CA Anurag jaiswal

Institute of chartered accountants .

[CA Anurag jaiswal @Anuragjais]

@1gulshanm @ACKOSupport @1gulshanm Haan, is point ko sharp but controlled way mein aise likh sakte ho:

> Are you an ACKO broker/representative? Why are you repeatedly coming here and posting spam comments without knowing the facts of my case?

[CA Anurag jaiswal @Anuragjais]

URGENT HELP NEEDED – CASHLESS HEALTH INSURANCE CLAIM REJECTED
@ACKOIndia — I have been paying around ₹55,000 in health insurance premiums for the last two years. My mother is currently admitted at Apollo Medics Super Speciality Hospital, Lucknow.
The cashless treatment was initially approved, but at the time of the final bill/discharge, the cashless claim has been rejected. My mother is ready for discharge, but we are being asked to arrange a large amount immediately, which we are currently unable to afford.
I request @ACKOIndia to urgently review the rejection, provide the exact policy clause/reason for rejection in writing, and coordinate with the hospital for immediate discharge clearance.
@IRDAI_Official @UPGovt @myogiadityanath @Apollo_Hospitals
Please help us resolve this urgently as my mother is still in the hospital and we are facing severe financial difficulty.
#ACKO #HealthInsurance
Claim id : 26091114642
Phone no: 9911087276

[CA Anurag jaiswal @Anuragjais]

@1gulshanm I have been paying ACKO’s premium for the 2nd consecutive year and paid the premium expecting genuine coverage when my family actually needed it. The claim was pre-approved earlier, so rejecting it at the time of discharge after treatment is extremely disappointing and has put us under huge financial and emotional stress.
If I didn’t need insurance, I would have simply put this premium money into an RD/investment instead of paying ACKO year after year. Insurance is meant to provide support when it is actually needed—not create uncertainty at the time of discharge.
And to the person making allegations about me, I hope you never have to experience the same situation yourself. Only when you or your family faces this pain will you understand what this feels like. Please don’t make personal allegations without knowing the facts.#insurance @ACKOIndia @IRDA_OFICIAL @brajeshpathakup

[CA Anurag jaiswal @Anuragjais]

@ACKOIndia @brajeshpathakup @UPGovt @cmo @yogiaditynath @cm please help

[CA Anurag jaiswal @Anuragjais]

@ACKOIndia Adding screenshot for intial approval of claim @ACKOIndia

[CA Anurag jaiswal @Anuragjais]

@PawanPathakk @ACKOIndia Please dont take @acko policy they are fraudster

[CA Anurag jaiswal @Anuragjais]

Dear acko

Thank you for your response.

However, I am not satisfied with the grounds mentioned for dishonouring the claim and would like to raise the following important concerns.

You have stated that the medical records from 2022 indicate a prior history of hypertension, diabetes and coronary artery disease, which allegedly predates the policy inception date of 25th September 2023.

If this medical history was available and considered material to the policy, I would like to understand why the same was not identified and raised at the time of policy issuance.

At the time of purchasing the policy, the required medical evaluation/pre-policy medical tests were conducted. If these conditions were detected or were present in the medical records, why was the policy issued without any specific exclusion, loading, additional premium, or objection regarding these conditions?

More importantly, during the current hospitalization, the cashless treatment was initially approved by ACKO. If the medical history was a ground for complete rejection of the claim, why was the cashless authorization initially approved and subsequently rejected at the time of treatment?

I therefore request you to provide a clear written explanation along with the following:

The exact medical document/record from 2022 on the basis of which you have concluded that there was non-disclosure.
The date and details of the pre-policy medical examination conducted at the time of policy issuance.
The medical reports obtained during the policy issuance process and whether these reports were reviewed by ACKO.
The specific policy clause under which the claim has been rejected.
The reason why the policy was issued despite the alleged pre-existing conditions.
The reason why cashless authorization was initially approved and subsequently withdrawn/rejected.
The complete basis on which ACKO has concluded that there was intentional/non-disclosure of material medical information.
I would also like to clarify that simply stating that a medical condition existed prior to policy inception does not, by itself, establish that there was intentional non-disclosure by the policyholder. Since ACKO conducted the required medical evaluation and accepted the policy, I request you to explain what information was allegedly concealed and how the same was determined to be material at the time of underwriting.

