I am working in a MNC and covered under corporate mediclaim scheme.
I was having problem of continuous cold n sneezing due to sinus blockage.
I was very well aware about the problem and treatment since two of my colleagues was having same problem and they have undergone the minor surgery this year in Max Hospital.
Considering the brand and Goodwill of Fortis, i choosed Fortis for my treatment.
After consultation with Concerned ENT doctor at Fortis Shalimar Bagh, they gave me estimation of Rs 30, 000 and said its a normal surgery,
Treatment offered by Doctor to me was same as given to two of my colleagues this year in other hospital, although estimated cost of Rs 30, 000 was on little b.it higher side, but considering the brand of Fortis, i thought its ok, i will go ahead.
We set this for pre mediclaim approval and Rs 28, 000 was approved
Next week, surgery was done by doctor as prescribed. But at the time of discharge we were surprised when hospital gave us final bill of Rs 53, 000 that even without breakup.
When we asked them for detail, they said its a package, details can not be provided to you.
Doctor clearly denied to intervene in this matter, he said that billing is done by finance team of Hospital, i have given my services, now i have nothing to do with money matter. Kindly discuss with Hospital.
When these bills of Rs 53, 000 was sent for final mediclaim approval, Insurance company approved only Rs 40, 000. i.e. Rs 13, 000 was disallowed and that has to be beared by me.
When we again contacted doctor about over charging by hospital and whether some different treatment was offered to me during surgery becaue of that hospital is extra amount, doctor said that no extra treatment was given, it was same as prescribed at the time of initial approval.
Now hospital is neither providing breakup of package charges nor they are giving justification for over charging.
This incident has deeply hurted to me and my family. We have to face significant financial loss.
I have all the documents/proofs for detail understanding of matter, you can contact me on [protected] or vivek.[protected]@acclimited.com