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Medi Assist India Complaints & Reviews

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Updated: Jul 16, 2025

Complaints 1184

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116

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1068

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Address: 625001

I have submitted my claim with claim id 92336593 covering pre and post hospitalization expenses along with the hospital claim. I have send all the documents on 8th may 2016; tpa has received the same on 10th june.
But whenever i verified for the status, i am getting the information that it is in progress.

Now it is nearing a month; no reply for the reminder mails. I tried with the help line also; result is the same.

Being a elderly person, i am coming to the conclusion that thetpa is trying to discourage people for submitting the hospital bills.

In such case the insurer should not recommend the tpa for the settlement of claims.

Further the policy should incorporate the clause, that the claim will be settled as when they like; or will not be settled at all.

I hope that the grievance from a elderly person like me will be taken care.

Further people go to hospital only to get rid of the illness; not for sending the claims.
The health insurer has the responsibility to see that the tpa is doing their work properly; they should wash their hands assuming that tpa
Has been with the task of settling the claims.

Hope that a early action will be highly appreciated.

In spite of this complaint, if there is no action, then the matter will be referred to the ombudsmen for further action.
Thanking you,

Ramdoss

Medi Assist India customer support has been notified about the posted complaint.

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Address: Kollam, Kerala, 691001

Sir, am a medical policy holder of reliance life insurance, policy number bearing : 52342894, client i'd: 92893973. My son abhinav manu admitted on 31st may at bishop benziger hospital, kollam.. Despite of the repeated mails from the hospital authorities, till now no steps had taken from the med assist for the cashless procedure.. As the discharge date was 6th june. Pls look in to the matter...

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Reliance Life Insurance Customer Care

from Delhi, Delhi

Jun 7, 2016

Dear Sir,

We sincerely regret the inconvenience caused. Further to your telephonic conversation with our service representative, we will get back to you shortly with a resolution.

Regards,
Reliance Nippon Life

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Address: Amritsar, Punjab

We bought two oriental bank mediclaim policies which starts from 29th jan, 2016. Details are given below...
Name om parkash batra
Policyno 233300/48/2016/5427
Address 189-a, kamla avenue
Fatehgarh churian road
Amritsar (Punjab) 143001
Email [protected]@gmail.com
Mobileno [protected]

Name sonia batra
Policyno 233300/48/2016/5428
Address 189-a, kamla avenue
Fatehgarh churian road
Amritsar (Punjab) 143001
Email [protected]@gmail.com
Mobileno [protected]
Please send us cards as early as you can.

Medi Assist India customer support has been notified about the posted complaint.

Jun 06, 2016

Updated by Om Parkash Batra We bought an oriental bank Mediclaim policy. Policies nos are. 1) 233300/48/2016/5427 omparkash batra. 2) 233300/48/2016/5428 sonia batra. Till now we have not received mediclaim cards . Please send us as early as you can .policy starts from 29th, jan2016 email. [protected]@gmail.com. mobile no [protected]

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Address: 600049

Website: www.mediassistindia.com

My wife underwent a surgery in a hospital. When she got admitted which were available was with a room rent of 5500 INR per day. She we had no other options we took knowingly that room rent claim will be only 1000 INR per day. After 4 days of stay post surgery when she got discharged the total bill came to 72, 221. To our surprise we got a claim for only 18, 806. Many charges such as LAB Charges, OT Charges, Consultation, Surgery charges are deducted drastically with reason stating "Claimant opted higher room rent than the eligible category, Hence Lab Charge are Proportionately deducted as per proportion as admissible rate per day ( as per policy clause 3.1. (a) – 3.1 (d) ". This is a misleading clause and how can one link higher room rent charges to LAB, Surgery. OT etc. This is cheating. Many o[censored]s are aware only about the room rent slab. But how can one line higher room rent with other charges. Nothing is highlighted when we take a policy. Morethan that Mediassist does not support cashless claim in many hospitals. I do not know about other TPA.

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S

Srivatsan8

from Bengaluru, Karnataka

Jun 3, 2016

Also to let you know that when I spoke to Customer Relations executive he also acknowledged the fact that higher room rent should not be linked to other charges.To my surprise, when I tried again the toll number by giving my claim number, I got a message that "Invalid Claim Number'.

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Address: Kolkata, West Bengal, 700157

My medical claim is under of mediassist. After 4-5 months they given me some money. When I communicated with them regarding deducted money they told me that I need to collect all original bills.Within 20 days I collected all original bills and want to submit but Krishna told me that my claim was closed by insurer.

