Jain International Organisation [JIO] — Claim Rejection

This is in reference to my mediclaim no. 152239 availing a cashless facility for the procedure of Angio Brain. Before the admission i would have atleast called 4-5 times to confirm whether the procedure is covered under my policy or not, which was confirmed that its covered by the ERICSON TPA Call center executives. Later on I did mail them for getting the confirmation to my surprise till date there has been no revert on the same. On the day of admission in the hospital I had availed for cashless facility as the hospital was under the list. After availing the cashless faciltiy i had been waiting from morning till evening for the confirmation of aproval and had been calling the Ericson TPA repeatedly. But till 5pm there was no aproval rather the TPA raised about 6 queries to the hospital which was replied to them by the hospital. Till 8pm i had been waiting for the approval and was lingering to choose what category of treatment shall be availed. Moreover with the ongoing situation of COVID19 we did not wanted to risk ourselves by staying in the hospital for the next day. So I wish to avail the reimburse facility which i did inform the TPA. the next day i get a rejection note from the TPA towards my claim. Moreover the feedback from the hospital regarding JIO Insurance was also not so great and they had very well informed that the company will surely not settle your claim which did actually happen. The policy document also shows that Angiogram is covered than why such rejection. Moreover I have been repeated mailing the greivance cell but they have yet not even bothered to reply or acknowledge my complaint. I think its the most hopeless insurance and fooling customers.