Insurance company told to pay 3 lakh compensation to pacemaker patient
Sunday, 5 November 2023
Reprimanding an insurance company for its hyper technical approach and adhering to a "pick and choose" theory, a district consumer commission has directed it to reimburse Rs 2.65 lakh along with a compensation of Rs 2.70 lakh to a 55-year-old Colaba woman who had undergone a pacemaker replacement surgery at a prominent South Mumbai hospital in 2019. The company had rejected the claim on the ground that the discharge summary had mentioned that it was only a "pacemaker battery replacement."
Reprimanding an insurance company for its hyper technical approach and adhering to a "pick and choose" theory, a district consumer commission has directed it to reimburse Rs 2.65 lakh along with a compensation of Rs 2.70 lakh to a 55-year-old Colaba woman who had undergone a pacemaker replacement surgery at a prominent South Mumbai hospital in 2019. The company had rejected the claim on the ground that the discharge summary had mentioned that it was only a "pacemaker battery replacement."
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