Medi Assist India Complaints & Reviews

Dear sir,
I have applied for domicilery claim in october 2018 through my organisation i. E. Bank of baroda my employee code is 78439.
On 19 march 2019 i have received a mail from mediassistindia regarding they received my claim documents,
But still the date i didn't get any response regarding my claim,
Please let me know about my query.

Ankita mistry
[protected]
Email: [protected]@gmail.com

After submitting all the treatment documents they are asking for summary. And hence they are delaying the approval. They are asking for different documents again and again and again. I asked them to ask for required documents in one time but they are not giving clear answer of this and making us wait. Its been two days we are waiting for approval and still pending. Now what should we do now??? We are facing too mich trouble

I am telling them that i have some commitments due to which i do not want to continue this insurance but they say there is no such rule to cancel the insurance.

They ate 70000rs and still do not want to cancel this insurance.

In any insurance there will be option to cancel bu user if they do not want to continue but this # insurance here they know to eat money and not give any service or help. Government should sue this company. And they never resolve the issue as well.

I want my money back stupid medi assist

I have submitted claim on 5th Apr 19 online and then submitted all original hospital documents to Medi Assist representative in Honeywell. After receipt of documents MediAssist asked for additional previous consultation papers. I had 7 calls with their customer care and every time I explained them that I don't have any medical history regarding this operation and hence don't have any previous documents. Every time after a call, representative told that I will get resolution within next 2-3 hrs but no response at all. Every time I wrote a mail to Medi Assist, I'm getting same mail that previous consultation papers are required. If I don't have any previous medical history from where you expect me to produce these documents? All medical documents submitted have all detailed information regarding illness, operation details, charges, bill summery, progress reports etc. Please let me know any escalation path is available?

I lavanya working in bank of baroda, mumbai. One of your representative had come to our office on 08th feb 2019 for annual health check up appointment and the same day i have made the payment for four people but erroneously amount was debited for 5 times and the extra debit amount got refunded too. But out of 4 people only 3 got appointment for health check-up and the other one didn't get the appointment for which payment has already been done. It's been 3 months, still i didn't get my refund. Please look into this matter and solve it as early possible.

Delay in cashless process. From 26 april 2019 my claim status was in investigation.27 to 29 april i was continue try to call mediassist help desk every time executive said it will done in next 2 hour 3 hour 2 executive commite me for call back but still not got any call from them on 29th discharge was postponed to next day because of your hope less work. On sat. 27th april 2019 your investigation officer was came for investigation and he was sure he will give feedback on same day. But still not any response from. Your side. Please give feedback as soon as possible

Hi team,

I had undergone lasik treatment for both of my eyes for myopia. Before the surgery, had spoke to customer care about inclusion of same in policy and had a confirmation.
Post surgery, have sent documents for reimbursement of same. Claim got denied mentioning the treatment is not covered under policy.

Claim id: 19413888

Could you please help me on same.

Regards,
Shalini

I work for jp morgan and chase india and mediassit is the tpa for insurance. I opted for a cashless facility in motherhood hospital. After our discharge motherhood submitted all the documents and on time and later they asked me for some extra documents which i went and submitted on time. After 30 days they rejected my claim. I went to motherhood and they said that there are some 5 more cases where mediassist have denied and they will take care of it.
I checked with mediassist and they said new india assurance have denied it because the documents was not submitted on time. When i reverted back to the customer care team with all the relevant sms and details on the portal then they asked me to submit all my documents as hard copies. This again i told to motherhood and they said that they will take care of it and they have already send those hard copies.
My question is i have taken a cashless and why would i have to follow up. So i have asked motherhood to do so. They said that i can be rest assured and they will take care of it. 30 days have passed since then and nothing i have heard back from motherhood or mediassit. Please help

I have mistakenly opted for parental cover thinking that it as i was single and i though my parents will get for free as my self policy but when after filling the details i got to know it was premium and i need to pay for it then immediately i have cancelled my policy and also sent an email to medi assist regarding cancellation / removal of parental cover. Then on 20 march 2019 on the same day i got a return email stating policy was already...

I have submitted my reimbursement to me do assist for claim. With all the original documents and original bills /prescription we have raised the reimbursement.

Few days later we were told additional document was required. When we connected to hospital they said all the details are already provided and they highlighted the asked query in provided discharge summery.

We sent the the same to meddiassit. But was asked...

Hi,
My claim number is 17376694 which has been approved since last july 2018. Till now the settlement has not yet happened. When ever i called the customer support, they will ensure that it will be settled in the next week and it drags to almost 1 year. I have already raised so many complaints, and there is no proper action taken against the same by the company.

Kindly do the needful at the earliest.

Thanks
Jayanth

I have filed for a claim in the month of November 2018 and till date I have not received my refund amount. Whenever I speak to them, they say they have escalated my ticket but every time they make no progress. And till date 23 April 2019 I have not received my refund.I think they should have some deadlines for the claims to be closed. My claim number is[protected].

