Family Health Plan [FHPL] Complaints & Reviews

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...

They are not worth to help and very poor service over phone or email. No quick response. A person will suffer a lot if he will go through any claim process.

Dear Sir
We have submitted all original documents at Hyderabad office. Claim ID 3026569. The data entry in their system is wrong. The name of the Hospital entered wrong. Called more than 10 times and sent mail almost 7 times to correct the data. No action from their side. No minimum curtsey to inform the status by mail/sms. Very bad experience. Expecting some needful after this complaint. Thanks

This company is cheater, after claim they forget to customer and they will behave like who are you? I Experienced, and not received the claim amount after providing bill.

Mediclaim amount for claim id 2827888 V Ilaiyan didn’t credit in my account till date. But i got mail regarding this claim that your claim has been settled. At the time of sending original documents i have attached cheque leaf of ICICI VELACHERY BRANCH CHENNAI. But now i have changed my account to Kumaravelur branch ICIC0006080. Account number:[protected].
Regarding this same issue i have taken call in toll free and also wrote a mail to [protected]@fhpl.com. But no one give response to my mail.

My claim id [protected] in the month of december till date not settled.
And i am facing worst experience with the fhpl employees like mr ravi [protected], mr prasanth reddy [protected], none of them are not taking responsibility. Its almost 8 months over and still they are not providing the exact reason for the delay in settling the claim id.

I have provided documents since one month but till now there is no update on settlement of claims. Whenevr i called the team, they sometimes put the call on hold and did not responded and sometime give 48 hrs time but no response further. There is no solution to the queries and no tat for the settlemnt of claims.

My name is deepak xavey n working in kerala water authority.. I have been admitted to the jubilee hospital trivandrum at 5/9/2020 due to uti which causes high fever.. I have submitted an insurance claim.. But it was rejected without any mercy.. Please take necessary steps.. My kwa id is (17133)

We have already submitted all pending documents against query raised but not settlement done yet why.

Dear sir,

Claimed medical bills as details furnished below:

Sl. Claim id claim date claim amt. (₹)
1. 2675631/1 19.11.2019 4391.00
2. 2865813/1 19/05/3020 1329.00
3. 2756597/1 21/01/2020 1776.00
4. 2869486/1 24/05/2020.929.00
5. 2880442/1 06/06/3020 4722.00
Total -. 13, 147.00

Please arrange to scrutiny the above bills and settle the case at an early date.

Sir, on 2010 December I purchased a Bajaj discover (100cc) from purulia town under your finance. But after some day your agent leave his job after my full recovery of finance. Unfortunately i forgot to take the noc from that guy. So please provide my noc as early as possible. My name is subrata Deshmukh. Contact no is [protected] or [protected]. I repaid my loan through my ubi account[protected], United bank of India arsha branch. My email id is subrata. [protected]@gmail.com. My address is village and post Rangamati, Ps arsha, District purulia westbengal pin 723201.

Dear sir / madam,

I have applied for rebersement for my spouse from feb 2020 till now it is not resolved and no response for my claim. Claim id no 2781135 i have shared all the required details to fhpl and pad team. But setlement of claim not done. Policy no [protected]p[protected]. Pls do the needful.

Claim id - 2709853. The claim limit is rs.5 lacs. I had undergone surgery for sleep apnea in first week on dec'19. I had raised claim for rs.292976 with insurance company by mid dec'19 with all the medical & hospital bills. Firstly they settled the payment with delay of more than 2 months and secondly they have deducted approx. Rs.66500 towards (Rs.57500/- not payable septoplasty charges; rs.9000/- not payable coblator charges;) and settled only rs, 224558. This information was never available to me. This is not acceptable. The balance deducted amount needs to be paid as this was not a cosmetic surgery and even if multiple surgeries were performed, it was done in one go. Please help.

Hi,

I have a medical insurance cover from fhpl (Fhpl.net) through my company. My daughter went under surgery in august and was discharged from the hospital on 28th of august. I submitted all the documents within one month. As per the company rules, all claims have to be submitted within one month of discharge. Despite doing so my claim may rejected and the reason given was "delay submission". After lots of follow up and contact with my hr and concerned team - they said that its under processing. And waiting for payment. But its complete one month still not process

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...

