13/12/2023
Insurance firm penalized for rejecting dengue treatment claim
The forum observed that the complainant was diagnosed and treated for dengue and a decline in platelets. “It has no connection with hypertension at all. It is a parasite infection infused with the bite of a dengue mosquito.”
The Max Super Specialty Hospital of Mohali admitted that the complainant had a history of hypertension, though he was treated for dengue. (Representational Image)
The consumer forum has directed a private insurance firm to pay a compensation of Rs 60,000, including Rs 10,000 litigation charges, for rejecting the claim of a dengue survivor in 2016 because he was a patient of hypertension and that he had concealed the matter.
Kajheri resident Vinod Kumar had undergone treatment at a private hospital from October 29 to November 1, 2016. After getting well, he opted for the claim from his health policy for an expense of Rs 73,196, but it was rejected by HDFC ERGO General Insurance. The forum, however, holding that “hypertension has no concern with the dengue disease”, directed the HDFC ERGO General Insurance to pay the claim money with 9 percent interest from the date of rejection, besides Rs 60,000.
Read more at:
https://indianexpress.com/article/chandigarh/insurance-firm-penalised-for-rejecting-dengue-treatment-claim-5314318/
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