Wednesday 20 December 2023

Aligarh Consumer Court Orders Compensation and Payment Ruling Against Insurance Company for Denying Treatment Coverage

insurance complaint


The woman got her insurance through HDFC Health Agro Insurance and Tata AIG General Insurance. When he fell ill, he was admitted to Delhi Metro Hospital. The treatment cost Rs 3 lakh 31 thousand 247. When the insurance company refused to give, an application was filed in the consumer court.


Aligarh District Consumer Court has passed an order against the insurance company for not paying the bill for the treatment of the disease even after having insurance cover. On the victim's application, it has been clearly stated that the company will pay the bill. Along with this, a compensation of Rs 40 thousand has also been imposed. This decision has been given by the court of District Consumer Court Chairman Justice Hasnain Qureshi, members Alok Upadhyay and Purnima Singh.



The application was filed on behalf of Manju Mittal, a resident of Chandra Cinema Dubey Padav. It was told that he got his insurance through HDFC Health Agro Insurance and Tata AIG General Insurance. The insurance taken from 8 February 2019 was valid till 7 February 2023. During this time, on 5 February 2022, he fell ill and was admitted to Delhi Metro Hospital. During this period, heart related disease was reported. She remained admitted till the month of May and underwent treatment.



During this period, Rs 3 lakh 31 thousand 247 were paid. But the insurance company refused to pay it. It was argued that the disease was hidden from your level while getting the insurance. An application was filed against the insurance company regarding this. While hearing the matter, the Consumer Court has fixed Rs 40,000 as compensation and payment of the treatment expenses.

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