replacement of both knees. The applicant was also advised to take his wife to Jagjivan Ram Hospital, Mumbai for knee replacement surgery but the applicant ... Medical University, Lucknow. The doctors advised the applicants wife for knee replacement but she did not avail facility of knee replacement for the reasons
pain in the knees was due to
osteoarthritis. Over the years muscles in the knees got wasted. The
pain in the knees became unbearable ... petitioner was advised by an orthopedic surgeon to go for knee
replacement surgery. Petitioner, therefore, got her knees replaced by
surgery at Sancheti Hospital, Pune
dated 20.6.2009. Shashikalaben Shah was admitted in
the Shelby Hospital for knee replacement. She was treated as
indoor patient from ... dated 20.6.2009. Vagjji Purohit was admitted in the Shalby
Hospital for knee replacement. He was treated as indoor patient
from 24.9-2009 to 6.10.2009. Total
submitted a medical claim of Rs.4,61,445/- incurred on knee replacement surgery of his wife in Sant Parmanand Hospital. The respondents rejected ... ultimately go to Sant Parmanand Hospital where his wife was advised knee replacement surgery. The essentiality of the knee replacement surgery had been recognized
them.
19. Osteoarthrosis leading to Total Knee Replacement
of Total Hip Replacement (claim for up to one knee or
one hip treatment will be covered ... relating to the knee,
therefore, the complainant had not taken the treatment but had gone
for total knee replacement which was not covered under this
knees. The first operation was performed on 24.04.2012 and the second operation was performed on 28.04.2012 and both her knees were replaced. The complainants spent ... herself admitted on 9.3.2012 for operation of knee replacement, but she had fourth year policy running. However, Complainant No.2 waited for obtaining the policy
payable
by the respondent No.1
and the entire cost of
knee replacement to the
concerned hospital where
the petitioner undergo
the knee replacement
subject ... 2012
SCCH-25
opined 20% wholebody disability. Petitioner required knee
replacement which cost of Rs. 1 ½ lakhs to Rs.2 lakhs.
In support of their
required of malunion with cost of Rs.2.5 lakhs
and knee replacement with cost of Rs.2.5 lakhs.
In support of their oral ... awarded Rs.50,000/- towards the replacement of
implants and Rs.2.5 lakhs towards the replacement of knee
under the heads of future medical
persons and have
handsome resources for the treatment of alleged knee pain as knee
replacement surgery is available and after getting knee replacement, any
person ... walk smoothly. The cost of knee replacement surgery is Rs.
1,50,000/ only which the petitioner can easily bear.
16. The petitioner filed
ridden for the last six months.
Doctor suggested for knee replacement and total expenditure of
Rs. 3,97,316/- was paid. The complainant lodged ... completed. Even otherwise, exclusion clause 4.2 was not applicable
because the knee replacement was due to fall which was not
excluded under clause
