Medi Assist India Complaints & Reviews

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....

24.08.2019

Medi Assist India TPA Pvt Ltd
Tower D, 4TH Floor, IBC Knowledge Park,
4/1 Bannerghatta Main Road,
Bangalore – 560 029

Sir,
Sub: Policy No: [protected]P[protected] / IP [protected]

Please refer to my letter Dt 12th Aug, 2019 and arrange to reimburse Rs 61, 213/- without further loss of time. Please note that, the delay in reimbursing my claim is amounting to breach of contractual obligation and against the terms of the policy.

I am also enclosing bill for Rs 6020/ being the charges paid to Manipal Hospital on 22.8.2019 for the removal of DJ stent under general anaesthesia.

Encl:
1. Bill Dt 22.8.2019 – Rs 6020/-

CC: Marking copy to Consumer Complaint & Redressal

Dear sir/madam,

This is pravin bagul. Ma id no.- [protected].
I was admitted in hospital from 30/04/2019 to 06/04/2019. My claim id is 98568896.
Claim is approved on 24 june but till date reject no any information and new claim number 98800766 by your end what is reason for rejection pls upadate
I need information about my claim status.

Pravin
[protected]

I have submitted reimbursement claim to Medi Assist India who is TPA for New India Assurance. They have asked all documents including hospital case papers. I have submitted. They have again asked hospital bed capacity and registration number. Hospital has given declaration form stating their registration, bed capacity and doctor credentials. But they are not accepting the letter. They are not even providing guidance or any template document. They are reluctant to share any information. It is very clear they are treating the case with very bad intention. They are not providing any support for same. I don't know why they are accepting hospital declaration form. My claim number is 20128723. whenever I call their helpdesk, each time they are giving different answer.
The hospital is renowned and their facilities are stated in their website. They are not even speaking with hospital staff.
Policy is policy#[protected].

My father admitted in hospital for eye operation on 16-july-2019, want to use the cashless claim[protected] and hospital also process cashless claim as well. But very huge delay in processing the cashless claim so my father discharge getting delayed two days. Finally we don't want to utilize the cashless claim so we have paid the full amount in own cash and discharged on 19-july-2019 as well.
Cashless claim[protected] is cancelled...

I have submitted the claim for reimbursement of baby of shruthi on 05-may-2019, the payment has not approved till date, its been 4 months from claim submission for reimbursement.

I have done followed many times and no proper response from support team.

I have given all the necessary documents personally to mediassist bangalore office.

Please provide the claim status.

I have raised a complaint with customer care for my wife's name not showing in mediassist portal. I have been following up with them since 8 days. Due to this technical issue, i could not submit the claim within 30 days time frame. My complain id is 8175142.
They are not even telling me how to submit claim offline (As online process is having some technical issue).

This is in reference to -
Employee id - 129981
Employee name - satyabrata chaudhury
Medi assist id - [protected]
Policy holder - bank of india
Insurer claim no. - [protected]c[protected]
Insurer member id - 1299811

In spite of making several representations with proper hospital documentation for the reimbursement, alongside showing reasonable grounds for the delay in informing the company within the stipulation of 24hours just immediately after admission into the hospital, it has been found that my application was not only scrapped out but also the company is denying the acknowledgement of receiving my representations.
In response to my every representation to the designated email id, whereby i'm forwarding them the reasons of delay unequivocally, the company is sending an auto-generated email asking me to show reasons on the delay.
Kindly look into this matter and do the needful to release the reimbursement amount.
Thank you.

I have raised 2 reimbursement claims one for my self and other for my mother. Claim number 98659464 got approved on 26th july 2019 but still i haven't received the amount. And claim number 98659459 got approved on 6th august even this i haven't received the amount. After making multiple calls and escalations there is no response and none to help. Mediassist looks like just fooling the customers without giving the amount even after approvals...

I have submitted claim[protected] on 24th july 2019, regarding which i received message the claim is settled, and amount is transferred to my account vide transaction ref. No.[protected]gn00201 on 31st july.
But i haven’t receive any money in my bank account.

