Medi Assist India Complaints & Reviews

My claim of rs 30636 claim no:[protected] has been rejected by this pathetic tpa due to name variation in policy and addhar card of patient although an affaidavit was already given but they said it is not acceptable even when they are clearing all the claims since 2017 on that same affaidavit. They have no protocols for rejection reasons. Thet are harassing me. My 5 claims amaounting to 2 lakhs are pending with them

I was started my claim process on nov 2018 but still its not settled, i have submitted all docs whatever they asked since from jan 2019, now they trying to put corner on me, since they find difficult to process my claim, because i understand one of mediassist person visiting to our office said everyone left the your company, hence no is there to process my claim not only mine, many people 2018 claim are not processed. I will not accept it and i have provided whatever docs team asked as and when.

Dear sir/mam

I have sent the reimbursement claim of my child harshit kumar member id [protected] to mediassit on 03/09/2019 to the address mention below by speedpost. The tracking number is ef[protected]in.

Medi assist india tpa insuranceprivate limited
4th, 5th, 6th floor, aarpee chambers, andheri kurla road,

Marol cooperative industrial estate road,

Gamdevimarol, andheri (E).

Mumbai 400 059

It has reached to above mention address on 07/09/2019 at 19:16:12. I have called many times, & also share the tracking number with them. They said that it has reached to us. We will intimate you soon. But after crossing 24 days, neither you have sent any intimation. I am sending you, tracking number & mediassist card. If it not get resolved within 1 days. I am filing complain against you in consumer court.

Thanks & regards

Sauravkumar

Mo-[protected]

Claim id 99223273
Claim date: 26/9/2019

We have been requesting our claim since 26th sept at 2 pm. We have been getting assurance that our claim will get settled in 2 hours. However, they have been requesting more clarification on the bills sent and increased the time to more 2 hours. This continued till 9pm at night. We have been asking atleast confirm if we will approval still their reply was wait till 11 pm we will complete the process.
In addition they are not even clarifying the issue of the delay even after sending the requested documents.
The patient and every relative staying with her has been suffering because of the false assurances at late evenings.
Atleast we should get a clear picture of the whole so that we can plan accordingly.

My claim no. Is 20309611
Claim amount 1, 90, 000 rs
D. O. A treatment 1 july 2019
Discharge 12 aug 2019

Claim on 21 aug 2019.

Medi assist canceled & no any confirmation.
I was talk to help desk they told me canceled or hold & u quit ur job before treatment. But still i m working then how can say i quit my job... They can verify & confirm from my hr.
I was complaint 2 times [protected]@mediassistbr...

I have submitted an claim with claim no. 19903213 but the same has not been processed till now. The status is being shown as "documents requested". I have submitted the documents but the team has not looked upon the submitted documents since 2 months. I am really frustrated with the agony i am undergoing. The team has not even bothered to reply to my mails too. The customer care always say they have escalated the issue but nothing has been processed so far.

I have a policy for my in laws, they denied it, but i ask for documents, since one month, when i am raising the ticket they are closing it. When i calling them they putting me on hold and automatically disconnecting.

We can't give place for this kind of companies. If it usa they sue them for 10 mi dollars. I am helpless.

Now my demand is, since they are sending document, they have to pay my 2 lakhs claims.

I work in cognizant. My employee i'd is 769491. My baby was born on 10 sep 2019. I have added him in amc as an additional member from medibuddy portal and have mistakenly chosen 2 lakh cover instead of 3 lakhs and paid the premium for the same in my corporate group policy (Cognizant).

I asked or assistance from cts medibuddy helpline and they informed that my child didn't get added and it will take time to reflect him as added in the portal from their end.

The support personal suggested to send an email to [protected]@mediassistindia.com before my baby gets reflected in the portal and assured me that the needful will be done to update the amc policy cover to 3 lakhs if i sent the mail. I have the call recording for the same as well.

I have mailed for it yesterday itself immediately after the call with helpline and got the response mail that a ticket has been raised and i will get the response within next working day.

However, i didn't get any response from their end. Also when i called today on the helpline the support personal today said that my baby is now reflected in the portal as added and the policy cover cannot be changed now nor my child can be removed and re-added with appropriate medical cover.

Please help me get the policy cover extended to 3 lakhs.

Hi sir,

I, neeraj talwar need some information, i (Insurer member id: 39321) want to increase amount of my annual premium for my policy with you, what i need to do for that/with whom i need to speak?, could you please guide me?

Please let me know.
Regards

Neeraj
Oracle

Neeraj talwar | assistant manager - accounts payables - s2s
Phone: +[protected] | mobile: +[protected], [protected]
Oracle accounts payable - emea

Oracle india | 560076 bangalore
Green oracle oracle is committed to developing practices and products that help protect the environment

This is with reference to a new born baby who was born on 9th july. First we approached the company to settle cashless. Medi assist took time to enroll the baby. By the time they enrolled the baby, we were discharged from the hospital. I paid the full amount to hospital and later claimed for the reimbursement.

