三商理賠被要求退保 - 保險
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By John
at 2015-07-24T00:03
at 2015-07-24T00:03
Table of Contents
想請問大家
我之前有發過文
因為在去年生完小孩後被醫生確診為紅斑性狼瘡
而我也剛好有保三商美邦珍愛女人保險
今年四月我向三商美邦申請理賠
而五月他們請我填從小到大我看過的大醫院調病例的同意書,我都配合填寫了
六月完全沒消息,後來我詢問業務員業務員告知理賠部覺得
1.為何我去年11月確診,卻拖到四月才申請理賠
2.沒有腎臟切片資料不完全
而業務員也幫我回覆了!
三商線上查詢我的理賠狀態一直顯示理賠審核中
而到了這星期二我終於忍不住直接打客服給三商,三商客服請我打給理賠部某位先生告知
我請問與那位理賠員聯絡,星期二到星期三我打了約十通電話 完全沒人接 理賠部就像空
城 沒半個人接電話
於是請業務員幫我詢問
就在昨天被業務員告知理賠部要我退保,
原因是我在保這份保險一年內有去台大看醫生,而我在簽保單時勾選沒有看醫生。其實當
初我在簽保單時有告知原先的業務員(這位業務員已經陣亡)說我約半年到一年前有去看
皮膚科而皮膚科請問轉診台大風濕免疫科(當時我還覺得有那麼嚴重嗎?),而業務員問
我說醫院有確定你有生病嗎?我說沒有只是我覺得應該沒有什麼大礙。就沒繼續看診,那
是業務員就叫我勾選沒有就診,而我也勾選了!那是我也沒生病。皮膚過敏也消失了,所
以不以為意。沒想到現在理賠三商美邦以此為由認為我不實告知,要我退保!請問我該怎
麼辦?該如何申訴
現在幫我申請理賠的業務員是朋友的老公,我也不好意思一直麻煩他,紅斑性狼瘡是ㄧ種
需要持續吃藥控制的疾病,如果我帶病投保根本就不可能兩年不吃藥,還在去年懷孕生小
孩。自從被長庚確診後,我每個月都要回診,為何保險公司在我申請理賠ㄧ開始懷疑我帶
病投保!後來又用這種理由要我退保。難道我要就這樣退保嗎?ㄧ想到如果我不退保之後
要申訴就覺得好勞累!誰能給我意見 謝謝大家麻煩你們有相關經驗能否告知我
--
我之前有發過文
因為在去年生完小孩後被醫生確診為紅斑性狼瘡
而我也剛好有保三商美邦珍愛女人保險
今年四月我向三商美邦申請理賠
而五月他們請我填從小到大我看過的大醫院調病例的同意書,我都配合填寫了
六月完全沒消息,後來我詢問業務員業務員告知理賠部覺得
1.為何我去年11月確診,卻拖到四月才申請理賠
2.沒有腎臟切片資料不完全
而業務員也幫我回覆了!
三商線上查詢我的理賠狀態一直顯示理賠審核中
而到了這星期二我終於忍不住直接打客服給三商,三商客服請我打給理賠部某位先生告知
我請問與那位理賠員聯絡,星期二到星期三我打了約十通電話 完全沒人接 理賠部就像空
城 沒半個人接電話
於是請業務員幫我詢問
就在昨天被業務員告知理賠部要我退保,
原因是我在保這份保險一年內有去台大看醫生,而我在簽保單時勾選沒有看醫生。其實當
初我在簽保單時有告知原先的業務員(這位業務員已經陣亡)說我約半年到一年前有去看
皮膚科而皮膚科請問轉診台大風濕免疫科(當時我還覺得有那麼嚴重嗎?),而業務員問
我說醫院有確定你有生病嗎?我說沒有只是我覺得應該沒有什麼大礙。就沒繼續看診,那
是業務員就叫我勾選沒有就診,而我也勾選了!那是我也沒生病。皮膚過敏也消失了,所
以不以為意。沒想到現在理賠三商美邦以此為由認為我不實告知,要我退保!請問我該怎
麼辦?該如何申訴
現在幫我申請理賠的業務員是朋友的老公,我也不好意思一直麻煩他,紅斑性狼瘡是ㄧ種
需要持續吃藥控制的疾病,如果我帶病投保根本就不可能兩年不吃藥,還在去年懷孕生小
孩。自從被長庚確診後,我每個月都要回診,為何保險公司在我申請理賠ㄧ開始懷疑我帶
病投保!後來又用這種理由要我退保。難道我要就這樣退保嗎?ㄧ想到如果我不退保之後
要申訴就覺得好勞累!誰能給我意見 謝謝大家麻煩你們有相關經驗能否告知我
--
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