health insurance caselaw
Consumer forum asks New India Assurance Company to pay for mediclaim policy
The Pune District Consumer Disputes Redressal Forum (consumer court) has ordered New India Assurance Company Limited to pay more than Rs 75,000 to Sapna Nagrani from Shastri Nagar for refusing a claim for hysterectomy operation, confusing it with appendectomy (the removal of swollen appendix), for which she was earlier operated upon.
Read moreForum Orders United India Insurance to Pay Rs. 1 Lakh Plus to Widow
The Consumer Disputes Redressal Forum, Ahmedabad (Rural), held United India Insurance Company Limited, Ahmedabad Regional Office, and its office at Palanpur, Banaskantha district, guilty of deficiency. Read more
Condition of the Complainant did not warrant hospitalisation : Insurance Claim Dismissed by Ombudsman
The condition of the Complainant at the time of admission in the Hospital was such as not to warrant hospitalisation. Repudiation of claim by Newindia upheld by Insurance Ombudsman, Ahmedabad
Read moreHDFC Ergo ordered to pay Rs.1.18 lakhs
The Mumbai Suburban Consumer Redressal Forum ordered HDFC Ergo General Insurance Company Ltd to reimburse Rs 1.18 lakh at 9% interest to Dharamdas Pritiani, a heart patient who underwent a rare and state-of-the-art treatment. Read more