Health Insurance

Cashless hospitalization rejected - Apollo Hospital not in network list

I have a health insurance policy from ICICI Lombard with sum insured of 25 lakhs. Last week, my sister had to be admitted to Apollo Hospital in Hyderabad for heart attack. When we tried to get cashless treatment, the hospital said Apollo Hospital is not in the network list of ICICI Lombard. But when I bought the policy, the agent told me that Apollo Hospital is covered. Now I had to pay 5 lakhs from my pocket and I am trying to get reimbursement. Has anyone faced this issue? What should I do? Can I file a complaint somewhere? The TPA is also not responding properly to my calls.

#cashless-hospitalization #network-hospital #claim-rejection #reimbursement
13
300 0 2 months ago
Asked by priya.d'souza312 (485 rep)
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