Medi Assist India Complaints & Reviews

Dear Team, i have submitted physical claim documents of my claim No.24702101 to mediassist Team, BANK, BANDRA and i received message like

"Dear Divakara Nayak, We acknowledge the receipt of your claim documents on 21/May/2021 09:52. Tracking Number for your reference is MUM01323138."

I already send breakup bills for
Rs 1, 85, 139/- that is not scanned and uploaded in portal by our team at bandra office,

Now asking through query, what should i do?

How should i submit the documents which is already at our office?

I really suffering now by choosing mediassist reimbursement facility because mediassist is complete careless and irresponsible towards reimbursement claims?

Queries raised on 26/05/2021

Traveled 150kms and collected documents from hospital and uploaded on 26/05/2021

But same queries raised again on 28/05/2021 with out checking uploaded documents!

Again query raised on 31/05/2021 and playing with me !!

i also send original CT SCAN report and film, lab report and many other documents regarding my treatment but only few documents are scanned and asking again and again for processing my claim.

i am not yet well and discharged from hospital & hospital staff also not cooperating after discharge due to busy in pandemic time.

please don't bother me by asking already submitted documents.

kindly coordinate with Mediassist, , Bandra office team where all my documents are their and kindly process my claim.

Regards,
Divakara Nayak

I was having billing issue with hospital's unfair practices and sought mediassist help to resolve the matter before they settle the amount with hospital. I sent formal email, called at least 8 to 10 times in span of 3 weeks and everytime i had to wait in call for 15-20 mins just to hear back that they have escalated the issue and someone will call or respond to email...no one called back. Finally one day i called and was there in call for more than 1 hr insisting the rep to connect with escalation manager and she finally spoke and told if by tomorrow no one called, she (her name is ramya) will call me. I called her next day as no one called and she told rep that she works in 12pm-9pm and she will call but never bother to . Horrible company, horrible staff, horrible customer service. Utter disregard to customers time and concerns.

Worst App, Worst Support team, worst backend technical team. I have tried ordering around 6-7 medicine orders on app provided I am having full balance in domiciliary wallet but each & everytime the order is getting cancelled. I have called customer care many times and emailed them but no use they are simply resolving my ticket stating " Due to technical issue, try to order again" and "Update your App & try again". Its unfortunate that TCS tied up with them.WOULD NOT RECOMMEND MEDIBUDDY AT ALL !!

The request was made on 30th may 2021 still now no response from ur end, please send the Claim history of the patient immediately

Ticket No:[protected]

Hospital: Apollo BGS -Mysuru
Wife Name: Chitra M V
Date of Admission:21-SEP-2015
Date of Discharge:28-SEP-2015
Claim no: 11686893
MA-ID:[protected]
Claim Amount: INR 57292
Approved amount: INR 45000

I have submitted claim for reimbursement on 18th March 2020, but it is not yet reimbursed. Everyday the executives are saying new stories. I need my claim to be reimbursed immediately.
emp id:1029044
patient name:vamshi krishna p
bar code: Z[protected]
claim id 21927883

I Purchased Lupicure-TG from locally and ordered other medicines from Mediassist. When I received the tablets MRP IS 10% higher than local rate want to know the reason how in same country two different MRP for same medicine

I am registered with MEDI ASSIST past many years. Under the Corporate policy, Spouse and 2 Kids are registered along with me. Also I have taken Parent Policy (for My Mother and Father) from MediAssist. In total 6 family members are register as part of the GROUP MEDICAL INSURANCE POLICY ENROLLMENT from the Company.

Claim No 24582886
Policy#[protected]
Patient Name Nisha B Desai
MAID [protected]br...

My mediassist claim id is CCN# 22357093 and #22357132.
I filed this claim in July 2020. At first both claims got repudiated because of non-availability of settlement letter from my Spouse insurer. I received the letter in Oct and same time I requested to re-open the claims. I have sent the original copies of the medical bills, lab report, prescription by courier along with the settlement letter also. Post that in app I can see that...

Hi,
I had booked some lab tests, order ID: 3923415.
The sample collection had not taken into process even after waiting of 48 hours. I cancelled my tests on 24th April and ask them to initiate the refund process.
Till now I have call so many times but still they are not refunding my money.

