Medi Assist India Complaints & Reviews

I am an emoloyee of bank of baroda. One of employee mr. Hariom tiwary, employee no. Ma9362 have came to our branch telling that medi assist is arranging a health checkup with tie up hospitals and booked a appointment thereby deducting the charge of rs.3999.96/- on medibuddy on[protected] telling that you will receive an appointment details from medi assist in 2-3 hours or by evening and after not receiving and doing follow up with him daily i asked him to cancel the appointment which thereafter also
Not received the amount back. Kindly refund the amount. Of rs.3999.96.

This is in regards to the subject matter details ; it is my request to please process reimbursement for the claim submitted on 23rd nov 2018.

The status is showing still in a process tab, its more than a month for the settlement pending. I have called many times to the toll free numbers and the reply remains the same as "it is in process".

I am unable to find out the reason for delay in processing my claim even after 2 months. We have paid hospital bills by taking some financial support from relatives with a polite commitment of returning in 15- 20 days. Now my situation is worst to explain it in writing to you,

I am a senior citizen who is not having enough energy to follow up even after 1.5 months of claim submission. Every week i go to the medi assist office by spending 110 rs which is further disturbing my condition.

Hope you politely understand my situation.

Need your prompt resolution and quick credit my account as early as possible.


Name of patient : - bharatbhai v savalia
Mobile no - [protected]
Claim number : 18369028
Date of claim submitted : 23rd nov 2018.

Awaiting for your early response and credit account.

Medi Assist is one of the most shameful TPA company that operates around in the country. They blatantly violates all the SLAs they tell to the customer. I have a private insurance (non-corporate) so Medi Assist understands I have the least leverage with them. I opened up two tickets 5556189 and 5721439 with them and never received any response for their resolution even after multiple follow ups and calls with customer care for more than a month. They might reply in response to this review that we will address the issue but finally they never do it.

It is a company which is trying to maintain social media reputation by providing false responses. The real aim of the company is to reduce the claim approval to as minimum as possible so that they can make maximum commission from their respective insurance company clients. My suggestion to all private insurers and corporate HR teams is to never select Medi Assist as TPA agent. Reject such insurance company offers.

I have submitted my claim documents from last 3 month back. All verification has been done. Two time submitted some another required documents but still my claim not process. After putting reminder 5, i have received revert that your claim is under discussion with our senior.
Its fraud company and if am not getting my claim i will go by legal way.

Claim no = # 18352727
Claim id = tp[protected]

From
Ravi kumar
Manager airtel
[protected]

I have submitted all my documents to mediassist on 11th jan 2019 that includes medical reports bills discharge summary. Till now i haven't got any update regarding my claim. My claim number is 18737531. And whenver i tried to call on your helpline number when option comes that press 2 to know your claim status thereafter just phone rings for around 1 minutes and then phone call gets cut from your side. It happens daily. Around 3 pm i used to call. Kindly give me update regarding my claim status.

My claim number is 18618123 and i have received a message on 27th dec, 2018 saying that they have received all my documents. As per the policy they have been constantly saying that it requires 21 days for the settlement.
Though my claim amount of 52913 is approved. But still its not settled.
Please try to reimburse the amount asap it has already extended beyond 21 days policy.

I had submitted my post operation bills for reimbursement on November 25 2018 and followed up more than 10 times in Medi Assist, but they did not move further step for my claim reimbursement, when ever call to them, they are saying same story like will settle with 10 working days, but till now it did not settle down the claim reimbursement.

This is vert worst company
My claim No: 18197500

I have a claim 18699620 registered with mediassist.
My original documents reached them on 2nd jan.
They havent updated the status yet in the portal.

They confirm the receipt of the documents in every call i have with the customer care people every week and they tell me that they will escalate it but i dont see any progress on the same.

I explain the issue every time and they just give me the same response with no progress whatsoever.

The worst service i have ever received is from infosys mediassist team.

Dear sir,

On 24th of dec'18 they have received my claim, but still they have not settled my amount. Got tired sending mail to them but hey do not bother at all.

My claim no. Is 18595044 for rs.4240 towards pre-hospitalisation.

Many times, called their customer care but no positive response. Please be noted this is medical settlement, mediassist should reimburse the amount immediately as per eligibility.

