MDIndia Healthcare Services Complaints & Reviews

Claim submitted on 15.02.2017 for rs20263/. Additional details like initial case papers /first consultation/indoor case papers/patient's health history were called on during may 2017. The hospital by name rana hospital, located at salai road tiruchirappalli tamil nadu is a reputed one and is existence for more than four decades. Since it is not a corporate type of hospital there is no separate department to look after insurance claims. I met the doctor (After waiting for six hours) and requested him to arrange for furnishing the details called for by md india. The doctor expressed his inability to part with the details called for as the discharge summary contain all the details. He is also not willing to give such inability in writing. I have sent a detailed mail to md india on 19.05.2017 in this regard. As requested by one of the staff of md india i have authorised md india to obtain the required particulars directly from the hospital. Till date i have not received sanction. I hope you will visualise the plight of a senior citizen

Claim number: 3191878. We have been continuously follow up from last 1.5 for reimbursement till date we have received settlement. We have sent supporting documents 4-5 times via courier and whatsapp number. One time they replied docs. Received and after 3-4 days second person said we have not received documents. This is like office - office. Every time we spoke with different person and they had given different status.. This is very bad service what i have faced. For deduction also we have supporting docs 4-5 times still somtimes one person said received and our team is wirking on and after sometime called different person said docs not received. Its a fradulent.. We have given complaint 3-4 times for reimbursement still complaints are not resolved. No one from mdindia is found to be serious about peoples feelings...

It is stated that late shri som nath sharma was having insurance policy of the oriental insurance company ltd issued by you vide no. 231102/48/2016/769, md15-[protected]. The risk date of policy was from 1.1.2016 to 31.12.2016. He got treatment at various hospitals i. E. Government hospital, una (H. P.), pgi, chandigarh and oswal medical hospital, ludhiana. Ultimately, he died. I submitted the bills for rs. 2415/- of government hospital, una (H. P.), bills for rs. 6863/- of pgi, chandigarh and bills of rs. 1, 59, 279/- oswal medical hospital, ludhiana (Total bills of rs. 1, 68, 557/-) at the office of punjab health system corporation vide diary no. 432 dated 27.2.2017. The reimbursed amount was claimed by her wife sheela devi. But till today nothing has been heard from your side. I request you to please expedite the process of reimbursement of bills so that mrs. Sheela devi w/o late shri som nath sharma could get the money incurred by her on treatment of her late husband.

I am a retired employee of Indian Overseas Bank. My card No.MDI5-[protected]. Spouse name Balijepalli Sudharani (DOB:18.09.1959) is omitted in my health insurance policy o[censored]nited India Insurance Company agreement with Indian Banks Association. The same is repeatedly brought to the notice of our bank and your office at Chennai. Kindly do the needful. Thanking you.

Have a baroda health policy
Renewed pol no 603901/50/16/10004209.
Also had previous policy. Since january2016 we have not received id cards from tpa (Md india).

I am continuously following up for the same.

When i enquired. Finally they dargged it for 15 days to confirm on enrollment.
Again i requested for cards now they are asking for photo of proposer.
(That too should be submitted to nearest md india office. Cant be submitted online)
Since inception why were they quiet
Isn't it duty of tpa to provide card.
I am worried how many of the customers are suffering for the negligence by tpa in this way.

It took 20 days. But not yet resolved.
What kind of service is this. Is there not tat for tpa to issue id cards?.

Your immediate action is highly appreciated

It has been nearly 2 months where reimbursement mediclaim has been sent to the MD India however there are only false promises given that the Amount will be credited within 7 days.This is a repetitive response given by the call center & where asked for a senior person to speak with the call is just disconnected saying the senior person is not available .Very pathetic customer service !!!

