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I have been declined my claim of Mediclaim. What are my legal remedies
06-May-2023 (In Insurance Law)
My parent is having Mediclaim policy with New India company. Now he was admitted in hospital for breathing problem. So doctor had recomand for CPAP Machine. Company had passed claim for hospitalisation but not for CPAP machine. It was life saving instrument and without which person can not survive, then why company had not allowed that amount?? Need the guidence how to fight for this?
In this circumstance, I would recommend that a two-fold action needs to be taken which will involve firstly, a perusal of the medical claim policy of the concerned company and if they are in violation of the prescribed guidelines of the Government then writing to the Health Ministry to take action against the Company. If for obvious reasons the concerned Government Department fails to act against the Company, filing of a Writ (fundamental right has been infringed) and requesting the court to take appropriate action against the Government Department and the Company.
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Adv. Ranit Basu
Mumbai | 25+ Answers
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