Surat: The consumer court in Navsari has ordered a private insurance company to pay the mediclaim amount to a 52-year-old woman who had undergone treatment for Arnold Chiari malformation, a structural defect in the base of skull and cerebellum.
The insurer, Oriental Insurance Co., had rejected the claim of Navsari resident Paras Patel on the grounds that the condition for which she took the treatment fell under ‘genetic disease’ category, which is exempted from the policy clause.
Patel had purchased mediclaim policy of Rs one lakh for the period of one year starting December 2018. On January 16, 2019, she suffered back pain and underwent surgery at a private hospital in Surat. She then filed her claim for treatment cost of Rs 1.66 lakh incurred.