Location/place: 202, MAITRI APARTMENT, NEAR HARIA HOSPITAL, CHHARWARA ROAD VAPI, DIST.- VALSAD, GUJARAT , PIN- 396195
Name of company/service: STAR HEALTH & ALLIED INSURANCE COMPANY
I purchased a mediclaim policy ( family health optima insurance plan ) from star health & allied insurance company limited on 13/10/2010 for my family .
Its policy NO – P/171213/01/2011/007106
Valid from 13/10/2010 to mid night 12/10/2011
Details of complaint
My daughter miss Namrata B shukla got ill on 07/10/2011 due to cold , cough, fever and body pain so she took treatment from surya hospital vapi as OPD patient but on 09/10/2011 at 10.30 pm she became serious so I ran away with my daughter to the hospital Jeevan deep hospital nearer to my home.there doctors diagnosised it as extra pyramidal syndrome and advised me to hospitalized. So I hospitalized to her there from 09/10/2011 11.10 pm to 11/10/2011 05.50 pm.After hospitalizing her at 11.10 pm I informed to Mr Mahesh Rathod Development officer immediately by sms and by phone at morning on 10/10/2011 which he forwarded to office on 10/10/2011.And also as per STAR HEALTH office claim rejection paper shows that they received my complain with in 24 hrs from hospitalization.
During treatment total expenditure was 7504/ and I claimed it for reimbursement on 16/10/2011 but they rejected my claim on 13/12/2011 saying that there was not need to hospitalized it could be treated as OPD only.
sir, my above complaint is genuine so I should get complete expenditure as reimbursement with the compensation as harrasement of Rs 5000/.
NOTE- On demand I may submit all the documents which are neccessory to proove that my case is genuine.
At last I hope that I will get justice soon from your end.
Balram K Shukla
202, Maitri Aprtment
Near Haria Hospital
Chharwara Road Vapi
Gujarat – 396195