1 month ago
Star Health Ordered to Reimburse Dengue Claim in Moga
A mother in Moga had her son treated for dengue at a local hospital.
She paid the hospital and then asked Star Health Insurance to pay her back.
The insurance company said the claim was wrong because the hospital records were missing some details.
The consumer commission looked at the case and said the insurance company was wrong.
They ordered the company to pay the mother Rs 21,882, plus Rs 5,000 as compensation and Rs 5,000 for legal costs.
The decision shows that insurance companies must check claims carefully before rejecting them.
Star Health Insurance rejected a dengue claim citing record discrepancies.
District Consumer Commission in Moga found the rejection unjustified.
Commission ordered reimbursement of Rs 21,882 to the mother.
Additional compensation of Rs 5,000 and litigation costs of Rs 5,000 awarded.
Decision emphasizes insurers must verify claims before denial.
- Who
- Priti Malhotra, Mohinder Singh Brar, Aparana Kundi, and Star Health Insurance
- What
- Reimbursement of a dengue hospitalisation claim and compensation for a consumer
- Where
- District Consumer Commission, Moga, Punjab, India
- When
- July 22, 2024
- Why
- Insurer wrongly rejected the claim citing alleged record discrepancies
Key facts
- Insurer
- Star Health Insurance
- Policy Type
- Family Health Optima
- Reimbursed Amount
- Rs 21,882
- Compensation Awarded
- Rs 5,000
- Litigation Costs
- Rs 5,000
- Court
- District Consumer Commission, Moga
- Date of Order
- July 22, 2024
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
Himachal Commission Upholds Insurance Payout After Hypertension Dispute
Insurer must restore policy, pay Rs 1.10 lakh over hypertension
Haryana commission orders insurer to pay full US treatment claim
West Bengal Commission Orders Insurer to Pay Dacoity Claim
Moga Woman Builds Rs 80 Lakh Enterprise on Leased Land
Punjab's Anti-Drug Campaign Empowers Women in Recovery
17 Arrested in Moga Police Station Grenade Attack Case
Punjab Police Bust Alleged Terror Module, Foil Train Attack Plot
