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Oriental insurance co. ltd./ mediclaim policy / non reiumbersment of tretment expenses

1 India Review updated:

I am a mediclaim policy holder for the last 10 years without any break of Oriental insurance Co. Ltd. D.O. 16, janpath, New delhi-110001.
I got my wife treated for Hernia repair and submitted the paper to their TPA-M/S Genins India Ltd. -noida.
the TPA has rejected the claim after 4 months and was informed by the insurance co.
the reason given was " due to scar of previous surgery 4-5 years done due to pregnancy.
my wife had to undergo surgery due to pregnancy 23 years back and I have all documents with me.
the co. is not refunding the claim.
I have moved the insurance ombudsman and all documents have been submitted but no response so far even after 3 weeks.
can you help.
regards
s.k.jain

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Comments

  • Ra
      27th of Oct, 2008
    0 Votes

    My whole family was covered under "GOOD HEALTH POLICY" from last 6 years without any break. My mother got operated for cardiac problem in october 07 and the bills were submitted to Firozabad office from where the policy was taken But till date I have not recd a single reply for my letters and e mails sent to all the concerned ofices The agent also has stopped recieving my phone calls I am feeling helpless
    pls help
    regards
    rajeev

  • Su
      25th of Nov, 2017
    0 Votes

    I need premium amount for further renewal of the policy
    UHID 140000005915701
    Policy no. 272400/48/2017/10380
    Valid from 26 th NOV 2016, please send SMS to my mobile no. 9555565552

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