Medi Assist India Complaints & Reviews

I see a number of claims Domiciliary as well as reimbursement claims are getting denied with the same status and medibuddy contact us link does not even work, the number has some very inefficient people who simply reads out the status and does not help in any form.

A claim number[protected] I see has been given the break ups however, standing with the repudiated status for no reason.

Another claim number[protected] has been given a denial reason however a part of it which was the OPD consultation fee should have been approved and should come as partially approved status, Moreover, if a prescription document is missing, then requester should get a field where they can edit or upload any additional document and not just cancel it for a missing document, it could be that the document is with the requester but due to manual human error it was been missed to be uploaded.

Terrible customer service and very disappointing coz one has to invest a huge number of time submitting and tracking and resubmitting claims.

My reimbursement claim bearing claim Id[protected] has been rejected and its very dissappointed to know that your team cannot mentioned the proper document that i have to submit..This is not acceptable at all. Kindly reopen the case and let me know what is that document which is still pending.

I have raised reimbursement claim through mediassist Claim ID:[protected], it is still pending, i checked with medi assistant team they are saying it is pending insurer side..not getting proper reason from team

I am registered with MEDI ASSIST past 2 years. Under the Corporate policy, for my parents are registered along with me.

Claim No :[protected]
Policy: Gold Plan
Patient Name : Chindunuru Nagamani
MAID : [protected]
Hospital : Sri Shankara Cancer Hospital And Research Centre, 1st Cross, Shankarapuram, Basavangudi, Bengaluru, Karnataka
Treatment Date : 29-June-2023 to 29-June-2023
Ailment...

My claim is approved but payment not recevied waiting from more than 15 working days...

Medi Assist happens to be the TPA for my corporate health insurance policy. For planning hospitalisation for my mother, they are asking for a histopath report. However, no such test was adviced by the doctor at the hospital in regards to the ailment my mother is suffering from. The doctor has adviced admission based on other tests and diagnosis which have already been provided to Mediassist. This is resulting in a delay for the pre auth request to get approved, resulting in delay in my mother's hospitalisation.

All docs provided and answered all query still not got reimbursement

I have submitted my claim on 7March2023 for a 3 day hospitalization because o[censored]rethral urethrotomy. this was a existing condition and I had dilation in past, so no pre assessment was required, we went directly for cystoscopy and urethral urethrotomy. I filled a claim for this procedure and hospitalization cost.
Medi assist keep asking me for ultrasound report which never happened, nor my bills include any claim for ultrasound.
I haven't got response even after 2 mails and multiple calls.
Every time I call I get to hear is it's been prioritized but still no response.
From my last call with Binish I got a tag Id[protected] on 2May.
But still nothing has changed.
I want to escalate my case and complain.

Claim Id[protected]
Ticket no's[protected]
[protected]

I put my medical for reimbursement the almost deduct 50% from the total amount. They are considering Lasor operation as an advance therapy so they cannot covered under policy.
There are too many hidden conditions they I have seen after I put my medical claim.

India's worst worst medical insurance company.

I would highly recommend to all not to opt as medical insurance partner as medi assit.

They don't do medical reimbursement as per their commitment as well.

They have committed 3 times saying that your reimbursement will be credited to your account, however still not done even though 2 months completed and they do give false commitments.

To claim our paid money from medi assist it is very challenging, so please don't opt medi assit as medical insurance partner.

Medi Assist not processing multiple claims after providing all the medical claim documents.

Now, they have stop responding to emails and call. Below are the claim details:

Claim No 1 : 31189027
Claim No. 2: 32184110

Medi Assist India — Medibuddy Repudiated - Awaiting insurer concurrence even after provided all documents

Claim number :[protected]

I have uploaded reimbursement claim for my wife’s hospitalization of rs 12083/-.

At first i have uploaded all files, still they requested to upload but again they asked to reupload. I uploaded, again now they are asking for reupload bills third time.
br...

This is to bring to your notice regarding pre hospitalisation claim raised for my illness (conservative treatment) miscarriage surgery Dilation and Evacuation happened on 6th Dec 2022.
I had raised the hospitalisation claim on 29th Dec 2022 but was not able to upload the pre hospitalisation claim expenses on the portal (but shared them on email then) but only the partial claim was processed since documents shared over email was not considered.
After that the portal was down on 2nd Jan 2023 and is still down hence that is the reason, I shared the hard copies of the pre and post claim to your office on 3 rd Feb 2023.
Claim for reference - TP[protected].
In the year 2021, I had raised similar claim - CCN#[protected], everything was approved (Pre, Hospitalization expenses)
In 2022, I had raised claim for same surgery again - CCN#[protected]. Only Hospitalization was approved. As per Medi assist, I didn’t share the pre and Post bills, which I had sent it on email separately and then hard copy as well on 3 rd Feb 2023. But it is more than 30 days now and still the
claim has not been processed.
Kindly note that this is pre and post expense for my illness conservative
treatment (missed abortion) hospital expenses claimed earlier.
policy number –
[protected], Member ID - [protected]

Outstanding Claims
Claim Number [protected]Insurer Claim No. TP[protected])
Claim Number [protected]Insurer Claim No. TP[protected])
Claim Number [protected]Insurer Claim No. TP[protected])

Same here kept my claim 30966558 under Repudiated - awaiting insurer concurrence.
worst insurance agents .They will torture you by post silly and useless question everyday
Their main purpose is torture to such extent insured will go away without any claims ....

Hi,
One month ago I have done my wife's laproscopy.Nurshing home gave me room charges, nursing charges and other charges invoice.But surgeon procedure charges amount gave me the money receipt with sing, stamp and NMC no.
medi assist reject my complain as due to cash receipt is not printed .

Note : I am working in Tractors Nepal Pvt Ltd and insurance company is Shikhar Insurance Company Limited, which is TPA of medi assist.
Policy No- POL/10000/HEA/22/23/31/00103, MA ID-[protected].

I have submitted all the bills and medical documents, Inspite of submitting the documents many times.and answering all the funny annoying questions.Mediassist has put it for insurer concurrence.Mediassist services are worst among all other insurance company. There should be some government channel who can control such fraud company to give justice to customers.

Claim number 30750062...

I ordered a medical test package with medibuddy and the order was assigned to Tenet Diagnostic Karkhana. As part of the package, 2 tests Dietician consultation and Dental consultation were denied as they DO NOT offer those services.

I have been in constant touch with Medibuddy customer care but I am not getting any help, when asked for a refund of those services.

Dear sir
my claim id:30238344
i have many complain in medi assist but still not receive my payment
my claim approval on 4 november today 28 december but not credit my amount

Inspite of providing all the valid documents my claim was repudiated by insurance company. I didn't avail the TPA facility as the hospital charge high amount in TPA case and at the time of discharge I have to pay the unapproved amount. No proper reason was provided for denial inspite of several followups. Claim no.[protected]

I have family health insurance from Medi buddy.. My father was admitted in the hospital after submitting all the documents and replying every queries, insurance company Repudiated the claim...

Claim Number[protected]
Employee ID : 50107848
Company Name : Reliance Retail (Quick supply chain Pvt Ltd)