Dear Sir,
I, J P Sethiya note that an amount of Rs. 24000.00 only sanctioned by you for medical expenses of Rs. 37000.00 incurred by me for treatment of CATARACT LEFT EYE at Rajas Eye Hospital, Indore. I had to made payment of difference amount of Rs. 13000.00 by cheque before the treatment started.
I would like to state that as per policy terms with bank 100% of medical treatment bill should be sanctioned, and GIPSA package rate subsequently agreed is not applicable for Medical Insurance Scheme for Retired Bank Employees.
Under this Medical Insurance Scheme I have already been sanction Rs. 37000.00 claim under cashless scheme for treatment of CATARACT RIGHT EYE at Rajas Eye Hospital, Indore vide claim No. 12510187 dt 7.4.2016. A copy of your sanction is sent attached herewith for your perusal.
I therefore request you to kindly sanction & release the differential amount of Rajas Eye Hospital bill Rs. 13000.00 to my account No. 2547257010237 at Canara Bank SME Br,., Indore under advice to me.
Thanking you.
J.P.Sethiya (6617)