Considering the above circumstances, I request ACKO to reconsider the claim and provide a detailed, evidence-based response rather than treating this as a final decision without addressing the above questions.

Please treat this email as a formal request for reconsideration and provide all relevant medical and underwriting records relied upon for repudiating the claim.

Regards, Vinod Claim ID: 26091114642

Show quoted text

[CA Anurag jaiswal @Anuragjais]

URGENT HELP NEEDED – CASHLESS HEALTH INSURANCE CLAIM REJECTED
@ACKOIndia — I have been paying around ₹55,000 in health insurance premiums for the last two years. My mother is currently admitted at Apollo Medics Super Speciality Hospital, Lucknow.
The cashless treatment was initially approved, but at the time of the final bill/discharge, the cashless claim has been rejected. My mother is ready for discharge, but we are being asked to arrange a large amount immediately, which we are currently unable to afford.
I request @ACKOIndia to urgently review the rejection, provide the exact policy clause/reason for rejection in writing, and coordinate with the hospital for immediate discharge clearance.
@IRDAI_Official @UPGovt @myogiadityanath @Apollo_Hospitals
Please help us resolve this urgently as my mother is still in the hospital and we are facing severe financial difficulty.
#ACKO #HealthInsurance
Claim id : 26091114642
Phone no: 9911087276

[CA Anurag jaiswal @Anuragjais]

@ACKOIndia @UPGovt @CMOfficeUP @CMOUP_RC @brajeshpathakup #insurance please help

[ACKO Support @ACKOSupport]

@Anuragjais Hi Anurag, allow me a chance to personally take this up. Please be assured that I've noted the details, and I'll circle back to you with an update. -Ruhi

[HELL WALA @hellwala]

धुरंधर मुवी तो कांग्रेस की पॉलिटिकल प्रोपगेंडा निकली 😭

[Rahul Gandhi @RahulGandhi]

केजरीवाल जी, अब तो 2025 आ गया। आप यमुना में डुबकी कब लगाएंगे?

दिल्ली इंतज़ार कर रही है!

[Rahul Gandhi @RahulGandhi]

AIIMS के बाहर नरक!

देशभर से आए ग़रीब मरीज और उनके परिवार AIIMS के बाहर ठंड, गंदगी और भूख के बीच सोने को मजबूर हैं।

उनके पास न छत है, न खाना, न शौचालय और न पीने का पानी।

बड़े-बड़े दावे करने वाली केंद्र और दिल्ली सरकार ने इस मानवीय संकट पर आंखें क्यों मूंद ली हैं?

[Akhilesh Yadav @yadavakhilesh]

पत्रकारिता जब सत्यकारिता बनती है, तो जन मानस और स्वयं के मन में सम्मान पाती है।

[CA Anurag jaiswal @Anuragjais]

and maintain the spirit of healthy competition across different levels of expertise.I hope it can help make the contests even more enjoyable and balanced for everyone.#dream11 #AbuDhabiT10 #ipl2025auction #BGT2025

[CA Anurag jaiswal @Anuragjais]

While their enthusiasm is commendable, it might be more equitable to group such highly active participants into separate competitions or leagues alongside others with similar profiles.This approach would ensure a fairer evaluation of knowledge and skills for all participants

[Rahul Gandhi @RahulGandhi]

For the middle class, nothing is certain under PM Modi’s reign but debt and taxes.

The budget - which does nothing to ease their burdens - has caused further pain by stabbing them both in the back and the chest.

•⁠ ⁠Removal of Indexation
•⁠ ⁠Increase in Capital Gains Tax

Can there be a clearer warning to the middle class that Mr. Modi cannot be trusted? I am certain they will shift their support to the INDIA bloc and we will fight to break them free from the Chakravyuh of Taxes.

[Aditya Tiwari ❤️👻 @aditiwari9111]

Game changer surya😂

[Rahul Gandhi @RahulGandhi]

पीढ़ियों के संघर्ष, सेवा और ब��िदान की परंपरा को परिवारवाद कहने वाले अपने ‘सरकारी परिवार’ को सत्ता की वसीयत बांट रहे।

कथनी और करनी के इसी फर्क को नरेंद्र मोदी कहते हैं!