Mediclaim Complaints & Reviews

Cashless denied for My dad, cancer is detected just 20 days back.
With no proper response from agent and company both. Request you to please look after this on Urgent basis....

Dear sir / madam,

I am working in it complany, chennai,
I have submitted the claim for rs 98, 000/-
Received claim amount only rs 71, 000, but amount paid by corporate is: rs.89, 000/-
Still 18, 000/- pending from that claim. Sent many mails to "rn. [protected]@marsh.com" chennai team.
Now they are telling like pre-hospitalization bill date and reports date is mismatching, just one week difference...

This is to inform you that i have submitted one mediclaim case is no 14120754 it's been continuous flowup since two months with mediassit but inpaction report has been pending from company end and no one is helping about the said case. I am fail to understand what kind of services are you giving in such etmeed organization this the worst service i ever had.
Kindly process the settlement or i will write to nodal officer of mediassit...

Sir, me rajesh goyal ne indian overseas bank ke marfat emeditek company ki mediclaim policy le rakhi h aur me 7 july 2015 ko mahaveer cancer hopital me admit hua tha tab se mera claim aapke yaha book he but abhi tak query ke alawa mujhe kuch nahi mila he aur mujhe bharose me rakh rakha he .mene logo se paisa udhar leke hospital me paisa jama karaya he but abhi tak koi payment ka rasta aapki taraf se najar nahi aa raha he . ab ya to mujhe...

Respected Sir, My mom rashmi garg is hospitalized on Monday (Mohan hospital, bulandshahr) . As she has a cashless card (policy no[protected],[protected], I presented it to the hospital. they generated a bill and sent a bill to TPA (paramount health care), but till now they haven't paid my mothers bill . The hospital is constantly harassing us for the payments . please see in this matter or I will take help of consumer forum, legal help...

P/171100/01/2014/012323Policy No STAR HEALTH AND ALLIED INSURANCE CO LTD, Annual preium paid Rs 21050 Medi Classic IndividualType of Policy policy taken under sr. citizen category, where claim will be 70% company's and 30% ours share. While disbursement they gave didnt give as per the commitment. we spent a lot on his operation, and request you to kindly get what is the rightful......

P/171100/01/2014/012323Policy No STAR HEALTH AND ALLIED INSURANCE CO LTD, Annual preium paid Rs 21050 Medi Classic IndividualType of Policy policy taken under sr. citizen category, where claim will be 70% company's and 30% ours share. While disbursement they gave didnt give as per the commitment. we spent a lot on his operation, and request you to kindly get what is the rightful amount. thank you rajyashree [protected] mumbai...

Dear Sir / Madam Good Morning Hope you are doing good I had filled a claim for my hospitalisation with RAKSHA TPA, Insured with Oriental Insurance Company. Claim had original hospital bill. I have completed my surgery on May1st 2014 in Navsari Gujrat with Dr Snehal Desai Hospital, handover all the original bills including cheque to my agent Mr Ganesh K Khanvilkar Dated : 7th May 2014. Am regularly following up for my mediclaim...

I purchased on line smart health Insurance policy (Rs.500000 coverage) no. J0002708 from Bharti Axa General Insurance Co. Bangalore, for my son Vishwanath Kamble. Policy start date 03.12.2013 and valid up to 02.12.2014.I admitted my son to Hospital(Purohit Clinic, Panvel) for right soulder dislocation problem, to carry out the surgery. We submitted required papers from Doctor to TPA, Emeditek, Gurgaon, Haryana for prior approval to carry...

This is the very worst experience with the Heritage Health - Chennai centre.

- Not responding in the standard manner and they do not know how to speak with the customers who are discussing important matter.

- Always having an objective to cut the call rather than resolve or answer the query.

- For the past week, I have called around thirty times to resolve a single query but still I didn’t...

Dear Sir/Madam,

This is for your information that we are your customer and we have a medic lam policy since 02 years with you current policy no is P/201114/01/2012/004634 problem is that we do not have a smart card my or my family members in 02 years i given all photographs three times but card not came, recently i given the all photographs to Mr Govind Nawle this is your employee but no feedback from him about smart card.br...

The Divisional Manager,
United India Insurance Co. Ltd.,
Divisional office No. 7, Jamna House, 3rd floor,
Padam Singh Road, Karol Bagh,
New Delhi-110005.

Reg: Hospitalisation Claim No. 1905763 under SENIOR CITIZEN Policy No. 040700/48/10/97/00003863 of Mrs. Naresh Sethi.

Dear Sir,

A Hospitalisation Claim for Rs.49065.00 for having incurred expenses...

Dear Sir,

I have done my spinal operation in paschimi hospital on 13/11/2010, I send my file for claim on 20/11/2010 they have not clear my claim , requested your help in the matter ,

Policy detail mention below.



The Oriental Insurance Co. Ltd.
Policy No:124500/48/10/3904
Corp Name : Development Credit Bank Limited
Name : Devi Datt
Emp Number : 4966br...

Dear Sir/Madam
My self Rajeev Ranjan Singh my Claim No. CLI/2011/171116/0065139-G (STAR HEALTH )is - I have already submitted doctor''s letter ,requested by Star Health so as to releave complete payment. My concerned. Dr have already provided a letter stating that the medication and
hospitalization is done for infection which is not a pre-existing disease.there were some confusions at Start Health regarding Pre-existing...

Myself Anand Ladha, a mediclaim policy holder for my family from Instant Helathcare Private Limited issued by United India Insurance from last four years.

