Tata AIG Insurance — It's been 5 months but my claim has not been passed yet

kps9999

from New Delhi, Delhi

Oct 25, 2023

Address:

MEDI Assist Insurance TPA Pvt. Ltd. Regd Office- Tower “D”, 4th Floor, IBC Knowledge Park, 4/1, Bannerghatta Road, Bengaluru-560029 E- Mail -: info@m

Dear Sir,
Today I want to tell you with great sadness and humiliation that I have a group mediclaim policy (Policy No-[protected]) from my company. The Mediclaim Policy Company Name is “TATA AIG GENERAL INSURANCE COMPANY LIMITED” and serviced by “MEDI ASSIST INSURANCE TPA PVT. LTD. My Policy ID is-[protected].
I want to tell you that towards the end of the month of May, I started having some problems in my liver and started having a lot of pain due to which I was not able to do anything. I decided to get admitted to the nearest hospital “ Jaipur Golden Hospital, Sector-3, Rohini, Delhi.” as my problems were increasing. I was admitted to the hospital on 2-6-2023.
The surprising thing is that I was admitted there ( Jaipur Golden Hospital, Sector-3, Rohini, Delhi. ) from[protected] to[protected] but no one showed any interest in treating my disease, but meanwhile the employees of this poor hospital were getting the bills added to my mediclaim policy. A crude joke was made on me in the name of treatment of my disease. My condition was becoming miserable day by day. When I felt that there was no doctor here for me, I got admitted to another hospital on[protected] itself.
I was admitted to the JIVAN Hospital Mangol Puri, Delhi. on[protected]. Due to timely and proper treatment by the Doctors in this hospital, I got cured and was discharged from this hospital on[protected]. At the time of my mediclaim, these two hospitals probably did not have the facility of a cashless policy.
I paid all the hospital bills by borrowing money from my relatives. For the last 5 months, I have been fighting day and night for my claim money (Old Request Claim No[protected] but nothing is being heard on my claim. I belong to a poor family. I have given all the documents to the mediclaim company about 6 times through email and have even couriered all the original bills and all the reports of the hospital, and requested for claim through more than 50 phone calls, But again a new demand comes from the mediclaim company. (New Claim No[protected] I am tired of giving documents, now I don't have that much strength.
The limit was reached when the Mediclaim company (“TATA AIG GENERAL INSURANCE COMPANY LIMITED”) made the wrong accusation against me. Sir, if I am taking the claim by lying then the mediclaim company should have gone to the hospital and verified but it was not done. I have been fooled for the last 5 months. That is why I have decided to file this complaint in the consumer court. Such a poor mediclaim company should be ashamed, which proves the customers a liar by taking documents thousands of times.
My total claim amount is Rs.110000/-. You are requested to help me in this case. Only when I get this claim money will I be able to repay the borrowed money. Waiting for your positive feedback.
Thanks
Kirpal Singh S/o Late Sh. Niranjan Singh
E-126, 1st Floor, Vijay Vihar, Phase-2, Rohini,
North West Delhi.
Mobile No-[protected]
Madiclaim Policy Name- TATA AIG GENERAL INSURANCE COMPANY LIMITED
Mediclaim Id No-[protected]
My Company Name- Surya Maintenance Agency Pvt. Ltd.
Employee No- SMA14

+23 photos

Was this information helpful?

No (0)

Yes (0)

Tata AIG Insurance customer support has been notified about the posted complaint.

Oct 27, 2023

Updated by kps9999 I am no longer interested in your nonsense emails and don't send me unnecessary mail like this. My total claim amount is Rs.110000/-. If my claim is not received within 10 days, I will drag you straight to consumer court. This is my final warning to you.

Oct 28, 2023

Updated by kps9999 Respected sir,
As you might have seen in my Grievance Number: 5079588, my Mediclaim service provided company Tata AIG General Insurance Company Limited Just trying to give me sympathy. They have made me very sad in the last 5 months. I even felt like crying many times but he ignored my problem. Now my claim case should not be delayed. I have already suffered a lot. Sir, I have been misled for the last 5 months. On the contrary, I was wrongly accused that I had submitted all the reports wrongly for the claim. Sir, I want the strictest action should be taken against ( “TATA AIG GENERAL INSURANCE COMPANY LIMITED” and serviced by “MEDI ASSIST INSURANCE TPA PVT. LTD.) them. I have requested the mediclaim company to give my claim within 10 days by mail. If the claim is not received within 10 days, I will soon file an FIR in the police station against the mediclaim company and will not hesitate to file an application in court as well.
My total claim amount is Rs.110000/-. You are requested to help me in this case. Only when I get this claim money will I be able to repay the borrowed money.
Thanks
Kirpal Singh S/o Late Sh. Niranjan Singh
E-126, 1st Floor, Vijay Vihar, Phase-2, Rohini,
North West Delhi.
Mobile No-[protected]
Madiclaim Policy Name- TATA AIG GENERAL INSURANCE COMPANY LIMITED
Mediclaim Id No-[protected]
My Company Name- Surya Maintenance Agency Pvt. Ltd.
Employee No- SMA14

BCC- [protected]@gov.in
[protected]@nic.in

Oct 31, 2023

Updated by kps9999 Gentle Reminder-2

Dear Sir,

Sir/Madam,

This is to reference your trial mail dated Mon, Oct 30, 11:39 PM (13 hours ago) and Consumer Grievance Remark Date[protected]:40:48 regarding my claim processed. I thank you wholeheartedly for this. At least your useless department started working on my complaint.

But before processing my claim, let me clarify again that my claim is from two hospitals, the first is from Jaipur Golden Hospital, Sector-3, Rohini, Delhi and the second is from Jiwan Hospital, Mangol Puri, Delhi. My Total claim amounts in both these hospitals is It is around Rs. 110000/- (One Lac Ten Thousand Only). I have sent you a copy of all the bills under this claim amount (Rs. 110000/-) through email and courier.

Therefore, I request that my claim should be fully approved. If you are facing any kind of problems with processing my claim bills then you can talk to the hospital directly.

I have already shared the bank details with you along with the documents. Again I remind you that I need my full claim amounts. If my claim amount is less then I will be forced to file a case in the consumer court again because your department has been harassing me a lot for the last 5 months and I have all the evidence with which I can prove it in the court.

Again I request you please process my full claim of Rs. 110000/-.

Thanks

Kirpal Singh S/o Late Sh. Niranjan Singh

E-126, 1st Floor, Vijay Vihar, Phase-2, Rohini,

North West Delhi.

Mobile No-[protected]

Madiclaim Policy Name- TATA AIG GENERAL INSURANCE COMPANY LIMITED

Mediclaim Id No-[protected]

My Company Name- Surya Maintenance Agency Pvt. Ltd.

Employee No- SMA14

BCC- [protected]@gov.in

[protected]@nic.in