Mrs. Mehra's Struggle for Fair Reimbursement
Challenge:
Mrs. Mehra, a 58-year-old retiree, underwent an emergency appendectomy. Her insurance provider denied her claim of ₹3,00,000, citing non-disclosure of a minor, unrelated health condition.
Solution:
• Mrs. Mehra sought help from Insurance Samadhan, a professional advocacy service.
• Experts reviewed her case and concluded the denial was unjust.
• They provided guidance on re-filing the claim and negotiated with the insurance company.
Outcome:
The insurance company acknowledged the oversight and processed Mrs. Mehra's claim. She received ₹2,50,000, the total outstanding amount initially denied.