My father has a health insurance policy where I’m the primary insured. I paid the premium in August and filed a reimbursement claim. The insurance company asked for hospital and doctor documents, but they didn’t authorize a home visit. However, someone from their TPA visited my house without permission and asked my elderly parents for documents. Can I take legal action against the insurance company for this unauthorized visit, and if so, how?

Apni Law
Apni Law
Law Forum › Category: Insurance › My father has a health insurance policy where I’m the primary insured. I paid the premium in August and filed a reimbursement claim. The insurance company asked for hospital and doctor documents, but they didn’t authorize a home visit. However, someone from their TPA visited my house without permission and asked my elderly parents for documents. Can I take legal action against the insurance company for this unauthorized visit, and if so, how?
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Apni Law Staff asked 1 year ago

My father has a health insurance policy where I’m the primary insured. I paid the premium in August and filed a reimbursement claim. The insurance company asked for hospital and doctor documents, but they didn’t authorize a home visit. However, someone from their TPA visited my house without permission and asked my elderly parents for documents. Can I take legal action against the insurance company for this unauthorized visit, and if so, how?

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Best Answer

Apni Law Staff answered 1 year ago

Yes, you can take legal action against the insurance company for the unauthorized home visit. This violates your privacy and could be considered a breach of contract. You can file a complaint with the Insurance Ombudsman or approach the consumer court for redress.

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