examined, advised to take MRI scan of the neck,
which revealed disc prolapse in C4-C5, C5-C6 and C6-C7 levels, for which ... helped him. Therefore, MRI scan was recommended, which
showed disc prolapse in the lumber spine, L3-4, L4-5 levels. The prolapsed disc had adhered
found that the patient was operated for the third degree uterovaginal
Prolapse with cystocoel and rectocele and DUB (Menorrhagia) and not only DUB
as alleged ... cystocele with rectocele. The
patient wanted relief from the suffering caused by prolapse which was causing
great discomfort to her in day to day activity
policy. As per statements of the patient she is suffering from disc
prolapse since April 2008 and is on medication which falls within 48
months ... policy. As per treating doctor‟s
statements patient is suffering from disc prolapse since five years.
Standard exclusion clause provides: policy shall be null
follows:-
"When walking at house skid away from steps" disc prolapse L-4-5, L-5-S1 levels. The name of the doctor ... sustained while walking he skid away from steps and thereby sustained disc prolapse L-4-5, L-5-S1 levels and for the said injury
Renu Jain for the period 05.09.2011 to 08.09.2011, for the treatment of Prolapse Uterus C CSRHI cal Dysphasia. The claim was forwarded ... Mediclaim Policy for the first time on 09.02.2010. The claim for Uterus prolapsed/Hysterectomy was lodged for the hospitalization from
complainant and after perusal of the medical investigation reports, diagnosed him with Prolapse Disc L4 L5 S1 also know as slipped disc. The opposite party ... evidences and documents on record.
The complainant was firstly diagnosed as having prolapsed Disc L4 L5 S1 , also known as slipped disc. The treatment
above referral letter the doctor opined that
the complainant suffered from disc prolapse and sciatica. So as per his diagnosis he
suspected the patient ... suffered either by disc prolapse or sciatica only. The
above referral letter was dated 31.10.2011 and the referral letter was given either at
the time
reveals the aforesaid claimant was hospitalized
for the treatment of C6-C7 prolapse intervertebral disc with impending myelopathy
and is claiming for expenses incurred ... policy does not
extend coverage for any expenses incurred on Prolapsed Intervertebral Disc during
the first four years of continuous policy with us.
The relevant
complainant's wife had taken a treatment of Vertebral Disk Prolapse
which squarely false within the general exclusion clause and since the
hospitalization ... claim documents it is observed that the present
treatment for Vertebral Disc Prolapse, which is excluded in the policy
for the first two years. Hence
wife of the
Complainant had suffered Ischemic Heart disease and mitral
valve prolapsed in the year 2012 and she took treatment for the
said ailment ... underwent ECHO
Cardiograph test and she was diagnosed for mitral valve
prolapse. She was admitted to Fortis hospital, Bannerghatta
road on 04.01.2020 and discharged
