Is Tratuzumab alone covered under Insurance in India

[unoash]

My Wife suffering from triple positive breast CA

The Insurance company New India Assurance denied Tratuzumab after 6 cycle of Chemo saying alone Tratuzumab not cover under Insurance. Kindly help me out

[Sherna]

Appeal to the grievance cell of your insurance company but they won't do a thing so then take the matter to the insurance ombudsman who gives a fair ruling usually in my experience

[balakrishnaga]

Hi,

Are you able to get the approval from insurance company?

[RN4Help in reply to balakrishnaga]

Hi Bala,

I am helping out my aunt who finds her claim for Herceptin meds rejected by the Insurance company. I am a lawyer, so definitely not letting this deficiency of service slip. My plan of action is to get the rejection in writing, and proceed with the ombudsman process. I will let you know soon on the progress of the claim. I am ready to approach the Consumer Redressal Forum if the Ombudsman rejects my claim.

[bga1 in reply to RN4Help]

Thanks for ur response , i have a mail from insurance company on rejecting Herceptin med, will soon approach Ombudsman on this.

[RN4Help in reply to bga1]

That is the best in-writing proof you have. Let me know if Ombudsman rejects your claim. I will take it up pro-bono at the Consumer forum. (no solicitation intended)

[bga1 in reply to RN4Help]

Sure

[RN4Help in reply to bga1]

I think if your claim is more than 30 lakhs, you cannot approach the Ombudsman. How did your process turn out?

[bga1 in reply to RN4Help]

No luck on this.

[RN4Help in reply to bga1]

So are you filing a consumer complaint next?

[bga1 in reply to RN4Help]

As of now i'm not thinking about that.

[deep2107]

Yes it is not allowed