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Claim settlement GENINS INDIA TPA LTD, 15, Ganesh Chandra Avenue 3 Flr Kolkata

Complain ID : CCN026272   42   Complaint's Reply

Insurance Complaint Complaint Date: June 1, 2017
Modified date: June 3, 2017
  • State :  West Bengal
  • City :  Kolkata
  • Address: 3 Middleton Street Kolkata West Bengal Picode- 700071.
TO,
THE MANAGER.
GENINS INDIA TPA LTD,
15, Ganesh Chandra Avenue 3 Flr Kolkata- - 700013, tel: 33- 44011300 03344011325/333, EMAIL: kolkata@geninsindia.com


SUB : REQUEST LETTER TO CLEAR MY TWO HOSPITALIZATION BILLS OF RS 1,30,738/- AND RS50,260/- AS PER CLAIM FORM RECEIVED BY UR OFFICE ON 22 MAY AND 25TH MAY 2017.

SIR,
PLEASE NOTE THAT AS PER EMERGENCY( HEART ATTACK OR SUN STROKE ) BASIS I HAVE TO ADMIT ON DESUN HOSPITAL ON 7/5/2017 AS WE HAVE BEEN REJECTED FROM RAMAKRISHNA MISSION HOSPITAL .

PLEASE NOTE THAT I AM PAYING ABOVE RS2 LATHS INDIVIDUAL MEDI CLAIMED FOR LAST TWO YEARS AND IT IS MY FIRST CLAIM FOR MY MORE THAN 7 YEARS POLICY BUT MOST SURPRISINGLY I HAVE RECEIVED RS90K ONLY AS A CASHLESS BENEFIT ONLY.

SO PLEASE CLEAR MY PENDING BILLS IN A PROPER WAY SO THAT IT WILL NOT LOOKS LIKE UNFAIR BUSINESS PRACTICE MADE BY BOTH DESUN HOSPITAL OR TPA. NOW A DAYS ALL HOSPITALS HAVE MADE THEIR PACKAGE AS PER CUSTOMER TOTAL POLICY AMMOUNT AND TPA HAVE MADE ALL HIDDEN TERMS AND CONDITIONS JUST TO REDUCE THE CLAIM AMMOUNT. BOTH HOSPITAL & TPA HAVE MADE SUCH A GAME PLAN TO SUFFER THE CUSTOMER AND MAKE A UNFAIR BUSINESS PRACTICE.


PLEASE DO THE NEEDFULL AND N.A.


REGARDS
SAMARJIT PAUL
9903885660
POLICY NO: 100700/50/16/100 10372
CC TO : CONSUMER FORUM

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