3 hrs ago
Dengue Claim Rejected After Insurer Says Condition Wasn't Serious
A man went to a hospital because he had dengue.
He said his insurance company refused to pay his medical claim.
The company reportedly said his dengue was not serious enough for hospital treatment.
The man said his platelet count was about 100,000.
He was told the illness would be serious only if his platelets fell below 70,000.
He disagreed and said the company should have checked his medical reports.
He was speaking from the hospital while preparing to leave.
He also complained that insurance companies take payments but may reject claims later.
A man said his insurance claim was rejected while he was being discharged from a hospital for dengue.
According to the man, the insurer said dengue was not serious enough to require hospital admission.
He said the insurer cited his platelet count of about 100,000.
The man said he was told the condition would be considered serious only below 70,000 platelets.
He criticized the insurance company for rejecting the claim after he had paid premiums.
- Who
- An unnamed man and an unnamed insurance company.
- What
- The man said his dengue-related medical insurance claim was rejected at discharge.
- Where
- At a hospital; the specific location was not stated.
- When
- While the man was at the hospital preparing to leave.
- Why
- According to the man, the insurer said dengue was not serious enough for admission because his platelet count was about 100,000 rather than below 70,000.
Policyholder's view
Insurer's stated rationale
Whether hospitalization was serious enough
Policyholder's view
The man said his dengue and medical reports justified hospital treatment and that the claim should be covered.
Insurer's stated rationale
According to the man, the insurer said dengue was not serious enough to require admission.
Platelet-count standard
Policyholder's view
The man questioned why his claim was rejected while he was receiving hospital care with a platelet count of about 100,000.
Insurer's stated rationale
According to the man, the insurer considered the condition serious only when platelets fell below 70,000.
Key facts
- Medical condition
- Dengue
- Claim status
- Rejected, according to the man
- Reported platelet count
- About 100,000
- Reported seriousness threshold
- Below 70,000 platelets
- Timing of rejection
- While the man was preparing for hospital discharge
- Insurer identity
- Not named in the article
Quotes
The hospitalized man
A man who said he was hospitalized for dengue and recorded a video about his rejected insurance claim
“I’m so done with those insurance people. I’m at the hospital right now; I’m having my meal before discharge.”
timesnownews.com
Sources
Related news
Father wins Rs 94,000 after insurer rejected child's hospitalisation claim
Insurer to pay widow Rs 50 lakh after rejecting claim
Shweta Tiwari Hospitalised for Dengue; Doctors Explain Warning Signs
Himachal Commission Upholds Insurance Payout After Hypertension Dispute
Haryana commission orders insurer to pay full US treatment claim
Kolkata Doctors Detail Dengue Symptoms, Testing And Warning Signs
Why Fever Alone Cannot Distinguish H1N1 From Dengue
Manipur Sees Rise in Dengue, Typhoid and Scrub Typhus
Swine Flu and Dengue Concerns Put Noida Schools on Alert
