Family Health Plan [FHPL] Customer Care

+91 20 3052 0233 [Pune]

+91 45 2300 7201 [Madurai]

+91 20 3052 0230 [Pune]

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Srinilaya – Cyber Spazio, Suite # 101, 102, 109 & 110, Ground Floor, Road No. 2, Banjara Hills, Hyderabad, Andhra Pradesh, India – 500034

My wife was undergone with minor surgery on
Date of Admission : 22 May 2015
Date of Discharge : 23 May 2015
Received Date : 01 Jul 2015
diag treatment : Secondary infertility for Diagnostic hysterolaparoscopy with ovarian drilling.
after the operating i submitted the billls from the date of consultation till the surgery complete amount is 60, 567Rs/-. now they rejected with a simple note saying this will not covered under the claim policy. before she is getting hospitalized i have informed them prior about the cause she is getting going for the surgery.
Now i dont have hopes on these insurance companies when they say every thing will be covered all my 6years of exp not even once i claimed it today first time when i claim insurance it got rejected. at last am planning to go legal but i just got this some how booked here lets see if any one will look in to this matter seriously.
am really in a worst situation used my CC and nothing left on me now.

+91 20 3052 0233 [Pune]

+91 45 2300 7201 [Madurai]

+91 20 3052 0230 [Pune]

www.fhpl.net

Srinilaya – Cyber Spazio, Suite # 101, 102, 109 & 110, Ground Floor, Road No. 2, Banjara Hills, Hyderabad, Andhra Pradesh, India – 500034

Hello,
I Lokesh N Shah holding a policy # 355000/46/14/[protected].
I have taken the above Health insurance policy by paying 20K as a premium for sum of 2 lacs. Recently, my father was hospitalized and as Cashless treatment was denied, I had to pay whole hospital bills from my pocket.
The, I did furnish all the relevant/ required- discharge summary, diagnostics report, day to day activity report to TPA for reimbursement claim on July 02.
On Sept 11, 2015, I received an mail from TPA stating my claim has been denied stating Clause no. 4.10.
At the time of taking the insurance, you give us 2 sweet options:
– Cashless treatment
– Claim reimbursement by submitting the bills/ discharge summary
I am paying INR 20K/ per annum from my pocket just to insure my parent’s health. Now, almost after 70+ days, you straight away deny the claim.
What does the below mean?
As per our medical opinion and submitted documents, the present hospitalization is for the investigation and evaluation of the ailment only. Hence we regret to inform that your claim is repudiated.Clause no. 4.10
Did anyone from your insurance company visited the hospital in person to see the patient as to what for he is been hospitalized and is it only for investigation and evaluation of the ailment?
As far as I know, any human being will be taken to hospital once he /she is suffering from some ailment/ disease/ injury and then doctor’s in hospital will do their investigation / evaluation, diagnostics and then advises the further medication. You or your FHPL team cannot expect that patient should again have scissors/ epilepsy in front of doctor’s team. Then you say it fits in your clause and approve the reimbursement.

+91 20 3052 0233 [Pune]

+91 45 2300 7201 [Madurai]

+91 20 3052 0230 [Pune]

www.fhpl.net

Srinilaya – Cyber Spazio, Suite # 101, 102, 109 & 110, Ground Floor, Road No. 2, Banjara Hills, Hyderabad, Andhra Pradesh, India – 500034

Dear Sir,
I Hari Kishore Mehrotra admitted for surgery on 25/10/2015 thereafter I have submitted claims to family health plan ltd after some time I came to know that some documents are require for claims on 15/12/2015 I have send all require documents though seep post EU[protected]IN on 17/12/2015 they inform me that they had not received the same since then I have send all documents on email add
[protected]@fhpl.net
mihirkanti.[protected]@fhpl.net
[protected]@fhpl.net.
they are denying that they have not received
Thanks
Hari Kishore Mehrotra

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Srinilaya – Cyber Spazio, Suite # 101, 102, 109 & 110, Ground Floor, Road No. 2, Banjara Hills, Hyderabad, Andhra Pradesh, India – 500034

I have taken family mediclaim from fhpl. My claim no is 941359. I have submitted all my claim documents on 9th jan 2015, but still I haven't got my claim amount. I have been regularly following up with concern department over phone and mail. Every time they ask for furthe more time. I have checked with hospital as well and they said nothing is pending from their end.
Please look in to the matter.

