Health Insurance Insurance company has not paid compensation

B

brish

New member
Policy Name
Icici Lombard general insurance
Company Name
Excuse pharmaceutical ltd
Customer Care Number
18002666
Loss Amount
38000
Ratings
1.00 star(s)
Opposite Party Address
Mumbai
Dear Sir
I would like to tell you that me and my wife has covered under icici Lombard general insurance (corporate policy) and undergone the surgery ear of my wife in julh 2023 and I had take intimation no for reimbursement claim before admitting in the novel hospital patna.
At the time of intimation I had given all the information regarding patient, surgery, dr and hospital also. I have given mail also to intimate Regarding surgery.
At the time of reimbursement icici Lombard has denied to pay the claim and told me that hospital has black listed so they will not pat pay my claim that was roughly 38k.
Then I complained in Bima Lokal patna and Bima Lokal given order to pay my claim 38k but icici Lombard pay only 30k.
I want compensation also from icici Lombard because in this matter I had no fault if hospital was black listed then why the had not given any information at the time of intimation, since last 2 years me and my family suffers alot. During these tough time I didn't express my mental and financial condition how to manage my family needs.
Kindly take my concern and allow icici Lombard ti pay compensation that will help to support my family.
 

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Hello @brish

We have carefully reviewed all the details and documents you have submitted regarding your complaint. Based on our thorough evaluation, we regret to inform you that the only viable option left is to file a case before the nearest District Consumer Disputes Redressal Forum.
You can file the case through the online e-Jagriti portal: e-jagriti Platform: Ministry of Consumer Affairs, Food, and Public Distribution, Government of India

To initiate your complaint, the following documents need to be submitted:
  1. Index – A list of all enclosures/documents attached.
  2. Memo of Parties – Details of the complainant(s) and respondent(s).
  3. Affidavit – A sworn statement verifying the contents of the complaint.
  4. List of Events / Chronology – A timeline of key events related to the issue.
  5. Supporting Documents – Invoices, receipts, communication proofs, warranty cards, etc.
We can assist you by:
  • Drafting all the necessary documents (Index, Complaint, Affidavit, List of Events, etc.)
  • Uploading and filing the complaint on the Consumer Forum website on your behalf
  • Guiding you through the hearing process and next steps
If you would like to proceed, kindly confirm, and we will begin preparing your case files right away.

Thanks
 
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