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Consumer forum orders compensation for diabetic patient

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Diabetic Wins Mediclaim 10 Years after losing foot

Times of India reports that The South Mumbai District Consumer Disputes Redressal Forum last week ordered an insurance company to pay almost Rs 5.5 lakh to a Worli resident after his doctor mistakenly recorded that he was suffering from diabetes for 15 years instead of just 15 days.

The insurance company had repudiated the patient's claim around seven years ago even after the doctor sent another letter correcting the error.

The forum which held United India Insurance guilty for deficiency of service, observed, "There is no evidence prior to 2001, (that) the complainant (Kanhaiyalal Ruia) had taken medical treatment for his diabetes." It went on to say that the company's refusal to meet the claim amount "was without any basis and illegal".

The insurance company will pay Ruia almost Rs.5.5 lakh with 9% interest from November 2003 till the entire amount is received by him.

Additionally, Ruia will also receive Rs 5,000 for mental agony and harassment and Rs 3,000 towards cost of the proceedings.

In the complaint filed before the forum on October 5, 2005, Ruia stated that in 2001 he enjoyed good health. In August 2001 however, his wife was operated upon for an oral malignancy. During the period of his wife's hospitalization, Ruia noticed an injury on his left toe, which he attributed to a shoe bite. More concerned about his wife's illness, he took his injury lightly and applied an ointment; but it did not heal fully. When he finally consulted a physician, it was found that Ruia's blood sugar was high and this was attributed to the extreme mental stress and trauma he was undergoing because of his wife's health.

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Last Updated on Thursday, 08 December 2011 18:21  

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