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Complaint #7866 — Ashish Dwivedi
Filed: 14 Oct 2014 ·
Address: OK Play India Limited 124 New Manglapuri Mehrauli, New Delhi 110030
i am holding Apollomunich health insurance policy from last two years (POLICY No-110100110511000362463-01) A very first time when i file case for cashless claim in emergency hospital admission of my wife (joytsana Dwivedi) on 18-5-14 to 21-5-14, Apollomunich has rejected my cashless claim. Then i sent all original hospital Fortis hospital reports bill to Apollomunic with filled claim form on date-27-May-14. After filing case again, i got reply after 1 month on 29-6-14 that your claim is rejected. The reason given by apollomunich is that your wife has past history of treatment of “cystic ovarian syndrome” which is not highlighted during taking insurance.
My wife was suffering from a Viral Infection, same confirmed by doctor in written for which insurance company is liable to pay hospital expenditure