Regards,

Rajesh k agrawal

I have been waiting for my claim to be received from last 2 years. As per their records the claim is approved. Whenever i call them they say it will take another 10 working days to process. I have called them aleast 100 times and have also written about 50 emails where i get the same response.

If this complain dosent get responded by medi assist i will take the legal way.

Note: ready to provide details if requested by medi assist

My claim is not complete claim status is information awaited but not informed what information awaited plese solve my claim my claim is completely fast sir please inform me and previous showing claim track status but nowadays tracking claim is not showing what is the problem please send immediately and my claim is already five months ago solve fast please inform problem

My self thirupathamma madireddy from bank of india and my emp code was 190138 and my mother-in-law was hospitalized and we sent the documents from reimbursement process on[protected], but still it was not showing in my medi buddy claims also and reference no: hyd00042523 received[protected] after continuous follow up no revert from them. [protected]@mediassist.in

I am an employee of bank of india and has updated my beneficiaries details in hrms on 16 jan, 2019. The beneficiaries are still not added on my e card. How long will it
Take to get them updated on my e card? I have raised a number of complaints on the medibuddy app but they never respond to it. The status of the complaint tickets raised shows to be open for 24 hrs bt after that the status shows closed without any reply. Please let me know about the status of my complaint.

I recently raised a claim with medi assist for my hospitalization undergone for my maternity delivery for emergency lscs. The total amount claimed was for 92000 which was paid to hospital and planned for a re-imbursement claim later.

Here i first got my claim settled with paramount tpa via my husband side for 60000 which is the higher cap limit for maternity c-section. Remaining amount of 32000 plus medicine bills during hospitalization...

Dear team

I have send the original invoices and claim form for post hospitalisation expenses to the medi assist team in mumbai but they are refusing that they have received the original documents and they are again and again claiming the same.
The amount of post hospitalisation is rs 107050/- and pharmacy bills are rs 7603/-
The reference no is 18093371
I am enclosing the speed post by which i have send them the original documents and also the copy of the invoices

My claim id is 18736483

I have already shared query related original document as mention in trial mail then why same query is raised.

Shared predated checkup detail but i don't have bill and i am also not claiming that amount.
In last query you have mentioned original discharge summary with gpal status and i have send you the same then why query is raised again.
Shared bill there is no drip charges they are medicine and vaccination and i have already shared medicine and vaccination detail.

Regards,
Ashok sharma
[protected]

To dated[protected]

1. General manager
Insurance regulatory and development authority of india (Irdai)
Consumer affairs deptt - grievance redressal cell.
Syno. 115/1, financial district, nanakramguda,
Goachibowli, hydrabad-500032.

2. Medi assist india customer care,
Sri krishna arcade, 47/1, 9th cross
1st main road, sakki industrial layout, 3rd phase, j p nagar
Banglore distt., karnataka. 560078

3. Axis bank limited.
6th floor, axis house, bombay mill compound,
P b marg, worli, mumbai-400025.

4. Mr. Y k rao, chief manager
The oriental insurance co. Ltd.
Customer service deptt
4th floor agarwal house,
Asaf ali road, new delhi-110002

