- Health insurance policy closed ^Open

Pankaj Sharma filed this complaint against BAJAJ ALLIANZ HEALTH INSURANCE on Sep 04, 2019

Resolution Demanded:
Apology
Refund

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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