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After initial approval of rs 25000 for cataract ( eligible claim rs.45000) I paid balance 20000 cash
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27 Oct, 2023
by Geetha Raghu
Hospital informed that insurance co sanctioned another rs.15000 but are not willing to pay the money to us. They are asking us to get the other eye operated so that they can adjust the amount. But we don't to go for the 2nd eye surgery now for our own reasons. Please advise us
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Hello Geetha,
The extra Rs. 15,000 sanctioned by the hospital is likely allocated for the second eye surgery, given that most health insurance policies have a cataract limit of Rs. 25,000 per eye per policy year. Since you mentioned that you don't wish to proceed with the second eye surgery at the moment, you can communicate the same to the hospital and the insurance company.
I hope this clarifies. Thank you!