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Madras High Court Allows Reimbursement Claim Under NHIS 2021 for Aorto Bi-Iliac Bypass Surgery Despite Cashless Denial — Insurance Company and TPA Directed to Pay Rs.2,72,406/- with Interest. Court Held That Denial of Cashless Facility Does Not Extinguish Reimbursement Entitlement Under the Scheme.

The petitioner, P. Ravi, a Head Constable serving in the Tamil Nadu Police Department, filed a writ petition under Article 226 of the Constitution of ...

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Supreme Court Dismisses Appeal by Insurance Company, Holds Mediclaim Amount Not Deductible from Motor Accident Compensation. Contractual Insurance Benefit Is Independent of Statutory Compensation Under Motor Vehicles Act, 1988, and Cannot Be Deducted to Avoid Double Recovery.

The Supreme Court in this appeal considered the question whether amounts received by a claimant under a Mediclaim policy are deductible from the compe...

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Bombay High Court Allows CGHS Reimbursement Claim for Emergency Treatment Without Prior Referral. Petitioner's husband admitted in emergency to empanelled hospital; denial of balance reimbursement set aside.

The petitioner, Bina Saxena, is the widow of a Central Government pensioner who was a beneficiary of the Central Government Health Scheme (CGHS). Her ...

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Bombay High Court Allows Writ Petition Seeking Medical Reimbursement for Employee's Mother — Denial of Reimbursement for Emergency Treatment at Non-Empanelled Hospital Held Unreasonable. Court Directs Reimbursement at CGHS Rates for Treatment of Dependent Mother at Hospital Recognised Under CGHS.

The petitioner, Shri Parshuram Shankar Motiwale, a Senior Clerk (now Assistant Superintendent) in the District Court, Solapur, filed a writ petition u...

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Madras High Court Partly Allows Insurance Company's Appeal Reducing Compensation in Motor Accident Claim. Compensation Reduced from Rs. 19,36,300/- to Rs. 14,36,300/- Due to Lack of Evidence for Medical Expenses and Excessive Pain and Suffering Award.

The appeal was filed by the insurance company challenging the quantum of compensation awarded by the Motor Accidents Claims Tribunal (MACT), VI Court ...