Medi assist denies my claim stating it was settled cashless. While i was in the copy of the mail which hospital has sent to medi assist to cancel the cash less facility. Time and again i am forwarded the email of the hospital which they sent to cashless team in mediassist for cancellation, but they still did not take any action.

Below are the series events:-

Birth of a new born - 9th july
Discharge from hospital -12th july
Request for cancellation of cashless facility from hospital-12th july
Settlement of final bill by patient -12th july
Completion of enrolment of baby in mediassist-13th july
Reimbursement claim denied -3rd sept

Hi,
In 2018 i have submitted claim for cataract operation for my father for one eye. At that time, after few document submission and few follow ups, claim was settled easily.
I renewed the policy again that year with increased amount considering the credibility of mediassist, but this time it's really painful. I have submitted claim on 9th august 2019 and submitted all originals on 13th august 2019. After that real harassment occurs when they keep on asking document which are irrelevant. I provided hand written note from my father's doctor for details that are required by them, but still they ask for same things again and again. I called them almost everyday, each day they assure me that issue will be resolved in next 24 hours, i wait patiently for that period but no replies from them. My father is 65 years old and he can't go to doctor again and again for details which are not relevant or already provided in one format or another. I am not in same city due which he is suffering. I really want to file a court case against mediassist and my doctor is ready to come to court to witness and expose them for harrassment.
My claim id is 20223104. This is my last hope, after that i am filing a case against company.

Hello

We have renewed the policy this year considering the past claim of radiotherapy was successfully processed by medi assist (Claim id h[protected].

Same set of documents like declaration of smoking in past is submitted this time but this is very unfair that they have rejected the ecashless this time.

Need justice on this.

I am suffering a rare disease crohn. The doctor advises me to take remicade injection for that. I was admitted to the hospital to take this injection s per doctor to advise. But got rejected two times from hospital. I have doctor clarification to take this injection. I have checked the policy paper. There is no mention for the disease crohn is excluded.

Dear
Sir/madam
I am sudhanshu sekhar pradhan working under innovsource services private limited, dhamra port, odisha, my emp id[protected]. This is the complaint about not updated my wife details in the new india assurance co. Ltd (Mediassist). I have already submitted all details to hr department but not added till now. My wife have now pregnant and her delivery date on 17july, so please helpme do asap...

My spouse name-anita kunda
Age-27
Date of birth-22.03.1992

Dear arun,

With a heave heart, i am writing this mail as my reimbursement claim settlement pending with oriental insurance since last 1 year.

Though the amount has been approved but the payment to my hdfc bank a/c has not been credited till now.

A long follow up mail has been shared with the respective team members regarding this matter (If you require, i will share the same).

I have received a lot of reminder sms from medi-buddy regarding confirmation of the receipt of payment. (Last one received on[protected].

However, currently in portal it is showing status :- claim closed[protected].

How could it be possible? Please close loop & confirm the same.

Claim no :[protected]

Claim amount :- 7291

Approved amount : 7191

Insurer claim id :- 520000/48/2018/015654

Patient name :- amulya chandra das

Tpa : medi assist

Regards

Debasis mohanty

[protected]

I am a medi assist customer having the insurance policy with new india assurance. Recently, i had raised a simple query to medi assist team via an email asking for the treatments covered and not covered under my plan for amc members.

My ticket number: 8272021
Date of the incident: 29/08/2019

There was no response with the details from the mediassist team even after 72 hrs and when i had called the customer support team, they said some technical error at their end and the requested details will be shared within 3hrs.

Even after 24 hrs there was no response and when i had called them again, the customer support person was very unprofessional and disconnected the call after 5 minutes of conversation.

I need to know why the customer support team disconnected intentionally? And when will my query be resolved? How this type of issues or behaviour will be avoided in future?

Sir, policy no[protected]. I am new india assurance agent. My contact no [protected]. My customer very feel without id card. Photo &policy copy sent throuh proffesional courier date 30/07/2019 and id card section mr vijaj date 07/08/2019 cell [protected] & mr dinesh cell [protected] throuh whatsoff still not responsible. Please to be arranged id cardas soon as possible photo attached.

Thanks

I have been trying to call customer care since yesterday they don't respond or call gets disconnected after a while without answering. They fool us by saying i am unable to hear when they perfectly are able to hear. I wanted to clarify that if i need to submit a claim online we have option of submitting in 7 days after admission or after surgery or after discharge. Also what is the procedure if we miss submitting within 7 days of admission?

Sir,

Kindly settle the remaining claim amount of my claim id #18971125 that was domiciliary claim which had been sent along with hospitalisation bills
This claim was the month of nov-dec 2018 but still pending.
I have been talking with safwan m regularly since february 2019 but till date there is no progress in my domiciliarly claim.

I request you to please lodge the complaint and look into matter seriously.

Thanks,
Sushant raj
Boi sme agra

I have submitted my form with my email id : [protected]@gmail.com

Which is wrongly edit by company, so please correct my email id.

So i can contact with company and solve my problems which are arise by company.

You can also be contact me on my mobile number [protected].

I have submitted all my documents which are required for insurance so please give me answer....