Medi Assist India Complaints & Reviews

Hello,

I have complaint against your team, cashless claim raise by hospital vide claim no 21178013 on 14-12-19, from the date of submission of claim till today no one give proper answer for claim approval.

Yesterday i have talked with your team person that i going to discharge my patient and final bill was submitted by hospital. I have continue call to you customer care from 11 am for approving claim, so that patient will be discharge from hospital. But till night no response from your side.

Last night i received call from your team person that claim will be clear till tomorrow 12 pm, but still same problem no response from your side.

I am very fed with you service, you give mentally tourcher and pressure on us. It is very harassment that your not able to solve issue.

My simple request to you, kindly solve my query, if you want to clear or reject the claim kindly solve issue. It is clearly shows that you intentionally not want clear this claim.

I had claimed for lasik eye surgery under medi assist. But they say it's not admissable under policy.

I wouldn't have claimed for the minor power correction.

But my power is -9.5. I am in a serious condition where operation is mandatory.

If such major claims are rejected then what is the need of insurance policy?

How can this be treated as a cosmetic surgery.
I would almost go blind if i choose to not get operated.

What is the use of having such policy which is of no use to the employees?

My national health insu. Policy no.[protected] name-rajeshbhai chandravadan bhojani
Medi assi. I. D-[protected], insu. Medi i. D[protected]
Sir,
As per my above details i am not satisfy claim satelment by you.
Rs. 4000 /- deduct of anesthresia charge after submiting bill ans also remaind and re submit all necessary document but not recive positive responce..
So pl. Do neddful for the same
Hoping from your favourable reply
Thanks
-rajesh bhojani (Mob. No-[protected])

Dear sir
Main vivekanand prasad gupta mane ek claim kiye the uska paper bhi submit kiye lekin abhi bola gaya hain ki aap doctor se likhbake aao ki aap alcohol leke to driving nahi kar rahe the.
Agar main alcohol leke driving karte to mera mlc copy me ullekh kiya hota or police cash bhi hota or mera blood report me bhi hota. Mujhe uhi preshan kiya ja raha hain. Main swiggy me kam karta hun or mera accident on duty hua tha. Main insurance claim ka pic load kar raha hun
Please sir mera request svikar kare or mera help kare.

Sir/ madam
please provide my e-card and please update my policy details so many days not updated my details why sir?
and i want my ecards I many time try e-card downloading but my policy not update.
why i dont know but i disturbed and next year I reject this policey sir/madam
any another company policey i purchased planning sir/madam sir once again I requested please my policey update.

I am employee o[censored]ltratech business of adityabirla group .
I have initially submitted all relevant document including discharge summary report, medical bill, other treatment report etc.
After that I received the other document request from mediassist for processing. The document related to indoor document .Which I collected and same has mailed to medi assist. In Same time received mail of file closed and delay due to regenerate the request (Ticket No:[protected]).

After that found confirmation of document received . After many follow-up again to get the further document for indoor .I had raised issue that I have submitted all document and whatever indoors received by hospital same has submitted. One representative of med assist ensure me to give the statement by hospital for not having moreover indoors paper other than already submitted . Same I had received from hospital and submmited /mail to [protected]@mediassist.in.

But after passing of more than three month . I have not found any progress till date. Long to long one year and 10 times follow of ticket generation mail received .

Please look in to issue .

Regards

Lokendra Pachouri
Ultratech Cement Ltd
Aditya Birla Group
[protected]

I was admitted in sun shine hospital from 04/10/19 to 08/10/19 for treatment of malaria fever with uti.. I paid my bill there and applied for reimbursement..in november 2019 i got the message of approval of around 50000 and told me regarding trasfer of approved amount with in 7-10 days.. But i did not get amount yet and after long time some investigators came to my office address without informing me and tried to check my attendance as i made some crime. I told them to see their id, but refused me and misbehaved me like i did something wrong like this claim will not be approved and accept your mistake.. I was unable to understand why such investigators are allowed by insurance company to deal with corporate employees... I m very much upset with services... Kindly do my process fast and make my payment

Thanks
Amit tyagi
Claim no...99578575

Can i know about claim status weather i will get claim or not. No call i am getting from company from 5days. Even i inform swiggy company during accident time but no help i got from swiggy company and insurance company also. So pls resolve my issue... My mob. Nb is [protected]. My swiggy id is 844610 and medical assist swiggy-[protected] and medi assist i'd -[protected]. My policy nb is[protected]. And i got new mail id from company that is - [protected]@dummy.com but no password i got.

Dear sir/mam,
I swati punasiya w/o ashok punasiya want to raise another issue regarding updation of my last name. My husband works in capgemini, employee id is 173917_acis & we have raised a request regarding change in my last name as per aadhar card but we didn't get any response from your side. Please do the needful as soon as possible as we want the updated ecard as soon as possible because we want to use our policy in december 2019 end or in january 2020 1st week, please find the attachments below that will help you out regarding our issue and also please let us know till which probable date we will get our updated policy and in january 2020 till which date the validity date of policy gets updated.

