Rule of Thumb regarding any insurance policy: Always read full Terms & Conditions(& by that I literally mean every word) because a single word can make the difference between claim getting approved or rejected.
Als, on an average,pvt sector is better than public sector when it comes to medical policies(provided you follow the above thumb rule).
Okay.
Is there any way we can file a complaint against an insurance company if they delay payment without valid reasons?
Actually no,you are supposed to contact IRDA for any insurance related complaints(see the FAQs in link posted above).Contact that company's ombudsman.
But first you need to contact your respective company's ombudsman. Those are the IRDA rules, I too went through this process once.Actually no,you are supposed to contact IRDA for any insurance related complaints(see the FAQs in link posted above).
Can you tell me the procedure? My late father's insurance claim has been delayed for a year by a TPA (Family Health Plan Ltd) and policy is going to expire this month.Contact that company's ombudsman.
First of all I am so sorry for your loss.Can you tell me the procedure? My late father's insurance claim has been delayed for a year by a TPA (Family Health Plan Ltd) and policy is going to expire this month.
I am planning to take the matter to court.
Insurance company is National Insurance Company Limited and TPA is Family Health Plan TPA.First of all I am so sorry for your loss.
Which is your insurance company and which is the TPA company?
I hope that you have all the reminders, mails etc sent to them in the past few months.
You need to send a final mail to their management and TPA explaining everything, keeping irda in cc. Also open a ticket here after sending them final mails
:: Grievance Redress Mechanism in Government ::
www.consumerhelpine.gov.in
Same was mine. Their ho is in Kolkata. Get every mail address that you can get and shoot a mail there. Send the mail to TPA, keep irda and National in cc. Also raise tickets in those two links asap.Insurance company is National Insurance Company Limited and TPA is Family Health Plan TPA.
I have my emails r\that I sent in the past few months ready.
Thanks for your advice.
Thanks for your help. Really helpful.Should I also file a court case separately?Mark a mail to-
Info@fhpl.net, grievances@fhpl.net, kishorev@fhpl.net, ajithomas@fhpl.net, ramalinga@fhpl.net, Phanirao@fhpl.net, rajesh.sachdeva@in.fhpl.net, Shirishk@fhpl.net, rambabu@fhpl.net, dr.nitin@fhpl.net, kulkarni@fhpl.net
CC- faf@nic.co.in, cmd@nic.co.in, vasantha.krishna@nic.co.in, vijay.walia@nic.co.in, i.sharma@nic.co.in, gope.panikkar@nic.co.in, ak.acharya@nic.co.in, prasun.sarkar@nic.co.in, complaints@irda.gov.in, vigilance@irda.gov.in +the mail id's in the screenshot
First send a mail. Lodge complaints on those two sites too. Send one or two reminder mails everyday. They well have to get back to you. The tpa's site also has numbers of their seniors, give a call to them too.Thanks for your help. Really helpful.Should I also file a court case separately?