My discussion is that why they told me to collect original bills and they should be informed me about my claim close date.

Last two months everyday I communicated with them regarding my claim but they always deny to reopen my claim.

Really bad experience with mediassist. They closed my claim without informing me.

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Address: 393145

Website: Claim has not been cleared by company

We have cleared all the documents as per Policy But Claim has not been approved by company and giving back unnecessary Remarks which already resolved multiple times earlier. This company is not taking any responsibility against my Issue and rounding Me every time. I have decided sue against my policy Conditions . kindly guide me to resolve it .or provide any similar options for same. do the needful. This is the second reminder to u too .

+1 photos

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kumbharpra111

from Mumbai, Maharashtra

Jul 8, 2016

I have provided my all documents on 24-jun-2016 i have doc number and screenshot also document received
but your company my document received date show in claim states on 29-jun-2016 .also you approved amount is 78803/- then why stop my 10202/- amount, and one more think is your end not any reply 24 hours as pe your commitment see ticket number- 388819 and 2)ticket number[protected]ticket number-399166 are you not handle
proper customer why janrate 3 tickit first slow 1 see
I have seeding all document also hospital then why delay your end and one more think is you not complete your commitment

11747727 - Comment #2494217 - Image #0

K

kumbharpra111

from Mumbai, Maharashtra

Jul 8, 2016

why are you lat process my statement are you working or not

send me reply asap,

regards, .
PRASHANT

From: "prashant kumbhar"
Sent: Wed, 06 Jul 2016 22:41:28
To: "corporateresponse ", "Info "
Subject: Fw: Ticket Received - CLAIM NO[protected] DOCUMENT SENDING BY BLUE DART QURER -DOC NO-[protected][protected]
Dear team,

Inform to you your end amount approval is - 78803/- cash less no[protected]

then know you why showing 10202/- in staled, my hospital bill is-79553/- your end approval amount is-78803/-

when i paid 10202/- that time i call your customer care that time your end tailing me sir you paid and

reimbursement clime that time you received you know you show my clime statement 5554/-, are you proper

training your employee or customer proper send sms mail i am frosted your end and i relay observed your

company is bool set you are not handled your company, not reply to at the time your commitment see my all

mails and reply

proper as you work in one corporate specials customer sport

PLS DO THE NEEDFUL

Regards,
PRASHANT

From: "Corporate Response"
Sent: Sat, 02 Jul 2016 12:33:33
To:
Cc: "Info Medi Assist"
Subject: Re: Ticket Received - CLAIM NO[protected] DOCUMENT SENDING BY BLUE DART QURER -DOC NO-[protected][protected]
Dear Sir/Madam

The claim[protected] is Under process.

Thanks & Regards
Medi Assist Team

From: Info
Sent: Thursday, June 30, 2016 3:56 PM
To: [protected]@mediassistindia.com');" >[protected]@mediassistindia.com
Subject: Fwd: Fw: Ticket Received - CLAIM NO[protected] DOCUMENT SENDING BY BLUE DART QURER -DOC NO-[protected][protected]

Dear Team,

Kindly find the below trail mail and do the needful.

Regards,
Medi Assist Support Team

On Wed, 29 Jun at 3:19 PM, prashant kumbhar wrote:
Dear team,
You provide me new clame number why and where is your commitment 24 hours reply,
Also tickt numer, l am sending you all my documents then why delay your commitment date is 26 june, also hospital provided all details then why should tack time your end
I already manstined my family States

So pls

Diposit my cash in my account asap

Regards
Prashant p kumbhar

Note: Forwarded message attached

-- Original Message --

From: Info [protected]@mediassistindia.com on Fri, 24 Jun 2016 20:23:49 +0530
To: [protected]@rediffmail.com
Subject: Ticket Received - CLAIM NO[protected] DOCUMENT SENDING BY BLUE DART QURER -DOC NO-[protected] - 388819

396306

A

Ajay5692

from Zira, Punjab

Sep 21, 2018

As per telephonic conversation with your representative regarding my
Claim no 17793630
Patient name Surjit Singh
Employee id E00852
Card number [protected]
SBI general Insurance

Patient was admitted in the max hospital for the surgery for five days and have taken
the economy room which is the cheapest option in Max Mohali.
No cheaper option is there in max hospital apart from which the patient have taken.
Rs 6788 were paid by you and rest of the amount we have paid in cash which is Rs 84262.

Kindly let me know how were we supposed to take a cheaper room if economy category is the cheaper category available in the hospital.

Please reimburse rest of the amount paid by myself.