One year back my father was admitted for heart surgery in heart care centre Vijayawada . Iam having corporate policy policy I'd is MD15-[protected] we paid the bill by our money through liquid cash after few months we subtimmted for claiming total bill amount is 180000 but company persons are not responding for my calls also in Hyderabad branch iam daily making calls to the company persons but they are not attending the calls nf one more thing is we narrowed the money from local money lender in emergency basis nd we r paying intrest for that plz rectify the problem

My policy No.620701/34/15/[protected]. In this policy I am getting SMSes
from MD India about the submission of cashless scheme and settlements. But the SMSes do not contain the nature of queries raised by you with the hospital and also the sum (amount) involved. I suggest that your SMSes should contain these details for the benefit of the insurer as these corporate hospitals do not properly interact with the patients either on the billing or the necessity of certain tests. In fact they simply take signatures of attendants and proceed with the treatment of the patient without informing the expenses involved from time to time i.e without bothering about their capacity to bear the same. Also the various charges are not displayed in any prominent place for the benefit / information of patients. The attendants sign all papers in emergency (having no time for application of mind at that time) and the same are taken as a cover by the hospitals should there be any questions. This is what I found here. In my above mentioned policy neither the hospital nor MD India informed me the amounts/queries involved between the hospital and MD India. You may take cover on some pretext or the other. The attendants of the patients are normally under stress and may omit to enquire. But as a matter of caution you should disclose these particulars too. In my case the mere ignorance of the pattern of charges linking to the category of the bed cost me about Rs.41, 000/- As against the bill of the hospital for about Rs.60, 00/- You allowed about Rs.19000/- . You can imagine the value of the amount lost for a senior citizen. The Banks send smses to its customers, from to time, not to disclose the PIN / Pass words etc. as a matter of precaution. Similarly, you should disclose in the sms these important details too. Otherwise what purpose the SMS will serve? I am going to write separately on this to you as well as the Insurance Company. Meanwhile, pl. ponder over this and implement my suggestion/ address the complaint...K B Rama Murthy

My MD ID - MDI5 [protected]
Claim Amount : Rs. 39, 982.45
Sent by Regd.Post by SGPGIMS (Hospital), Lucknow (U.P.)
Recd. at your end on[protected].
Several E Mails (about 10) sent.
Several telephonic calls (not less than 25) made.
Always assured to get the same resolved.
Nothing so far been informed
Requesting for early settlement.
-Shiv Shankar Thakur

Payment Claim under MDI3060637 for rupees1558 patient Puja Gupta.ID number MD15-[protected] .Your refrence message dated 10/02/2017 on mobihttps://www.consumercomplaints.in/new_complaint/le[protected] .


We have already submitted ECS Form nd cancelled cheque with claim forms.Please check at yr end.MY sb account number [protected] IFSC CODE IOBA 0000455 INDIAN OVERSEAS BANK.Our other claims are also pending at yr side pl verify at yr end and make the reimbursement at yr earliest.
We have not recd our id cards.
PUJA GUPTA
RAJENDRA PRASAD
MD15-[protected]
[protected]

Dear Sir/Madam
This is in continuation to my telephonic talk with your personnel on 2nd Feb 2017.
On 19.01.2017, I submitted the Domicilary Claim for along with Doctor's Certificate cum Prescription and the Pharmacy Bill for Nov 2016 and Dec 2016 for amounts Rs. 6717.50 and Rs. 6591.00 respectively to your Help Desk provided at Indian Overseas Bank, Central Office, 762 Anna Salai, Chennai-600 002. During the time of submission the ECS and a Blank Sample Cheque bearing # 780601, IFS Code: IOBA0001592 and the MICR Code:[protected].
I learnt from your good office, stating that the ECS and the Sample Cheque which was submitted is not available.
Kindly arrange to locate the same and process the Claim and settle the same at the earliest and oblige.
N Kalyanasundaram.

