Jain International Organisation Complaint – No TPA In Solapur

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Subject: No TPA in Solapur
My Name: Rajas Shah
My City: Solapur
My Complaint Against: Jain International Organisation
Complaint Category: Insurance Companies
Claim Amount (Approx.): 50000
My Complaint Description:
Dear Sir

We have taken a group policy from Jio under scheme Janani for my wife. During her recent hospitalisation , tried to contact TPA – M/s Vipul came to know that no Hospital in solapur has been approved.

So could not get any benefit

My questions
1. Prior to Issue of GROUP POLICY by JIO – no information was given that facilities is not available in Solapur
2.… Continue reading

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Jain International Organization Complaint – Reimbursement Declined

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Subject: Reimbursement declined
My Name: Neeta Rajas Shah
My City: Solapur
My Complaint Against: Jain international organization
Complaint Category: Insurance Companies
Claim Amount (Approx.): 100000
My Complaint Description:
Policy number : 530000/48/2016/507
Member code number 1593473W
JIO ID – 9102175955678
Insurance company : Oriental Insuarance
TPA : Health India

Policy amount : Rs.15 lakhs

Patients Name : Mrs. Neeta Rajas Shah

Treatment : Dialysis at Ashwini Hospital in Solapur , Maharastra

We intended to avail cashless treatment , however as per mail received from TPA states as per below
" As per instructions of Insurance company come for reimbursement"

It is surprising that Oriental insurance had blocked the cashless facility whereas you have given the facility at the same hospital since April 2016 till June 2016.… Continue reading

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JAIN INTERNATIONAL ORGANISATION (HNI Policy) Complaint – Wrong Deduction In Reimbursement Of Mediclaim

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Subject: Wrong deduction in reimbursement of Mediclaim
My Name: Chandrakant N. Jasani
My City: Mumbai
My Complaint Against: JAIN INTERNATIONAL ORGANISATION (HNI Policy)
Complaint Category: Doctors & Hospitals
Claim Amount (Approx.): Rs.46093/-
My Complaint Description:
Dear Sir,

I am HNI policy holder No. 530000/48/2016/507.

we are highly disturbed and lost confidence on JIO about its reputation published in news papers and other media.

My wife underwent Cataract surgery at Yogi Eyecare Clinic which is Honest in all aspect. we have submitted all required papers. The total expenses incurred is Rs.46093/-. Health India TPA has approved only Rs. 23000/- against our expenses of Rs.… Continue reading

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Trans International Complaint – Regarding Cheating And Money Grab

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Subject: Regarding cheating and money grab
My Name: Alpa Pravin Rupapara
My City: Gondal
My Complaint Against: Trans International
Complaint Category: Others
Claim Amount (Approx.): 500000
My Complaint Description:
Dear Sir / Madam,
I Mrs. Alpa Pravin Rupapara, residing at "SAHAKAR", Radhakrushna Society, Street No.6, At: Gondal, District: Rajkot, Gujarat, India-360311.

In the month of May 3, 2015, I visited Baroda and meet my uncle Mr.Bharat Domadiya, as per the reference of his me and my husband Mr.Pravin Rupapara and Mr.Bharat Domadiya met to Mr.JIGISH SHANTILAL PATEL in Baroda at this home office. Mr.Bharat Domadiya my uncle introduce us with Mr.JIGISH SHANTILAL PATEL at his home TRANS INTERNATIONAL, 51, Vihar Society, Opp.… Continue reading

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Shravak Arogyam – Phase II(by Jain International Organisation – JIO) And ICICI Lombard Complaint – Not Processing Claim For Age Mismatch – Not Updating Age Even After Giving Age Proof

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Subject: Not processing claim for age mismatch – not updating age even after giving age proof
My Name: Prachi Sheth
My City: Navsari
My Complaint Against: Shravak Arogyam – Phase II(by Jain International Organisation – JIO) and ICICI Lombard
Complaint Category: Insurance Companies
Claim Amount (Approx.): 80000.00
My Complaint Description:
Dear Sirs,

Sub: Rectification of Age recorded
Ref: SAH211105, Claim No.220201216048

Please take a note down that there has been a mistake made in recording age of the Propser Prachi k Sheth as 61 years instead of 31 years. This mistake was made by Shravak Arogyam from the very beginning when we took the policy under JIO Phase2 in March 2015.… Continue reading

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