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Family Health Plan [FHPL] Complaints & Reviews

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Updated: Mar 15, 2024
Complaints 115
Resolved
13
Unresolved
102
So far, so good. Family Health Plan [FHPL] is working on building a stronger response system and taking steps to address most of the complaints. While there's room for growth, their efforts show a positive trend in customer support. We hope Family Health Plan [FHPL] will keep up the work and continue to help more customers with their concerns even better 🤝
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Family Health Plan [FHPL]

Family Health Plan [FHPL] reviews & complaints(115)

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N
nirupamdutta
from Kolkata, West Bengal
Mar 15, 2024
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Claim settlement

Address: Hyderabad

I was admitted in hospital on 22.05.2023 for hip replacement surgery and released on 27.05.2023.
As per insurance clause I have send hard copy of all original documents through courier on 26.09.2023 and acknowledge by TPA(FHPL) on 28.09.2023.
First they have rejected all by documents, later I understand that they entered wrong input.
After several mail communication they apologize their mistake, and correct the entry,...
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Indhumathi Murugesan
Jan 18, 2024
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Delay in providing details for claiming secondary insurance

Claim ID - [protected]
UHID No - NIC44463350

I admitted in a hospital for deivery with cashless insurance which covers 80% of my hospital bills. I have a secondary insurance to which I have to provide all the details and claim the remaining bill. For that purpose they wanted few details from the primary insurance company.

I sent first request mail on Dec 17, 2023 and have sent more than 10 reminders after...
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S
SUJEET KUMAR
from Delhi, Delhi
Dec 31, 2023
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Claim rejected

I have claimed reimbursement of my spouse for the treatment of "RE;MICS+IOL UNDER GVP UNDER MONITORING DONE" amounting to rs. 46732/-. After submitting all the relevant documents, query by the health insurance company for submission of cancel cheque for reimbursement. After submission of cancel cheque, health insurance company has rejected my claim by mentioning reason "Valid claim [protected]-1 generated under top up, Hence claim is rejected"br...
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A
Amrutha Ganesh
Jun 11, 2023
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Regarding approval of claim

The hospital has provided necessary documents for approval but the fhpl insurance company is not responding, and the customer care pple are also not replying properly. V hv been waiting at the hospital for claim since 12 noon and till now they've not approved it. Fhpl is the worst insurance company. The preauth person of banglore has switched off his phn. Is this the way u treat...
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A
Amar_digha
from Patna, Bihar
Oct 30, 2022
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Claim not settled/delayed

Address: Patna Ghaziabad

Very unprofessional approach, confirming through video call having chat with patient and checking patient id band and medicine stock at the time of discharge. Breaching patient privacy. Company is not paying and settling the pre-post hospitalisation bill. The details of corporate employee policy no. policy no. [protected]-02 and unsettled claims are mention below along of bills claim id.

1. CLAIM (ONE) for Pre & Post Hospitalisation...
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Pramod M Budavi
Oct 12, 2022
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Service

For reimbursement support i have called multiple time on their otll free number but it is showing always as busy what to do...
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S
Shubheshsharma
from Pune, Maharashtra
May 25, 2022
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Cataract surgery cashless approval

I want to have cataract surgery done for my father. We contacted ASG eye hospital in Jaipur which is one of the network hospital. We were told at TPA desk there that they do not entertain cashless as New India assurance is a government company and they entertain cashless for private insurance companies only as there are some issues/talks going on with government insurance companies. I have also applied for cashless pre authorization on FHPL...
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S
S.MAHENDRA PRABU Appu
Apr 24, 2022
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Delay in insurance claim against policy no 355000502110001815_ Emp. Id 161928_UHID # NIC43473082_Claim ID_21091600292

I would like to express my disappointment with the unsatisfactory
level of service.
I submitted a claim on August 16, 2021, but to this date, I have not
received my claim amount. I have submitted all the medical documents
twice and escalated them several times to the Grievance cell at
[protected]@fhpl.net and Shivakumar M, Sanjay Kumar Srivastava, [protected]@fhpl.com, claims, Rakesh Kumar, Lavanya M, Ramalinga,...
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K
krishna putta
Feb 15, 2022
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FHPL Asking same reports after submitting the originals

Address: Viman Nagar Pune

ClaimNo 3651133/1

Hello,

I am Krishna Putta, My wife underwent a surgery and later I have submitted all original required supporting documents/reports to claim the procedure expense. After submitting all the originals, Viman nagar Pune FHPL team reviewed and they set the status IR pending, again they are asking the original documents/reports. FHPL intent is to reject the claim but I never give up till I succeed...
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R
Rudhvi
from Chennai, Tamil Nadu
Sep 25, 2021
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Maternity coverage policy

I have requested for maternity coverage for my delivery. But the claim was rejected considering as it's 3rd pregnancy. 1st - miscarriage happened during 1st trimister on 2014 and this was considered as baby born and claim has rejected and 2nd delivery happened on 2016 and 3rd delivery 2021.

