Court tells insurance major to pay minor's surgery bill
New India Assurance Co has been ordered by a consumer court to reimburse over Rs 45,000 towards knee surgery charges of the 11-year-old daughter of a claimant
By PTI |
NEW DELHI: New India Assurance Co has been ordered by a consumer court to reimburse over Rs 45,000 towards knee surgery charges of the 11-year-old daughter of a claimant, who was refused the money on the ground that he had suppressed her medical history.
"There is nothing to show as per medical records of the complainant's daughter that she is suffering from any pre-existing disease," the District Consumer Forum (North) headed by President K K Chopra observed.
The court also ordered compensation of Rs 10,000 in favour of the complainant, Rakesh Garg, a resident of Rohini area here.
Garg's daughter was admitted to Sant Parmanand Hospital here on March 20 last year after she was diagnosed with some handicap in both knees.
She was duly operated on the next day and spent four days in post-operative care at the hospital with total medical expenses coming to Rs 45,780.
A holder of a comprehensive medical policy offered by New India Assurance, Garg had notified the company about his daughter's medical treatment.
In response, the company declined insurance cover on the ground that she was suffering from a "pre-existing disease" about which Garg had not intimated them at the time of joining the policy, as is the norm.
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