Hi,

I have a complaint against Oriental Insurance who has issued a health insurance policy (153900/48/2011/4304).
Policy covered the health insurance for myself and my wife.

My wife got hospitalized on 16th Nov 2011 due to chest pain at Medanta- The Medicity, Sector 38 - Gurgaon. After Angiography, Docter recommended for urgent by pass surgery.

When we contacted Oriental Insurance through TPA, MD India(Case Id - MDI1137051) for the cashless claim, Officials from Oriental Insurance betrayed us and declined to process the claim.

Reason given for denial of authorization is preexisting disease cann't be treated.I object on this because Cardio or heart disease(cheast pain is not pre-existing disease) is n't mention on that clause which Oriental insurance has denied to treat.

I would request you to look into it and take some serious steps and provide us the clarification or justification before I would go for any legal action against Oriental Insurance.