The Details of TPA ID is as follows:

Anand Ladha:6901081
Sonal Ladha:6901082

I Requested for remiburement of claim of my wife for pregnancy.My Wife got discharged from hospital on 22.05.2010 and reimburement claim was filled with Emediek...

Hello,

My name is rahul bawkar my mother having policy with Tata Aig Life Insurance Her policy no is C[protected]. my mother got hospitalised in month of january 2010 and we imedeatly file for claim on 7 feb 2010 to Raksha Tpa which is located at 7, Kumtha Street, Ballard Estate, Mumbai- 400 001,this people are not responding us from 1 month, they are keep telling us that file is in process. they even dont update their site regularly.......................pls...

CCN#4706353 Under Policy No.1901/[protected]
Policy Holder :Hemant Arora Primary Beneficiary:Hemant Arora Claaaaiment Name: Shobha Arora

The aforesaid claim papers according to the rules and regulations are being sent by me through Reliance General Insurance Lucknow Office and Recieved by
Medi Assist on 2.02.2010 For Rs.24000.00.
Despite of sending all the original documents duly signed by operating Doctor...

, Inspite of submitting all documents of a reputeded hospital, Appolo and alomost 2 and half month has gone but no respose from company, i have visited office of cannught place many times but they say someone in on leave no one is ready to hear my grivance . please help me , i dont know the status of my claim till now .My Mediclaim policy has been taken by my employer that is LIC....

Dear Sir,

i was claim about my abdomein pain last sep'2008 but ttk health care services ltd not clear my claim till now. and nobody reply to my mail reply. and nobody call to me. i am trying 100 times mail but no reply for this company so pls help me.

My card number is = CHE-NI-GH[protected]A


Rgds,
Viral Parmar
Surat
[protected]...

we have a policy 112800/34/08/11/00006209 in myname.we have this policy for the past 8 years and are always prompt in our payment.I had to undergo a laproscopic surgery in aug 2009 and after which I had submitted all my original bills to your office,but it has been rejected saying there is no waiting peirod of 2 years.I would request you to please verify the matter again....

Sub: Mediclaim for Mr. Murari Lal Goel, Policy No. HWT[protected]
Membership No. A16171Y with Cholamandalam MS General Insurance Chennai

Dear Sir,

I have submitted a Medical bill of my father for Rs. 18, 700/-, which was hospitalized during 05th-MARCH-2009 to 08th-MARCH-2009 at BHAGAT HOSPITAL JANAKPURI NEW DELHI-110058.

Our Company has taken a Group Mediclame Policy along with all...

The below mentioned claim is not paid to the hospital till date eventhough pre-approval. Pl send the status of the claim to the above mail ID.

Hospital name: Nandhinee Hospital, Velahcery, Chennai-42. Amt: Rs.22400 Patient Name: Kiranthi Dhanam TTK ID No.KOC-NIC[protected]A Pre-Auth No.:KOC-0708-PA-0000051 Authorisation No.KOC-0708-AT-0000051 DT.4.7.2008...

I had filled a claim for my hospitalisation with RAKSHA TPA, Insured with New India Assurance ltd.
Claim had original hospital bill & on query raised even submitted Hospital in house log sheet which was given by hospital (Bhatia Hospital).
In house panel of TPA construed that hospital stay was prolonged hence deducted the claim by all most 25% directly, this means standard given by mediclaim policy issuer company ( The New...

Dear Sir/Madam,
Claims submitted against Mediclaim policy to United India Insurance Co Ltd., on 02-3-09 disbursement against which are yet to arrive.

Inspite e-mails/written request to submitted to their respective DO, RO & HO there is no response till date in written consent.

It is only on rigors follow-up according to their “Grievance Redressal System” we finally received claim intimation...

I have taken mediclaim policy from your company for my full family with accident coverage also and paying a premium of Rs 20 to 25 thousand approximatly.
I have not claimed any money from last 4 to 5 years one representative of insurence company came and informed me that I am entitled for free Medical check up in any good hospital with full family. How and from where i will get these coupouns. your Madras Genral Manager says free coupouns...

Sir,
On going throgh various complaints -Mediclaim,
may i suggest that `to be helpful, the complaints contain the following details:-
1. Insurers's Name, Office, Addredd postal email, telephone nos. landline, fax & mobile
2.Mediclaim or Mediclaim type policy
All policy with no, period, Sum Insured, Cum Bonus -CB%, Exclusion
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3.With changes coming in all policies, (e.g. from...

DEAR SIR i HAVE RENEWED MY MEDICLAIM POLICY IN FEB 2008, POLICY PAYMENTS REFLECTED IN MY ACCONT IN SAME MONTHS
IT IS ABOUT 7 MONTHS GONE, I AM NOT RECEIEVED RECEIPTS OF PAYMENT NOR THE POLICY AS ON DATE IT VERY VERY SURPRISING FOR WAY OF WORKING OF SUCH A BIG ORGNISATION

LET ME KNOW THE STATUS AND WHAT TO DO NEXT

THANKING U,...

My brother is Chronic Renal Failure patient he has to undergo two dialysis in a week he is an employee of LICI, Jamshedpur Branch his SR No. 328803. Last five months his claim is not sellted with M/s New India Assurance Co, Kamani Centre, Jamshedpur, Jharkhand - 831 001. We are now not in a position to continue his treatment. Moreover the tendency of the officers to harrass the insurer. It is worthwhile to noted that a non-medical professional...