[Resolved]  The New India Assurance Co Ltd. (Tpa) M. D. India Healthcare Services — CLAIM NOT BEING SETTLED.

Address: Maharashtra

DEAR SIR, I LEELABEN P PATEL, THE HOLDER OF POLICY NO:111900/34/09/0000/5690, HAD SUBMITTED TWO CLAIMS OF RS.2,20,076/75 ON 16TH FEB'10, AND RS.5,113/25. ON 27TH FEB'10, VIDE CLAIM NO:579473.(SAME NO FOR BOTH THE CLAIMS). MY CLAIM IS YET TO BE SETTLED BY MY T P A,M/S M.D.INDIA HEALTH CARE SERVICES. UPON MY PRESSURISING THEM, I WAS TOLD CONTINOUSLY, THAT MY CLAIM SETTLEMENT PROCEDURE WAS OVER, AND THE CHEQUE WOULD BE DULY SENT WITHIN 4DAYS, LATER THEY SAID WITHIN ONE WEEK,. THESE ANSWERS I HAVE BEEN RECEIVING SINCE LAST ONE AND HALF MONTHS. UPON FURTHER PRESSURING THEM THE TPA SAYS THAT MY INSURANCE CO., ARE NOT SENDING THEM THE REQUISITE AMOUNT WHEREBY THEY ARE NOT ABLE TO SEND ME MY CHEQUE. I HAD A KNEE OPERATION ON 26TH OF JAN'10, BUT THERE ARE MANY POST-OPERATIVE PROBLEMS WHICH ARE PERSISTENT, AND NEED IMMIDIATE CURE, AS I AM IN ACUTE PAIN, AND ABOVE ALL I A LADY,AND A SENIOR CITIZEN, NEED THE FUNDS IMMIDIATELY, FOR MY EARLY CURE. YOUR GOODSELVES ARE REQUESTED TO KINDLY LOOK INTO THE MATTER, AND THROUGH YOUR GOOD OFFICES, KINDLY TAKE STEPS SO THAT I RECEIVE MY CLAIM AMOUNT IMMIDIATELY, AND OBLIGE. THANKING YOU WITH EARNEST ANTICIPATION, OF SOLVING MY PROBLEM. ,
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Aug 13, 2020
Complaint marked as Resolved 
 
2 Comments

Comments

in absence of accountability, it is difficult to pursue the concerned person to do his job.
2. incomplete details -total sum insured
3. number of conrinuous years of policy
MD India has a poor claim settlement practices. I will suggest the following:
1. Ask for a formal document from them stating that the insurance company is delaying the payment. If you get it its excellent, even if not then no worries follow the next step.
2. Visit http://www.irdaindia.org/ its IRDA's website who is the insurance regulator in India. There is a grievance cell where you will find a form for "general insurance", fill out all the details and send it to IRDA. Call them and ask for help. I am myself working in insurance sector and can assure you IRDA will help you, they are very nice people. Its free of cost.

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