Medi Assist India Complaints & Reviews

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 to insured customers. -
(A) helpline no. [protected] appearing in medi assist claim related letter is found switched off since tried to contact on 10.08.2020
(B) my claim id[protected] is showing as 'pending claim adjudication' in medi buddy app based mobile portal with last action in history as 'cashless repudiated' since 5.08.2020. Whereas message through sms from [protected] is nothing as claim number invalid.
(C) status of ticket no. [protected] booked on 8.08.2020 in medi buddy system is showing open. How it is getting priority is unknown.
(D) no information is properly obtained through free telephonic communication numbers in case it is a bit different from faq.
2. E-cards issued through medi assist portal is very casual. Without taking date of birth of policy holder/ beneficiaries from insurer with authentic verification, used in e cards which may cause difficulty during ecashless medical treatment in due time.
3. No specific time target for grievance redressal/ closing differences between insured and tpa about deduction made in cashless hospitalization process.
4. No clear outline to insured people to know about initial approval amount against estimated bill value of ppn hospital.

Hope the situation will be improved after your acknowledgement of the experience an insured individual on cashless hospitalization process with medi assist.
Thus medi assist will definitely become a friend in need, a friend indeed to us.

Hi team,

I would need your help in getting my medical insurance bill reimbursed.
I had raised a claim 21811118 during the month of march for reimbursement.
There were a few pending documents to be sent through courier, and since lockdown started at that time, i was told to send once things resume.

Once i sent the remaining documents through courier, a new claim was opened for this 22331861.
There was some partial bill settled in this, with only considering the documents reached to them in courier in june, post unlock period.

Rest of the documents were sent and acknowledged for receival initially as part of claim 21811118. These have not been considered at all for reimbursement.

When i try reaching out to the support team, they say they are awaiting for investigation reports, which they have received in 22331861.
Now, the remaining hospitalization charges are yet to be approved and reimbursed, which is not being done.

All that they needed to do was combine the documents of these 2 claims and analyze once and settle the amount.
Since i received the reimbursement for second claim with only investigation bills taken into consideration, now they have to settle the remaining amount from 1st claim for hospitalization charges (Excluding investigation)

I have already submitted all my originals, and the support team asks me to submit originals again.

Please help on this and help me get this closed asap.

Dear sir/mam,
This is to inform you that i did many insurance investigations of religare through
Merlot health services pvt. Ltd. (More details of company please find the attachment)
But i had not received payment of any cases till now last from march 2020., request you to kindly look into the matter and release my payment on behalf or merlot health services pvt. Ltd.
Looking forward for you cooperation.

Thanks & regards,
Harendra kumar
[protected]

Email : [protected]@gmail.com

Hope you all are staying safe. my wifesmt. P. R. Shobha admitted to hospital for the problems stated in the dischargesummary as per above claim reference no. we havesubmitted all the documents, scanning reports and other reports along withclaim form. We have claimed a sum of rs.33, 992.00, a request has been received fromyour end regarding “admission notes” of the hospital, we have gone to the hospitaland requested to provide the same, but the hospital management refused to giveit to me personally by hand instead they asked the mail id of yours to send theadmission notes directly to you. as perthe request of the hospital, i had requested the same to our agent mr. Beharilaln. Chhabria (Agent code: agni1007374), inspite of repeated requests and demands you delayed to furnish the e-mail address. after receiving the e-mail address, we requested the hospital authoritiesto send the admission notes, accordingly they sent the same on 8-7-2020. before receiving admission notes you finalizethe claim and reducing the claim to rs.21, 919.00. All the prices of lab tests, consultation, scanning done at the hospital are very very less compared to the outside wherethey charge more. in view of emergency at the time ofadmission and non-availability of lesser rate beds in the hospital we havetaken the available bed. in the abovesaid circumstances reducing the cost by 33% in the room rent is fine and but itis unfair to pull-of 33% on all other tests, consultation, scanning (I. E. Proretabasis to room rent as claimed by you). this is illegal and unfair in pulling33% on all the claims. we herebyacknowledge for receiving the amount of rs.21, 919.00 out of our claim amount ofrs.33, 992.00. We have received the same with out prejudiced to our rights inrespect of total claim. where fore, we request you and your team to grant me full refund by deducting excess roomrent. thanking you. yourssincerely p. Reddynagendra kumar advocate

