Submitted by: abraham.k.oommen
Complaint Details:
I have a medilaim policy since 1999 which includes my father, mother, wife and two children. My father, 88 years had a fall few months ago. Total hospital bill comes to rs 3, 09, 281. His insured amount is rs 2 lakhs and cumulative bonus is rs 60, 000 total rs 2, 60, 000/-.
Though he was admitted for fracture neck of femur right side he had developed problems like kidney failure, cardiac arrest, hypertension, mild renal failure and intestinal obstruction etc. during the period of stay in hospital so, hospital stay was 25 days. however, insurance management company said that there was only one illness so, they could sanction only 40% of the sum assured and accordingly they passed only rs 40% of the sum assured and we got only aggregate total rs 1, 95, 000 against the sum assured plus cumulative bonus of rs 2, 60, 000. Mediclaim under Citi Bank Mediclaim policy and insurance company is The New India Assurance Co.Ltd. My claim was registered by MDIndia Healthcare services, Chennai under CCN: MDI2668606. Please do the needful to get the balance claim amount also.Policy no: 712500/34/15/21/00000016/ MD15-0013891955.
From Abraham.K.Oommen/Employee code: GH SEP 15 260.