Medi Assist India Complaints & Reviews

Medi assist is a fraud company recently I have to pay 2503 as non medical expense while I was admit in hospital & bill was for blood test that was necessary as my plattlets were low but I have to pay 2503 as non medical no customer care & no support .no medicalim company deduct so much amount as non. Medical expense except this Medi assist . It is fraud company pl away from it. Try better company like MD India or other

I had raised a claim for my wife's gall stone operatiion on 29th May 2019 and after some submitting the documents it is pending since 14th JUne 2019. Today is 24th July 2019. More than a months now. Everytime I am calling the cutomer care, sending so many mails but nothing has happened. They simply lying it will get closed within a week. so many weeks overed. I got frustrated now. I have submitted all original valid documents already. But it is not getting processed.

My Claim Number[protected]
602200/46/18/[protected]_IL_GPT
[protected]_non_sez

Dear sir / madam,

With reference to the above claim, we have been informed recently that the claim has been rejected as convulsion is a pre-existing disease and it has a waiting period of 2 years as the policy was issued in september 2018.

Please note, though convulsion is a pre-existing disease, we have admitted our daughter shannon dsouza for dengue fever (High temperature), which is not a pre-existing disease. Hence, this should not be a reason to reject the claim, as you may be aware, how life threatening this dengue fever is. The convulsion is caused by high fever and hence on doctors recommendation, we got her admitted in the hospital, in order to control this high temperature.

Under the above circumstances, we request your team to please thru the entire documents submitted once again and reconsider your decision.

Awaiting for your favourable response.

Thanks & regards,
Flavia joseph dsouza

Pol. No.215302/48/2019/1463
Kitab kaur dahiya
Doa :29.4.19 to 4.5.19
Kalra hospital
Bill amount 92, 562/-

Final bill submitted on 16.5.19 and all the document the mediassist required from hospital submitted on time, but there is no any response from mediassist till date (23.7.2019) i request you to please look into the matter and clear the bill.

Dear Concern,
I have applied Claim for my father's Cataract Operations through Medi Assist India.
The Claim has been processed & ready for payment since last more than 2 weeks but still the claim is not settled & trying reach the customer service but not proper response or guidance given to me. Kindly help me to get it settled as I need money, going through a financial crisis.

Please support, looking forward for positive response.
Claim ID[protected] & 19931053
Policy No.-[protected]

Thanks & regards,
Yanvishankar Pandey
Mob no. [protected]

Ticket no. : 7670362

I do not understand why your team is repeating the same message again and again

I have dropped all my originals in the tracking id:


Tracking id date
Blr00554368 13/3/2019
Blr00554352 13/3/2019
Blr00554351 13/3/2019
Z[protected] 13/3/2019
Blr00520190 22/3/2019

The cash paid receipt and bill for rs. 64, 685/- (Bill no. : 374) is available in the above tracking id

This claim was accepted after seeing all the documents; why again same

Kindly call me on my mobile @[protected].

Hi team,
I had submitted medical claim number 97886761 in feb month, claim got approved and payment got initiated but got failed due to wrong information provided by medi assist to insurance company. I had provided cheque leaf as bank details but again payment go failed. However with same details my other claim got credited to my account. I am taking gregarious followup but no one taking care of it.
This is my 2nd claim out of total 3 claims for which i am getting very pathetic service (6 months).
If mediassist is not able to run his buisness, they should shut down their shop. This is the shop of thieves who dont care after taking medical insurance premium from customer.

Regards,
Ashok rathee
[protected]

Delay in getting claim settlement for claim no 19707170 and 19706368 for below details. After submitting all required information still company is taking long time to settle the claim.
Employee ID 86172
Employee Name Malaya Ranjan Gochhi
Medi Assist ID [protected]
Policy Holder Canara Bank - IBA
Insurer Claim No [protected]C[protected]

Kindly look into the matters.

We were under universal health insurance in[protected] at irinjalakuda branch and they suggested aasha kiran policy a bettter one and started it in the year of 2016. Because of corneal dystrophy my husband was admitted for surgery and they rejected the same. Here we can say that dr. Suggested a surgery in the month of march 2019. So the reply for denial of claim is not satisfied and they cheated us, and still we didnt apply any medical reimbursement before

My self vibha suresh gawde deputy manager at axis bank. I am submitted mediclaim of my maternity claim with all the required documents also submitted.
But i have yet to receive any response from mediassist for status of claim.
Kindly find the below detaila
Patient name - vibha suresh gawde

Member id - [protected]
Date of hospitalisation - 7 june 2019

Date of discharge - 11 june 2019

Company name - axis bank limited

Hospital name - pooja maternity, nursing home & ent centre

1. According to the Cognizant Medical Policy all the original Physical bill documents should be sent to MediAssist team for reimbursement of Pre/post hospitalization. All the documents are uploaded to the site and the original bill documents are sent to Chennai on 1st of July. After receiving those everyday just before ending of the Working hours of the team I was informed about the status of the details of the Claim for the reimbursement....

