E-Meditek Complaints & Reviews

I am employee of jd pune, done mediclaim of my wife and new born baby out of 3 mediclaim only one received 2 is still pending because of emeditek executive and their manager.
Submitted bills regarding mediclaim.
With pune executive mr kunal, after 9 months he is again demanding bills to me
Which he was misplaced by him.
Truly disappointed with emeditek services.
His no is:[protected]
His officer no is:[protected] from gudgaon.

Looking for help related this.

Dear sir/madam

This is bring to your kind notice that i have not received claim amount till date.

From ahmedabad office site they approved claim on 17th may 2017

I talk on landline no and cleared all doubts & that lady executive told me it will be process within week time.. But not done

After that i personally visited ahmedabad office before 10 days for inquire status and meet mr. Ankur on front desk... He told me i just mail to process your claim on immediate basis... It will be cleared within 1-2 days...

I just call ahmedabad office & talk with priya... She is unable to tell me status of claim... She is telling me to give me 2 days time to inquire why it was not happening.. She is not able to give my answer when i will get claim amount...

I can't understand e-meditek process and system or uneducated person who even don't know what is the actual status of claim

I think now it is high time...

Regards

Anand jitendrasingh thakur

Myself m h shaikh holding mediclaim policy no.[protected] from nicl tpa allotted is e meditek private limited. My wife saeedabanu shaikh has been admitted to hospital in may 2017 and for claim all the documents have been submitted on 24th of may 2017 and till date we have not received payment of reimbursement. When we are trying to reach over phone, we always get busy tone. Please advise your tpa to settle claim at the earliest or i would be compelled to change my mediclaim policy.

Sir,

I am a e-meditek card holder, claim no.[protected]. My daughter s. Deva sree f/09 yrs was admitted to lakshmi arundhathi hospital date[protected] and was discharged on[protected] with mild pancreatitis i sent documents to hyd by courier on[protected]. Sofar i didnot receive my amount.

Kindly look into the matter and help me in getting the the amount i paid.

Dear sir,
My claim amount not received my account.
Claim no[protected] maheshkumar manubhai prajapati claim amount rs.:-36427/
Claim no.[protected] hasumatiben maheshbhai prajapati claim amount rs. :-34120/-
Claim passed date:- 27/03/2017
Claim approved by: dr. Sacchidanand kadam
Bank name:- the naroda nagrik co. Op. Bank ltd,
Bank savings account no:-[protected]
Bank branch :- naroda
Ifsc code:- gscb0unncbl

My father had taken the mediclaim policy from E Meditek TPA Services and we were covered under the scheme. My father and sister met with an accident where my father passed away and sister was injured. Sister was hospitalized for 4 days as she had to undergo a surgery. We submitted all the documents for this with claim #[protected]. Submitted documents include all the test reports, bills, discharge summary, FIR etc. Claim date: 26/07/16. But till now, they have not made the payment for this.
What is the point of opting for insurance if there is no use from it when we need it?

Policy holder name ; jaysukhbhai dobariya
Policy no. 311501/48/15/[protected]
Claim id:[protected] &[protected]a,
I have submitted all the documents as on 19/07/2016 till not get any update on the same as two and half month passed away.
Sir/madam this claim is for cancer treatment so please help me to solve out because i have need of money for further treatment.

Dear sir/madam,
My wife is insured under mediclaim insurance policy o[censored]nited india insurance co. Ltd whose tpa is e-meditek.

My wife mrs riddhi motiwala is suffering from brain tumour she has to be operated for lt. Cerebellar haemangioblastomia, from sal hopital, ahmedabad, approx surgery expense send from hospital is rs.1, 75, 000 /- against my cashless policy to e-meditek, but we have only receive approval of rs. 60, 000 as cashless and now hospital want me to pay difference amount rs.1, 15, 000 at the time of admission for surgery

What is meaning of my rs.2 lakh cashless policy.

Why i am not getting benefits of cashless policy.

On humanitarian grounds a my family is going through emotional stress and then also we have to bare financial pressure even after already taken mediclaim. It seems like taking mediclaim with cashless benefit is o[censored]sed, then creating just a beneficiary helpful bubble. I hope this will help other people who thinks like me of having covered means little less suffering while some medical emergency.

Insurance co. Name : united india insurance co. Ltd.
Insured name : mrs riddhi s motiwala
Proposal date policy no : [protected]p[protected]
Policy end date : 22/04/2017
Operation details : cranietomy excision lt. Cerebellar tumour
Agent code: agi0046158
Hospital name : sal hospital, ahmedabad, gujarat

Regards,
Saurabh motiwala
[protected]

Dear sir,
I am retired staff from ge-alstom from june'2016. The premium was paid as far as i know. Please confirm whether the card no [protected]a is valid still now or not. The card is showing that of validity up to 31.07.2015.

