Family Health Plan [FHPL] Complaints & Reviews

I am Gagandeep Singh employed with HDFC Bank Ltd. & is enrolled with FHPL from last 5 years. I have submitted all original documents for reimbursement but they are marking unnecessary queries. I have provided them the details of admission & discharge on letterhead of the hospital along with stamp & signatures of the doctor & have even summarised everything on letterhead. I have even marked mail to them that please laise with the hospital...

I am prasang khare from hdfc bank and my id is p11193 and i want to know about my claim limit as my mother is getting admitted/operated and i am been calling fhpl from last 5 hours but customer complaint number is not reachable. How can they entertain customers in need when their phone line doesnt work and their employees mobile number in indore gets responded with "busy in driving" or "on leave". This definetely seems to be a reason to go on social media and report the irresponsible behaviour. Hope somebody responsible will call and solve my query asap on [protected].

Cpd (Lscs). My claim i'd 2058851/1
Uhid no.17374821
Patient name-kruti keyur shekhat. Claim submitted at fhpl ahmedabad. I have already submitted query reply. As per query requirement of discharged summary of hospital format but this is taluka level hospital, no available discharged summary. I have also submitted discharge summary on hospital letterhead with treating doctor signed and stamped. Please consider it and process further.

Am pushparaj working in aptus value housing finance india limited my employee code is 1434. I have an health insurance to your company and my uhid no is nic [protected]. I want to claim my wife delivery charges already i sent all papers on 21/05/2018. But still am not get my claim amount i have to lot of time call ur customer care they are told the process goin on surely it will be claimed after 10 days but still am not get my claim.. My claim id is 1981527. I requested u to take an action about my query..

Respected sir/mdm,
Myself amitsingh bopche from gondia, maharashtra. I made health insurance policy of bharti axa on 17 august 2017. My policy no. Is ihs/q0103266/2c/08. I was admitted in hospital for the operation of cholecystitis from 20.06.18 to 26.06.18. I had send all the hospital, investigation and medical bills along with doctor prescriptions, discharge card and other required documents mentioned in the claim form through postal department by speed post (No. Em[protected]in & em[protected]in) on 11.07.2018. According to the report of postal department it is delivered on 17.07.2018 on the address of family health plan insurance tpa ltd, srinalaya - cyber spazio, suite # 101, 102, 109, 110, ground floor, road no. 2 banjara hills, hyderabad - 500034.
After delivery i made so many calls to fhpl hyderabad for my reimbursement but they told that they have not received the documents. I had given them the the postal department's delivery report every time but every time your representatives mr. Prashant, mr. Mallikarjun, mr. Ishwar and others are continuously saying that we will let you no. But no response upto now.
So i am requesting you to solve my problem immediately otherwise i have to go through legal way for my reimbursement.
Yours faithfully
Amitsingh yadao bopche
Contact-[protected], [protected]

I had been through an ovarian cystectomy at a top hospital, once i got discharged submitted all the documents related to the same immediately, after 2-3 months of me following up with them i get a response saying its fertility issue. I had a claim of just 35, 000. My doctor was surprised how could they say its fertility issue? Please help me to pass on this message not to go for family health plan insurance (Fhpl). It’s completely fake, doesn’t respond to calls or mails even after we paying for the insurance every month. No one should suffer like this.

Mediclaim bill submitted on 11/4/2018 for domiciliary treatment of arthritis/thyroad and hypertention which require prolonged treatment on continuous basis for unlimited period till death.in this respect the original prescriptions are very essential and no doctor will entertain without original prescriptions. Hence, finding no other means i had verified with the original and submitted to the fhplltd for reimbursement of the bill but the bills are pending for a long time for want of original prescriptions. I am a retired person and had served more than 34 years of banking service yet they do not allow and thinking it is a false disease. Hence, it s remedy?

Hi sir,

Claim i'd: 701452

I am r. Amirthabalan, claim for my wife delivery expenses. Treatment taken in srmc porur, chennai. She delivered twin girl babies, but in hospital they threatening for life to my wife about she is sick need to do dialysis. So we discharge early from hospital, they given the report as discharge against medical advice.

Then i am applied for insurance with in my hand all original medical bills and receipts. Now the claim is pending for consolidate documents. I am checked with hospital also, they not produce like that.

So please help and do the needful.

I am policy holder (1023942c06) of bharti axa which tpa is fhpl. On 20 feb 2018 i take patient (My daughter) which had only cough problem in fhpl network (Metro hospital, palam vihar, gurgaon). Hospital take my medical e-card and 10000 security fees and admit her in hospital. But now after treatment and time of discharge fhpl is denied for cashless claim... Fhpl had just time pass for 58 hours on telephonic discussion about documentation requirement from hospital. Hospital and me provide all documents even fhpl executive visited in hospital two times and collect all information. But at the time of discharging fhpl denied for claim. And give excuse that this treatment is not cover in policy. So i want to know that if this treatment is not covered in policy. Then why hospital and fhpl start treatment. I think it is a scam between tpa and hospital which are making fool to public and earning money.

Public should know that hospital make bill of 25000 in only 2 days for treatment for cough. And now hospital is not returning my security deposit 10000 even asking for 25000... So request you to please help me to recover this claim and be aware this type of company (Fhpl).. Thanks

Fhpl rejected my account claim saying that i have been submitted duplicate copies of invoices for my medical bills. They are behaving like i have been submitted fake documents. To get a confirmation for them i have contacted apollo where i took medicines and asked them for the original copy of invoice. They have stamped and signed on those medical bills. Even though fhpl rejected my claim. Such a pathetic behavior from these people. I need justice for my claim.

