the things being done on time, my wife gets better & after 2 days doctor allowed her to Relieved from Hospital. The final bill was ready & it was as estimated earlier Rs 245456/-. A approval mail of amount sent to RS from Hospital side, but no approval being given by them despite sent all the Original docs to them. I personally followed the process with them no result at all.


Later on they sent a mail for sending doctors prescriptions, & other docs. We sent them all the things, but no a[pproval being given by them.


Then I paid the amount with, my other policy of Religare Insurance, thanks to god I have that policy otherwise it was not possible for me to pay & took my wife home.


I Submitted all the papers to there office Vishranthi Melaram Towers, Rajiv Gandhi salai, Chennai. Till 15 days neither they give any message nor I followed, one day when I called them they just siad we are checking the documents & will reply within 6 working days. after passing of 15 another days no claim being given by them.


But after several followups & chase ups they give me a Cheque of Rs 80000/- I lieu of 245456/-. mentioning various factors of deductions.


Such a fraudsters.


Thanks


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