1)No, Sri SRNagarajan, the piece on Kumbakonam Mahamaham appears in our Website airiefvision.wordpress.com on 21 Feb 2016 Sunday, same day it got released in RKSahni Blog
All of us enjoyed todays Direct Relay on Jaya TV & Podhigai
I spend very little time on domestic variety & engagement & support, which I have to do & demanded of me.
Our Ertiga Maruti in Tnagar apts Pratigna was marooned,tho roof was visible,& ICICILombard & Maruti Service Masters Guindy or Cars India Adyar Workshop dilly dally ,it will be a huge expense, it looks.Life is so uncertain.No concern for insured, no email, no SMS.no meeting of stakeholders as very few like Royal Sundaram has done.
No one found time to tell me to park our car in their or near their home, as Chennai Floods did not affect quite a few places
I have to spread news, views, data on so many matters ,apart from Pension, Court cases, Writeups to Sri KMLAsthana& pensioners etc
2)Whem Mrs Srimathi has written on 18/12/2015 to u by email that the claim is payable
as reimbursement, it looks u have not received for the 1st & 2nd injection
Ur email is not explicit but I presume
Please get any clarification ,after talking to or personally visiting Eye Surgeon so that later nothing adverse happens
3)What happens in reality,apart from beneficial overall FFP with OSA very decent,some provisions,New India does not want to elongate ,even if from Insureds angle, it looks harsh
So too,look at other pathetic case,MediAsst SCZ ,also in RKSahni blog, tomorrow he has to undergo unique operation to prevent breathlessness.
How many times, I, we appealed & appealed to choose fairly HIGH OSA,FEW ONLY opted for.Rs 6 lacs for him, with Diabetes, heart problem, 2 operations,inhale/exhale issues,how can Rs 6 lacs be ok ?He has already exhausted .LIC Management must arrange periodical meetings of pensioners with TPAs for sharing & caring.I suggested to ZM too in our then detailed Note.
4)It was a pity that Chairmans Relief Fund was scrapped few years before.We even enquired ,in that event, atlaest a Portion of LIC GOLDEN JUBILEE FUND should be earmarked for high Critical Illness.They say that GJF can be considered for hospital infrastructure, or any such activity for enlarged canvas or numbers,not any disease as such !!
From: nagarajan sr <nagarajan_sr32@hotmail.com>
To: Kishore R.B. Kishore <rbkseetha@yahoo.com>
Sent: Monday, February 22, 2016 5:13 PM
Subject: FW: [Ticket#101010549643] clarification to pay for this claim - LIC POLICY - " membrane behind the left retina and that needs to be treated with an injection to the eye- 3 injections-
Dear Sir,
Trust this finds you and others fine.
In R.K.Sahni's blog I went thro' your article on KUMBAKONAM Mahamagam festival. In fact I was looking for it in AIRIEF Website- Initiative by RBK. Somehow I could not locate it.
My wife had her 3rd injection to-day, thus all the three injections are over and she is fine after the treatment. God's Blessings.
The eye surgeon has not replied to my letter seeking clarification. I have also reminded him. Still, as a matter of abundant caution, I have submitted the claim forms for the Second injection too. For to-day's one I will be doing so in a few days' time.
Incidentally,I saw in to-day's RKSahni's LIC Pensioners' voice and sound track a letter by one Sri. Panduranga Rao captioned "Request for for intervention -LIC Gr. Medi-claim Policy-Cashless Facility." Though for different ailment, the circumstances looks the one I am in.
Perhaps, you would have already seen.
Yours truly,
S.R. Nagarajan,
From:
nagarajan_sr32@hotmail.com
To:
rbkseetha@yahoo.com
Subject: FW: [Ticket#101010549643] clarification to pay for this claim - LIC POLICY - " membrane behind the left retina and that needs to be treated with an injection to the eye- 3 injections-
Date: Sat, 23 Jan 2016 03:58:52 +0000
Dear Sir,
Sorry for troubling you. I am forwarding this for your kind information. I intend meeting the Dr. on 25th when my wife goes for the second shot for getting the clarification sought and try further.
