Andhra Pradesh Court August 2010 Judgments

Sri Chandrakanth Rao and Another Vs. J. Siddha Lingaiah Swamy

Court: Andhra Pradesh State Consumer Disputes Redressal Commission SCDRC Hyderabad

Oral Order (Per Honble Sri Justice D. Appa Rao, President) 1. The opposite parties, the New India Assurance Company Limited, preferred this appeal against the order of the District Forum directing it to pay the amount covered under the medi-claim policy with interest and costs. 2. The case of the complainant in brief is that the Insurance Company issued a medi-claim policy to him promising that it would come to his aid and also helpful to get monetary benefits towards medical expenses. An amount of Rs.5075/- was collected towards yearly premium covering the period from 26.8.2005 to 25.8.2006 for an assured sum of Rs.1,00,000/-. While so, he suffered from pain and vision problem in his right eye and thereafter he went to Shri Ganapati Netralaya, Jalna for check up. They diagnosed it as right photo dynamic therapy plus intravitreal avastin. An operation was conducted on 28.7.2006 and was discharged on 29.7.2006. Altogether he had spent an amount of Rs.91,382/- towards medical expenses. W...