ORDER

Dr. Monika Malik, Member—This appeal by the complainant/appellant (hereinafter referred to as ‘complainant), is directed against the order dated 10.8.2017, passed by the District Consumer Disputes Redressal Commission, Ratlam (for short ‘District Commission’), in complaint case No. 18/2017, whereby the District Commission has dismissed the complaint filed by the complainant.

2. Briefly put, facts of the case are that the complainant is insured with opposite parties-the Oriental Insurance Company Ltd. (hereinafter referred as ‘Insurance Company’) via mediclaim policy. Earlier the sum insured under the policy was Rs.50,000/- and that was for the period from 10.6.2009 to 10.6.2011. Thereafter risk coverage was enhanced to Rs.1,50,000/- , w.e.f. 26.9.2011 to 26.9.2013. Thereafter, from 26.9.2013 onwards the risk coverage was further enhanced to Rs.2 lacs. The subject policy was valid till 26.9.2014, regarding which premium of Rs.5,510/- was paid by the complainant. It is further submitted that the complainant became unwell and was admitted in CHL Appollo Hospital, Indore on 25.6.2014, where angiography was done and subsequently bypass surgery was performed. The complainant was fi