City
Epaper

Here's where you can complain if medi claim gets rejected

By Lokmat English Desk | Updated: February 21, 2022 18:51 IST

Open in App
1 / 10
It is now a common practice to take Mediclaim so that you do not face financial difficulties while dealing with sudden accidents or illnesses. For this, the policyholder has also started paying premium on time. Even so, owning one is still beyond the reach of the average person.
2 / 10
Despite the Mediclaim, the policyholder suffers a major setback after being rejected by the insurance company. Policyholders do not know exactly what to do in such a case. Many do not even know who to turn to.
3 / 10
When a company issues a Mediclaim, it also states all the terms and conditions of the policy. But at that time most people ignore the terms and conditions. Therefore, rejection of Mediclaim is often faced. Any company when Mediclaim rejects.
4 / 10
Often insurance companies reject Mediclaim for the wrong reason and this is a violation of the rules. If this happens to you, you can file a complaint by writing a letter through the registered post of the insurance company.
5 / 10
You must confirm in the letter that your Mediclaim does not violate the rules. You can send a copy of your letter and email to the email id complaints@irdai.gov.in of IRDAI Hyderabad. You can also send an e-mail to the Grievance Cell of a Mediclaim company
6 / 10
The e-mail you are sending needs to have proper proof. Also, if you are unhappy with the rejection of your claim, do not forget to report your loss in an e-mail.
7 / 10
Even after sending the letter and email, the insurance company did not respond or you were not satisfied. You can file a complaint with the Insurance Ombudsman in your department. For this, just write your entire complaint on a blank piece of paper and register it.
8 / 10
The letter should also include the full address along with the pincode, phone number, email id, name of the insuring company and office address. In addition to all hospital bills, doctor's prescriptions, investigation reports, rejection letters from insurance companies.
9 / 10
The details of how the insurance company rejected Mediclaim even though your claim is genuine should be mentioned in the letter. The insurance ombudsman resolves the complaint on the basis of merit by verifying your claim and the rules of the company.
10 / 10
One thing is very important. That is, if the Mediclaim Rejection lawsuit is pending in any Consumer Grievance Redressal Court, the Insurance Ombudsman cannot rule on it.
Tags: MediclaimMediclaim Insurance
Open in App

Related Stories

कारोबारSvatantra's cashless Mediclaim - a boon to rural India

Health Realted Stories

HealthWorld Immunisation Week: Vaccines saved 38 million lives SE Asia, says WHO

HealthGujarat: Jan Aushadhi Kendra becomes a boon for Jamnagar people, offering medicines at low price

HealthWhy treating depression in teenagers may be easier than in adults

HealthAir pollution exposure raises brain stroke risk in older adults: Study

HealthParesh Rawal Drinks Urine for Knee Injury; Doctors Say No Scientific Proof for Urine Therapy