Family Health Plan [FHPL] Customer Care

Family Health Plan [Fhpl] — claim settlement

phone
+91 20 3052 0233 [Pune]
+91 45 2300 7201 [Madurai]
+91 20 3052 0230 [Pune]
website
www.fhpl.net
location
Srinilaya – Cyber Spazio, Suite # 101, 102, 109 & 110, Ground Floor, Road No. 2, Banjara Hills, Hyderabad, Andhra Pradesh, India – 500034

Claim id – 2709853. The claim limit is rs.5 lacs. I had undergone surgery for sleep apnea in first week on dec'19. I had raised claim for rs.292976 with insurance company by mid dec'19 with all the medical & hospital bills. Firstly they settled the payment with delay of more than 2 months and secondly they have deducted approx. Rs.66500 towards (Rs.57500/- not payable septoplasty charges; rs.9000/- not payable coblator charges;) and settled only rs, 224558. This information was never available to me. This is not acceptable. The balance deducted amount needs to be paid as this was not a cosmetic surgery and even if multiple surgeries were performed, it was done in one go. Please help.

Family Health Plan Limited — Non responce from Corporate relations executive

phone
+91 20 3052 0233 [Pune]
+91 45 2300 7201 [Madurai]
+91 20 3052 0230 [Pune]
website
www.fhpl.net
location
Srinilaya – Cyber Spazio, Suite # 101, 102, 109 & 110, Ground Floor, Road No. 2, Banjara Hills, Hyderabad, Andhra Pradesh, India – 500034

Hi,

We have been offered medical coverage by FHPL through Appollo DKV by our Orgainzation.

When ever we are in need of assistance and trying to contact their Corporate Reletions person he says he is busy, hence to contact after wards, apart from he says not to make repeated calls.

Even though it is mentioned some of the hospitals in their list of hospitals where we can have cashless treatment, when approached the hospital they says we donot have any tie-up with them, hence you pay the cash for the treatment and later go for reimbursement.

The person who is in an impression of cashless treatment available for him through this plan needs to run at eleventh hour in search of money.

Family Health Plan (Tpa) Limited (Fhpl.net) — Delay in claim reimbursement

phone
+91 20 3052 0233 [Pune]
+91 45 2300 7201 [Madurai]
+91 20 3052 0230 [Pune]
website
www.fhpl.net
location
Srinilaya – Cyber Spazio, Suite # 101, 102, 109 & 110, Ground Floor, Road No. 2, Banjara Hills, Hyderabad, Andhra Pradesh, India – 500034

Hi,

I have a medical insurance cover from FHPL (fhpl.net) through my company. My wife went under surgery in July and was discharged from the hospital on 16th of July. I submitted all the documents on 11th august. As per the company rules, all claims have to be submitted within one month of discharge. Despite doing so my claim was rejected and the reason given was "Delay Submission". After lots of follow up they said that its under processing.

Now they are not responding to my calls and saying that i shall contact my HR.

Kindly do the needful urgently as this is really getting weird.

Thanks,
Kapil

Delay in claim reimbursement
Delay in claim reimbursement

Family Health Plan Ltd, Karvy Insurance Broking Limited & National Insurance Comp Ltd — Claim Reimbursement cheque made but not given even in 100 days.

phone
+91 20 3052 0233 [Pune]
+91 45 2300 7201 [Madurai]
+91 20 3052 0230 [Pune]
website
www.fhpl.net
location
Srinilaya – Cyber Spazio, Suite # 101, 102, 109 & 110, Ground Floor, Road No. 2, Banjara Hills, Hyderabad, Andhra Pradesh, India – 500034

Dear Sir/Madam,
I am very very sad in writing to you.

I gave birth of a baby followed by an operation on 21st Dec 2009 and submitted the claim documents on 9th Jan 2010. Even after passing of more than 100 days I am yet to get my claim reimbursement cheque which has been approved (As per FHP Limited details-Settled Amount: 24737,Cheque Date: 26 Mar 2010,Cheque Number: 747,Payee Name: Mr. Deepak Kumar Dwivedi ).

We communicated with KARVY,FHPL,NATIONAL INS & TPA for more than 50 times in these days for this. No one in these are ready to answer and respond towards my mails. We are quite frustated because of them. We don't know what will happen with our money?
FHPL has mailed that they have delivered the cheque to the Broker- Karvy Insurance Broking Limited. But Karvy is not responding towards it even writing to the chairman of it at last.

Therefore, Kindly help & save common people from these show called corporates.

Regards
Namita Kumari
[protected]

Note- Mail coppied/pasted of FHPL for your references—–

Dear Sir,

Your settlement cheque has already been delivered to Karvy. Detail are as follows.

Settled Amount : 24737
Cheque Number : 747
Cheque Date : 26 Mar 2010
Payee Name : Mr. Deepak Kumar Dwivedi

Kinldy get in touch with the local Karvy office for the same.