L

LUKESWAR BISWAL

from Bengaluru, Karnataka

Jul 28, 2019

Dear Team,
I did not get any response from your side for the below-mentioned query.
My claim id is 20066332 for amount 25K. All the hard copy for the
hospitalization is already submitted except medicine bill breakup which is
of Rupee 4642. I want to exclude the amount and process the rest amount.
As the hard copy is in my native(Bargarh, Odisha) and I am at Bangalore it
will take a long time to get it and send it to you. Please do the needful
and process the claim amount deducting the medicine breakup amount.
Again and again, after the telephonic discussion to your customer care, you keep it under pending from customer 1. Please do the needful and process the amount.

Regards,
Lukeswar Biswal

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Address: Raigad, Maharashtra, 402207

One of the worst consumer service ever been gone through, even after requesting from last 24 hrs.for the work to be done in 3-4 hrs.
i wanted discharge final bill approval, for my sisiter has she was admitted for urgent operation, and then needed discharge willingly, from medi assit, for which i kept on calling from 27th may 4:30 afternoon till 28th may, 6:00pm evening, i wanted the discharge as 29th was sunday, and they kept me lying that the work is under investigation and will be solved in next one hour.even the branch manager... if they would have informed me in the morning that the work will not be done in the morning it self, i would have arranged money from somewhere...
i m gonna file complaint against them in consumer court. I have all the call detail;s..each and every people reciving call in their customer care service are useless and helpless.

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Address: Bangalore, Karnataka, 560032`

Website: Medi Assist India TPA Pvt. Ltd. would it be the time taken and the kind of question being asked and

Hi,

i am very disappointed with the services, would it be the time taken and the kind of question being asked and the kind of effort medi assist took to process my claim. i am not sure why Hemalatha M, who is such an unprofessional is handling the corporate queries inlcuding her response to customer as "who needs money, it is is you (customer).

please confirm why there has been partial payment despite the requested documents been provided as requested and confirmed as valid by the medi assist.

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Address: Kolkata, West Bengal

To
The manager
Medi assist india

Sub: partial approval of claim no. 12502972

Ref: cashless claim no. 12427766 & 12598515

Dear sir/madam

I am submitting my complain about denial of approval of crohn’s disease related expenses during hospitalization claim no. 12502972

I have submitted a claim of rs. 28, 766/- on dated 05.04.2016. And against this claim i have received only rs. 950/- on 06.05.2016 (Neft no.[protected]joz1912)

In explanation there was a list of non-medical expenses which includes tooth brush, hand rub etc. As not payable. This is quite justified.

But with my utter surprise this list includes all pathology, biochemistry tests and ct whole abdomain during hospitalization.In the discharge summary dated 22.03.2016 final diagnosis it is clearly expressed 1) left tubercular pleural effusion, 2) crohn’s disease. And patient (Dr. Suva hom roy) was admitted under gastroenterologist dr. Sanjay banerjee. He even got no phone of query from you about admission & treatment details and you final denial decision own accord by speculation; (Cashless claim no.[protected]

Again my patient admitted in ils hospital on 26.4.2016 & discharge on 28.04.2016 and final diagnosis is crohn’s disease. Against claim no. 12598515 you approved rs. 14840/- against claimed rs. 15961/-

So, why your denial reasons “crohn’s disease related expenses np” in claim no. 12502972

In that situation i request you to review my claim no. 12502972 and please re-consider a justified approval for it.

Thanking you

Susmita hom roy (Paul)
P. No. 311700/48/2016/9989

Patient name : dr. Suva hom roy
Mid no. [protected]

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Address: Mumbai City, Maharashtra, 400059

My policy no [protected]p10146649 i have submitted the claim on 15th april 2016 and additional details as required have been couriered. i have sent mail of my courier sent on[protected] receipt no and also receipt documents duly stamped and sign of delivery of courier at medi. still you people are not acknowledging the receipt of documents instead of talking to so many persons and giving of so many mails no action is taken and our claim is not settled . we can not expect such things from medi assist. there should be some one to attend and respond . your people only listen and forget . they do not take any action they do not enquare why additional document sent is not taken on record pl do something otherwise i will complain to other higher authorities.. tel no [protected]

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Address: 321408

Website: MEDIASSISTINDIATPAPVT LTD.COM

Sir/Madem,
I Vshnu dutt apply for claim but i didnot recieve the calim against incident .I have medi insurence through you. I submitted all of documnet many time through speed post . documnet recieved by company. i hospitalised from 20/09/2015 to 25/09/2015.claim amount is 35311 only that is not issued by you.this is last effort making by me other wise i will go to court.
thanks
Vishnu Dutt s/o Deen Dayal Sharma
reference no .[protected]
policy number - 242308/48/2015/48
MAID : [protected]

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anil_godha

from Delhi, Delhi

May 18, 2016

Medi Assist India — Mediclaim reimbursement

Hi, I submit a claim for reimbursement of Mrs. Muna devi jain on Dt. 02.09.2015 claim no is 1160664. But still I not getting any revert.

