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Complaint #12269 — DIPAK KUMAR KAR
Filed: 20 Apr 2015 ·
Address: 71, BAGHAJATIN PLACE, KOLKATA-700086
My Varistha Mediclaim policy No.104400/48/14/8500006561 of NATIONAL INSURANCE COMPANY Ltd.& TPA- Heritage Health TPA Pvt Ltd I-Card No.HHS1.0145230795. My Medical sum assured is 100000 & Critical sum assured is 200000. While I was undergoing 2nd cycle of Chemotherapy at Apollo Gleneagles Hospital, Kolkata for DIFFUSE LARGE B CELL NON HODGEKIN LYMPHOMA, I was given cashless approval of Rs.50000. But during my third cycle at the same hospital Rs.30000 was approved beforehand & I was send a SMS as they have received an estimate for Rs.65000 & it is under process for final approval. During process of Chemotherapy my spouse went to clear the hospital bill for my discharge and was told by the TPA office of the hospital that Authorisation Amount has been cancelled by TPA. On telephonic enquiry Mr. Kundu of TPA has declined to explain the reason for cancelation. This caused mental trauma and great inconvenience for payment of the bill. This is violation of the contractual agreement.