Insurance denied based on Hypertension Insurance denied based on Hypertension

3 years ago

My father was denied a claim on a angioplasty, based on pre existing Hypertension. There was clear documentation provided that there was no connection with the disease being treated and Hypertension.

There is precedent where Hypertension has been classified as not a pre existing disease https://indiankanoon.org/docfragment/180645634/?formInput=hypertension%20is%20%20not%20a%20disease

Kishan Dutt Kalaskar

Responded 3 years ago

View All Answers
A.Dear Sir,
You may approach Consumer Court and get appropriate orders or you may also approach insurance ombudsman.

Rate me Five Star*
Helpful
Helpful
Share

Post Your Matter Post Your Matter

Talk to a Lawyer Talk to a Lawyer

Ask a question Ask a question

Vidhi Samaadhaan Vidhi Samaadhaan

Ankur Goel @ Complete Law Shield

Responded 3 years ago

A.depends on the case papers.
you ave to read the judgement again for pre existing hypertenstion.


Hope this clarifies,
Advocate Ankur Goel (Complete Law Shield)
#YourLifeYourChoice
Helpful
Helpful
Share

Post Your Matter Post Your Matter

Talk to a Lawyer Talk to a Lawyer

Ask a question Ask a question

Vidhi Samaadhaan Vidhi Samaadhaan

Anik

Responded 3 years ago

View All Answers
A.Hi,
You need to talk to the insurance person to know which all claims are covered. Further you can contact the doctor who treated your father regarding the cause of the disease.
Helpful
Helpful
Share

Post Your Matter Post Your Matter

Talk to a Lawyer Talk to a Lawyer

Ask a question Ask a question

Vidhi Samaadhaan Vidhi Samaadhaan

Ayantika Mondal @ Prime Legal

Responded 3 years ago

A.Hi,
You need to talk to the insurance person to know which all claims are covered. Further you can contact the doctor who treated your father regarding the cause of the disease.
Helpful
Helpful
Share

Post Your Matter Post Your Matter

Talk to a Lawyer Talk to a Lawyer

Ask a question Ask a question

Vidhi Samaadhaan Vidhi Samaadhaan

Read Related Answers

question iconRegarding insurance claim rejection
Dear client, withour directly resorting to the complaint on the insurance company try to re-inititate the claim process and talk to them and submit the required documents. Even then if there is no cla...
question iconHospital avoiding cashless treatment
Dear Client, In the given situation, bring the matter to the notice of the Grievance Cell of the concerned Insurance Company endorsing a copy to the insurance regulatory authority, IRDIA. In case, no...
question iconMedical Insurance cancelled after 3 years
Dear Client, Pre-existing diseases (PED) are mostly expensive to treat as they are chronic in nature. Unfortunately, most health insurance plans cover pre-existing diseases after a waiting period of 2...
question iconLegal Liability for Helper Covered If Death occurs by Gun Firing
Dear Sir, The copy of FIR and terms of life insurance policy are to be read minutely to answer your question.
question iconReview of award by Insurance Ombudsman
Dear Sir, You may approach Consumer Forum or High Court for getting justice in many cases same formula being used.