Insurance coverage corporate cuts 50k from Covid declare – ET HealthWorld

Ahmedabad: A Covid-19 affected person needed to take a Rs 50,000 minimize from his insurance coverage refund for the reason that ‘Covid-positive’ file he furnished in conjunction with different declare paperwork, used to be now not from an authorized laboratory.

Sonesh Patel from Botad the city had bought a unique Covid-19 protection of Rs 2 lakh from Reliance Normal Insurance coverage Co Ltd all the way through the pandemic. He examined nice in November 2020 and gained remedy at a personal health center after being referred through an city well being centre.

When Patel claimed the insurance coverage quantity, the insurer repudiated his declare at the grounds that Patel’s ‘Covid-positive’ file had now not been issued through an authorized laboratory. Patel then approached the Bhavnagar District Client Dispute Redressal Fee, which, in March, ordered the insurance coverage corporate to pay him the total declare quantity of Rs 2 lakh.
The insurer challenged this order sooner than the Gujarat State Client Dispute Redressal Fee.

The fee mentioned that the affected person had provided the certificates issued through a central authority well being officer which confirmed that he had Covid an infection. He additionally provided case papers from the personal health center, which established that he had gone through remedy and laboratory stories from a central authority clinical faculty. Alternatively, for the reason that file declaring that had examined nice used to be now not issued through an authorized lab as in line with coverage phrases, the fee mentioned that the insurer will have to pay him Rs 1.50 lakh as an alternative of the total insurance coverage quantity.

  • Printed On 11th of September, 2023 at 11:00 AM IST

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