'Only doctor can decide about hospitalisation': Court orders Star Health to pay compensation for rejecting claim
The commission overturned the insurer's 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 Goyal's illness was not severe.
Source: indiatimes.com