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'Only doctor can decide about hospitalisation': Court orders Star Health to pay compensation for rejecting claim

The commission overturned the insurers rejection of a claim by Amitkumar Goyal, who was denied his mediclaim of Rs 86,250 for a hospital bill citing the "admission not required" clause. The insurer was ordered to pay the claim with 9 per cent interest plus Rs 3,000 for mental harassment. The insurance company had argued that hospitalization was unnecessary as Goyals illness was not severe.
Surat District India General Amitkumar Goyal Surat District Consumer Redressal Commission Star Health Insurance Co

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