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Vipul Med Corp TPA . // NEW india Assurance company

India,
Uttarakhand

Consumer complaints and reviews about Vipul Med Corp TPA . // NEW india Assurance company

User533393
 
Aug 14, 2011

Claim not realized

Dear Sir ,
This is to bring to the notice of all concerned that ,I have been availing insurance from past nine years now , and has availed the claim only twice in these many years , one in year 2005 and one very recently where the total claim was Rs 143511 and the claim was approved only for Rs 119410 ,This clearly means that approx 24,000 is still to be paid as the total insured amount in year is Rs 218750 .

The TPA is denying to pay Rs 24,000 claiming that they have a set package with the hospital . My only question is why was the consumer not informed or told about this package when we signed for the insurance policy or even if the terms and conditions were changed in between whey was the consumer not informed ?? why is VIPUL MED cORP behaving like an unprofessional company ?? This needs to be taken care of ?? we have already written to both insurance conmpany and the TPA and in case we fail to get response with in one month we would be compelled to go to the IRDA ombudsman of our area ... we again request the INsurance company and the TPA to settle the anmount as soon as possible


Name of teh insurer : Mamta Rani Anand

Policy Number : 32190634100100020017 , Letter sent to greivance cell of insurance conmpany and Vipul TPA on 25th july 2011 ....
VIPUL REF No : 12 RBO1nIAO470


Pls resolve this at the ealriest possible

regards
Mamata Rani Anand

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