[Resolved]  Raksha Tpa — REGARDING MEDICLAIM

Address:Mumbai City, Maharashtra

dear sir / madam
Regarding my claim.I was been hospitalized from 15/03/2011 to 19/03/2011 at parel hospital at (parel bhoiwada) I was been affected by Pulmonary kochs. i have submitted documents whatever they needed i have pd the cash to hospital but when i have putted the documents for claim they are saying claim non payable under clause 2.3(c) at the time of admitted i was very weak & i couldnt speak to any one it was very bad condition for that reason i was admitted & it was my goodluck that by taking medicine & saline there was improvement in my health. Is it fair after paying cash to hospital they are saying it is non payable & i am not too high salary guy at the time of paying bill to hspital i have borrowed money from someone else because i was confirmed that i will get my money back and after that i will pay him back
Insured name Narendra gangan
ID number 05564367DGFCM
Policy num 121200/48/2011/12220
Claim num [protected]

Thanks&regards

Narendra gangan
Was this information helpful?
No (0)
Yes (0)
Aug 13, 2020
Complaint marked as Resolved 
Complaint comments 

Comments

cheating Company. Do not invest money on this RAKSHA TPA.
i have operated on a patient named swadesh mishra id no. ill/utt/522148 for haemorrhoids on 7/2/09 but the claim has not been settled till date after repeated reminders
2.3 is for amount payable for Surgeon etc's fees. There is no clause 2.3 (c).
Please mention correct clause/reason for which the claim has been rejected

Raksha TPA — claim not settled

My name is mariya johny. my client ID is UIC5457425SBI in raksha tpa.Even after completing 5 months from my claim date, my maternity claim is not yet settled nor a response from raksha office regarding the status. I am totally frustrated and decided to go legally.
it is very worst company please even dont turn your head to raksha

Post your Comment

    I want to submit Complaint Positive Review Neutral Comment
    code
    By clicking Submit you agree to our Terms of Use
    Submit
    Raksha Health Insurance TPA
    customer care contact
    Customer satisfaction rating Customer satisfaction rating is a complex algorithm that helps our users determine how good a company is at responding and resolving complaints by granting from 1 to 5 stars for each complaint and then ultimately combining them all for an overall score.
    Read more
    15%
    Complaints
    235
    Pending
    0
    Resolved
    36
    Raksha Health Insurance TPA Phone
    +91 12 9428 9999 [Faridabad]
    +91 22 6787 6666 [Mumbai]
    +91 80 4283 9999 [Bangalore]
    Raksha Health Insurance TPA Address
    India
    View all Raksha Health Insurance TPA contact information