I received sms saying that my domiciliary bill approved for Rs.8735/- but other docs to be submitted like bank details and ecs details.I submitted all required docs alongwith cancelled cheque.But when I contacted MD India again they are requesting for same set of docs. Why this? are you not updating ur records?This is after two weeks I am getting this request.Very Very bad of a company which boasts of internaational service. Pl credit the amount to my account immtlyas I require money to purchase my monthly medicines.The service is very bad.
with regards,
h s seetharam
bengaluru

Please refer to your message to my mobile No. o[protected] regarding the above mentioned claim. I have to advise that CMC Hospitals, Vellore will not allow patients to carry original prescriptions (Medicines) and will be collected at the Medicine Dispensing counter. Hence I have submitted xerox copy of the prescription duly advising the fact on the face of it duly signed by me. Regarding the tests all tests are on line and there will not be any prescription for the same. All other details are submitted by me. Please consider the above facts and sanction my bill.

Sir,

Me satish s bhanse, addl. Exe. Engineer, cstps, bearing sap id 101864, wants to highlight the issue of lacona in md india mediclaim services.

I am the direct victim of the situation, my wife mrs. Chetna satish bhanse, had undergone the cataract surgery on 16/12/16 at evista eye carecentre nagpur. The request and intimation was given to md india for cashless on 13/12/2016 and they release the initial approval of rs. 16000/-. On having talk in between md india and the hospital it was considered that final release of payment will be done on submission of discahrge summary and hospital bill, and accordingly, final bill of rs.45000/- was claimed by the hospital followed by eye surgery on 16/12/16.

Now the hospital has records that mahagenco employee for same surgery got sanctioned with 32700/-amount in all the previous cases, so hospital advised me to deposite difference amount and took the patient home. Also prior to surgery 15 days back, ihad long talks with md india chandrapur nodal mr. Dange, and sr. Manager mr. Pramod, in which i clarified every query regarding, and that time they too admit that in your case 32700/- will be approved, with this consent i approach to hospital and choose the package of 45000/-.

Post surgery md india do not release the additional payment of 16700/- (Monofocal lens), and misery starts there. Next day when i went to the hospital for follow up, they cause me into the trouble and forcing me to make payments, following the demonetisation i was short of money so i rush to chandrapur leaving patient in hospital, i informed w/o cstps mr. Waghmare, md india but they all fail to come over the situation, next day was sunday so, i wait for monday, menwhile the panic, and irritating, a frustating situation i had undergone is unexpressible. Monday isuue was raised to dycro mr. Mukesh meshram, we all had long talk in mobile conference call where mr. Pramod admits his mistakes of not being approving the said amount and blame the hospital for cause, and agreed to solve issue in quick time, and promised to release payment shortly, then md india and hospital has war of documentation just a display and till the time payment is not released.

In meantime hospital continuously calling me for payments, and md india just excusing the situation, and i am the sufferer.26/12/16 is the next follow up due date, and i am afraid of the situation to come on day.

My experience with md india is so worse, very hectic, and miserable one sir. Md india have no respect for human values and emotions, very irresponsble work attitude and negligence found on their side.

This is not the only case of mine, many of ours employee have suffered this way, we are not availing mediclaim benefits, its like falling victims to the mediclaim.

Sir, we are about to renew the policy for next year, so, its my humble request to your kind office, please take feedbacks from those who were suffered the situations, and face the lackonas in policy while taking its benefits. The feedback from situation faced employee may responsible to improve the policy more advantageous. And if possible ulternate option of go 20 can be taken into consideration.

Sir, in my case now they refuse to pay the remaining amount. Please do the needful.

Myself Manhar Kantilal Chainani having United India Policy no. 500100/28/16/P[protected] whose TPA is MDIndia Health Insurance TPA Pvt. Ltd. My MDID no. MDI5-[protected]. I have submitted the Pre & Post Hospitalisation expenses Claim of Rs 12810 for my mother Mrs Rekha K Chainani whose claim no MDI2879724. Out of which they have deducted Rs 4200 from claim amount for Physiotherapy, reason provided by them is that they need the printed Receipt from Physiotherapist Doctor. While contacting to MD India Toll free number on 10th Dec 2016 at 5.30 pm they says that I have to submit the printed receipt. I have explained to the lady executive of MD India that Physiotherapist cannot provide me the printed bill receipt. So Md India lady executive has advised me that I have to obtain a undertaking letter from physiotherapist in which she will give an undertaking that She provides the Receipt on the plain format alongwith her Registeration Stamp to all their patients and she doen't have any format other than this. MD India lady executive has says that if I provide this undertaking than my Claim will be passed. I have submitted the above undertaking to MD India on 12 Dec 2016 via email and the hardcopy to their Ahmedabad office on 14 Dec 2016. But while contacting to MD India on 17 Dec 2016 they finally says that my claim again has been rejected. Please kindly help me to sanction my claim of Rs 4200/-. As above claim is of my mother Mrs Rekha Chainani who has undergone Joint Knee replacement of her right leg on 2 Nov 2016, as this claim is related to the same. Kindly help me.