N

Nrgv

from Moradabad, Uttar Pradesh

May 27, 2016

Hi, I submitted the claim (Claim id[protected]of Mr.Mukesh Kumar on 16th April, 16 as per telephonic discussion mediassist told me just 20 days process bt still there is no positive response from your side.When I followup for my claim everytime they reply just with in a week you get your claim .l am very very disappointed with your services...do a needful.waiting for yr rply..., !
Mukesh kumar
[protected]

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Address: Nashik, Maharashtra, 422101

Website: www.Medi Assist India.com

Forwarded message —
From: walter rodgers
To: hal
Sent: saturday, 7 may 2016 4:55 pm
Subject: claim not yet settelled

Respected sir
Me mrs. E. R. Rodgers is spouse of ex employ of hal hindustan aeronautics ltd nasik maharashtra
I have posted my doctors prescription and bills amounting rs. 3499/- on 09/03/2016 by indian speed post pod no. Em[protected]in.
To
Medi assist india tpa pvt ltd
Tower d (Hal team) 4th floor ibc knowledge
Park 4 bar 1, opp:- dairy circle fire station
Bannerghatta road, bengaluru - 560029
Board : +[protected]
Email : [protected]@mediassistindia.com
Website :www.mediassistindia.com

But none of your officials are co-operating with us my maid number is [protected]
My husbands ex permanent batch number was 4387
Bank of maharashtra
Nasik road branch
A/c no. [protected]
Ifsc code. Mahb0000123

My address is

Mr. R. W. Rodgers
Flat-51, 4th floor, d' wing, anand vijay sankul,
Opp:- st. Anns church & bishop house,
Central jail road, nasik road, nasik, -422 101
State:- maharashtra
(M) [protected], [protected].
Email id:- [protected]@yahoo.com

Please co-operate

Yours sincerely
Mrs. E. R. Rodgers

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kirti mehta

from Mumbai, Maharashtra

May 11, 2016

Dear Sir/Madam

very sorry to say that in the era of Technology and competition your services in service industry is of very lower standard, your Andheri Mumbai office your employee has no courtsey to give an acknowledgement of documents submitted by us not even ready to give their names so we can complain to you for such person . therefore we done have a proof if you demand the same (twise) so we have force to complain
look into matter seriously

J

jinal h shah

May 19, 2016

Medi Assist India Assist — Miss behave by branch staff

When I call for my claim status branch staff not received the call or if call received not answer about my claim status and using bad words miss behave with caller Phone no is[protected] Media assist India, ahmedabad

Claim not yet settelled - Comment #2407926 - Image #0

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Address: 600091

R s kannan ex. Staff no. 14429 canara bank medi assist india pvt. Ltd., bangalore
Claim ref no. 12459670 ack no. [protected] dt.25.3.2016.
I have submitted a claim for rs. 19465/ for hospitalisation. I was under
Hypertension problem because of that left nose blood bleeding was there. I have consulted nearby residence doctor and then ent specialist. It has not been stopped and hence he has recommended to admit in madras ent research foundation, raja annamalaipuram chennai . As per the doctoer advice i have consulted the doctor and i had treatment., it was not stopped and then i was admitted in the hospital on 8.3.2016 at5 4 pm and discharged on 9.3.2016 at 6pm. Only after stoppage of bleeding of blood in my left nose i was discharged. In the history it was mentioned as hypertension and because of that nose blood bleeding was there.
I have submitted the bills to medi assist india pvt. Ltd., bangalore and i t has
Been rejected by them fror the reason that the hospitalisation is not necessary for that treatment. Please note that hospitalisation should be
Decided by the doctor and not by the insurance company. It is clear in the
Bank circular that under item no. 13 hypertension treatment is also available
For hospitalisation and also domicilary treatment. I have been denied the
Same by medi assist india pvt. Ltd., hence it is due to negligence of staff it has happened. Hence my genuine claim should be sanctioned immediately.
I have tgaken policy under united india insurance iba medical care and the
Bank has directly debited in my account.
Report by r s kannan