Hi team,

From more than 1 month am following up with mediassist support tram for my ticket no : [protected], which was clearly a mistake from mediassist for payment to an invalid account number.
Even though i have provided correct account number mediassist done payment to some invalid account number and transaction got failed.

Support team is least bothered and not getting any response even though i have done followups through call and emails.

Insurer: national insurance company
Tpa: medi assist india
Claim number: 222174
Date of intimation: 2nd june 2020
Date of hospitalization: 3rd june 2020
Date of discharge: 4th june 2020

My claim amount was 1, 09, 659 out of which only 70, 340 are approved.
Rejected charges include:
Surgean charge: 20, 601
Additional surgean charge: 9, 740

I don't understand why surgeon charges are rejected. I have provided all the original documentations on timely manner. I believe surgeon is the main thing that without which surgery is not possible, and the tpa has rejected surgeon charges only.

Sir/mm,
My subject medi
Insurnce policy no : 272900/48/2019/14493 was discontinued from 29/10/2019 because o[censored]tter despair with tpa's working on number of occasions, the last being on 10/10/2019 when i was rushed 1st to dsnss, delhi & then to max ppganj with nostrils and mouth bleeding profusely. The tpa rejected cashless admission & my son had to rush to atm at 12 pm to arrange money despite me paying a hefty premium because of reasons not told to me, it may be my crossing some age landmark inlife.
A week after discharge i submitted my mediclaim form together with xerox of d. S, pxs, bills around 20/10/2019. The claim was for rs 33989/ only.
When tpa did not get back to me till march, 2020, i wrote to mr deepak mittal d. M at oicl, who sent an em to mr suresh gupta of legal, & vig wing of the tpa who accepted that my cashless request was rejected but insured - me did not file any claim and he may raise it now. This being corona period he advised me to send all original papers at his office where staff will receive it. I made a file & couriered it on 20/5/2020. On 8/7/2020 when i enquired the status he replied through email that my claim papers file is not traceable. When i mailed him copy of the courier docket, he replied that since march 2020 he is working from home only, he may have missed it. So that is how things are at this office. Kindly treat it as my complaint against this office and clear my bills of treatment on the basis of photo copies which are with mr suresh gupta. I want my payment of medi expenses of rs 33989/with no further delay. I am enclosing image of courier slip as proof of me having couriered documents.
P. S : most appaling factor is mr gupta is not reachable on phone.
. Bir bahadar malhotra.

I have lodged a complaint regarding non issue of my wifes e-card. I am currently working in bank of baroda and was assigned ticket no.[protected] on 03.07.2020 and was told by the company that they will issue the new card and told me to submit the hrms copy of bob for doing the needful on 04.07.2020 and again on 09.07.2020. But despite submiting the documents, they did not issued me the e-card. Rather they are asking me to contact my hr team. Sir, the job of adding my dependent in banks dependent list has been done by my hr, then why should i contact them when the issue of e-card has to be done from your side. Also why was i asked for submitting the documents on two occassions if the required task was not done? As per your mail dated 08.07.2020 i had also called your toll free number[protected] at 18:41 hours and your representative assured me to expedite my issue for issue of card. I am really unsatisfied by your dealing and that when the e-card has to be issued from your end then why is there a delay? I am already having my e-card but my wife e-card has to be issued in the name of rukmani murmu at the earliest. Request you to kindly resolve my issue, immediately.

I have submitted pre & post hospitalization expenses 3 months back but still the claim hasn't been settled even after submitting all required original documents.