I have policy for rs.200000.00 from 01.05.2016 to 31.05.2017. I fall ill while i was at bangalore and mysuru. I received treatment from apollo hospital through o. P. D. And incurred an expense of rs.9019.75p (Rupees nine thousand nineteen and seventy five paise only. I submitted all documents along with the claim form filled in through my pension receiving state bank of india branch, badasankha, puri, odisha with due recommondation from the branch manager. Since than i contacted the insurance company through toll free no.[protected] to fhpl. They replied that my claim has been rejected for reason unknown to me. Ihave also requested to return the documents to me through state bank of india, badasankha, puri branch in my favor. Therefore please return the above mentioned medical documents at ana earlier

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...

Dear Team
This is Suresh employee of Exide Life, my employee code 67782, i got gruop medi claim policy with you, i gave name change request from Banu to Banu Begum on 22nd of march through my personal mail id (suresh.[protected]@gmail.com), but not yet get any response from your end, i need to admit my mother in law hospital, because of this issue, i am waiting, kindly do the needful.
Uhid no: NIC.15314063
Regards
A.Suresh
Cell [protected].

Claim no.1237567 & 1258283.
This claim is pending since November 2016.Shame on FHPL.
Sending repeated same mails again and again without taking any information from fhpl customer care.There is no communication between fhpl document team & customer care.
As per discussion with customer care executive i sent all documents to fhpl.Few documents which fhpl required that documents already taken by fhpl representative from doctor who came for documents verification and same documents doctor is not giving again and again if these documents not reached to you then this is not my mistake for that you need to ask to your representative who came for documents verification may be the chances he has missed documents somewhere else.
FHPL is third class company.
Kindly take strict action against fhpl.

I am an SBI retired employee, my P F Index no. is 248592 and Policy No. is [protected]P[protected]. Please refer my Claim Id no. 1287999 which was paid for Rs.2, 060/- against bill amount Rs.3, 914/- without showing any reason. On making queries 3 times, the dealing official seated at SBI, Zonal Office, Jeevan Sudha Bldg. Kolkata showed me the file containing the disputed bill. It was observed that the two staple pins were removed from the bill and four money receipts/cash memos were missing. The official argued that those documents were not attached. I have shown the photo-copies of the entire bill where copies were available but not given any importance. If this was so that I did not attach the documents though written in the bill, this should have been pointed out to me before removing the staple pins and before reducing the amount by Rs.1, 854/-, which was not done. The attending official continued to argue that they have no fault and hence no liability.
Can you please tell me who is responsible for removing the staple pins without matching the documents at your office not advising the insured beforehand?

May I seek proper judgement and get payment of the left out amount of Rs.1, 854/- ?
I can submit photo-copies of the missing documents if necessary and called for.

I solicit your kind co-operation in the matter.

Dhipal Rudra Sharma

Hi sir,
I admit my wife in muskan nurshing home @ moradabad in 23 january 2017. doctor is writing medicines from outside and he is saying cough is not covered in delivering time. i have fhpl also this hospital already take 42000 rs by your side. its totally fraud. please handil this. uhid is nic.16333222. all staff of hospital is wanted money. also behavior of all the hospital staff is not satisfactory.
My cell number [protected]. please reimburse my cough bill, dyper bill.

Sir, i mr chityala venkatesham nayaran employee of gsk my employee number is 50156884 my claim ID number is 1240786 my claim intimation number is 207846 Sir unnecessarily i am being made a victim and it is not in my hand to take the the type of treatment which you require it is the responsibility of doctor to give injectibles or not it should be doctor's decision now please sanction my hospitalisation bill otherwise i have to complaint to gsk HR manager or to the consumer forum authority thanks and please give me reply

My dad is covered under a scheme in the fhpl. He was supposed to be discharged on he 17th december, 2016. But because of your pathetic customer service he has to stay at the hospital for longer.

From morning 11 o clock i've been trying to get the initial approval from your concerned department and the same is still pending.

So the billing approval is pending as well.

We have always pond the premium on time and in time of need your company finds every possible way to trouble the clients.

I'm very very disappointed in your service. I regret taking an insurance under your name.

Claim id-1158810/1. My husband, Sakaleo prasad expired on 29th June 16.His medical insurance was covered under sbi pensioners scheme with Family health plan Ltd. We provided all documents including as per their query letter dt 22nd Aug 16.Now they are asking Noc from legal heirs notarised. medical insurance is covered for retired employees and spouse both in SBI after retirement & spouse would be nominee & asking documents in piecemeal is incorrect.I am already getting family pension. Unfortunately despite giving all documents I am being harassed as already i lost my husband.pl do justice with me as I can't afford to provide them more documents now.
Thanks. Raj kumari devi

Claim i. D. No. 1140005/1 & 1140001/1
Uhid no.15113829 & 15113830
Patient name achintya chandra verma & vibha verma
Claim date.30/07/2016
Claim amount rs.1104/- & rs.1525/-
After making query about the status of my bill it shows against uhid no.15113829 under process, where as against uhid no. 15113830 it is query pending.
You are requested to make payment of both bills as i have already submitted the original cancelled cheque and all other relevant papers required by you.
Hoping and expecting your early action will be great favour to me.
Thanking you.