May 03, 2016

Updated by R S Kannan R s kannan ex. Staff no.14429 canara bank has got united india insurance
Co policy under medical care 500100/48/1/41/000044 from 1.11.2015 to 31.10.2016. The claim ref., no.12459670 vide ack no. [protected] dt.25.3.2016/ i have been admitted in the madras ent research foundation, raja annamalaipuram chennai on 8.3.2016 at 4 pm and discharged on 9.3.2016 atr 6 pm on the condition of hypertension with nose blood bleeding. The dr. Has advised me to admit in the hospital since outpatient
Services has not yielded any result. I have enclosed prehospitalisation, hospitalisation and post hospitalisation expenses. In the canara bank circular
It is clearly mentioned under item no.13 that hypertension is eligible for reimbursement. I have been denied my noble claim. It is the violation of
Principles. It has been rejected purposely. Duye to negligence of staff.

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Claim : 12414354
Maid : [protected]
We have intimated about surgery in one week advance. Documents submitted within 10 days of discharge.
Even they have not approved the claim by saying non receipt of intimation. Neither they replied on mail nor customer care number picked up.
We have sent the require documents again by courier which was reached to mediassist, bangalore office on 29th april but no acknowledgement.

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S

satyapaly

from Mumbai, Maharashtra

May 8, 2016

Please Share Intimation number with Medi Assist India.
and next time when you intimate any claim send a mail from you email id to medi Assist and cc to your health insurance company.
Your problem not big i hop medi Assist Tpa resolved this As soon possible.
My personal experience Medi Assist Tpa good response.

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Address: Hyderabad, Andhra Pradesh, 500081

Website: www.mediassistindia.net

I had hospitalized in jan and i have raised a claim on 23rd feb which has been approved on 24th march but till date the amount is not yet settled.

Also i had claimed 20, 066 amount but approved amount is only 16377.00 by deducting 3, 688 which is an invalid deductions as shown below

15jan-c-180+120 19jan-c-180+335.No prescription for 9 th feb.Casuality, 16jan-p133..

Called many times and kept many mails but no proper response from mediassist team..

Looks like a no 1 fraud company i had ever seen.

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Address: Pune, Maharashtra, 411013

Website: mediassistindia.net

https://track.Medibuddy.In/

My claim id : 12165269
Claim received date: 19-jan-2016

It's more than 3 months complete and claim is not done yet. I have been talking to both mr. Sumeet from royal sundaram and pankaj from medi assist. All the documents have been submitted from my side. They are saying no further documents are required.

I also talked with mr sumeet manager amit satav ( phone no: [protected]). He is not responding with any updates.

It's a serious issue from a customer perspective. I have been very furious and frustrated with claim process.

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abhayait

from Mumbai, Maharashtra

Apr 22, 2016

Medi Assist and Royal Sundaram service in Pune sucks big time.

E

ehtaysham khan

May 5, 2016

Since 2 months Claim no 12452574 & 12520682 not yet reimburse kindly take necesssary action and reimburse the claims.

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Address: Pune, Maharashtra, 411006

Dear Team,
Deductions are done in my account without any intimation & reason. Pls refund it on priority.
Account No. :[protected]
IFSC : ICIC0006451

Pls refer attached snap & refund the deducted amount on priority.

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Address: Jodhpur, Rajasthan, 342005

Website: www.medibuddy.in

Claim id 1238263
I am already submit all document but revert only document is proper customer care officer is give Chennai branch but Chennai bran not received call this claim long time pending

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Claim id[protected]
Patient admitted in delhi heart and lungs institute yesterday and the document were submitted for insurance cover in the morning at 10. 00 am.

Till this hour we have not received any single update on this, called numerous times on the helpline numbers and wrote many mails, but now received any revert.
Our patient has been suffering from heart attack and needs to be operated urgently but the surgery is on hold due to the negligence attitute of this company..
We along with the patient are being harrassed.. Need urgent support

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Address: 600089

Website: indiafirstlife.com

Hello Team,

I would like to tell you that I am completely disappointed and pained by the kind of service provided by MediAssist & IndiaFirst.

I have been following up with the customer care for the last 3 days for approval and the same has not yet been provided. The surgery is planned for today @ 09:00. The pre-surgery medication has already started.

The claim number is 12463528.

I was calling up the customer care whole night yesterday & before that and every time, I get the same answer, the request should be approved in 1 hour. At the end of all this tiring exercise

I haven't slept all night yesterday tried to get the approval from you guys
I have still not got my approval
I have to consult the doctor again to check the effects of the medication taken

Regards,
Surya,

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