My self kapiljeet manager at canara bank garhakota i submit mediclaim of my son deevansh mittal all the required documents also submitted..
But always raise false queries by mediassist. I also agree to face any inquiry.
If they have doubt in mind then they can enquire. Mediassist should apply practical approach to solve customer case. I feel they are doing timepass.
Their approach are negative
It is very painful experience.

I've opted for parental insurance from wipro-medi assist and wanted to reimbursed mother cataract surgery bill. All original documents are submitted in wipro drop box. Still these guys are asking for original documents again. I have soft copies for document and that they are not accepting further.
I sent them over mail and uploaded in missing documents tab on their site as well.

How can i get the original documents again??

Claimno : 98679658
Insurer member id: [protected]p[protected]

My mediassist claim id is ccn# 97740940
I filed this claim in january 2019. After several mail chains of document verification it was updated in the system that all documents are verified. Customer care said that all is done. Money shall be credited to the account provided at the time of claim.
This was done within 1 month.
After that the status went to "internal clarification ' mode.
And from last 4 months it is the same.
Whenever i call customer care. They say we have escalated this. You will get a response within 48 hrs. That never happens. I have called around 10+ times. Every time same reply. I have raised complains via mail. I get auto acknowledgement of the ticket. I get a complain id which says will be resolved but no resolution ever happened. I have around 10+ these complain ids with me (Latest being 7524745)
These guys also deleted my claim id from the system. So now ivrs system does not recognize my claim id. And also status in website and mobile is not available.
This is a serious case mediassist is trying to dodge of the claim and playing with customer sentiments.
I have names and recordings of customer interactions and also names of people who did document verification from the mail chain. Just that i dont want to put here.

I expect consumer forum to address this.

Claim no is 19986247 in the policy i found 3 children s are covered but know medi assist are denying to process for my wife third delivery kindly help me my number is [protected]. I have given all the details. I want immediate help from consumer forum to take necessary action. I have already contacted to the medi assist team but they are denying please help me.

Hi team,

I have submitted my claim in month of may 2019 and claim i'd is 19639905.

As per mediassist online application my claim has been approved for 35, 000 and reflecting in "processed ready for payment" stage from 29 may 2019 with timing 14:53:26 pm but till the date my claim has not settled and not received the claim. It's approx 40 days has been gone but claim is not settled.

Why my claim is not settled?

I have submitted all required documents to you and no any kind of document pending from my side. I have called to your customer care number many time but they always told me that your claim is under process please give me time of 24 - 48 hours and we call back to you with updated status but no any call has been received from your customer care.

Request to you please release my claim asap as many days have been gone and as per your circular within 15 day you will clear the claim amount to concerning person.

If you want any help from my side so please feel free to call me.

Regards
Trilok gupta
[protected]

I have submitted my medical documents for claim purpose post hopitalization. I have submitted every single document they have asked. The claim got approved on 31 may 2019 itself. It's been 38 days after approval but till now i didn't received a single buck. I have been calling mediass ist company daily like a hobby but they are responding like i need to wait some more additional days. I don't understand how many days i need to wait. Medi assist customer supporters giving wrong email id's for diverting me. One of the worst insurance third party company i have ever seen. Mediassist is not at all a good company and with worst services. I sincerely recommende corporates to not to tie up with this worst company. Worst worst worst company (Medi assist).

Team, I have tried to sent mail this id [protected]@mediassistindia.com. But i got
"Delivery Failure Report". So find below msg to correspond department.
This mail id provided by your call center department.

Dear Team,
My father's DOB(07-May-1952) showing wrong in mediassist policy record. Need to update my father's Date of Birth in policy record.
Please find below details and attachments(GOVT...

Dear sir
My name is shaileshbhai patel
I have submitted one claim[protected] for reimbursement to medi assist along with all document.
Medi assist team requested to submit a document which we have already given to them during claim submission in their ahmedabad office. We submitted them again.
After few days they had ask for to submit cheque for amount transfer. We clarified them we don’t have check at that...

Dear sir,

I have corporate mediclaim policy under medicare tpa srevices. Policy no.[protected]

Saratha r
Maid: [protected]
Claim number[protected]

Initially, i went for cashless treatment, and it got a query was which was answered by doctor/hospital and by late evening it was denied. My mom was admitted one full day and took blood transfusion and endoscopy test.

My claim was denied, mediassist came up with below reason

Claim is for nutritional anemia which as per policy is not payable and hence cashless stands denied collect full bill amount from patient party, claim is for nutritional anemia which as per policy is not payable and hence cashless stands denied collect full bill amount from patient party

I am paying insurance for 6 members family and am with mediassist with last 9 years. This is third time they deny my cashless/reimbursement request after being paid premium. This is not fair and not acceptable.

Now at the end claim denied, in-spite of paying for this medical insurance for many many years for four people, this is what one get when the need arises. What a shameless act of deceiving people.

In other side similar claim is approved by mediassist in 2016 for other person.

https://www.consumercomplaints.in/medi-assist-india-medical-insurance-claim-deni...⇄

Thanks,
Maharaj
[protected]