Expenses of Rs.46646.46 are on account of FIRMAGON INJECTIONS which are prescribed treatment for prostate Cancer by TPA by treating them under post thus restricting it to 10% of sum assured which is fully utilized for other expenses.I wish to bring it to your notice that in case of Mr. Ramesh Bhai L Patel V/s. United India Insurance Co. Ltd. Award dated 09-08-2010 it was decided that the claim for hormonal therapy which was initially repudiated, was infact payable.
Now I am writing to both TPA and Insurance Company o reconsider the cliam in the light of this decision with a Copy to Office of the Insurance Ombudsman,
2/2 A, Universal Insurance Building,
Asaf Ali Road,
New Delhi – 110 002.
Kindly let me know your views on this.