Medi Assist India Complaints & Reviews

My policy no. is 272900/48/2020/1724
PNB-Oriental Insaurance
I got the policy renewed in April 2020.
Till date I have not received ID cards as per details.

DINESH KUMAR
MANJU

kindly arrange to deliver the same ASAP.

Regards,

Dinesh Kumar
G - 130/6, Ram Colony
Chhatarpur Extn.
New Delhi - 110074

Mob: [protected]
Email : [protected]@gmail.com

Company: Honeywell.

I am struggling to raise reimbursement claim due to various reasons as under. I have send multiple emails to dedicated email ID of Medibuddy for Honeywell and called more than 20 times without proper support.

1. Cannot see beneficiary details on portal.
2. Cannot download e-Cards.
3. Can not move ahead in submitting reimbursement as no name is appearing in drop down of patients.
4. My wife got discharge on 14th its 8 days but I can not put a claim.
5. I got feedback from customer care saying, I need to send complete file and claim form duly filled and signed to Bangalore address.
6. With digitization coming everywhere, I still don’t understand the reason for asking original file before claim submission.
7. I am ready to send original but at least someone should validate the documents and give me claim number.
8. What if documents misplaced, or any incomplete documents?

Irony is that healthcare provider asking me to take risk by going outside to take print and courier in this pandemic situation. Even if I take care still I will be exposed to risk. One more feedback is out of 3 hospitals I visited, no one was giving cashless service for Mediassist. Even with availability of Insurance I had to arrange Money.

Overall, instead of making life easy, Mediassist is adding more stress in the already panicked situation.

Dear Team,

My father is applied a health insurance claim on July 2019 Ccn[protected]
Policy no-[protected]-02, Beneficiary name-Ainala Nageswara Rao, we have submitted all the documents related on claim but still more than one year is passed claim amount not credited, its such a disgusting after many times approached with your team & SBI employees my father is mentally Harassed, its my finally requested to you kindly take necessary action and solve it asap.

Last week[protected], I went to Mediassist branch - Aminjikarai, Chennai and handed over to all original documents in the Mediassist office.

I sent multiple mail and we discussed over telephone for this issue complaint, No one is responded properly to me.

Till date I received these many tickets regarding this:
Ticket No: [protected]
Ticket No: [protected]
Ticket No: [protected]

Please update status and re-open my claim in portal.

Claim Number : 22602973
Claim registered Date:[protected]

If any queries please call me immediately (Mobile No : [protected])

I have submitted the claim documents on 23rd September and i have received a mail saying it will be processed with in 5 to 6 working days. But till now It is not processed. I checked with the team on 14th October and i received a mail saying it will take another 7 days to process. But till now there is no update. PFB my Claim Number

Claim Number: 22464910

Ticket Number: [protected]

I have orient health insurance for which TPA is mediassist. My MAID is [protected]. TPA first didnt accept cashless service for my covid related hospitalisation. Now i have filed for reimbursement on 25/09/2020. However, i have not recieved any information on my claim no claim id has been provided. Customer care executive has no clue and they are delaying the process by asking me to wait for 2-3 days even after 21days of my request. I have policy for last 5years but customer care personal says that i have entered current year policy number while i should have entered last years policy number. When my policy coverage is continues and all the previous policy numbers are provided in the insurance itself is it really a valid reason to delay the claim who is already in trouble of covid related hospitalisation? All the complaints with token number- [protected] and [protected] gets only automated response. No efforts have been made by company inspite of my repeted calls.

We are sending lot of mail for sharing hospital empanelment procedure unfortunately we did not got any information abut it .we are all ready updates all documents in medibuddy portal in 4 month before we can not get any information from your side . kindly share the empanelment formalities

from payyanur eye foundation
[protected]
[protected]@gmail.com

My mother was admitted for 16 days in the month of September 2020 in the hospital. I enquired mediassist what documents required for claim and i mailed all the documents from there which they have listed. The original documents submitted are as below,
1) final bill ( duly sealed and signed by hospital)
2) discharge card (Having details of why she was admitted and what the doctor did the treatment.)
3) all medical bills...

I am working for TCS my employee ID 1222429. As per TCS HIS we can claim for Rs 15000 for home isolation covid treatment. Even though I submitted all documents they are telling some X reasons and irritating the customer.They are not looking into the documents properly and simply sending message not claimable. Customer care is pathetic and they don't know complete information. Kindly look into my Claim I'd[protected] and my contact number [protected].

Recently my mother admitted for covid, hospital comes under network hospital list. After admission they gave estimate of 1337500 rs and mediassist approved 75000 ₹. At the time discharge the hospital gave claim of ₹177906 the mediassist approved only 50000₹. If I ask for details, they didn't provided clearly. If the medical insurance provider can't able to give atleast 50% of claim from amount then what is need for medical insurance. Y we have to pay for that. How we are thinking we are safe if we put medical insurance. Instead we can save the money n spend. At last we have to spend our own money. For this of disease whether the approved amount is ok before approving that just keep yourself in that place. don't use the word cashless.

