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Aditya Birla Health Insurance - Health Claim Rejected for Hysterectomy Citing Unrelated Pre-Existing Conditions in Violation of IRDAI 5-Year Moratorium Rule

Aditya Birla Health InsurancePC-2026-02542Insurance ClaimsAnonymous ·
Unresolved Claim Rejection & IRDAI Moratorium Rule Violation | Policy No: 31-25-0434108-00n Dear Mr. Mayank Bathwal, I am writing to directly escalate a critical issue regarding a repeatedly rejected health insurance claim that requires your immediate attention, as our daily follow-ups with your team have gone entirely unanswered. We hold an active Aditya Birla Health Insurance policy that has completed over five years of continuous coverage. A recent legitimate claim for a hysterectomy hospitalization was rejected by your company, citing unrelated issues such as Sugar, BP, and Asthma. A hysterectomy is completely unrelated to asthma, blood pressure, or blood sugar. This rejection stands as a blatant disregard for the IRDAI Moratorium Rule (April 2024 update). According to these IRDAI guidelines, after five years of uninterrupted coverage, insurers cannot deny claims over non-disclosure or pre-existing conditions like Sugar, BP, or Asthma, except in cases of proven fraud. Rejecting this claim despite the completion of the 5-year moratorium period is causing significant and unfair harassment to a loyal customer. Claim Details for Your Review: Policy Number: 31-25-0434108-00nClaim Number: 1112685327225nMobile: ******n Given the complete lack of response to our daily communications, I request your direct intervention to review this case and ensure your claims department complies with IRDAI regulations. Please have your team resolve this claim immediately to stop this unfair treatment. I look forward to your prompt response and a swift, fair resolution. Aditya Birla Health Insurance Company Limited Health Insurance Live Transfers Aditya Birla Capital IRDAn Mayank Bathwal

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Reference details

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History

  1. Case filed

    System · 20 Oct 2026, 7:19 am

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