Aditya Birla Health Insurance SCAM

My parents have a group insurance covering for them and my brother (5L Base, 50L Top Up). Received a No Claim Bonus of 2.5L.

My mother is being treated for Cancer. For the first admission of Chemotherapy, we were able to go with the Cashless insurance cover.

From the next admission onwards, idk what happened between the Hospital and ABH, they didn’t process the cashless claim and we had to pay the cash.

We got the reimbursements under the “In Patient Hospitalisation Cover” from ABH until the Sum Insured and No Claim Bonus got exhausted (5L+2.5L).

For the next admissions, we put the claim under the Super Top up Policy. Received a mail today that the claim couldn’t be processed since the patient has Diabetes Mellitus and Dyslipidemia (both are not there for her) which was not disclosed prior at the time of policy inception.

I’m planning to visit their office. Anyone else faced something similar or what should be the way ahead for me

Any leads appreciated, TIA

submitted by /u/vikz5555
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See also  UPDATE: Is this fraud?