Sub: - complaint regarding denial of claim no 17850073 policy no 124500/48/2018/3711_p (Medi assist tpa pvt. Ltd.)
Dear sir/mam,
My name is ankit garg. I have a group medi claim policy from the oriental insurance co. Ltd tpa by medi assist insurance tpa private limited through axis bank employee no. 29428 policy no. 124500/48/2018/3711_p medi assist id [protected] policy period was from 01/10/2017 to 30/09/2018.
The dependent in this policy was my wife who’s insurance was free and my parents who’s premium was born by me as per company policy.
My mother smt neeru garg medi assist id [protected] insured in the same policy was admitted in hospital rameshwar dass memorial hospital jagadhri doctor parveen garg on 15 august 2018 which was not on panel of medi assist. She was suffering with pneumonitis right side. As per the medi assist policy for the claim i have intimated to them regarding her admission on the same day under intimation no. 10655216. My mother was diagnose by the doctor for 10 days and was discharged from hospital on 24 august 2018. At the time of discharge we have taken all the necessary documents regarding her admission, diagnoses, reports, bills, case summary, discharge sheet, payment receipts etc to submit to medi assist. All the required original documents with x - ray reports was dispatched to medi assist and received by them on 15th september 2018 as per one-month policy after discharge tracking ref no was mum00318498. The same duly acknowledged. The claim status was showing as in progress. Although in one shot we have completed all the documents. Even then medi assist demand an addition requirement from hospital on 18th september 2018 against which we have taken the same from doctor and courier them on 20th sep 2018 which was received by them on 22 september 2018 under pod no. 79949782 skyline courier. After receipt of the letter the claim status was showing as in progress till 09 january 2019.in this period i have contacted to them several times through toll free no., e-mails, and was tracking on medi app and on link provided by them. I was given the information that your claim was under investigation in the month of october, november.in december i come to know that the positive investigation report is submitted by the investigator as he visit in the hospital and cross check all the bills, reports, discharge summery, diagnose, id proofs of my mother etc and found ok. Again i started tracking my claim. Many - many times it happens that the call centre people make my call on hold for a very long time and then disconnected without giving any status. I have send many trail mails on [protected]@mediassistindia.com but except two three times i did not get any response. Now on 28th december 2018 they again request a letter from the hospital stating the recommendation of 10 days hospitalisation from the doctor which we have send to them on 31/12/2018 under pod no. 83786448 received to them on 03/01/2019.
Now on 11th january i come to know that my claim is being denied by medi assist due to the clause 5.5 claim documents not submitted within three months and on maximum 3 reminders.
I just want to know my fault where i am lacking. Every time when they demanded a document from us, i provided the same within 10 days. Investigation process takes approx. 2 months then where is my fault that i have not completed all documents within 3 months. Even when they demanded letter from hospital on 28th december 2018 (Which was not required) and if required why not asked earlier in last three months, i have provided them within 10 days.
Again i called them up to recheck the same on 11th jan 2019 and register a complaint on their toll free number against complaint no. 5966013. On which they ask me to wait for 3 working days and the claim will get approved. Still the same is showing as denied.
Now whenever i am trying to contact them on their toll free number they are just putting my call on hold. On mail no response is given. Even medi assist customer care escalations is not picking my phone. Is this the way to treat a customer query? I did not create a forged admission of my mother. You can check it at any time. Then why my claim is denied.
My claim is denied intentionally by medi assist and just to pass three months to apply clause no 5.5 they took 2 months of investigation. And still demanding more documents.
My request to all of you to please look into the matter and resolve as soon as earliest possible to avoid any legal escalations in consumer court.
For more information if you require any documents regarding claim, please contact me on below number or on mail.

Hard copy send today
Regards

Ankit garg
[protected]
[protected]@gmail.com

Dear Sir,

My Claim #97103676 for my policy no #[protected] was generated for Rs. 5 lakhs on 06 Nov 2018. Out of which Rs. 4 lakhs has been initially approved but this was never utilized by patient nor hospital. Instead a new Claim #97157615 was generated and settled by Mediclaim. So, ideally there were 2 Claims generated out of which Claim #97103676 is completely unutilized.

I have requested Mediassist to cancel this claim but from last 2 months they are playing games and cancelling this claim.

Due to this, my other 2 reimbursement claims (#97264429 and #9739603) are kept on hold by Mediassist stating that the main claim #97103676 in not settled yet.

I have called customer care multiple times but seems no one cares about their customers. Very bad service by Mediassist.

Request your intervention for solving this issue.

Thanks,
Pintu Burad
M. [protected]

My MAID number is [protected]. I claimed number[protected] Banumathi)

Claimed amounts 25086 reimbursement earlier. I got only approval for 8000/- even after submitting all necessary document including my swinping bill of credit card in hospital. I need genuine reason for deduction amounts from claiming process. Because I submitted all documents including hospital bills, pharmacy bills, lab reports & discharge summary. Mediassisst simply cutting amounts from those claimed amount without any genuine reason. Please provide reasons as soon as possible.
Thanks & Regards,
Bharath A

Dear sir or madam

My MAID number is [protected]. I claimed number[protected] Nidhasha) &[protected]b/o Nidhasha)
Respective amounts 64915 ₹ & 202016 for reimbursement earlier. I got money respectively 38825₹ & 18091₹. I need genuine reason for deduction amounts from claiming process. Because I submitted all documents including hospital bills, pharmacy bills, lab reports & discharge summary. Mediassisst simply cutting amounts from those claimed amount without any genuine reason. Please provide reasons as soon as possible.
Thanks & Regards,
Jithin R,
[protected],