BAJAJ ALLIANZ HEALTH INSURANCE - Health insurance policy closed
Pankaj Sharma filed complaint against BAJAJ ALLIANZ HEALTH INSURANCE on Sep 4, 2019
To,
The Administrator,
Bajaj Allianz Mediclaim Insurance Policy,
Bajaj Allianz General Insurance Company Ltd.
*rd Floor, Survey – ***/*-B, Viman Nagar,
Pune -****** (Maharastra)
Kind Attn – Shri K V Dipu
Subject – CLARIFICATION - Policy account CLOSED for policy no. - OG -**-****-****-******** of Shri Pankaj Sharma (Customer ID – *********), Smt. Babita Sharma (Customer ID – *********) & Master Aishwarya Sharma (Customer ID – *********) and claimant of medical treatment of Smt. Babita Sharma.
Sir,
I purchased a health insurance policy for self and family members through online from Bajaj Allianz in the financial year ****-****. The date of commencement of policy was **.**.**** to **.**.**** (yearly basis). Further, I have renewed my policy for the next financial year ****-**** through online and the policy was issued from **.**.****-**.**.****.
Recently, my wife Smt Babita Sharma was admitted to BM Shah Hospital, Supela, Bhilai due to illness on **.**.**** at **.** am (Midnight). Under her medical treatment, the management of M/s B M Shah Hospital has sent approval for the medical treatment covered under health insurance on **.**.**** for mediclaim through the mail but the mediclaim approval was rejected from the health insurance company which is confirmed by the hospital. During the enquiry, I came to know that the policy is inactive and further the medical treatment is not assigned/covered under health insurance. As the treatment of my wife is not covered under health insurance for which I paid the total amount of Rs *****/- (Rs Sixteen Thousand One Hundred and Eighty Only) to the hospital. Further, I approach to the branch office in supela Bhilai but failed in getting the response that the policy card is blocked and they are unable to open it.
Further I want to clarify that why the policy is inactive or the account is blocked even I availed the policy amount of Rs *****/- on yearly basis with the sum insured of Rs **,**,*** (Rs ten lakhs only) though I am paying the premium of Rs ****/- (Rs One thousand One Hundred and Eight Only) on monthly basis for Loan no. – ***REP******** which is an auto-debit from UCO bank for which I have the transaction statement of the bank.
You are requested to check at your end and give a positive reply at the earliest.
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