Regards,
Partha Maity
Dy Manager – Operations

Family Health Plan (TPA) Ltd.
Kolkata
Mob. – [protected]

Family Health Plan (Tpa) Limited — Mediclaim Rejected

phone
+91 20 3052 0233 [Pune]
+91 45 2300 7201 [Madurai]
+91 20 3052 0230 [Pune]
website
www.fhpl.net
location
Srinilaya – Cyber Spazio, Suite # 101, 102, 109 & 110, Ground Floor, Road No. 2, Banjara Hills, Hyderabad, Andhra Pradesh, India – 500034

Sir,

1. Claim ID: 115812/1
2. UHID NO: 82161
3. Patient Name: Pallav Choksey
4. Claim Date: 23 Apr 2011
5. Hospital Name: Shalby Hospitals, Ahmedabad, Gujarat
6. Organization Name: Idea Cellular Limited, Ahmedabad, Gujarat

I, Pallav Ashvin Choksey, went for a medical check-up to Shalby Hospital with pre-permitted appointment from my office (Idea Cellular Ltd, Ahmedabad, Gujarat).

My report was done on[protected] which I collected on[protected] from Shalby Hospital, shows that my diabetes was
1. Fasting 254, Urine : Present (++++) &
2. PPBS- 425, Urine : Present (++++).

I was been advised to get admitted for uncontrollable diabetes. I got admitted in Shalby hospital on 15.04.2011 under the supervision of Dr. Falguni Iyer and was on Insulin as well as oral dosage for diabetes control.

My claim got rejected with the reason that my diabetes was showing 4+ as per the report on 09.04.2011 and I got admitted on 15.04.2011.

Now can you tell me that without any treatment can the diabetes get lower within 5 days automatically that my claim got rejected with that reason? No one had advised me – Neither your mediclaim agent nor the doctor of your tie-up hospital that if I want to get admitted then within how many days I should take the action? Does Insurance Company want the patient to dream for such terms and conditions.

The other reason given to me was that in 4+ diabetes Oral dosage could have worked and that I was been advised wrongly to get admitted. Can I know that the hospitals which you have selected has such doctors who given wrong advices or if the advice is right than treatment given is wrong or if advice and treatment is right then should patient get admitted himself at his own home and should take insulin on his own and get the reports on his own, which a hospital does? This is what your insurance company doctors think or say?

Even after giving proper justification from the doctor in written thrice who has treated me, your doctors are not convinced to pass the claim because they see my case to reject only. Your doctor has neither called up Shalby doctor who has treated me and tried to understand the exact situation under which I was been admitted, so on what basis my claim was rejected.

I need a positive resolution from FHPL to restrict myself to knock the doors of consumer court to present them the dadagiri of insurance companies. My claim has all the valid reasons to get admitted and then to pass the claim.

Regards
Pallav Ashvin Choksey

Address of Family Health Plan (TPA) Limited
104, Sahajanand Complex, B/h. Bhagwati Chambers
Navarangpura, Ahmedabad – 380009
http:.//www.fhpl.net
Contact No: [protected],[protected]

FHPL — Claim amount

phone
+91 20 3052 0233 [Pune]
+91 45 2300 7201 [Madurai]
+91 20 3052 0230 [Pune]
website
www.fhpl.net
location
Srinilaya – Cyber Spazio, Suite # 101, 102, 109 & 110, Ground Floor, Road No. 2, Banjara Hills, Hyderabad, Andhra Pradesh, India – 500034

Reg Claim no:213711
I have submitted claim for amount RS 93897.00.
But I was paid amount 41619.00 rs through Axis bank Cheque no:934175.
I was told by my office that I have to pay 10% of my claiming amount and rest will be covered under fhpl.
In the letter mentioned it is mentioned that ambulance charges are not covered as per policy conditions.
please let me know why ambulance charges(47780.00) are not covered under this policy while it is a part of treatment.
Patient is moved to hospital only through ambulance in medical supervision.

Family Health Plan (Tpa) Ltd., — NON DELIVERY OF REGISTER LETTER

phone
+91 20 3052 0233 [Pune]
+91 45 2300 7201 [Madurai]
+91 20 3052 0230 [Pune]
website
www.fhpl.net
location
Srinilaya – Cyber Spazio, Suite # 101, 102, 109 & 110, Ground Floor, Road No. 2, Banjara Hills, Hyderabad, Andhra Pradesh, India – 500034

Dear Sir

As regarding my Registar Letter dt31/08/201
Detailed Track Events for : RG[protected]IN the track record shows following:

Date Time Status at Status
31/08/2012 10:34:05 KHANPUR Article Booked
31/08/2012 21:38:38 AHMEDABAD RMS Article Bagged to KOLKATA RMS
03/09/2012 11:54:02 KOLKATA RMS Bag is Opened
03/09/2012 14:29:22 KOLKATA RMS Article Bagged to SARAT BOSE ROAD

I request to please give me the correct ;date and time of the delivery ;done after ;03/09/2012 to the address where it is sent.

