In India, the coronavirus positivity case is on the rise, though on a good note there has been recovery at the same time. And as the insurance regulator IRDAI has asked the insurers to extend cashless treatment to the patients, in a case you have rejected the same, you can follow up here and raise the grievance:
First and foremost you can approach your insurer, you can also take on the complaint to the Insurance Ombudsman or the Grievance Redressal officer. Notably, the IRDAI has also asked to authorize cashless treatment within 60 minutes time.
How to file complaint in the event of rejection of cashless treatment for Covid19?
At first you need to make a complaint with the grievance redressal cell of the concerned insurance company. Also, in case a satisfactory response is not received within 15 days of raising the complaint then you may approach the Grievance Redressal Cell in the Consumer Affairs Department of the Irdai.
Notably, the complaints from the insured or claimants are attended to. And if the complaint on behalf of the policyholder is being addressed by the advocate or any third party, the complaint redressal cell will not respond.
The complaint has to be specified with all the requisite details in the form which can be downloaded from the IRDAI website -policyholder.gov.in (http://www.policyholder.gov.in/Report.aspx#) have to be submitted by the complainants.
Step by Step to raise complaint for not getting cashless treatment against Covid 19
For making the complaints, policyholders can take to the Integrated Grievance Management System(IGMS). It is an Irdai Portal at https://igms.irda.gov.in for registering as well as monitoring the status of the complaints.
-Complaint can be sent through Email to email@example.com.
-You can call Toll Free No. 155255 or 1800 4254 732
-If you want to send the complaint in writing, the same can be sent to Irdai official addressed to: General Manager, Insurance Regulatory and Development Authority of India(IRDAI), Consumer Affairs Department - Grievance Redressal Cell, Sy.No.115/1, Financial District, Nanakramguda, Gachibowli, Hyderabad - 500 032.