Medi Assist India Complaints & Reviews

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

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 claim is acknowledged but after that no further progress is seen in app.

After several mail chains and calls to customer I got to know that document verification is pending on insurer side. Once it is done, money shall be credited to the account provided at the time of claim. And from last 7 months it is the same.
Whenever i call customer care they say we have escalated this you will get a response within 48 hrs. That never happens. I have called around 50+ times. Every time same reply. I have raised complains via mail. I get auto acknowledgement of the ticket. I get a complain id which says will be resolved but no resolution ever happened. I have around 10+ these complain ids with me (Latest being [protected]).
Now I got an update saying that "Considering the claim is for FY[protected] and insurer book of account closed for the previous financial year, we regret to inform you that this claim cannot be accommodated under the present circumstances. We regret any inconvenience."
This is a serious case mediassist is trying to dodge of the claim and playing with customer sentiments. Please look into this matter and kindly let me know how to proceed further with my claims.

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.

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

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

Hi,
I had my mother eye surgery completed yesterday. Hospital had sent an email with all the details yest morning 10am.
I have been chasing mediassit team to check the status on approval. I've called up team around 10-15 times and even spoke with one of the Lead Mr Giri Rao.
Apart from assurance, that it will done in next 30 mins, nothing till now is done.

I need to escalate and make they address my issue on priority.

Iam not getting my reimbursement from the last 4 months i.e from the October 2020 to till date.
Communicating to internal teams and simply telling to wait for 7 working days from the last 4 months. And not sharing the updated details of my reimbursement

Claim No :23012304
Insurer Claim No :TP[protected]
Insurer Member Id :873143
Policy :[protected]_NON-SEZ
Policy Period:[protected] to[protected]
Patient Name : Puneet Kumar Gupta
Policy Holder Name : COGNIZANT TECHNOLOGY SOLUTIONS INDIA PVT. LTD
Claimed Amount : 68003
Final Diagnosis : Viral pneumonia, unspecified
MAID : [protected]
Hospital Name/ City :< /b> Vinay Vishal Healthcare Multi Speciality Hospital
DOA : 19 Sep 2020
DOD : 24 Sep 2020

From past 2 hurs I am trying to contact for the pre surgery intimation but there has been no response. Neither the customer care numbers are useful nor the site! Tried filling up the form but if no use!
Pathetic service
Policy no. - 181290/48/2021/384
Name - Reeta Subhash Harode
Patient name - Subhash M Harode
[protected]
Please contact

I have raised request on app for claim reimbursement in month of 0ct 2020 in name of my mother Deepinder Kaur she was admitted on 10-0ct-20 and discharged on 11-Oct-202 to another medical hospital . Tracking number-H[protected] #Claim number[protected]. As the app does not have option o[censored]ploading the pending document hence i have send all the document by Email to team, which was uploaded as well but still team denied my claim. During the same time i spoke to assocaites from complaints team and she said u send all the originals before hand along with letter asking to reopen the claim which team has received on 31-Dec-2020 and they uploaded all the document on 9-Jan-21 on system but still claim was not reopened and i keep getting email to share the document along with date and time of admission and discharge for patient which was already there in my originals but still i got the letter from doctor confirming the same and team has already received the original letter and it is also uploaded on system but still case is not reopened and still i am getting email asking for POD details which i have already shared in Email with team.
I have called your contact center 100 time but no one is taking ownership to get it processed.
its worst company and the process i have come across.

Even ur complaint team is not available to take up the call or get this fixed and back end team just keep sending email for ticket i have raised saying resolved.

Medi assist india is not processing my reimbursement claim money.there have took more than 3 months to complete the processing and now when i have submitted all the documents they are not disbursing my reimbursement amount for more than 3weeks. Every time I call there customer care they say it will be processed soon.

Token the premium amount in Oct 2020 and as of date (Jan 28 2021), still did got the policy. Support team claimed refund in 10 business days. But even after 90 days, no refund credited and they keep annoy with same same questions again and again in circles and they keep saying wait for another 10 days. This is never ending