[Resolved]  Religare Enterprises — I'm complaining regarding claim settlement process

Address: Gautam Buddh Nagar, Uttar Pradesh, 201301

I have taken religare health policy of sum assured of 10lakh two year before and i was paying premium continuously without fail.
This time my wife faced an emergency and we went to metro hospital noida for treatment.

I have advised by the doctor for admission as doctor suspect acute ge & dehydration. (Please find attached prescription)

She suggested some test for verifying and that report comes in 24 hours.

If the doctor suggests not to go home and anything can happen, in such condition what should we do?

We can not wait outside the hospital for the report which will come in next 24 hours.

I have taken this medical policy to secure me and my family and expecting support from religare in such condition.

First of all religare declined cashless claim as they were saying hospitalisation not required.

Then after following up with support team, they told me to submit claim reimbursement along with all documents which usually hospital doesn't provide at the time of discharge.
I visited to hospital again and request them to give me all treatment related documents and submit the claim.
But again the same reply came from religare.
When i asked them again they told me that we are having our own medical panel who is saying that hospitalisations was not required in my case.

I don't know what qualifications they have but i visited to a reputed hospital and consult with a doctor who is md along with years of experience and i should believe and follow her advice in such conditions.

I am raising request from this board that religare need to check my case again.

Thanks

Vikas singhal
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Jul 27, 2018
Complaint marked as Resolved 
Religare Enterprises customer support has been notified about the posted complaint.
Verified Support
Jun 26, 2018
Religare Enterprises Customer Care's response
Hi,

As per the feedback received from the respective team, the said claim has been reviewed basis the medical document submitted with us, however we regret to inform you that we maintain our decision as communicated to you via our email communication dated June 6, 2018.

Thanks & Regards,
Team Religare
 
1 Comment

Comments

He is forcing to Pay for demat account.
He is threatening me that he have rights to deduct some penalty amount from my account.I ask him not to disturb me but he is calling again and again.

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