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| NCH Docket No.: | 1946642 | Dated: | 2020-03-08 | Sector: | General Insurance |
|---|---|---|---|---|---|
| Problem Reported: | Consumer had an ongoing health insurance policy and had paid the Premium amount of ₹10,186. In March 2019 the consumer was hospitalized for a week due to an infection that spread through diabetes. Before the spread of infection, he had undergone dental treatment also. When he applied for the claim amount of ₹29,000, the company rejected the claim with the reason that the infection had spread through the dental treatment. The report from the hospital clearly stated that the ‘Infection spread due to diabetes’. And, Insurance Company was giving false reason to reject the claim. | ||||
| Escalation by NCH: | As the company is a convergence partner of the National Consumer Helpline, the grievance responded to on the NCH Portal stating that “the claim had been settled and payment of ₹26,038 released to the insured in his Co-op. Bank savings account.” | ||||
| Consumer Remark in INGRAM: | Excellent! Thank you very much. Your service is very good. | ||||
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