1.On perusal of my claim status, it was observed that on 28.11.2016 you have informed me to close the claim ID MD128189 on the ground of Non compliance of required documents. However I have submitted required documents duly attested by Bank official well in time and on the basis of which you have reconsidered and settled my another claim ID MD12816853 on 13.12.2016. You are requested to kindly reconsider my claim ID MD 12818978 for Rs.9913.21 and settle the same at earliest. Thanks.

My mediclaim ccn no. Mdi2893775 and mdi5-[protected] but claim delay. My claim document already submited oct. 2016 but no response mdindia ltd. And unnecessary document required. I already compliant lodge consumer court and mdindia pvt ltd. So last warning my problem solved... Thanks. Manoj kumar meena lic of india lakheri 127192 [protected] my mediclaim i'd mdi5-[protected]

I have a medilaim policy since 1999 which includes my father, mother, wife and two children. My father, 88 years had a fall few months ago. Total hospital bill comes to rs 3, 09, 281. His insured amount is rs 2 lakhs and cumulative bonus is rs 60, 000 total rs 2, 60, 000/-.
Though he was admitted for fracture neck of femur right side he had developed problems like kidney failure, cardiac arrest, hypertension, mild renal failure and intestinal obstruction etc. during the period of stay in hospital so, hospital stay was 25 days. however, insurance management company said that there was only one illness so, they could sanction only 40% of the sum assured and accordingly they passed only rs 40% of the sum assured and we got only aggregate total rs 1, 95, 000 against the sum assured plus cumulative bonus of rs 2, 60, 000. Mediclaim under Citi Bank Mediclaim policy and insurance company is The New India Assurance Co.Ltd. My claim was registered by MDIndia Healthcare services, Chennai under CCN: MDI2668606. Please do the needful to get the balance claim amount also.Policy no: 712500/34/15/21/00000016/ MD15-[protected].
From Abraham.K.Oommen/Employee code: GH SEP 15 260.

I have medical insurance with mdindia health insurance tpa pvt ltd. I have submitted my medial claim on 30th september 2016 (1 month) they are not settling this claim. They are giving reason to not settle claim is my name is not matching with bank account. They have given this policy with lot of force at that time they have not taken any documentation from me. When i submitted my claim they are wontedly stopping claim and saying reason your name matching, for these i have provided them additional documentation and details. This policy they have given through my citi bank credit card data in that my name mention as k murthy for their convenience my full name is a h v krishna murthy k. I have shared this information with them.
Because of their mistake they are troubling me by showing this reason even though i have provided valid documentation.
Kindly help me on this.

I was insured under POLICY A, M/S STATE BANK OF INDIA
MDID :MD15-[protected]'
NAME UNDURTI.SARVESWARA RAO
EMP No1775405
I have submitted an insurance claim for Rs74, 000 &odd on Aug.29 to your representative at our SBI OFFICE patney circle.SECUNDERABAD under gone treatment for 8 days at CARE HOSPITALS, MUSHEERABAD HYDERABAD from 9/8/2016 to 16/8/2016 for unstable Angina and acute viral infectionwith BICYTOPENI .i was contacting your local representative Santosh Kumare at frequent intervels and i am getting a stock reply that it was under process. it was more than one month after i submitted the claim.
Pl. arrange for early processing/ settlement of my claim Send me e- mail to [protected]@gmail.com reg. status of the claim.
SARVESWARA RAO.