Ahmedabad: Consumer forum tells insurance firm to pay full claim

Ahmedabad | Monday | 10th June, 2019

Summary:

It should be noted that PPN rates are offered towards cashless medical claim made by those insured by government health insurance companies. In the first case, the court asked the United India Insurance Company to pay one Vrushali Deshpande her entire claim for a cataract operation. In another case, 72 year old Harshvardhan Gandhi was paid just Rs 1.08 lakh of the Rs 3.36 lakh claim he had made for surgery following prostate cancer. Gandhi, a retired SBI employee had a Rs 5 lakh insurance policy with Oriental Insurance company. Hence it ruled that the insurance company will have to pay the entire cost of the claim as it was well within the insured limit..