I submitted a maternity claim of 32,000, but the insurance company has only approved 6,878, citing an 'Excess of Defined/Ailment Limit.'

I'm unable to understand why this happened. I have tried reaching customer care, but every executive provides different explanations. I am now seeking assistance, as I’m feeling frustrated and confused by the situation.

like
Posting as :
works at
You are currently posting as works at

Yes they deduct heavily and they torture you

,Call mediaists TPO

There are few things that are to be considered
1) Bill should have proper breakup of the charges.
2) Room rent + Nursing charges should not exceed 1% of the policy value ....if exceeded they will deduct on overall bill prorated basis
3) Every bill, reports and prescription should be properly attested by hospital/ radiologist/pathologist/doctor etc

Insurance covers maternity amount for full 9 months with 65k limit (csec) and 50k for normal delivery.
If you have used the amount during pregnancy and then they give the leftover money in final Bill.

There should be some wrong in the bills or proofs submitted. Mediassist will not do much deductions for corporate claims. Please reachout to HR or spoc for mediassist from CG , they will definitely help you since it is a maternity case , things should be straight forward

Related Posts

Any idea on how to connect with a business broker who can help to buy a good business. Is there another way to do it?

like

Gave interview sometime back, Initially they did not agree to the ask, since I already have offer from other org which is much greater than what Tavisca is offering.....Difference is around 4lakhs in both of them, the other org is mid sized company which gave higher offer... What to do in this case... Go for JPMC?? Or other org?? Tavisca JPMorgan Chase

How is the wlb at Tavisca? Are there frequent evening calls? Also do they track employee login time?Tavisca

like

Need your advice!
150+80 bonus at a special sit investment firm in New York VS. 170+30 bonus at Fannie Mae in DC. Which one to go with?

like

Ever downloaded PNG from Google images? 🥲

Post Photo
funnylike

If you have a lace wedding dress, would you get a lace veil or a beaded one? It's been hard trying to find similar/exact lace.

like

How to know if your business is scaleable or not? If I am on the brighter side of things, I naturally feel it’s scaleable but I want to make it scaleable more strategically? Any inputs?

like

Which type of job needs to do in Specialist - Data Engineering in LTI?

like
like

Can anyone refer me to ETL tester role in product based company?

Hi Fishes,
Can anyone please refer me
Gartner for operation associate profile

like

I'm reading this book on boundaries. In the work section it says I should tell my boss that I can't work after 5 PM. Knowing that advertising work commonly goes past 5 PM...would my job be in danger if I said that?
There's not really a rule book that says I must work until the work is done even though it's an unsaid expectation. Thoughts?

like

Anyone waiting for Offer letter.... After receiving offer Proposal and accepting the same...

Let's connect and discuss...

What is the minimum and maximum expected time.. ?

like

Is it a good decision to take part in OWN SAP offered by SAP labs ?? Can someone explain pros and cons of it ?

like

Every time I upgrade gear, I save the old one “just in case”. I now have a mountain of dusty gear I can’t bring myself to get rid of. Does anyone else have trouble letting go?

likefunny

Can we pin a post with recommendations for professionals and therapists that you can trust in your geographic location? If so, I’ll start in the comments with my recommendation.

like

I’m moving to the DC area for a new job and wanted to see if anyone had suggestions on where to live in DC (neighborhoods and apartment buildings if possible). I’m thinking Adams Morgan or Logan circle, but open to suggestions. I’m a female in my late 20s, enjoy going out for a few drinks / dinner, working out, hiking etc. Budget is less than $2k per month and I’ll have to commute to Amazon in Crystal City ~3 days per week.

like

Thinking about doing a part time MBA. Live in Chicago so either Booth or Kellogg in person or elsewhere online. Trying to hear affordable online options and pros and cons. Should make SC next year.

like

Before how many should I inform the onboarding HR if I want to postpone the joining date from Friday to next Monday ( from 26th Aug to 29th Aug )
Is it an easy process or can also be declined ?

Additional Posts in Capgemini India (Business Services - BSv)

Capgemini HR asking me to share offer letters.

Is it fine to share them ?

like

In my notice period in TCS decided to hunt for interview in other company after one month, within 3 months i should able to get any offer letter from companies.m I doing the right thing,any openings please let me know guys.

like
like

B1 to B2 , how much hike will get in cg, eligibility criteria?

like

Anyone have idea on below companies. Which is better in terms of WLB & hikes? Both offering almost same CTC.
1)EPAM Systems
2) FactSet

like
like

Which is better ?
Associate Consultant in Capgemini- 9.25 Lakhs CTC

Consultant in Deloitte India - 9.25 Lakhs CTC

YOE - 3.
Field - Corporate Law

like

How many days it will take frm joining cg to complete all formality, getting laptop.?

like

Hello All ,

I joined on 14th april . I will get salary this month ?

Thanks

like

Is Capgemini is providing any joining bonus. If yes mean how much we can ask for c1 level

like

I downloaded the offer letter of Capgemini from their portal but in offer , Capgemini logo is not there . Can anyone help is it fine ?

like

What is the promotion % for Grade B2 approx?

Is Capgemini Bid Manager for IT and Cloud a good role??

Level C1:C2 What should be an ideal package??

like

How much hike% I can expect with 3 rating in Capgemini. This is my first year with the company, Joined 10 months back.

Capgemini

like

Hi All,

Is there a mandatory client interview for all projects in Capgemini after joining ?

like
like

Hi fish,
After how many days of Capgemini L2 round can i expect hr call. Thanks in advance

What designation i can expect iat Capgemini of joining as a Lateral?

I have total 11.5 YoE

like

Does IT companies fake job roles like they show development role while attending interview but after joining they give support.Why they don't hire separately for support?Is this because nobody wants to work in support they make job description attractive to make employees join?

** Very Important **

Tax declaration last date is on 15th May 2022.

I would like to know do I have to submit the investment documents now ? Or later in the month of March 2023 ?

Please let me know. Thanks.

like

New to Fishbowl?

Download the Fishbowl app to
unlock all discussions on Fishbowl.
That was just a preview…
Sign Up to see all discussions
  • Discover what it’s like to work at companies from real professionals
  • Get candid advice from people in your field in a safe space
  • Chat and network with other professionals in your field
Sign up in seconds to unlock all discussions on Fishbowl.

Already a user?
Login here

Share

Embed this post

Copy and paste embed code on your site

Preview

Download the
Fishbowl app

See what’s happening in your industry
from the palm of your hand.

A phone with Fishbowl app

Scan your QR code to download
Fishbowl app on your mobile

Download app

Sign up for free to view this conversation on Fishbowl

By continuing you agree to Terms of Use and Privacy Policy

Already have an account? Log in

Sign up for free to continue using Fishbowl

By continuing you agree to Terms of Use(New) and Privacy Policy(New)
Messaging rates may apply

Already have an account? Log in

For account settings, visit Fishbowl on Desktop Browser or

General

Legal