Every time you call, they will have some readymade answers like "Sorry, I'm initiating the refund process in highest priority" that's it. Nothing else.

Sir/Madam

Kindly find the trailing mail, where I submitted medical bills ( Attached here) after discharging from the hospital. she is operated on due to Fissure. (waiting period is 1 year for claim). But my policy is of 1 year 6 months. Operation done after 1 year 6 months policy period.

I submitted the Claim documents with in the prescribed time limit.
But your office asked for Addtional documents. Then...

Hi,

I have booked an appointment on 27th Feb, 2021 with appointment ID : 4504212 and 4504215 after paying INR 8000 (IMPS Ref. No :[protected] on 25th Feb 2021. After reaching to center, it has been found that some of the committed tests are not happening. Hence, I have cancelled that appointment on 27th Feb, 2021; however, i still did not get any refund from you.
It has been more than month and I am still waiting for a refund. Please process the refund as soon as possible

MediAssist TPA Insurance company denying hike to its all employees for the last 2 years and stating that due to pandemic situation couldn't be able to give and that too its a insurance TPA company for the corporates but rest of the non-insurance sector companies are offering lot to their employees.

Actually they were waited for the news COVID wave-2 to say excuse to their employees.

I raised for reimbursement after the hospitalization. And the reimbursement raised on March 18, 2021 but still any updates from medibuddy. And I have contacted through their email complaints and customer care service. They said they have forwarded the request to the concerned team but still no response for more than 10 days.

Also I have submitted the complainant through the medibuddy app, but there is no response for more than a month.

I am having PNB Oriental Mediclaim Policy No. 272900/48/2021/780 valid upto 21.4.2021 in the name of R.R. Tandon with Oriental Insurance Co. Ltd., wherein TPA is Medi Assist. For renewal and increasing cover from Rs.5 lacs to Rs.10 lacs, I requested Oriental Insurance Co. Ltd. with deposit of cheque of premium of Rs.10 lacs cover, but they are not increasing the cover on the pretext that Medi Assist TPA is showing a claim against my policy, whereas I have not made any claim so far since the beginning of policy i.e.[protected]. In fact, I got a pre-approval from Medi Assist in Dec.2020 but couldnot availed/claimed any thing. I request Medi Assist TPA to clarify the factual position, advise Oriental Insurance Co. to enhance my cover amount from Rs.5 lacs to Rs.10 lacs. (R.R. Tandon) (Mob.[protected])

Dear Team, ,

I request you to get settled my reimbursement amount from medi assist..
After my submission of additional documents, it's been a month today, still they have not settled my reimbursement amount..
As we have lot of troubles in our routine life, it's been our hard earned money,
Hospital has given and co operated with whatever documents required from medibuddy team..
But still now they have not processed my claim id 23947949..
Kindly do the needful..

Regards
Mahesh B N
[protected]

Very bad whole recovery the claim process. They are telling will do final submit within 2-4 hr. But it's taking more than 6hr.

So befrank don't have any medical insurance.

I am Mr. Jagdamba Singh H.A.L EX P.B.No. 4743 and I dispatched my details to you that was Rs 7, 474/- bill of my wife's (neelam singh)medicine. I have called also in your costumer care and that person said to me they haven't received my courier.
Claim no. [protected]
Dated 10 FEBRUARY 2021

Mediassist is very worst insurance company, i think so they are not giving claim amount and always asking same documents

I Claim for My Ankle fracture injury for medical aid of rupees 28642/- with all bills and doctor treatment report to New India Assurance Co ltd but compney has paid me only 20539/ Details is below ..kindly look into the matter and help claim to full amount . here is the all bills attached within.

Dinesh Kumar,
PNB Metlife India Insurance Company Limited
Sohna Road, Gurgaon, , Gurgaon-

Dear Member,...

Hi Team,
Claim # 24042626
Baby of Vijayakumari ( kadhika.s)
This is an emergency that i am going through along with my 1 yr 7 months kid awaiting for approval from afternoon cashless claimfor claim sent from JSS hospital around 15:15pm still not be approved difficult situation staying back in hospital awaiting for approval. Request some one to understand situation we have to move out of hospital as soon as possible not good to be staying in hospital children are sensitive worried about pandemic covod patients are there in hospital try to understand situation & Approve as soon as possible.

Regards
Santhosh kumar N
Employee ID 44124887