Hello fhpl,

Insurance company: united india insurance

Claim id: 2437616/1

I have applied for this claim but your team is rejecting this claim with too silly reasons and with different reasons everytime.
1st time - caused due to dental treatment
As a result i have enclosed a letter by doctor stating it was not due to dental reasons.
2nd time - medication for that claimed disease is not enclosed.
As a result submitted the medication given by the doctor once again even though already given.
3rd time - again states dental reason.
4th time - again states no medication even after doctor states medication is required.
Do you think playing with customer like this is proper??

Please resolve this issue, get back to me for more details.
Please check the mails fhpl has sent me and the mail chain it ran.
I would surely take this matter legally if not resolved asap.

Please do the needful.

Full cap of the insurance is not given even after fight with the bangalore fhpl insurance department and the rangadore memorial hospital, both are blaming each other and not ready to approve the full amount.
Gave torture to get discharge and waited for long time, below are the people who is responsible for the issues which they created. Didn't gave the proper reason for not giving full claim. Very much irritated with the fhpl which they have behaved with us.
There was a no co-pay for this plan
Note : none of the medicine was covered under the claims, each and every item was asked to get from the outside pharmacy.

Fhpl person : santhosh - [protected], dr sowmya
Rangadore memorial hospital insurance person : padma, jagganath

Dear Sir/Madam,

Many time we will contact to the customer care regarding this claim, and all time they misguide me. continue one month they misguide us regarding claim. I had clarify all the details on mail but they could not guide any of the time.They try to west my time only and try to cover up this march claim only.

With reference to your request for providing doctor's prescription for hospital admission dated[protected], I would like to reiterate that the patient Mr. Subhas Chandra Ganguly was shifted from Relife Nursing Home to Institute of Neurosciences Kolkata (INK) on[protected]. The arrangement was made on emergency basis as patient needed specialised care and the kind of ailments he was having could be best handled in INK, being a reputed hospital for curing neurological disorders. We therefore made the necessary arrangements as soon as possible and got him transferred so that his condition could be improved on urgent basis. Also, Doctor's prescription dated[protected] was already attached and sent on mail dated[protected]. The perscription was issued by Dr. Kausik Datta, the doctor visiting the patient while he was in Relife Nursing Home.

Furthermore, all the required details have already been shared in the chain mail. Why is it that additional prescription for hospitalisation is required? Are the details already provided not enough? We have provided everything including prespcriptions and discharge certificates which should hold good for claiming the expenses. Please check and recheck all the details already provided and process the claim. I would be expecting no further queries in the process.

Kindly look into the matter on priority basis.

I had submitted all the documents in the month of may 2018 but still this insurance company saying that there is not any medicliam under my name.
I follow up on emalis but still they are not providing any inputs.
What actual process they are following i don't understand.
Is there any one who gets their claim by national insurance company ltd.
Please let me know how can i get my claim.

I have undergone surgery and submitted for claim but its been rejected giving wrong reasons. I had a severe head ache from past few months it was unbearable, i showed to many doctors but no medicines could cure my head ache later when i did scanning there was deviated nasal septum with spur development to the left which is the main reason for my head ache and other terrible problems. Later i took 2nd opinion from many other doctors because i personally very much scared of surgery. But there was no other go, i have to agree and under go surgery to get my head ache cured. Even though i had cashless in other hospitals but the estimation amount was quite more, i did paid the amount in 1 of the hospital where i got comparably less price and did surgery. But i see now i am being cheated by fhpl by giving wrong reasons and rejecteing my claim, i see there is no value for good deeds, with out doing proper investigation they are saying that its a cosmetic surgery. There is not even a 0.1% cosmetic treatment here, fhpl should do there work properly, go to hospital and check with my surgeon and show reports to other geniune doctors and i can also provide before and after pics of mine. I will never suggest fhpl to anyone. Kindly help