I have to go for cashless hospitalization for re-trab eye-surgery immediately.

Your early response is needed and would be appreciated.

Thanks and regards,
Asit kumar roy
E — mail: [protected]@gmail.com

Name of employee. K v s sarma
Hospitalisation claim of smt k subhamani (Wife)
Hospitalization period aug 19, 2015 to sep 10, 2015
Hospitalization at the arya vaidya chikitsalayam & research institute (Division of the arya vaidya pharmacy, ramanathapuram, ciambatore-641045,
E-mail [protected]@avpayurveda.com
Website www.avpayurveda.com
E-meditek ref. No.[protected]
Policy no.041100/48/15/41/00000002
As the english medicines were not suited she has been started ayurveda treatment for survival of life. Started in year 2011and continued in years 2012&2013 also for about 1motnth treatment period. Accordingly applied for reiumbersement, and we got it. Only in 2014 no treatment is given because we couldnot go. After getting treatment in the above period, when we applied for reiumbersement of bill. The reason is told it cannot be ayurvedic and also a private. My question is even our present prime minister talks about ayurvedic, and also in the same hospital only treated for last 3 years. Now how it is not possible.

I hospitalize in shri ram singh hospital krishan nagar delhi-110051. Hospital send final approval request letter on 6 june 2016. But pass of whle day tpa not approve my cashless, so i pass one more day & night in hospital. There are no any person to pick my phone. As per irda tpa work 24 hour. But it is not true. I feel mantaly stress due to tpa services.

We are members of sail medical scheme with tpa e-meditek. Min nos 2519973 &74.
We had submitted opd reimbursement bils for the year 2015-16. Ideduction of rs. 1300/- &rs. 2400/- has been made from our bills. The deduction has been made on flimsy ground, as the lab report did not mention the doctos or hospital name which recomended the tests. It is to inform you that govt. Hospital bhiwadihad recomended the tests for which original prescriptions were enclosed. The only fault was the test report of thyrocare did not mention the hospital name instead mentioned self and was not noticed by me.
You may kindly check the original papers for doctors prescription and rectify the reimbursement amount accordingly.
Thanks

Subject: narayani avana (Claim no.[protected]
The chief reason why you will buy a good health insurance in india is to avail benefits like avoid paying on your own pocket when a medical urgency occurs. If your claim request doesn’t get approved the whole purpose of purchasing a health policy would be defeated.

I m very frustrated from your claim processing system, so late & unbelavable.

This is final...

I am the member of Group Mediclaim Scheme 2015-16 for retired SAIL employees administered by E-Meditek (TPA)services ltd.
My wife Mrs. Rekha Agarwal (MIN[protected] was hospitalised in Sahara Hospital Lucknow (U.P.) for illness-Hypoglycemic brain damage from November 2, 2015 to November 21, 2015 and documents for reimbursement of Rs. 3, 01, 630/- were submitted in corporate office, Gurgaon and further documents demanded were also submitted by January 21, 2016.
With this all documents required were submitted 3 months back but I am sorry to say after a lapse of such a long time company has not reimbursed the due amount though I have reminded through e-mail a number of times.
In view of above it is requested to please take necessary action at your end so that I may get the amount due earliest possible.
Thanks,
V.K. Agarwal
Mo. [protected]
Address- FF2/157 Behind Shankar Ashram
E.K. Road, MEERUT -PIN 250001

My claim has already been approved, I was told to send cancelled cheque scanned copy to kolkatta.[protected]@emeditek.com, I sent that mail on 30th March with the scanned copy. Then again on 2nd April, I forwarded that mail to help.[protected]@emeditek.com. But till now, there has been o response from e meditek. I have already sent the cancelled cheque twice to e meditek, but no response from anyone. Please help as it is really urgent for me. Forwarding the mails :

[protected]------
Nibedita Chatterjee Wed, Mar 30, 2016 at 1:27 AM
To: kolkatta.[protected]@emeditek.com

Please acknowledge the receipt from your end.

[protected] Forwarded message[protected]
From: Nibedita Chatterjee
Date: Wed, Mar 30, 2016 at 12:34 AM
Subject: Image of cancelled cheque for the claim no[protected]

[Quoted text hidden]
[protected]
Nibedita Chatterjee Sat, Apr 2, 2016 at 2:36 PM

To: help.[protected]@emeditek.com
Hi,
As per as the telephonic conversation with a customer care representative, I am forwarding the mail which is having the image of the cancelled cheque attached.

Please do the needful for the claim amount payment as soon as possible. Please acknowledge the receipt of this mail.

Thanks
Nivedita


[protected]

I am again sending a mail to help.[protected]@emeditek.com today. Can anyone please help me to get the claim payment? I do not understand what the people get by harassing others? Is there any harm to acknowledge the receipt of a mail from your end? I am just frustrated now from e-meditek, such a poor service, when I called up the customer care, that fellow picked up the phone, took all the claim details from me and then after saying to hold on the call, the phone got disconnected. Is there any need to escalate the issue to more higher levels? Please let me know.

