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HDFC ERGO closed medical insurance case without paying Rs. 1.5 lakhs pending from Rs. 6.5 lakhs knee surgery claim despite pre-approval

HDFC ERGOPC-2026-02204Insurance ClaimsAnonymous ·
Poor customer service by HDFC ERGO General Insurance.nMy Mother in Law has HDFC Ergo Medical Insurance for some time now.nShe underwent knee surgery in July 2026. We got HDFC Ergo insurance pre-approvals days before the surgery, but they have not paid partial amount (Rs. 1.5 lakhs pending) from total Rs. 6.5 lakhs.nHDFC Ergo has closed the case without paying us the entire amount or providing a proper reason.nNumerous emails and phone calls to customer care have lead to no resolution.nWe are in the US and often coordinate with India based Customer Care in their working hours.nIs there an easier way to sort this with HDFC Ergo Insurance?nI am tagging few senior leaders of HDFC Ergo for their support.

Reference details

Policy Holder
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Treatment
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Pre-approval
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Claim Amount
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  1. Case filed

    System · 15 Oct 2026, 2:04 pm

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