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What if the insurance gets cancelled due to a mistake in document


27-Jul-2023 (In Insurance Law)
My father's mediclaim was denied stating the I have not disclosed that he has hypertension. Actually policy is 2 years old and my father has bp from last 13 months, however hospital mistakenly mentioned it as 13 years and they canceled claim. Please suggest what I can do in this case.
Answers (2)

Answer #1
915 votes
I would need to study the policy-terms (and your disclosures), before tendering legal-advice. Having said this, your problem, at first blush, is one that may require the consumer courts intervention - if the insurer cancelled your father’s policy, despite being made aware of the facts (and those facts being substantiated, within reasonable time, with appropriate supporting records). I think that I can help you through this, and request you to reach out to me through Lawrato. I look forward to being of help.
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Answer #2
661 votes
Your case remind me a similar case which is currently pending in the NCDRC. You should contact the concerned Hospital first and write a Letter to the Doctor of the Hospital who had treated your father and arrange to get the clarification from them regarding the period of hypertension and then again made a representation to the Insurance Company regarding the Mediclaim. The Hospital Authorities are duty bound to give a clarification for a mistake which they have made.

You can contact me for further discussion.

Warm Regards,

Adv. Shashank Mishra
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