I have also sent mail to [protected]@mediasistindia.com (Ticket id 8100944)
With bank statement, but there is no satisfactory response please look into the matter, and do the needful.

I also tried to send mail to [protected]@mediassistindia.com, but it failed.

Member id: [protected]
Insurer id: [protected]d

I got admitted in udai omni hospital to undergo a surgical procedure @ udai omni hospital. Prior to admission, hospital tp team obtained cashless approval from mediassist. Doctor suggested biopsy prior to extraction of tumor from the bone (Tibia). Hence they performed a surgical procedure to extract the tissue from the bone through general anesthesia and i was admitted in hospital for 40 hours. When the discharge summary was presented to mediassist, the claim was denied explaining this as a oral medication and investigation.

Further concerned doctor shared a clarification on the procedure (Surgical procedure) which was carried out on me. However, your mediassist team has not responded to it. I personally following up with your customer service folks and their response has been pathetic as if they do not bother about the taruma one patient is undergoing. Very un professional response. Can you please clarify how this surgical procedure is considered as oral medication and investigation according to your rule books. Looking forward to your response at the earliest.

I am abb employee and the insurance company auto renew my policy. For the next year. & also didn't the cancel request.
I do not want to add my parents for this insurance because which my sibling already have made from outside and now it is waste of money here. Forwhole the year the insurance company is deducting nearly 27750rs of amount from my salary account.
I do have my personal commitments personal loan which i need to...

Hello Sir,
I am Umesh, a corporate employee.
i have submitted a medical claim on 25-Jun-19 on my mother to Medical Assist who is TPA here and the main insurance company is United India Pvt Ltd.

There is no proper response on call to them and no right information available on web site on claim status.

claim tracking number is: H[protected]

Dear sir/madam,

I am tcs employee. My employee id : 399035

My father (Mr. Amarendra nath chakraborty) got admitted in rabindranath tagore international institute of cardiac sciences on 2nd august 2019 under emergency. He was later moved to intensive care unit. As he is the beneficiary of the mediclaim facility provided by your company, the cashless has been raised for the project (Claim id #[protected]. He got discharged yesterday i. E. 6th august 2019.

The total bill as sent by the hospital to you is rs. 95394. Here is the document attached - amarendra_bill. Pdf. (See attached file: amarendra_bill. Pdf)

And the amount approved by you is rs. 23794. Here is the screen shot for your reference -

The rest of the amount (Except the non medical items) has not been approved by you because you have mentioned "proportionate deduction due to higher room rent occupancy". Here is the screen shot for your reference -

Now here is my concern -

As mentioned in the attached document (Mediassist_payment_breakup. Pdf) (See attached file: mediassist_payment_breakup. Pdf), i am eligible for twin sharing room for my parents. I have not opted for single or twin sharing. From emergency, my father has been moved to intensive care unit (Icu) which is multi-sharing room and also economy ward and from there, he has been moved to general ward. Could you explain how come the icu is of higher eligible room than single or twin sharing room. Can you explain me why the intensive care unit (Icu) has been mentioned as higher than the eligible room rent. Because of this, the amount for the rest of items has been approved proportionately.

Taking the reference, my father got admitted in the same hospital back in 27th april 2017 (Claim id #[protected] in the very same situation and he was the beneficiary from your insurance company back then as well. This issue did not crop up back then and apart from the non medical items, you approved the claimed amount.

This is the worst ever experience witnessed by me with any of the insurer. Since 5th of aug in am stuck in hospital for the claim reimbursement to hospital and even after taking to their supervisor manish and manohar and their executives habiba monam poonam sana and many more, all are useless in terms of serviceing and etiquette while talking to customer. Today is 6th aug and i am still waiting for the settlements. Every time time they are doing a wrong entry and asking for more time. I am really feeling that i did a blunder to take the policy from medi assist. Because of the casual approach and false commitment i m getting harassed and tourchered which is impacting y health also. If any thing will happen to me the medi assist will held to be responsible as because of them my medicines has been stopped and i unaware of the medication. I will take th issue to irda ombudsment also.