Reg - Group Medi claim Insurance

You can approach the Consumer Court (DCDRF) challenging the repudiation of your claim. You can also claim compensation for mental agony.   Please go through the policy terms and conditions and in particular the exception columns and also co-relate it with the reason cited by the Company for repudiation of you claim.  Most of the mediclaim policy does not cover maternity and further more there will be a clause that the policy will not cover in case of pre-existing disease.  Most of claims will be repudiated by these  Company sstating the claim made is relating to pre-existing clause.  The sole reason for failure of mediclaim policy is that even genuine claim are  repudiated by the insurance companies.

Myself being a consumer rights' activist, if you deed any more details you can contact me at  :  piraviperumallaw@yahoo.co.in

Dear sir,

Thanks for your reply.

Actually, our policy does cover maternity benefit as we are paying top-up premium for that. We already have cases who have claimed it in the past.

But, onething that is worrying me is, now, insurance company is dragging it for 3 and half months and saying my claim is rejected and require time to give the reason.

May i request you contact number for any help on this.

Regards,

Srinivas