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i have a mediclaim polciy 2007 from new india assurance co. ltd. for Rs 300000/- this years which started from 75000/- in 2007-08 , 2008-09 100000/- onwards 300000/- for 3 consecutive years with any break sixth renewal falling on 14-09-0-12 . i have major heart stroke on 30-06-12 got addmitted to sahara hospital where i was done angioplasty following the ecg and angiography by the hsopital. when lodged the claim the raksha tpa only paid 127500/- quoting that the i have been having htn hipertension for last 12 yers so was restricted to the sum ensured of Rs 127500/- equal the SI before 4 complete policy years total expense was 210415/- ..is it justfiable on the part of the raksha tpa or the insruance company when the polciy does not speak clearly about the curtailing the claim amount like this.
please guide me to get the balance of sum ensured.
ashutosh gupta
lakhimpur kheri UP
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Replied on Sunday, August 19, 2012 12:59 PM
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If you have been a heart patient / Blood Pressure and if this info was not provided earlier, TPA action is justified. In fact, it is good on their part that they have given youalmost 60% of your expenses. However, many times either the agent misguides or our ignorance plays a role but to save on few Rs of Premium, such things are not disclosed to Insurance companies. But still I think since you are a loyal customer for several years, you should contest this decision first by escalating it to higher authorities in Insurance company [See their web-site], if no response, you can file a case in consumer court, if not satisfied.
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Replied on Friday, July 19, 2013 4:44 AM
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can anyone tell me there is any new circular regarding this policy which declare that mimimum limit of mediclaim is compulsary of rs.2 lakh.please guide me urgently.
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Replied on Monday, January 28, 2013 10:56 AM
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 shanuradhakrishnan (Guest)
hai, my Aunty she and her daughter go for checkup in KIMS hospital in Thiruvananthapuram and they didn't claim for the checkup and they don't know about it. Actaully they take the Mediclaim Policy 2007[Hospitalization benefit Policy] on 2009 and they renew it. The policy number in 2013 to 2014 is 76090434120100000041. So far they didn't claim. So Can I know whether they can claim for the checkup
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Replied on Saturday, March 30, 2013 1:01 PM
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Pawan1oct (Guest)
It is saddening to hear that New India Assurance is not doing the above two policy because they don't find viability due to less premium and more work. They don't get anything in these two policies hence don't want to do. Even speak to NOIDA Branch, Regional Head,No reply .
Pawan Kumar Singh , Founder President Purvanchal Vikas Foundation,www.purvanchalvikas.org.
Right Now Organization is working with Migrant wage workers in Delhi/NCR and we want all workers are covered under social security. Mor than 100 workers are registered with us and adding per day.
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Replied on Tuesday, April 9, 2013 6:18 AM
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cdkhare (Guest)
Can the insurance company throw light on circular by IRDA not to restrict claim for cataract operation to Rs.24,000.00
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Replied on Thursday, September 19, 2013 1:16 AM
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