Thanks
Nivedita

Hi,

I Work in an MNC and took a group insurance policy of National Insurance Corporation through E-Meditek which is mandatory from office end via Policy No. 344900/46/15/[protected]. During orientation we were told that it’s a corporate policy and with sum assured of Rs.75000/- you will get a benefit of Rs.25, 000/- for maternity and with a sum assured of Rs.2, 00, 000/- you will get the benefit of Rs.50, 000/- and with sum assured Rs.3, 00, 000/- you will get the benefit of Rs.75, 000/-. They also confirmed me that any kind of charged incurred by hospital during hospitalization within the limit will be re-imbursed. Also few days before going to hospital I confirmed the same amount from customer care of E-meditek regarding the claim amount and they confirmed me for Rs.75, 000/- as per corporate policy. I also asked about re-imbursement of bill they confirmed to just submit the bills in our office at Gurgaon and will be cleared within 15 days. Due to an emergency I took my wife to hospital namely Bhagwati Hospital in Rohini Sec-13, New Delhi for treatment on[protected] and my wife got discharged on[protected]. Now I am claiming maternity w.r.t claim No.[protected] for amount Rs.69, 496/- to them. Just few days back I received a mail regarding the Claim settlement that amount of Rs.24, 738/- is approved. They said that as per your policy you are entitled for Rs.50, 000/- under maternity. Now they are stating that the hospital you went is in our panel and we have a settlement with them that for delivery through operation they will charge Rs.24738/- only in case of cashless and if you would have gone to any other hospital which would not have been in panel of E-Meditek they would have cleared our complete amount, however you went to the Hospital which is in our panel so only Rs.24, 738 will be approved. Now they are creating nuisance stating only a fixed amount will be cleared as per their policy. It’s a total fraud from their end for not returning the claimed amount. As of now I feel that I just wasted my money by going for that policy. Please help in resolving the issue.

Regards
Subodh Sharma
[protected]

My 71 old father was admitted to the Hospital on grounds of fever, severe persistent hiccups and hyper tension and doctors advised monitoring and tests under medical supervision.The Doctors gave written certificates to prove it.

Yet the E-meditek considers it to be an inappropriate line of treatment and refused reimbursement.

Dear Sir/Madam, I have a valid claim pending Claim No[protected] since July 2014. Nobody from eMeditek has bothered to reply to this till December 2015. Even now, it is to say that the claim has been closed because reply not in original but in photocopy. The originals have been sent to your Gurgaon head office in July 2014 itself. Depsite this being a valid claim, your company has been lax in following up our case. I am a senior citizen and a lifelong employee of SAIL. Needless to say, this is causing me and my family extreme distress. The following are the details of of original complaint. I am also forwading this email to consumer redressals forums across the country: My spouse Thahira Moosa, Min. No. 01404430 was hospitallised from 19/05/2014 to 22/05/2015 due to a lump in the right breast and after tests diagnosed " Benign Breast Lump fibrocystic disease to r/o malignancy. A claim of Rs. 31811/= was submitted and Rs.22232/= was reimbursed. For the follow up action, she was again hospitallised from 07/06/2014 to 12/06/2014 " undergone lump excision and biopsy which is s/o Ca breast insitu patient was planned to WRM "Claim was sent in July 2014 and the number is given above, for Rs. 49215/= This claim is not settled so far . I sent a grievance in this regard on 18/02/2015, ticket number being 59747, but, nothing could be heard from you about the status of the claim. Again, I sent 3 more Emails on 04/03/2015, 15/03/2015 and 06/06/2015. No reply was given till now. Therefore, I am sending this grieavance letter and expecting an early reply. Mohamed Moosa Min. No. 01404429 Rtd. Sr. Manager Bhilai Steel Plant. Ph: [protected] Mail ID : [protected]@gmail.com

Dear Sir,
Policy no...31150/48/14/[protected]...
Policy Holder...
Arunbhai Devjibhai patel
Insurer person...
Darshan Arunbhai Patel
Helth claim dt...23/9/15
Rs...14400
Calim Approved last 30 days but I have not received payment...
I want to knoe that
By Which rule National Insurance co.
Not give my payment????
Plz, Give reply below email
[protected]@gmail.com
Mobile...[protected]...
Thankd
Arun patrl

I am having Jeevan Arogya from LIC for which now Emditek is the TPA I have been operated for ACL surgery with preapproval and cashless from another insurer. for the same claim under this plan, Emeditek is keep raising queries and after all reply they have not send any updates for two months now. I found one the most bogus people, rude and most unprofessional personas. they think all customers are here to make money out of the claim and no claim should be processed. LIC name is getting affected severely due to this idiotic TPA