Jharkhand

Bokaro

CC/5/2020

Zarina Banu - Complainant(s)

Versus

Director In Charge Sail Bokrao Steel Plant - Opp.Party(s)

Pushpanjali Kumari

21 Nov 2022

ORDER

District Consumer Disputes Redressal Commission, Bokaro

Date of Filing-20-01-2022

Date of final hearing-21-11-2022

 Date of Order-21-11-2022

Case No. 5/2020

Zarina Banu @ Zarina Khatoon Ansari,

R/o Makhdumpur, Hesabatu West P.S. Balidih, Bokaro

Vs.

1. Director In-Charge SAIL/Bokaro Steel Plant, Steel Authority of India Ltd. Admn. Building, Bokaro Steel City, District- Bokaro, Jharkhand 827001

2. Manager M.A. Raksha TPA Pvt. Ltd. C/o Estate Group Take, 15/5, Mathura Raod, Faridabad, Haryana 121003

4. IFFCO Tokio General Insurance Co. Ltd.

     S-10, First Floor, Sector-14, Gurgaon-22001

     Haryana Unit Nos-52-63, Mezzanine fore, Ansal Forutne

      Arcade, Sector-18, Noida, U.P 

 

                             Present:-

                             Shri Jai Prakash Narayan Pandey, President

        Shri Bhawani Prasad Lal Das, Member

          Smt. Baby Kumari, Member

 

PER- J.P.N Pandey, President

-Judgment-

 

1. Complainant has filed this case with prayer for direction to O.Ps. for payment of Rs. 36,510/- on account of medical expense incurred during her treatment and to pay Rs. 30,000/-  as compensation and Rs. 10,000/- as litigation cost.
2. Complainant’s case in brief is that she is wife of retired SAIL, BSL employee and as per policy of the company her husband opted for Mediclaim policy for himself and complainant
   valid for relevant period. The MIN No. allotted to the complainant is 4714944. During the enforcement of the insurance policy the complainant was admitted in BGH on 24-10-2016 to 17.11.2016 for treatment and discharged accordingly who purchased medicines of Rs. 31,500/- on 05.11.2016, of Rs. 3540/- on 27.11.2016 and Rs. 1470/- on 02.12.2016 total of Rs. 36,510/-. Complainant applied for reimbursement of the said amount but her claim has not been settled. Thereafter, legal notice was served having no impact. Hence this case has been filed with above mentioned prayer.
3.   Inspite of due service of notice O.Ps. have not appeared and have not filed W.S.
4. On perusal of the complaint petition it appears that as per para 5 of the complaint petition complainant was admitted in BGH on 24.10.2016 and discharged on 17.11.2016 but she has not filed any paper to show regarding her admission and discharge from the hospital as mentioned in the complaint petition. It is admitted fact that complainant is the wife of Ex- B.S.L. Employee and she is entitled to get free treatment in the BGH and in case any medicine or medical article is required to be purchased out side of the hospital then said purchase amount shall be reimbursed by the hospital itself and not by other person. However, there is no paper to show that complainant was admitted in the BGH on 24.10.2016 and discharged on 17.11.2016. In this way complainant has not proved her case before this Commission.
5. In light of above discussion case of the complainant is dismissed on merit.

 

(J.P.N. Pandey)

                                                                                      President

 

                                                                                               

    (B.P.L Das)

   Sr. Member

 

 

                                                                              (Baby Kumari)

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