+91 20 3052 0233 [Pune]

+91 45 2300 7201 [Madurai]

+91 20 3052 0230 [Pune]

www.fhpl.net

Srinilaya – Cyber Spazio, Suite # 101, 102, 109 & 110, Ground Floor, Road No. 2, Banjara Hills, Hyderabad, Andhra Pradesh, India – 500034

We have a medicalim policy of my father… he died on 5oct2014 since then i have mailed several times to the company but no reply from them… details of policy is —
Name of the Policy Holder : Kundan Das Butani Policy No : 112500/48/2014/1526
Name of the Insured : Kundan Das Butani Relation with Employee : Self
Corporate Name : Birla Sun Life Asset Management Co. Ltd Employee ID : ARN-18611

+91 20 3052 0233 [Pune]

+91 45 2300 7201 [Madurai]

+91 20 3052 0230 [Pune]

www.fhpl.net

Srinilaya – Cyber Spazio, Suite # 101, 102, 109 & 110, Ground Floor, Road No. 2, Banjara Hills, Hyderabad, Andhra Pradesh, India – 500034

Family Health Plan (TPA) Limited company rejected my claim id 924044 and 924046 with out proper reason.after so many remainders also they are unable to give reason for rejecting the claim.

i am requesting the company for proper investigation and do the needful.

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+91 45 2300 7201 [Madurai]

+91 20 3052 0230 [Pune]

www.fhpl.net

Srinilaya – Cyber Spazio, Suite # 101, 102, 109 & 110, Ground Floor, Road No. 2, Banjara Hills, Hyderabad, Andhra Pradesh, India – 500034

Claim i. D. No. 1140005/1 & 1140001/1
Uhid no.15113829 & 15113830
Patient name achintya chandra verma & vibha verma
Claim date.30/07/2016
Claim amount rs.1104/- & rs.1525/-
After making query about the status of my bill it shows against uhid no.15113829 under process, where as against uhid no. 15113830 it is query pending.
You are requested to make payment of both bills as i have already submitted the original cancelled cheque and all other relevant papers required by you.
Hoping and expecting your early action will be great favour to me.
Thanking you.

+91 20 3052 0233 [Pune]

+91 45 2300 7201 [Madurai]

+91 20 3052 0230 [Pune]

www.fhpl.net

Srinilaya – Cyber Spazio, Suite # 101, 102, 109 & 110, Ground Floor, Road No. 2, Banjara Hills, Hyderabad, Andhra Pradesh, India – 500034

Claim id-1158810/1. My husband, Sakaleo prasad expired on 29th June 16.His medical insurance was covered under sbi pensioners scheme with Family health plan Ltd. We provided all documents including as per their query letter dt 22nd Aug 16.Now they are asking Noc from legal heirs notarised. medical insurance is covered for retired employees and spouse both in SBI after retirement & spouse would be nominee & asking documents in piecemeal is incorrect.I am already getting family pension. Unfortunately despite giving all documents I am being harassed as already i lost my husband.pl do justice with me as I can't afford to provide them more documents now.
Thanks. Raj kumari devi

+91 20 3052 0233 [Pune]

+91 45 2300 7201 [Madurai]

+91 20 3052 0230 [Pune]

www.fhpl.net

Srinilaya – Cyber Spazio, Suite # 101, 102, 109 & 110, Ground Floor, Road No. 2, Banjara Hills, Hyderabad, Andhra Pradesh, India – 500034

My dad is covered under a scheme in the fhpl. He was supposed to be discharged on he 17th december, 2016. But because of your pathetic customer service he has to stay at the hospital for longer.

From morning 11 o clock i've been trying to get the initial approval from your concerned department and the same is still pending.

So the billing approval is pending as well.

We have always pond the premium on time and in time of need your company finds every possible way to trouble the clients.

I'm very very disappointed in your service. I regret taking an insurance under your name.

+91 20 3052 0233 [Pune]

+91 45 2300 7201 [Madurai]

+91 20 3052 0230 [Pune]

www.fhpl.net

Srinilaya – Cyber Spazio, Suite # 101, 102, 109 & 110, Ground Floor, Road No. 2, Banjara Hills, Hyderabad, Andhra Pradesh, India – 500034

Sir, i mr chityala venkatesham nayaran employee of gsk my employee number is 50156884 my claim ID number is 1240786 my claim intimation number is 207846 Sir unnecessarily i am being made a victim and it is not in my hand to take the the type of treatment which you require it is the responsibility of doctor to give injectibles or not it should be doctor's decision now please sanction my hospitalisation bill otherwise i have to complaint to gsk HR manager or to the consumer forum authority thanks and please give me reply