Health Insurance

Cashless hospitalization rejected - Max Hospital not in network list

I have a health insurance policy from ICICI Lombard with sum insured of 25 lakhs. Last week, my wife had to be admitted to Max Hospital in Delhi for severe pneumonia. When we tried to get cashless treatment, the hospital said Max Hospital is not in the network list of ICICI Lombard. But when I bought the policy, the agent told me that Max Hospital is covered. Now I had to pay 4 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
7
217 0 3 months ago
Asked by sanjay.singh25 (464 rep)
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