@careinsuranceIN Kindly identify:
• The exact policy clause and exclusion relied upon.
• Why Left Lower Limb Cellulitis falls under “Benefit not covered.”
• Why weeks of repeated document requests were made if the benefit was never covered.
A one-line rejection is not a speaking order.
Worst experience https://t.co/r9etqkBWbL during my mothers medical emergency.
Even after submitting corrected reports and doctor clarification multiple times we kept getting repetitive rejection replies without proper reassessment.
#IRDAI#CAREINSURANCE#InsuranceClaims
@careinsuranceIN@careinsuranceIN Simply stating that your decision remains unchanged is not a reasoned response. My repeated request has never been to reconsider the claim without basis—it has been to explain the
@careinsuranceIN Your team has only sent repetitive template emails while asking for documents that I have already submitted multiple times and acknowledged by your own Claims Team.
kindly arrange a call from the concerned Claims Manager today and issue a reasoned written decision specifying
@careinsuranceIN@careinsuranceIN This is the same generic response I have been receiving for months Despite repeatedly stating that my case is “being evaluated,” not a single representative has contacted me by phone to discuss the claim or clarify any alleged deficiency.
@Policygaido@careinsuranceIN for review, yet I continue receiving contradictory replies—sometimes stating the claim is rejected, other times asking for the same documents again.have preserved the complete email trail and will place it before the Insurance Ombudsman, Bima Bharosa, and IRDAI
@Policygaido@careinsuranceIN Thank you for highlighting this.@Policygaido That is exactly what has happened in my case.
@careinsuranceIN has repeatedly sought the same documents despite my submitting them multiple times.Their own Claims Team acknowledged receipt and confirmed the documents had been forwarded
@careinsuranceIN This complete email trail will be produced before the Insurance Ombudsman, Bima Bharosa, IRDAI, and every appropriate legal forum as evidence of repeated delays and inconsistent claim handling.
@careinsuranceIN If yes, why are they insufficient?
Which exact document is still missing?
Which policy clause justifies withholding my claim?Your own Claims Team acknowledged receipt of my documents, yet I continue receiving contradictory responses.
@careinsuranceIN@careinsuranceIN This is the same generic assurance I have been receiving for weeks. Please stop sending template replies and answer the questions already raised.
Have you reviewed the Treating Doctor’s Certificate and past cellulitis records that I submitted?(1/2)
@careinsuranceIN@careinsuranceIN Instead of spending resources on advertisements,fix your claims process first. Existing customers deserve transparent, and reasoned claim decisions not repeated requests for the same documents andgeneric responses.Resolve customer grievances before promoting new
@careinsuranceIN@careinsuranceIN This is the same generic assurance I have been receiving for weeks. Your team has repeatedly asked for documents, I have submitted every document requested, and your Claims Team acknowledged receipt.
@careinsuranceIN Now you are again claiming that you are awaiting the same documents. Kindly verify your own records instead of repeatedly asking for documents already submitted. This entire communication trail will be placed before the Insurance Ombudsman and other appropriate authorities.
@careinsuranceIN@careinsuranceIN it is becoming repetitive.On 20 June, your team requested the Treating Doctor's Certificate and past cellulitis treatment records.submitted those documents the same day. Your Claims Team acknowledged receipt and confirmed they were forwarded to the concerned team
@careinsuranceIN have already submitted every document requested multiple times. Be specify the exact document still pending, why it is required, and explain why your public responses keep changing. This entire communication trail will be placed before the Insurance Ombudsman
@careinsuranceIN@careinsuranceIN Your responses are contradictory. First, you repeatedly stated that you had upheld your original decision and that the decision remains unchanged. Now you say additional medical documents are required to complete the process. Which is correct?
@careinsuranceIN@careinsuranceIN@CareHealthIndia
Yet you continue to say the decision is unchanged without explaining how those documents were evaluated, which exact policy clause applies, or why they were found insufficient. Iwill rely on thecomplete email trail before the Insurance Ombudsman
@careinsuranceIN@careinsuranceIN This is another template response. Your team repeatedly requested additional documents, and I submitted every document requested, including the treating doctor's clarification and past cellulitis treatment records.
@careinsuranceIN If you still reject my claim, kindly issue a detailed speaking order citing the exact policy clause, medical basis and reasons why the submitted documents were found insufficient. I will place all correspondence before the insurance ombudsman and @InsuranceSamad1
@careinsuranceIN@careinsuranceIN Saying "we maintain our original decision" repeatedly is not a reasoned response. Your team asked me for additional documents multiple times, I submitted every document requested, including the treating doctor's clarification and past cellulitis records.