Hoping to get an immediate ;reply.

Thanking you.

IQBAL

FHPL — Mis-commitment from Fhpl

phone
+91 20 3052 0233 [Pune]
+91 45 2300 7201 [Madurai]
+91 20 3052 0230 [Pune]
website
www.fhpl.net
location
Srinilaya – Cyber Spazio, Suite # 101, 102, 109 & 110, Ground Floor, Road No. 2, Banjara Hills, Hyderabad, Andhra Pradesh, India – 500034

Please do not trust the Apollo health insurance provided by FHPL its all fraud. I had called the customer care before addmiting my son and was informed its covered in group A category and the projected billing would be 28k based on the repersentative information i completed all the formalities and was procedinv to OT however i hot a msg the claim was rejected and the hospital ask me to pay 28k as the operation should not delay i made the payment of 17k and called the number provided by the customer care and came to know its not covered if this was the case the call center executive should have not given me wrong information.
Today i need to pay all the charges claimed by hospital.
This is pure cheating and fraud

Family Health Plan (Tpa) Limited / (Fhpl.net) — Claim less settled

phone
+91 20 3052 0233 [Pune]
+91 45 2300 7201 [Madurai]
+91 20 3052 0230 [Pune]
website
www.fhpl.net
location
Srinilaya – Cyber Spazio, Suite # 101, 102, 109 & 110, Ground Floor, Road No. 2, Banjara Hills, Hyderabad, Andhra Pradesh, India – 500034

I have received cheque no.014593 against claim ref. ID no.530970 for Rs.25250/- for prostrate operation which is maximum permissible amount for insurance coverage of Rs.1.50lac. But my insurance is for Rs.3.00 lacs and the
maximum permissible amount for Rs.3.00 lac insurance is Rs.35500/- As such you are requested to send me the balance cheque for Rs.10, 250/- at the earliest as already a more than amonth has already passed.

Meantime, please acknowledge the complaint.

Inder Prakash Khanna
210, Dhruva Apartments,
Plot no.-4, I.P.Extension, Delhi-110092
(Retd. Allahabad Bank Employee )
Mob.No.-[protected]

FHPL — denial of claim

phone
+91 20 3052 0233 [Pune]
+91 45 2300 7201 [Madurai]
+91 20 3052 0230 [Pune]
website
www.fhpl.net
location
Srinilaya – Cyber Spazio, Suite # 101, 102, 109 & 110, Ground Floor, Road No. 2, Banjara Hills, Hyderabad, Andhra Pradesh, India – 500034

Dear Sir/Madam
I am an HDFC BANK employee (employee id C1339), I have an health insurance with fhpl I have got admitted in FORTIS HOSPITAL NOIDA on 21/08/2014 as per doctor's advice as I was spitting blood from my mouth (as per doctor's I was suffering from hymoptysis), now your company is rejecting the claim as there was no need of hospitalization.
I followed the fortis doctor's instruction if your company has any issue than you need to resolve it from fortis hospital team
as I was the patient and I have to follow the doctor's instruction as I am not the doctor and I don't understand what kind of treatment or medicine I require, that's why the doctor's are .
And there was a team of doctors who was taking care of me .So it means you are questioning the doctor's knowledge.
I am in financial hardship and 72000 rs is a big amount for me I am going through a mental stress and it is affecting my health
as per me I was sure that I have an insurance policy and your company will take care of it
I look forward to hearing from you and to a resolution of this problem, Else I have to go to IRDA and consumer forum for the same .
Claim Under Policy No. 020400/48/14/41/00000057 with Card No. 11635320
Name of Insurer: United India Insurance Co Ltd Name of the Insured Person Charul Shukla Claimed Amount: Rs.72247 /- Claimed for Hemoptysis Hospital Name: Fortis Noida Claim ID: 602512 Employee ID: C1339 Date of Admission: 20 Aug 2014 Date of Discharge: 23 Aug 2014 Received Date: 05 Sep 2014 Relation: Self Diagnosis/Type Of Treatment: Hemoptysis
Dear Mr. /Ms. Charul Shukla As per the instructions o[censored]nited India Insurance Co Ltd your claim is being denied for Rs. 72247 on account of Hemoptysis for the reasons mentioned below . For any further clarifications you may please contact the insurer directly. 1.As per our medical opinion and submitted documents, the present hospitalization is for the investigation and evaluation of the ailment only. The investigations could have been done on outpatient basis without the necessity of admission for the same. Hence we regret to inform that your claim is repudiated. We have retained the claim papers for further references. In case you need further clarification or assistance, Please refer the above ClaimID for any further correspondence. You may write to us or send an email at [protected]@fhpl.net or speak with our 24X7 customer call center on [protected].
Thanks and regards
Charul Shukla
mob-[protected], [protected]
Alternate email [protected]@yahoo.com