Jharkhand

Bokaro

CC/16/10

Smt. Rampati Devi - Complainant(s)

Versus

The Branch Manager, The E- Meditek - Opp.Party(s)

Amardeep Jha and Poonam

05 Mar 2018

ORDER

Heading1
Heading2
 
Complaint Case No. CC/16/10
( Date of Filing : 11 Feb 2016 )
 
1. Smt. Rampati Devi
Q.NO.- 3070 Sector - 4/A Bokaro Steel City
Bokaro
Jharkhand
...........Complainant(s)
Versus
1. The Branch Manager, The E- Meditek
the E-Meditek (T.P.A.) Service Ltd Ground Floor, Plot No. -HD-11 Sector - 4 Bokaro Steel City
Bokaro
Jharkhand
2. The E- Meditek
(T.P.A) Service Ltd. Plot No. 577, Udyog Vihar, Phase- 5, Gurgaon,Haryana
3. The Divisional Manager, National Insurance Co. Ltd.
1st floor, Sheela sadan, Plot No. C-27, City Centre, Sector-4 Bokaro steel City.
Bokaro
Jharkhand
4. Depty manager
Final settlement Deptt. Bokaro steel Plant Near A.D.M. Bulding. P.O. Sec-2, Bokaro Steel City
Bokaro
Jharkhand
............Opp.Party(s)
 
BEFORE: 
 HON'BLE MR. PRABHAT KUMAR UPADHYAY PRESIDENT
 HON'BLE MR. PREM CHAND AGERWAL MEMBER
 HON'BLE MRS. KUNJALA NARAYAN MEMBER
 
For the Complainant:
For the Opp. Party:
Dated : 05 Mar 2018
Final Order / Judgement

Complainant  Smt. Rampati Devi filed this case with a claim for Medical treatment for Rs. 1673/- and compensation of Rs. 10,000/- and litigation cost of Rs. 10,000/-.

2          Complainant has filed this case for realization of Rs. 1,673/- against the medical bill. It is submitted that complainant has invested of Rs. 1,673/- for purchasing medicine, original bill for the said purchase receipt has been submitted to E-Meditek O.P. No.1. It is further submitted that she has been advised to purchase of the medicine as per advice and prescription by Bokaro General Hospital. It is further submitted that the petitioner and her husband was facing health problem and admitted themselves in B.G. H. Sector-4 B.S.City on 24.03.2015 and diagnose for treatment and discharged on same day. Complainant has been prescribed some medicines which were not available in B.G.H. and as such complainant has purchased the medicine from Durga Medical Store at Sector-4 B.S.City on payment of Rs. 1,673/-.

3          It is further case of the complainant that she had submitted bills to the O.P. but the O.P. has repudiated the claim of the complainant as such this case has been filed.

4          O.P. has appeared in this case and filed W.S. The O.P. has stated that complainant was not admitted for a minimum 24 hours which is mandatory as per the policy condition, as such the amount is not payable by the O.P. O.P.No.3, apart from other ground which are not relevant.

                                                            F I N D I N G S

5          Heard the parties and perused the record. We find that complainant is beneficiary under the group Mediclaim insurance policy No. 351200/46/850000207 between SAIL and Insurance Co. and premium was paid as such she is consumer.

Further the case has been within the limitation under the consumer protection Act.

6           complainant has submitted his claim before the O.Ps. for Rs. 1673/- which has not been paid on the ground that complainant was not admitted in hospital for more than 24 hours. But it is not necessary to confine 24 hours of treatment was over. The amount appears to be genuine as so it is meager amount.  . However, we hold that some sort of harassment the complainant had met for which O.P. has to compensate.

7          Therefore, we direct the O.P. to pay the claim of Rs 1,673/- (Rs. One thousand six hundred seventy three) and Rs. 2000/- (Rs. Two thousand) only as compensation for mental agony and harassment and Rs. 500/- (Rs. Five hundred) only for litigation cost. The amount must be paid with   60   days from passing of this order, failing which rate of interest shall be enhanced 10% per annum till realization.

 
 
[HON'BLE MR. PRABHAT KUMAR UPADHYAY]
PRESIDENT
 
[HON'BLE MR. PREM CHAND AGERWAL]
MEMBER
 
[HON'BLE MRS. KUNJALA NARAYAN]
MEMBER

Consumer Court Lawyer

Best Law Firm for all your Consumer Court related cases.

Bhanu Pratap

Featured Recomended
Highly recommended!
5.0 (615)

Bhanu Pratap

Featured Recomended
Highly recommended!

Experties

Consumer Court | Cheque Bounce | Civil Cases | Criminal Cases | Matrimonial Disputes

Phone Number

7982270319

Dedicated team of best lawyers for all your legal queries. Our lawyers can help you for you Consumer Court related cases at very affordable fee.