Hospital insurance issue
I got admitted to hospital and got cashless claim approved, but the hospital insurance department is asking me to pay extra charges for room saying some amount is not claimable under insurance. But d ...
I got admitted to hospital and got cashless claim approved, but the hospital insurance department is asking me to pay extra charges for room saying some amount is not claimable under insurance. But d ...
Dear Client,
In the given scenario, you should be guided by the advice of your Insurer. Otherwise, your claim from the Insurer may be rejected or repudiated. As regards intimidation or unprofessional attitude of the Hospital Insurance team, serving a legal notice to the concerned hospital, file a complaint before the Chief Medical Officer of Health(CMOH) of the concerned District, who is the licensing authority under the state-specific Clinical Establishment Act and the concerned DM/ADM of the D
We bought nexa baleno 5 months before and yesterday when we travel that time the petrol leaked very highly because that we call the service center and they pickup the car and after checking they say t ...
Dear Client,
The terms and conditions of the warranty on a product is a tricky issue that often debars a customer of the product from claiming coverage under the warranty available during the warranty hours. Based on the reason for the breakdown or cause of damages warranty of any product is provided. Since the cause of leakage of the petrol tube of the car is detected as insect biting which is considered natural wear and tear over which no parties have any control and does not come under the th
Mere I'd se maine kise ko phone dilya h aur 2month se emi nhi de rha phone band kar diya khi bhag gya h aaise mujhse kya karna chahiye
Dear Client,
THANE ME JAKE MOBLIE PHONE KI MISSING COMPLAINT DARJ KARE OR FINANCIER KO EK PATRA LIKH KAR USKE SATH THANE DARJ KIYA COMPLAINT KI COPY VEJE. JO ADMI KO PHONE DILAYE HAI USKE KHILAP THANE ME CHEATING CASE KA FIR DARJ KARE. APKA LOAN APHI KO CHUKANA HAI. BANK KE SATH LOAN SETTLEMENT KE BAR ME BAT KARE.
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My father is suffering from cancer and was critical a few month back so we took consultation from 3 different oncologists all advised for NGS test. and we took that test.ngs is a genetic test which he ...
Dear Client,
The terms and conditions of an insurance policy are the most crucial and vital to go through before raising a claim against the policy. Based on the self-declaration of the policy buyer and post-medical tests of the insured wherever required, the risk and coverage are underwritten and the premium is calculated by the Actuaries of the Insurance Company following the guidelines of the regulatory authority IRDAI. Despite non-disclosure of Pre-Existing diseases (PED), some PEDs are cov
I have canceled a policy and Niva Bupa has confirmed the same also stating that I will not be contacted again. But they still call or msg for renewal every day. This is very frustrating and it affects ...
Dear Client,
Value-added services (VAS) in mobiles are those services that are offered by telecom service providers to customers beyond the core services like SMS, voice, and data. The services may either be free/chargeable. The major areas where VAS are provided include entertainment, e-commerce, sports, etc. As per TRAI regulation, a service provider cannot activate any value-added service, whether chargeable or free of charge, without the explicit consent of a customer. In case the subscriber
I canceled my Care Health Insurance three months ago, but I still haven't received my premium refund. I'm getting really worried because I'm unable to reach their technical support team, and there's b ...
Dear Client,
In the given scenario, you need to go through the terms and conditions of your health insurance policy carefully, especially the eligibility conditions that make a policyholder claim a refund of premium on cancellation of Polity midway. If you found yourself eligible to get a refund of a premium on cancellation, you first escalate your grievance before the Grievance Redressal Officer of the Insurer to redress your grievance failing which you should file a complaint over deficiency i
my friend had a third party car insurance and also had an expired driving licence during accident occured. He and his wife were in the car during accident. His wife died on the spot and he got serious ...
Dear Client,
In the case of a road accident, it's advisable to report the incident to the police as soon as possible. In motor accident cases both the owner and driver of the vehicle are liable to face prosecution proceedings initiated before the Motor Accident Claim Tribunal once an FIR is lodged in the police station in hit and run case and the legal heirs of the deceased victim and the injured persons apply to the Tribunal under Section 166 of the Motor Vehicle Act, 1988 within six months of
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If LIC ploicy holder died in 2020 and nominee(mother) died in 2022 and claim is made in 2024 who will be eligible to get the claim
Dear Client,
The surviving legal heirs of the deceased policyholder are entitled to an equal share of the claim amount i.e, the maturity value of the policy subject to the production of the succession certificate by the legal heirs issued by the District Court.
The insurance company has denied the claim for not providing the documents related to Chronic Kidney disease from 2021. However, I have provided the documents from 2023 which states that the kidney wa ...
Dear Client,
Your query requires a little bit of information about the grounds for the repudiation/rejection of your claim by the Insurance Company. The terms and conditions of an insurance policy are the most crucial and vital to go through before raising a claim against the policy. Based on the self-declaration of the policy buyer and wherever required based on the medical test report of the insured person, the risk and coverage are underwritten and the premium is calculated by the underwrite
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Hello sir I have lodged a cashless claim for my father who underwent a cardiac bypass surgery .But the insurance team denied my claim on basis of non disclosure if a condition called TIA. As per the r ...
Dear Sir/Madam,
In may cases the insurance companies reject the claims on one or the other reason. you may approach consumer forum.
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