Please let me know.

We have sent claim docs to bangalore office those were misplaced or claim not processed by company we have been following with them since last one month but customer care is not able to revert. Pls look into matter and confirm the status on priority.
Detail as mentioned below...
Claim no h[protected]f002
Claimant name piyush gupta
Patent name rashmi gupta
Contact no [protected]

Hi guys,
Currently i work for wipro and i have purchased a parental policy from mediassist.
One sudden day my dad was admitted to hospital for a emergency case. He was throwing up blood so we admitted him to hospital. Previously my dad was not having any other disease other than hypertension and diabetes. The treatment which was availed at the hospital was for upper gi bleed and had nothing to do with diabetes and hypertension. The endoscopy and sonography said he is suffering from liver cirosis. We dint made any consultation before for these issue because we were not aware of this. Now these guys are asking for previous consultaion paper for liver cirosis. As we were not aware of this disease no previous conversation were made for this issue.
And now they have rejected this claim saying that we have not submitted the previous consultaion paper. If i have not consulted before so how can i have previous consultaion paper..
Request you to kindly look into this.


Claim no :97887787

Insurer claim no : insurer member id :
Policy : [protected]p[protected]_wt_bps_std_parent

Regards,
Krishna pavithran

Hello,

My claim number is 97643339. I had submitted the claim documents on 4th feb 2019. They requested additional document which was put in the company dropbox and delivered on 22nd march 2019.
Also had dropped an email stating that the document has been sent and not to close the claim.
Still the claim was changed to denied from in progress.
Made so many calls to the customer support and they always tell we will escalate this and ask to wait for 5-7 working days which went for a month almost now.
Dropped couple of emails which was replied stating we will update.
My claim status is still repudiated.

I want the claim to be reopened at the earliest as all the requested documents are submitted and update me.

Hi,

I think this is my 8th mail. Still did not get any reply from anyone.

I am ravikumar balekundri employee o[censored]tc aerospace systems.
My mi id is [protected]

Please let me know how much critical illness benefit covered for cancer 2nd stage for the employee.

Already i sent many mails but not received any reply from your side.
Please reply

Regardsbr...

Patient name: jugal kishor todi
Insurance company: national insurance co. Ltd.
Medi assist id: [protected]
Policy holder: jugal kishor todi
Treating doctor: aditi agarwal
Ip no: 2
Policy no.:[protected]
Primary beneficiary: jugal kishor todi
Employee id: 1
Insurer claim no
Insurer member id:[protected]
Provisional diagnosis: inguinal hernia

From: mr. Narayan todi
To: "[protected]@mediassistindia.com", "[protected]@mediassistindia.com", "[protected]@mediassistindia.com"
Cc: "tpa. [protected]@wockhardthospitals.com"
Date: apr 16, 2019, 9:07 pm
Subject: fw: pa-request for information / documents for ccn# 19407381 under policy#[protected] patient : jugal kishor todi

Do we have any sort of consideration the way we are addressing the cases with seer delay and negligence at present.

It's almost more than 24 hours the case being present for further approval for the said cashless treatment of the senior citizen, however with no sense o[censored]rgency simply the communication is dragged and delayed from your end without any concrete response.

When all the papers and current policy details are provided what's the point in delaying the overall coverage and ask for cashless treatment.

Neither do the distro emails respond on time nor are taking any sincere efforts to keep the things quiet simple and transparent.

Kindly acknowledge and resolve further for the below ccn# 19407381 under policy#[protected] patient : jugal kishor todi as early as possible before end of the day today.

Regards,
Nitesh todi

I Vinod Kumar, have several times sent various mail, sms and talked to their customer care service( tel no.[protected] and already thrice submitted all including query reply documents "influence of alcohol at the time of injury " (same even confirmed by their side as well and in January 23rd they told that investigation started and amount will be credited within week ) and even after that they are again started seeking same documents, this is clear violation of professionalism and service, they are showing unnecessary red tapism. I again request to Medi assist to credit the claim amount of Rs.79593/- at the earliest.

Hi,
My name is eshwara
Clam id is 19204668
Mi i'd [protected]
Ep i'd wt 3204

Regarding health insurance reimbursement, we submitted all documents lost month then we received approval 25000 massage at 27th march and amount will be credited 7 to 10 days but today 12th april still amount not credited, this is very worst service taking more than 1 month time for reimbursement amount still pending.
I will not go your insurance next year and i will not suggest your insurance.
Bad service your team and very slow processing all diggitalize still?

Thanks

A claim has been submitted as employee of axis bank limited emp id : 155528.
Treatment : ivf/icsi
Amount claimed : inr 142555 as per expense incurred
We understand our eligibility is maximum of inr 25, 000.

Medi assist is raising issue with inr 20, 000 of the claim amount of inr 1, 42, 555. Remaining claim amount has been accepted by media assist anyways. So what is the issue in reimbursing nr 25, 000...