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Surat: Valsad District Consumer Dispute Redressal Commission (VDCDRC) has ordered an insurance company to reimburse the full claim amount for a cataract operation to a Valsad resident instead of the amount fixed for the surgery by the insurance firm.
According to the case details, Rajiv Shah, a resident of Rajput Complex in Valsad town, had purchased a health insurance policy with Rs 2.5 lakh sum insured from The Oriental Insurance Co Ltd in April 2018.
On December 28, 2018, Shah underwent a cataract operation at Amardeep Hospital in Valsad and was admitted as an indoor patient. Later, he claimed reimbursement of Rs 45,632 as medical cost before the insurance company. But Shah received only Rs 24,000.