Thanking you for sparing your valuable time and with kind regards,
Yours,
S.R. Nagarajan.
From:
srimathi.r@vidalhealthtpa.com
To:
nagarajan_sr32@hotmail.com
CC:
lic@vidalhealthtpa.com;
murugan.k@vidalhealthtpa.com;
sivaganesh.k@vidalhealthtpa.com;
sz_mediclaim@licindia.com
Subject: RE: [Ticket#101010549643] clarification to pay for this claim - LIC POLICY - " membrane behind the left retina and that needs to be treated with an injection to the eye- 3 injections-
Date: Fri, 22 Jan 2016 16:25:50 +0530
Dear Sir,
We regret to inform you that the claim for MACULAR EDEMA LE was rejected as patient underwent intravitreal lucentis injection for the ailment epiretinal membrane with cystoid macular edema is not listed under allowable day care list.
Same can be considered for payment if it is incurred as pre and post hopitalisation subsequent to the main claim with hospitalisation.
Anyway for reconsideration, as spoke to you, kindly get the clarification letter from treating doctor the necessity of injection , to forward to insurer for their concurrence.
With Kind Regards,
R SRIMATHI
MANAGER - CUSTOMER CARE
VIDAL HEALTH TPA PVT LTD.,
"ANMOL PALANI",
NO.88, 2ND FLOOR, G.N.CHETTY ROAD,
T NAGAR,
CHENNAI 600017
From: nagarajan sr [mailto:nagarajan_sr32@hotmail.com]
Sent: Friday, January 22, 2016 3:13 PM
To: SRIMATHI R
Subject: RE: [Ticket#101010549643] clarification to pay for this claim - LIC POLICY - " membrane behind the left retina and that needs to be treated with an injection to the eye- 3 injections-
Madam,
Thank you for this message. I have sent to you, as informed to my daughter when she met you in person on 22/12/2015, by Speed Post on 26/12/15 medi-claim forms duly completed in all respects for the First Shot of the injection on17/12/15. I have recd. your message on2/1/16 confirming receipt of the papers and that it is being processed. I await to receive the reimbursement amount.
Meanwhile, my wife had review session today(22/1/16) and her second shot of the injection is scheduled for Monday, 25/1/16. This is for your kind information.
With kind regards and Thanks,
S.R.Nagarajan.
Dear Sir,
We hereby inform you that this claim is payable as reimbursement. Hence, request to submit the bills along with claim form to your respective DO for further process.
With Kind Regards,
R SRIMATHI
MANAGER - CUSTOMER CARE
VIDAL HEALTH TPA PVT LTD.,
"ANMOL PALANI",
NO.88, 2ND FLOOR, G.N.CHETTY ROAD,
T NAGAR,
CHENNAI 600017
Dear Sir/ Madam,
Sub: Medi-claim for LIC Retired Employees. Card No.CHE-NI-LO291-001-050090-B. Card Holder: N. Rukmani- Employee Spouse-Pol. no. 120700/34/15/4/000000 08-
Employee Name: S.R. Nagarajan-SR no. 500090-LOcation-DO 71/ DO/ DO Location Chennai DO1.
My wife, Ms. N. Rukmani, 76, the above cited card holder, has been diagonised by Rajan Eye Care Hospital, T. Nagar, Chennai-17, a net work hospital, as having " membrane behind the left retina and that needs to be treated with an injection to the eye- 3 injections- one each for three months". Each injection costing Rs.25,000/-.
Kindly advise me the procedure and oblige.
With Kind Regards &Greetings,
A.O.(retd), LIC, 13/7, Seventh Main Road,
New Colony, Chromepet, Chennai-600044.
---- End forwarded message ---
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