Medical insurance company informed to pay ₹2L for rejecting declare – ET HealthWorld

Chandigarh: The UT District Shopper Disputes Redressal Fee has ordered a medical health insurance corporate to pay Rs 2.08 lakh to a resident of Mohali’s Kansal for rejecting his insurance coverage declare.

Rupesh Kumar Khosla, in his petition, stated he had bought a medical health insurance coverage, “Manipal Cigna ProHealth Insurance coverage” from Manipal Cigna corporate for himself and his members of the family and paid a top class of Rs 11,512 from August 17, 2017, to August 16, 2018, and the similar was once renewed yearly until 2023.

In July 2022, Khosla was once admitted to Therapeutic Tremendous Speciality Health center, Sector 34, UT, for remedy of kidney stones.

He stated on his discharge, he raised a cashless declare and submitted paperwork. Then again, the corporate rejected his declare at the floor that he were affected by a slipped disc drawback since 2008 and was once now not disclosed through him.

After listening to arguments of each the events, the fee stated the corporate has wrongly repudiated the declare understanding totally neatly that the ailment for which the complainant took the remedy has no reference to the former ailment of 2008 and that alleged concealment was once now not of this type of nature as would disentitle him from getting his existence insured.

The fee ordered the company to pay the declare with 9% pastime, Rs 20,000 as reimbursement for inflicting psychological agony and harassment and Rs 10,000 as value of litigation.


  • Printed On Nov 6, 2023 at 11:50 AM IST

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