Dear Sir / Madam,

Referring to subject claim reference, we are following your team for the claim amount approval since last many days. Claim amount approved for this claim is shorter by Rs. 3100/-. We have also provided all documentary evidence for this.

Deduction made is as per below:
25% of OT Charges: Rs. 2500/-
Hospitalization cash: Rs. 600/- (200 per day x 3 days)
Total: Rs. 3100/-

We are not getting satisfactory replies from the MediAssist Team.

Kindly look into this and do a needful for payment of this shorter amount on an urgent basis.

Thank you
Kumarpal R Shah

Dear Sir,

I am Chandan Thadani employee of reputed Bank.
I was hospitalised due to Covid 19 in the month of July.
As you would be aware due to Covid, beds are not available in majority of the hospitals, so luckily, I got admitted to Inlaks and Budhrani Hospital which was not in the list of cashless facilities by Medi assist.
I have submitted all the required bills and documents required to process the claim.
I have claimed amount of 46643/- but the claim is approved for amount of 20450/-.
If the same would have been cashless, I wouldn't have paid a penny because hospitals would have managed everything.
In Reimbursement process,
1. Pathology charges are not approved
2. Procedure charges are approved half
3. Medicines/Drugs are approved half
4. Ambulance charges are approved less then half.

I am doing follow ups for the reason why my claim is approved less with Medi assist team .I have received an explanation stating as per government norms and Covid policy, they have approved claim.

I have paid my hard earned money to the hospital and submitted all the bills required, so how can a reputed hospital can charge anything which cannot be paid by insurance companies.
If the same would have been cashless, insurance company would have paid whatever amount and bill submitted by hospitals and I wouldn't have paid a penny.

I request you to please look into the case and do the needful.

Thanks & Regards,
Chandan Thadani

I made a claim with medi assist insurance company and I submitted all the relevant documents but the hospital did not provide me with indoor case papers and treatment chart attested copy when I left devishiv hospital lucknow so when I went back to the hospital they said they are not allowed to give indoor case paper and treatment chart attested copy however they agreed to give it to the insurance company if they are contacted with when I conveyed the same to company they refused to contact and are asking same documents again and again despite clarifying situation several times

I am empolyee of axis bank ltd and my emplyee code is 197729. Name is parshotam kukreja.. Had submitted my claim in end of july..2020
There was a goofup in almost all the time.. My claim amount was 4lacs plus. But they have given only 198000/- and the claim amount they mentioned 294000/- instead of 4 lacs.
I wrote many times.. But no one is giving proper response.
I have decided to lodge complaint at irda.
Pls expedite
Regards purshotam kukreja
Axis bank employee
#[protected]

Hi OneAssist Team,

I Received SMS from ICIC Bank that RS-1399/- deducted from my credit card to ONE ASSIST PLAN. without my permission..

Please deactivate and refund my money ASAP.

Date of incident : 2 Sep 2020

Dear sir,
I have admitted my late husband bijay kr satnalika in mission hospital (Icu), durgapur on 4th august 2020 and he was declared dead and discharged on 7th august 2020. We have submitted a reimbursement claim of rs 195000/- along with all required supporting, against which an amount of rs 78132/- has been passed as final payment.

Please note as per the terms and conditions of the policy (Policy no 313400/48/2020/1186) we were supposed to get reimbursement of 2% towards bed charges on insurance amount and entire investigation and lab charges on actuals. Whereas, bed charges are passed at 1% (Rs 15000/- against a claim of rs 60000/-) plus investigation and lab charges rs 13413/- against a claim of rs 53650/-.

Request to look into the matter to enable me to get correct reimbursement for your esteemed organisation.

Thanks and regards,

Mina satnalika

Finally after one month of continuous reminder and complain my claim has been registered having no 22655313.
I have submitted claim for amount of rs 199854 but on portal they processing for only rs 158972.
I can not understand when i submitted all the documents why they do not mentioned in portal.
I have sent reminder to them but they have not get back to me by email or by call for clarification.
I hope with this complaint they will consider my concern otherwise i have to approch irda.

Thanks

Hi Team,

I have been behind MediassistTeam to check on my claim status. I have sent all the relevant documents through courier but my bad i missed to mention my claim details post which i have sent a mail on the same as well.

Now when i call to check the status they place my call on hold and its getting disconnected. Im trying to reach their Team since March'2020.

Also, for the mails which i send they close it as resolved without any solution.

Kindly help me in getting my claim.

Regards,
Viayalakshmi

I'm vandana kushwaha. My claim no. 22336921, ma id - [protected]. it has been a month since i approved my claim. But payment has not yet been made.
When i talk to customer care, those people speak for 7 to 10 working days.
I talk to customer care many times but they are told the same word 7 to 10 working days. These people are not paying my claim.
Please register my complaint and process.

Thanks & regards
Vandana kushwaha

Experience shared as a stakeholder

Respected sir/madam,
Recently i come into interaction with medi assist insurance tpa pvt ltd. For my cashless hospitalization process.
I want to bring my poor experience in the notice of the directors, medi assist, driven by my strong belief that it may improve the tpa service in future.
1. Poor access to medi assist person through communication channels available...