Reimbursement of Mediclaim Insurance

COMPLAIN/GRIEVANCE REG: MEDICLAIM RE-IMBURSEMENT OF RS 25589/54 PAISE . DTD 8/3/13 OF MRS.KAWALJEET KAUR ALAG FOR CATARACT OPERATION.CARD NO:1220512007376B, CLAIM NO : 122031300335. 1.CLAIM PASSED FOR RS.22589 (RS.3000 LESS THAN THE AMOUNT CLAIMED THAT IS 25589) 2.REMINDED ON 29/3/13 BY LETTER ADDRESSED TO D.G.M/VICE PRESIDENT, EXPLAINING THE FEATURES OF THE GROUP INSURANCE POLICY.(1-12) AND REQUESTED FOR RE-IMBURSEMENT FOR RS.3000 LESS SANCTIONED 3. CONTACTED D.G.M – AMIT BALHARA ON 16/4/13 ON TELEPHONE NO 9958793098 AND HE CALLED THE CONCERNED PERSON MR.SONU SHARMA DEALING WITH PUNJAB AND SIND BANK. I EXPLAINED HIM ON TELEPHONE THE SALIENT FEATURES NO – 12 OF THE POLICY WHICH CLEARLY SHOWS (NO SUB LIMITS FOR ANY DISEASE/ILLNESS) AND HE ASSURED ME TO GET IT RE-IMBURSED BUT HE KEPT ON LINGERING ON THE MATTER. INSPITE OF SO MANY REMINDERS ON TELEPHONE. HE ALSO TOLD THAT DETAILS WILL BE SENT IMMEDIATELY BY E-MAIL FOR NOT SANCTIONING RS.3000 (LESS SANCTIONED)NO REPLY YET TILL DATE . AS PER FEATURES OF THE POLICY AND ALSO CONFORMATION FROM THE BANK , THERE IS NO SUCH AGREEMENT FOR CAPPING THE COST OF LENS FOR CATARACT OPERATION. FEATURE NO.12 OF THE POLICY ALSO MENTIONED CLEARLY(NO SUB LIMITS FOR ANY DISEASE/ILLNESS).REQUEST FOR IMMEDIATE ACTION FOR NOT RESPONDING PROMTLY AND CREDIT SUM OF RS 3000 IN MY ACCOUNT WHICH WAS LESS SANTIONED SP SINGH ALAG CODE NO = S-01534 PUNJAB AND SIND

Regards
mansimranalagh@yahoo.co.in

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