I wasn't not utilized maternity insurance and but claim was rejected considering 3rd kids but given baby birth only 2. I'm applying only...
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A
Ashok Raj gandhi
Aug 20, 2021
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Non settlement claims and not provided the information (Claim id : 3429501)

With your reference of grievance stated its has claim id 3429501 was under process and did not respond properly by concern FHPL TPA at the early stage.

At present the concern authority from FHPL TPA had contacted me and discuss the settlement details and then he had shared the Claim settlement voucher through via Email and assured be send the payment details after issued by SBI insurer

We request to disposal...
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S
Sangi1994
Aug 12, 2021
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Claim no 1546846

CLAIM ID. - 1546846
Policy no - [protected]-01
Member id - SBIG.[protected]
PF ID -1260197

This is to inform you that my father Mr. Hemanta Kumar Chattopadhyay applied for cashless facility as we were not prepared for DSA. ( ANGIOGRAM) which is not an investigation, it's a mandatory requirement for him as per MRI report.
He was supposed to get admitted at FORTIS HOSPITAL, BANNERGHATTA by today...
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S
Srinivasaramesh Ramesh
Aug 5, 2021
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Delay claim process

Address: LG ELECTRONICS PVT.LTD

My claim was submitted in 13th july 2021 they told 15 working days will settle till date i am contacted call center more than 20 mints not connecting get disconnect also sending mails but getting reply standard format within 2 working days will revert and sending ticket number but after that no response very worst claims processing by fhpl team
uhid nic 19812190
intimation id 1070493...
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K
K V Nagasharan
Jul 30, 2021
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Claim Id is not generated for the documents submitted

Claim Id is not generated
Hi Sir,

Please note i have submitted the claim documents for Akhila S ( UHID - Q[protected], Newborn Baby Male B/o Akhila T I(UHID - Q[protected], Newborn Baby Male B/o Akhila T II (UHID - Q[protected] .

I have submitted the respective documents for Newborn Baby Male B/o Akhila T I(UHID - Q[protected], Newborn Baby Male B/o Akhila T II (UHID - Q[protected] for PARTIAL...
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B
Baleandra Tiwari
from Gurgaon, Haryana
Jun 26, 2021
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Maternity RELATED COMPLICATION COVER

Address: JMD APARTMENT RAJPUR KHURD VILLAGE CHATTARPUR NEAR SBI Bank Ltd

Dear Team
Vary bad experience with you customer care ...there is no response from your team.. nobody pick the call

My question is that. My wife going C.section with uterus removals /due to placenta accreta...

No problem is that how much amount is cover under my policy...pls arrange call back..[protected]...
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V
Vicks79
Apr 25, 2021
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Claim Reimbursement Issue

Address: Teleperformance

I submitted all my claim documents on dated 1st April and it's almost 25 days I haven't received any confirmation regarding my reimbursement despite of my claim passed . Please let me know how much time it takes.

Overall[protected] employees in my company have FHPL insurance, if this kind of services you people have to provide to your customers after charging mediclaim fee on monthly basis. I will complaint to my organisation...
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B
Bharat Laxmanbhai daraji
Apr 4, 2021
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Reimbursement for medical expenses on PRIORITY basis

Dear sir,
My name is Bharat Laxmanbhai daraji.
My claim id : 3144621
It is to inform you that my father has undergone medical treatement in Shree Krishana Hospital karamsad. He was admitted there from[protected] to[protected]. Hospital has filed online cashless claim but it was rejected due to erroneous reporting by hospital in claim report. During Treatment DR.SHIVANI PATEL has erroneous mentioned that the patient...
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S
Shruti phani
from Noida, Uttar Pradesh
Jan 15, 2021
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No response to my claim status query

Hi,

I have an open claim for my father's cataract operation. I had raised a claim in November 2020. Thereafter I have not been able to get through to the customer care except once.
I couriered the original documents and I am not sure what is the status. This was a part of a corporate plan with Msci but I am not employed with the company anymore.

I have provided my updated correspondence email address...
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K
Karthikganesh Shanmuganandam
Jan 28, 2020
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waiting for more than 2 hours to get approval amount

Hi,

My employee i'd is emp2342. Admitted my father in first med apollo hospitals madurai for treatment
Waiting for approval for more than 2 hours. Informing at least minutes to wait for 2 more hours

Please take necessary action and come back to us quickly so that i can make arrangements to discharge my father from hospital

Thanks in advance
Karthik...
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V
Varsha1986
from Siliguri, West Bengal
Apr 21, 2017
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Reimbursement process

Address: Khordha, Odisha, 751015

What a cheap and ridiculous company fhpl is. No service, no commitment nothing. Only having one passion how to cheat customers at that difficult time when customer was physically, mentally and most importantly financly got very weak.
I was admitted in hospital for more than 20 days due to an accident and for this my total bill is about 184000 out of which 26000 was deducted by cheap fhpl
About asking the same got revert that...
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