[Resolved]  Star Health And Allied Insurance Co. In — REPUDIATION OF CLAIM (POLICY NO: P/161115/01/2013/000613)

Address: Chennai, Tamil Nadu

NAVEEN KUMAR
144 D.L. ROAD
NEAR D L ROAD CHOWK
DEHRADUN- 248001 ( UTTARAKHAND)
PHONE NO: 2711020

REPUDIATION OF CLAIM (POLICY NO: P/161115/01/2013/000613)
(Claim No. CLI/2013/161115/0080523)

1 Ref : Stay health and AICL Chennai letter No nil dated 11 Jan 2013.

2 It to be noted that I had take this family health policy w.e.f. 04 Jun 2012 that cover my wife Madhulika & daughter Navya.

3 My wife Madhulika was suddenly feel some problem in her chest pain on dated 18 July 2012 and we have take consultation from the Dr Bhusan (Chest specialist ). He advised some blood tests, X-ray, Ultra sound & CT scan also. And doctor confirmed on dated 21 July 2012 that, she is suffered from pulmonary tuberculosis and that was not pre existing disease. My wife admitted in city Heart Hospital , Dehradun on dated 28 Aug 2012 due to same disease problem and when there no improvement in her position than I decided to change the hospital to Vaish Nursing Home Dehradun on dated 29 Aug 2012.

4. In this regard I have submitted all the doctor prescriptions along with all tests report and discharge card and all required documents of both hospitals. After that you have raised some quires time to time and I replied all the queries.

5. Now in connection to above referred letter, the My wife Madhilka was suffered with the pre existing disease (i.e. pulmonary tuberculosis) that is absolutely wrong and directly indication to my integrity for claim.

6. It is to be noted that, I have made claimed because when I adopt this policy I was fully assured that I am fully protected by this medical policy. But I was wrong, this all the features were shows/brief to me all were fake and wrong. When you are not able to make claim for all the this whatever you said in your said letter, why not time when you raised very 1st quiry for the same. It means that you were not able to understand the case. This is totally wide of the mark you are giving me any payment against my claim.

7. I again request, please look into matter once again to resolve it.

(Naveen Kumar)
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Aug 13, 2020
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