Submitted by: harsdeep.n8
Complaint Details:
All,
I was suffering from stomach and acute constipation issues suddenly and visiting all the times to dispensaries, but not cured and persist on and on.
Name-Harsh Nipanekar
Policy no.6701023416040000025
Vipul ID-0110010023842026
Admission on-07/10/2016
Discharged on-11/10/2016
Dr. Ajayans Multispeciality Hospital
** Looking at severity family doctor referred me to Lions club hospital and they suggested me CT pelvic, abdomen and Colonoscopy
** I took a leave of 7 days in total (including weekly off’s)
** 05/1016 Wednesday went to Dr. Ajayan’s Multispecialty Hospital, Kopar Khairane, Navi Mumbai for an inquiry for an admission and spoke to Dr. Ajayan with old history paper as this hospital is also empaneled with Vipul TPA
** Informed me to I can come any day empty stomach and deposit 5000/-. I made sure that is there any other expense’s
** I was informed only the I will get deposit back once they will get payment from Vipul TPA
** Even on the day of admission 07/10/2016, I made sure everything and paid 3000/- by cash as deposit
** Next day suddenly one person came in at and informed me that I have to pay 6500/- for blood test and 9000/- for CT scan. I denied and asked to speak Dr. Ajayan as he promised me only for deposit and moreover they never informed me that they don’t have any CT facility
** After long discussion he convinced me to pay 9000/- for CT scan stating that don’t worry you have corporate policy you will get claim from your office other things like colonoscopy and blood test I will see to it or take care of it
**They sent me to Vashi, Gurmeet imaging centre I paid 9000/- in cash at counter
** On the same day in night they asked me pay 22000/- for colonoscopy, I rushed to Dr. Ajayans cabin with my family member. He admitted his mistake of miscommunication and mishandled and he agreed that he will take care colonoscopy charges, cannot afford all, so he called another doctor for payment favor and asked me to at least 12000/- which includes deposit which agrees to refund me for his mistake in front of my family member and one person in his cabin then I went to bed.
** Next day again ward boy came to my bed asked to pay 22000/-. I claimed that I spoke your doctor, hence I called Dr. Ajayan, he denied and threatened me pay or forget all at mid of treatment on call. It was sunday, hence I got tensed called the cop.
** Two cops came in asked me and met him and settled that use credit for 9000/- and give postdated cheque of 10000/- and refuse to help me stating that’s not our area and advised me complaint at Thane govt mediclaim office or consumer court.
** Next for colonoscopy as they didnt have, they hold me in pain. As I never used my chequebook and kept somewhere which I forgot, I forced signed file sent me home at 21:00 to take chequebook in pain.
** Multiple time changed bed and room due lack co ordination and miss management of staff
** At time of discharge, claimed 9000/- which I paid in cash outside and got from insurance company
** Got initial approval and authorization of 10000/- and final 52552 including my outside expenses and did bother to refund me at time of discharge
** If it looks that I paid 3000/-, 9000/-, 9000/-credit card, 10000/- post dated cheque and 10000/-initial authorization from insurance company… then what kind cashless is this??? and harassment is this???…what kind of security amount is this???…and what kind of co-payment is this as per rules????