fibromyoma, hydrocele, congenital internal diseases, fistula in anus, piles ,sinusitis and related disorders payable. If these diseases (other than congenital internal disease) are pre-existing ... birth and heart disease would be internal disease which cannot be seen by naked eye. The insured was having internal heart disease right from birth
intimated that the claim was repudiated on the ground of congenital disease by
the OP No.3. Thereafter, he approached the Office of the Asst ... Insurance Company to the effect that Deviated Nasal Septum is a congenital
disease.
There is no proper documentation from
the side of the Appellants
ground, that the same fell within the definition of congenital disease and,
as such, was excluded under Clause 4.8
of the Insurance Policy ... complainant was suffering and for which she was
operated was not congenital disease, but a developmental defect which seldom required
surgery. It was further stated
year and was on medication. The complainant was operated for Acyanotic Congenital heart disease (Arterial Septal defect) which is not covered under the critical illness ... Kalkura the counsel for the appellant/Insurance Company, argued that the disease Acyanotic Congenital heart disease (Arterial Septal defect) is not covered under
complainant was repudiated on the ground that she had congenital disease. The respondent had not given the details of existing disease at the time ... diagnosed the ailment and certified that the complainant is having congenital disease. He also pointed out that the policy does not reveal that the policy
Madras Medical Mission where the complainant has undergone treatment for congenital
heart disease for closure of Atrial Septal Defect which is said to be congenital ... Hospital in which it is stated that
the complainant was having congenital
heart disease, SVC type of ASD
admitted for Coronary Angiogram and on complaints
Annexure-I.
(iv) As the Colour Blindness is a congenital disease, to obviate the induction
of colour blind personnel in CAPFs & Assam Rifles
Cataract, Benign, Prostatic
Hyperthrophy, Hysterectomy for Menorrhagia or Fibromyoma, Hernia,
Hydrocele, Congenital internal disease, Fistula in anus, piles, Sinusitis
and related disorders, Gall Bladder Stone ... Calculus Diseases, Joint Replacement due to
Degenerative Condition and age-related Osteoarthritis & Osteoporosis
are not payable. If these diseases (other than congenital internal
disease
expenses on treatment of
diseases Menorrhegia or Fibromioma, Hernia, Hydrocele, Congenital
Internal diseases, Fistula in Anus Piles, Sinnusitis and related
disorders are not payable ... Cataract, Benign Prostatic
Hypertrophy, Hysterectomy for Menorrhegia or Fibromiom, Hernia,
Hydrocele, Congenital Internal diseases, Fistula in Anus, Piles, Sinusitis
and related disorders are not payable
hospital, Pune also shows
that baby was suffering from congenital heart disease. Therefore it is
submitted by opposite party No.1 that complaint is frivolous ... card of K.E.M. Hospital that baby was suffering from congenital heart
disease. District Forum below referred to report of Dr.A.B.Chandorkar