I am vodafone employee and i accidentally/ mistakenly selected parental issurance while submitting and which i tried cancelling immediately, but it didn't the cancel request.
I do not want to add my parents for this insurance because which i already have made from outside and now it is waste of money here. For three months the insurance company is deducting nearly up to 33000 rs of amount from my salary account.
I do have my personal commitments like education loan and vehicle loan which i need to pay, there is short of money to pay those loans now and i cannot explain these things to bank now, where they do not listen to all this stuffs.
I spoke to 'n' number of people in mediassist and everyone answers the same that they cannot cancel the policy once it is opted.
This is ridiculous and stupid rules which is made by insurance company, it is individual decision and our money which we are paying it to you and we do not have any rights to cancel the policy.

I do not need any explanations on this anymore and i just my want money back on this what ever it is deducted for two months.

If so as per the prorated charges, deduct the money from the time i have opted and refund the amount immediately.

Unauthorised transaction means debit of 1899 rupees from my credit card

Hi my self prafful kadam. My wife neelam kadam is hospitalized in sanjeevani hospital andheri east. She got discharge on 22nd june 2020 by 03pm. But due illiterate staff of medi assist i got delayed and i have spend one more day in the hospital. Why don't they raised a query in one time. They haven't understand what is your company requirement in settlement of claim. Every time they has raised new new query can't they raised it in one shot.

My wife undergone an endometrotic cyst removal.
Hospital charged me 99, 400 but my claim was 45000.
When i submit claim, they are putting the claim under repudiation for no reason.

I followed up many times but they are not giving any reasons.

My claim no: 21327726, till today I am not received any amount kindly confirm through our mail id [protected]@gmail.com

Ticket no:[protected]

Dear team,
My mediclaim still not settled - kindly do the needful soon... I have attached the screenshot of the same. Kindly do the needful at the earliest. (Above 30 days).
I have informed to customer support many times and mailed them also.
I given the claim before covid lockdown.
Kindly process the same immediately.
Claim submit date : 9 th march
Claim status: processed ready for payment.
Tat for claim settlement :30 days total days : 50 days over.

Thanks & regards,
Mr. Giridharan

I had raised claim (D[protected]e007) for settlement on 7th of december 2019 but it is still pending for settlement. I had submitted relevant documents through application (Soft copy) as well as by post (Hard copy). Also i am taking followup with customer care email (Refer attached email copy) from last 4 months but still claim is pending for settlement. I had notified the same on twitter (Refer attachment) for support but there is no use.
Please do the needful.

I have under gone for cateract surgery for both right and left eye during february 2020 and the same was claimed but i have received only claim for right eye and the second claim still not settled. When i checked online it is showing that claim is repudiated. Kindly let me know the reason and let me know if you need anything else from my side.
Kindly settle the second claim and do the needful.
Thanks and regards,,
Harisha hs

Ashok rajput,
Ward 08 gram - post nausar teh-timarni chaudhri mohalla nausar harda
99/c/s/3 sch no -78 indore, bhainsdehi, betul-461228
Dear member,
Employee id mp[protected]
Employee name ashok rajput
Medi assist id [protected]
Policy holder manappuram finance ltd
Insurer claim no[protected]-[protected]
Insurer member id [protected]a
On scrutiny of the documents submitted by you, we note the following documents / information are not available.
Please provide personalized cancelled cheque of the primary beneficiary. Alternatively you can also provide snapshot of bank pass
Book/statement of primary beneficiary? S personal account containing account holder name, account number and ifsc code.
Please provide personalized cancelled cheque of the primary beneficiary. Alternatively you can also provide snapshot of bank pass
Book/statement of primary beneficiary? S personal account containing account holder name, account number and ifsc code.
Please furnish the above-mentioned documents / information within 10 days from the date of this letter to us or servicing branch office of your insurer.
It shall be the sole responsibility of the insured to submit the requ