[Resolved]  Religare Health Insurance — Health insurance with religare

Address: Gurgaon, Haryana
Website: www.religarehealthinsurance.com

Dear Sir,

I have 2 health insurance policies with Religare which was ported from Star Health this year in Aug 16. My Husband was admitted for chikungunya on 26th Sept 16. During the hospitalization i was told that my claim will not be paid as my husband had pre-existing condition i.e. Diabetes. I had clearly declared this while taking the policy to the Sales executive Mr Vivek Prasad and was told that it will be covered as this is an ported policy.

I spoke to Vivek who stated I should have informed him of the hospitalization so that he would inform the claims dept prior to admission. I also spoke to his Asst Manager, Rohit Gupta and his Senior Avishek Shukla who is the Center Head. All gave me the assurance that the claim will get paid once i submitted all the hospital bills and expenses.

From that time i have been continuously been asked for various documents to support my claim and they came back stating documents not received. I finally wrote to the Grievance cell of Religare in Jan 17 and was told under process and will be paid.

I again followed up and received a mail stating my claim will not be paid due to the pre-existing condition. Lokesh from the Legal dept called in Feb 17 and stated that he is personally looking into the claim and will respond in 2 days. Till date I have not heard from him and now none of the mobile nos are operational hence not able to reach anyone.

I need your help in resolving this as even if my husband has a pre-existing condition, no treatment was done for diabetes, so why the claim cannot be paid. also if they knew they cannot pay then why did they continue to ask for documentation again and again.

I can provide all the proof with dates and supporting paper whenever you ask.

Please help

Sancheeta Sangle
Mob: [protected]
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Apr 19, 2017
Complaint marked as Resolved 
Religare Enterprises customer support has been notified about the posted complaint.
Verified Support
Mar 17, 2017
Religare Enterprises Customer Care's response
Thank you for writing to us. We've noted down your concern and the same has been forwarded to the concerned team to look into and address.

Regards,
Team Religare
 
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