Thanks & regards
Swati punasiya
Pune
[protected]

Dear sir/mam,

I devpratap singh chauhan employee of axis bank ltd. We have submitted an pre-post reimbursement of my spouse named rashmi singh. She has admitted due to fever, pain and some other problems in sep/oct month 19 in ravi hospital. But medi assist team has decline my claim and saying that the patients was having another tratement. While we have send the dr prescription paper. And also dr have issued an letter to company and challange them for denial reson/denial treatment reason. But medi assist company has declined my claim. While the similarly treatment was treated at the time of hospitalization.
So plz help and do the needful.

Ma-id : [protected]
Ticket 8713380
Grievance ticket# [protected]

I'm disappointed that despite multiple follow ups there is no sence of ownership to acknowledge and revert.

Even after looping grievance cell, no response recieved do far.

My ma id : [protected]
Policy number: [protected]p[protected]
Policy issued by: united india insurance
Date of surgery: 16 november 2019
Type of surgery: cataracts
Claim type: reimbursement claim

I have uploaded all the documents on medi assist app but it is not yet moved further. Snapshots from medibuddy app is attached for ready reference. My policy will be expired on 14 december 2019.

This is horrible and disgusting situation after which i had to write this complaint. It's been 2 months and i am calling mediassit for 17 times with no luck. Mediassit has misplaced the discharge summary and other relevant documents and now blaming the employee by saying that i have not submitted the documents, when i explained the same for 15 times, no one has responded properly and now they denied the claim saying that i have not submitted the documents. This is worst ever experience i have faced.

I submitted all the original documents (Bills and receipt) and they missed to scan few document to scan, now they are asking me to resubmit those (Which is with them only) and trying to argue with me saying that i should have had a copy of it, infact all the bills were verified by their agents while submitting and calculated properly with the amount which i had given.

Policy no. : 671766
Maid : [protected]

Dear sir/madam,
I have submitted my reimbursement claim on 11.09.2019. But till now there is no response. If i am contact their customer care every time they are saying we are escalating your issue so that kindly wait 24 hours like that. But now more that 1 month gone. I have couriered original documents on 03.10.2019 and it has been reached 07.10.2019 but still they are updating my claim status as claim referred for verification....

Dear sir
I applied for reimbursement in medibuddy... After submitting all documents of rs. 58002 they appove only rs. 49253

1. Amount deducted rs. 2432 saying 5% of total bill will de deduct for not using cash less
2. Rs 3465 it claim but they approve only rs. 466. Reply saying twice you apply
But i apply one once... They provided prove for twice apply... Rs. 2999 deduct amount need to approve

Sir
With due respect on 19th august, 2019 i have submitted my pre hospitalization claim ref no. 98980335 but till now i did not received any money. It is also mentioned that i have contacted with mediassist so many members from august 2019 to till today but everyone is transferred my claim related query to another or said me wait. Since long i have contacted with mss. Debjani but she referred me to mr. Anik for statement matter. From the time of august, 2019 i didn't understand my fault. Now i have to know what is my fault as a sbi genl. Coustomer about my claim settled??
Sir i am waiting for your reply. Thanks

Dear sir,
As per telephonic conversation with your authorized person, he had informed that my claim is pending due to non availability of certain documents, i am herewith sending the documents declared to be deficient. I am willing to provide any more documents if necessary please sanctioned my claim at the earliest
Thanking you
Yours faithfully
Pushpa mothabhau jagtap

My claims are rejected with the statement saying I didn't provide the Additional documents. Its been 5 times I sent the Documents but I am getting reply saying It will be processed in 7 days for each Mail. I raised Ticket also. Ticket No
[protected]
[protected]

Please update the Reply as soon as Possible as All my documents are proper.

My name is:Deepa Patil
Patient Name: Ganganagouda Patil
TCS, Emp ID:678422

22 octomber my sister addmite on your network hospital for cassless claim and medi assist not aprove claim and after paymet medi assist give approval on 26 octomber discharge time. Reammbessment proocess in no any one give me proper information now my 272007rs claim in 2500 rs hospital dicount for cut and now tollfree number on managersaid their money are not giving me so many problem are give me no today almost 1 month complet and not give me proper solution so sove my problem and [protected] contact no no contact me now my claim no is 20915650 so i hope my problem is solve.

Dear sir/madam,
I have claimed for my twins babies. I sent all documents of both on same time. But there was one claim passed. My second baby claim process is not going on yet. It would be more than 1 year to take place for this matter. And there is no any update of my second baby claim. I have ensure that my both babies name in my hrms portal. Please do the needful. If any queries please inform me.
I talk with your customer care representative with two times. They give me explanation no as below
Explanation no - 8044472 & 8202283

Here is my details
Corporate name-dena bank
Hrms id - 0014583
Claim date[protected]
My 1st baby claim amt -16945/- which is passed
My 2nd baby claim amt-52606/- which is remain

Medi assist id-[protected]
Primary beneficiary - priti rameshchandra panda

Here i attached a screenshot of my dependent child seen in dena bank hrms portal.

Please do the needful for my 2nd baby claims.

Thanking you.