ORDER

( 15.06.2023 ) The following order of the Bench was delivered by Shri A.K. Tiwari, Member.

This appeal by the appellants/opposite parties is directed against the order dated 25.9.2020, passed by the District Consumer Disputes Redressal Commission, Shivpuri (for short ‘District Commission’), in complaint case No. 132/2019, whereby the District Commission has allowed the complaint filed by the complainant/respondent.

2. Briefly put, the facts of the case are that the respondent/compliant had obtained a Health Insurance Policy from appellants-Insurance Company in the year 2008. The Insurance Company assured that the respondent-complainant will get the facility of treatment from any hospital and the Insurance Company will indemnify the expenses incurred by the respondent within 15 days of discharge from the hospital, in some selected hospitals, benefit cashless policy was also available. In the year 2014, the respondent/complainant underwent a surgery for implant of artificial heart valve in Apollo Hospital, Delhi. The appellants-Insurance Company accepted the claim for the said surgery and by extending facility of cas