MDIndia Healthcare Services Complaints & Reviews

Dear sir,
As i am holding mediclaim policy since 6 years. My policy no. Is 212100 / 34 / 09 / 11 / 00000639, insurance company is new india assurance co. Ltd. Ccn: mdi0729027, mdi no. Mdi5 - [protected]. As i had been hospitalised in in apollo hospitals international ltd. Bhat, gandhinagar - gujarat on 3 / 06 / 2010 and discharged on[protected] for sever oesophagitis with lower esophageal mucosol tear, stenosis of gasstroesophageal junction, large, (Sum insured 100000) and 10000 bonus.
The original bill was of rs. 23660 / - which i had actualy paid to the hospital at the time of discharged.
Grievance : (!) tp mdindia h. S. Pvt. Ltd. , had rejected my bill as i had not submitted my original bill due to misplacement it by hospital staff.
(2) i had written them a letter explaining all about misplaced original bill and had submitted the duplicate bill which was issued by the hospital authorities.
(3) i had given many undertakings but after 4 to 5 months period i had been asked for an affidevit for the same. I have immediately submitted an affidevit to md india. After that they had taken 2 more months to get my bill partially passed.
(4) as i have lodged my claim for rs. 23660 / - which was paid for the treatment. Out of the said amount they have passed my bill and have issued me a cheque of rs. 12252 / - only. (Out of rs. 23660 / - ) .
Sir, i being a govt. Official i had paid rs. 23660 / - and the company after such a long period they have not admitted my genuine bill amount. As they have pointed out some points which are not at all accepted for any one. As i had stayed in the superior room as there was very dirty kind of low rate rooms. I was compelled to move to another higher kind of room. For that i am ready to pay the difference charges out of my pocket. Butr on the same ground they have not passed my genuinely paid charges though i am eligible to get the same.
Sir, in short, right from beginning they have harraced me like any thing and ultimately they have partially settled my genuine claim. And also i have to point it out that from beginning they were trying to cancel my claim by hook or croock. It is very very disappointing for such a genuine kind of person who sincerely paying his premium regularly.

In the said context, i wish that you will look into the matter and hope that you make it possible to get my remaining amount cheque at earliest.
Thanking you.

Yours faithfully,

Kiran g vyas
Secto no. 6 - c, plot no. 1065 / 2, gandhinagar - 382006
(M[protected]
(R[protected]

Respected Sir, Date :- 28.08.2010
Sub :-MDI5-[protected] Re-Emrusment File send on 12.07.2010 Till Now No Information Aveleble Near MDIndia
Mrs. Gosavi (MDID No :-MDI5-[protected]) Cliam File Send on 12.07.2010 by Palande Courier to MDINDIA HEALTHCARE SERVICES (TPA) PVT. LTD Pune Branch.after one month Till Now (28.08.2010) No Information Aveleble Near MDIndia .
If Patient ask To MDIndia What is Claim Status ? mdindia employes tell me till now no record avalabel.

Kindly Help Me.

Mrs. Gosavi

Attach PHOTO COPY - PALANDE COURIER PVT. LTD. (RECEPT)

I hold family mediclaim policy of New India insurance since 19 Jan 2003 & there is continuous renewal every year since then till today. MDIndia is the TPA.
I was in hospital from 7th May 10 to 14th May 10 in a Thane hospital in Maharashtra State. I had CABG & AVR operation in 1997. I also had H/T & DM which was not declared.
My attending physician mentioned all these things in the certificate But also mentioned that my illness (low Na in blood) had no relationship with my existing illnesses/diseases. In other words what he meant was even if I DID NOT have H/T & DM, I still could have got this problem. Even with this comment MDIndia had regretted payment of claim. Insurer New India . Co. is not able to convince them. Now I am thinking of approaching Ombudsman & IRDA.
Kiron Sakhardande

My husband underwent angioplasty operation on 17. 02. 2010. We have submitted all the required documents as per rules to the above mentioned tpa for the cashless claim of the expenses incured by us. After several followups till date, we have now received a reply from them that it cannot be reimbursed for not having completed 1 year of policy. As per our understanding a policy is effective immediately once taken up. But now this reply from them is so annoying that such organisations are continuing to cheat people with false promises, and seeing this sort of an services, we'll get another health attack. I expect a sincere effort from the respective office to kindly look into the matter with atmost priority as we have undergone a lot of mental torture during this period. My husband's policy number is 421500 / 48 / 2010 / 251. He underwent angioplasty in columbia asia - yeshwanthpur. He is 40 yrs with no preexisiting diesease. This was a sudden attack & a very very shocking news for the family.

I once again request an early positive response from the respective office & kindly to see that this office does'nt repeat the same with any other claims.

Thanking you,

With due ragards, I have my mediclaim in your Company with name RAM BHAROS JHA, having MIN No. 4717685.
I am not satisfied with the repudaition information regarding the closing of my claim.

My grivances are as follows:-

If somehow i lost my original ADR of Rs. 50,000 and Rs.8700 during my treatment then why duplicate receipts cannot be accepted? You can authenticate the duplicate receipts from the Hospital.
I submitted the duplicate ADR duly certified by the supretendent of the APOLLO - Ranchi Hospital. I do not understood as to on what grounds you have closed my claim. Before closing my claim, i have not received any information from the Company after Nov. 27, 2009 (the date on which i submitted the ADR Copy).
Hence, I request you to address the above grievances as early as possible. I am furnishing my information and also sending hard copy of your repudated claim information along with this application.

Yours Faithfully
Name - RAM BHAROS JHA
MDIN - 4717685
CCN - MDI0504013
Address:- Vill- Dularpur
Post - Mokarampur
Via - Pandaul
Distt - Darbhanga
BIHAR
Contact No. [protected]
[protected]



The above are the text of application submitted to Bokaro (Jharkhand) Branch of MDIndia Healthcare services (TPA) Pvt. Ltd. on March 8, 2010. The Scaned copy of the same is attached herein. However, no response is received from the company till date. Pls. do the needful.