29 August,2020 05:04 PM IST | Thane | PTI
This picture has been used for representational purposes
The Thane District Consumer Disputes Redressal Commission has held an insurance company, a hospital and a third party administrator (TPA) guilty of deficiency in services and asked them to pay nearly Rs 35,000 to a man over his insurance claim against his son's medical treatment.
The commission passed the order recently. It asked them to pay Rs 19,964 with nine per cent interest from the date of submission of the claim, Rs 10,000 towards compensation and Rs 5,000 towards the cost of the claim.
The complainant, Dilip Aswani, a resident of Kopri in Thane city told the commission that he had taken a medical insurance cover for his family members from the National Insurance Company Ltd.
In his submission, he said that in October 2015, his son was admitted to local Vedant Multispeciality Hospital in a critical condition for surgery of thrombosed hemorrhoid, but was discharged after some time due to denial of cashless facility and improper diagnosis, among other things.
ALSO READ
Sixteen years on, Malegaon Blast victims are still waiting for justice
Mumbai lakes supplying water to the city reached 99.44 per cent capacity
New Vile Parle flyover on WEH sustains damages 6 months after inauguration
Bar Council: ‘Check criminal background of aspiring law students'
Navratri 2024: How celebrations have evolved over the years in Mumbai
Due to this, he had to be admitted to another hospital, where he was operated upon. The total medical treatment cost them Rs 98,990.
He sought a claim for the entire amount. Accordingly, the claim was processed and sanctioned after Rs 19,664 deduction, he said.
The complainant in his submission said that he was entitled to get entire reimbursement without any deduction. He then approached the commission against Vedant Multispeciality Hospital, National Insurance Company Ltd and MD India Healthcare Services Pvt Ltd.
The commission ruled in his favour and held the insurer, the hospital and the TPA guilty of deficiency in services and unfair trade practice and asked them to pay compensation to him.
Catch up on all the latest Crime, National, International and Hatke news here. Also download the new mid-day Android and iOS apps to get latest updates.
Mid-Day is now on Telegram. Click here to join our channel (@middayinfomedialtd) and stay updated with the latest news
This story has been sourced from a third party syndicated feed, agencies. Mid-day accepts no responsibility or liability for its dependability, trustworthiness, reliability and data of the text. Mid-day management/mid-day.com reserves the sole right to alter, delete or remove (without notice) the content in its absolute discretion for any reason whatsoever
