New India Assurance Company Ordered to pay Rs. 52 Lakhs

The following article is a real story of a case where visitor purchased international medical policy from New India Assurance company, India,  which denied a legitimate medical claim. It took 2 years and a consumer commission to get relief  to the policy holder.  This is yet another reason, India Network strongly recommends to purchase plans from a United States based company  while traveling anywhere outside home country for hassle free claims payment.


MUMBAI: In a significant order, Consumer Redressal Commission has directed  New India Assurance Companyto pay Rs 52.07 lakh to a city resident for repudiating her foreign medical claim and deficiency in service.
Presiding member P N Kashalkar ordered the insurance company to pay this amount along with interest at the rate of seven per cent per annum from the date of rejection of the claim, October 20, 2010, till actual realisation, besides Rs 20,000 as costs incurred by complainant Nina Sudhir Thackersey.
The complainant had taken an Overseas Mediclaim Policy from New India Assurance Company for USD 1,00,000 towards illness and treatment for accident for the period April 26, 2010 to April 25, 2011.
While on her trip to in  on May 9, 2010 she complained of constant chest pain and upper abdominal pain, following which she was admitted at Klinik Hirslanden in Zurich.
At the clinic, Nina was examined by Dr Med. A Muller, Dr Henry Perschak and Dr Stefano Tresch and was subsequently admitted in the intensive care unit where she was administered dialysis. Nina was indoor patient at the  clinic for 19 days, and was discharged on May 28, 2010.
Nina was asked to stay back for four days and called for re-consultation on June 4, 2010. On June 1, she was examined again by Dr Tresch who advised her by issuing a certificate that she should go back to India accompanied by a doctor. She returned to India on June 2, along with her husband and an Indian doctor.

Source: Times of India, June 21, 2012

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