I have filed my claim no: 1657574 for the reopening case on 07/06/2010. Till date we have not heard anything from the companies.
I had a claim of Rs. 47544 against which they have sanctioned only 21508. There is a deduction of Rs. 26036 on the ground of Excess Professional charges for eligible category of room rent and nursing charges.
We do not agree to this and have requested them to send bifercation but till date there is no reply from their side. On calling continuously to TPA (Medi Assist), they are just telling that the seanctioned amount is according to policy guideline. but no specific % deduction is mentioned neither on the voucher received from TPA nor on the policy guideline.
On policy guidelines, ONLY they have mentioned that room rent and nursing charges will be 1 % of sum assured but i had confied from another New India whose TPA is TTK Health care at andheri who are deducting the excess roonm rent and nursing charges according to teh norms BUT rest are paid back to the claimnt under the sum assured limt.
Please lookin to the matter and update
Regards,
Devang C Joshi
9321046555




Reply With Quote

Bookmarks