Criminal Trident Pack: IPC, CrPC and IEA by Sr. Adv. G.S Shukla and Adv. Raghav Arora
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Aanchal Arora (legal executive)     29 June 2017

Mediclaim rejection

If a mediclaim is rejected on the ground that the doctor who treated was a BAMS, what is the remedy?


 8 Replies

Advocate Bhartesh goyal (advocate)     29 June 2017

Bachelor of Ayurveda Medicine and Surgery is degree recognised by Government of India and equivalent to degree MBBS so rejection of mediclaim on ground of BAMS amounts to deficiency in services and unfair trade practice of Insurance company.File complaint before District Consumer Forum and claim complete expenses of treatment and compensation towards mental and physical agony.

Raveena Kataria (Advocate )     29 June 2017

First, check the policy of the insurance company which declined your mediclaim, as there are a lot of govt. institutions/departments which do not recognize ayurvedic treatment. If it was already mentioned in their terms and conditions/ previously formulated to you clearly, you may not be able to do anything. However, if their policy mentions nothing beforehand, you can file a case in the consumer forum of your district.  

P. Venu (Advocate)     29 June 2017

No definite suggestion is possible unless the policy is seen and terms and conditions examined.

Kumar Doab (FIN)     29 June 2017

Relate with policy shedule, T&C in it.

Aanchal Arora (legal executive)     30 June 2017

can anyone share the notice for sending to the insurance company for rejecting the mediclaim.

Dr J C Vashista (Advocate)     30 June 2017

What do you mean for sharing the notice?

Aanchal Arora (legal executive)     30 June 2017

I mean by sharing can anyone show me a format as to what should be there in the notice.

Kumar Doab (FIN)     02 July 2017

A very able local senior counsel of unshakable repute and integrity specializing in consumer matters can help you.

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