Mdindia Healthcare Services — Mediclaim settlement trouble

Address:	Pune, Maharashtra, 442401
Website:	[email protected]

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.