Medi Assist India Complaints & Reviews

Claim#: 96280072
I had raised the above health insurance claim in the month of june. As of now, there is no update on the claim status. Whenever i call the helpdesk team, all they say is this has been already escalated and in 10 days they would be processing the amount and they have been kept repeating the same to me for past 2 months. Its been 8 months so far and i don't understand how much more time it is going to take to process as all the documents are also submitted 7 months back.
I kindly request the team to kindly look into this issue on high importance and do let me know the status.

Hi,

This is gokul v,
Emp id : 12963
Ma id : [protected]
Claim id : 18527080

You are requested some documents on 18th dec 2018 to process my claim.

I also submitted those documents via blue dart on 20th dec. It is delivered on 21st dec 2018 at medi assist bengaluru.
(Waybill no : [protected])

After that i didn't get any update for next 10 days. But, certainly i got same mail on 30th dec 2018. You are still asking those documents even i submitted.

3 or 4 times i called medi assist help desk regarding this. But still i didn't get any update. I already put mail also, but i didn't get any update for that mail as well as previous ticket number.
(Ticket number : 5535353)

So kindly check and update the actual status of my claim.

I had admitted in fortis hospital from 25/9/18 to 29/9/18 for prostate gland operation considering oriental policy no-313102/48/2018/4073 &ma id-[protected]. My total bill is rs 75506/-& rs.52000/- was sanctioned as cashless facilty during oeration by medi assist. Remaining balance bill rs 23506/- was claimed on 5/10/2018 vide claim o[protected]. Claim status is shown as "information awaited" for 2 and 1/2 months. While i asked to medi assist by phone, they replied the bill will be sanctioned after completion internal enquiry. Please settled bill of rs23506/- as early as possible

Hi, to whom it may concern, this is not the way to handle your customer complaint. I have neen waiting since 5 month despite of my claim has been approved. But payment is not done its been delayed. Claim id[protected].

The complaint i am writing will also not be adressed in at proper time. It way too frustating on waiting such long and receiving extended date.

Please inform me if i am getting or not? Waiting for the response

Sir i have sent one reimbursement claim for the amount of rs. 70841/-on 17/10/2018 through corporation bank (Pad) zonal office kolkata. And i have received the tracking number kol00088251 on 30/10/2018. Sir i have all the original documents on 17/10/2018. But suddenly your department has demanding the original money receip of these documents which i have already submitted in earlier. Sir this is very unfortunate to say that after two months your department has remember me that, these original documents are necessary to settle this claim. Sir it is very surprised that after sending all the original documents again your department has demanding from me. Sir after two months where i should get these original documents in now. There for sir i request you to see the matter and solve the problem as earliest.
Regards sujit dutta.
Corporation bank
Rampurhat branch (3186)
West bengal

Hi.. I have submitted all the original bills for a claim. Recently my father again admitied in the hospital and doctors asking me to show the previous investigation reports. But my bad luck i dint taken any duplicate copies of the documents. Now i don't have any documents to show the doctor. I requested mediassist to help me to get soft copies since from last 30 days. No one is responding on my mails. Please help me to get the soft copies

Claim no 17321162 has been approved on 22.8.2018, but amount not credited till date Rs.17400/-. Its 120 days over but no response received from medi assist team, no SMS or mail received regarding delayed of claim settlement.
Customer care officer always told to wait 10 days in every time. but 120 days enough time to settled a claim, So register my complaint & solved on urgent basis.

I am retired employee of bank of india. Till date ihave not received ecard. Also i am unable to download the ecard to get the benefit of cashless treatment. My wife is suffering from harnia, dr. Advised for operation. I visited the dinanath mangeshkar hospital for operation. They require ecard for cashless facility. Pl advice us how i download the ecard. My earlier email id has been blocked by bank my new email id is - [protected]@gmail.com

Respected sir,

Good afternoon!!

Help!!

This is inform to you below claim 1.7yrs compleatd but still not settled...

I request you to please support for the settlement for below issue my claim was not settled our end all orginal discharged paper submitted to mediassist.

Again i humble request to you please help me and settled.

Claim id: 14320133

Claim id:

14320133, reimbursement

Claim amount:

Rs.11250/-

Approved amount:

Rs.0/-

Admission date:

17-mar-2017

Claim received date:

17-apr-2017

Claim status:

In progress

Discharge date:

19-mar-2017

Hospital name:

Guru kripa jagrati hospital and research centre pvt ltd

Regards
Vinay shukla

Hi friends,

I have submitted all the original documents proofs and one of the document they have lost from their side and i have all the proof that i have sent the original.

Now they don't have any answer for that.

Simply they don't want to reimburse the money. Guys never trust this insurance company you will not get your claim money or reimbursed money.

Better go for some other insurance company.

Regards,
Subramanian

Sir, i am claiming my mother's domiciliary treatment every month and doctor prescribed her for humatrope inj. When i send the claim for oct-18 they insert a query that it is not prescribed in prescription, when i again send them the prescription copy they asked for clarification that why doctor prescribed you this inj. When i provide them the doctor's clarification again they asked for the report that how much growth hormones are generated. They are harassing by asking such querries. Plz look into the matter.

My name is j. Rabeek am working in computer age management services pvt ltd, coimbatore, my medi assist id : [protected] and my emp id : 2861. This is the complaint about not updated my wife details in medi assist insurance. I already submitted all details to hr department but not added... Please do asap...
My spouse name : jesna

Age : 28

Date of birth : 09.08.1989

Date of marriage : 23.06.2018

Myself i am mr shridhar bhavanishankar kanchugar staff of bank of india belgaum branch has updated the name of dependent in medibuddy portal but it is not showing in the list of beneficiary names in the medibuddy apps. Therefore their names are also not reflected in ecard. Kindly guide me the procedure to update the names in the portals. Dependet name sneha shridhar kanchugar is my wifeher name last year i updated but this year when policy is renewed in october 2018 i can not see her name portal please guide me

I am calling to medi assist customer care no. [protected] more than 30 times, i just wanted to intimate as i am hospitalize (Instimate time is 24 hour). Medi assist helpline no. Is too bad. They are saying that "all are agent are busy with another call" while calling though [protected] if my claim will not proceed through medi assist, so i will go to the next level.

Thanks & regards,
Vivek gulhane
[protected]

This is to highlight that even after requesting a number of times to provide for a written reason for denial of cashless facility. We have not received it twice in call i was promised that they will be sending in 5 min, but nothing has been sent.
Now we are struggling to pay. If any clarification was needed it should have been asked for before denying the claim.

Current problem is for the first time yet based on past history (Which is not related to current problem and was asked for) they have denied it, doctor and hospital is ready to send the clarification if medi assist ask for it, but medi assist is not sending email to the hospital.

Patient is 66 year old and is being harassed he is concerned more with the money than to look for treatment, what's the point of having mediclaim with cashless facility if we can't use it. Really disappointed with the approach, if this is not address now, i am going to escalate it to irda and ministry.

Regards
Sanjeev

I have submitted my claim on 21-11-18 and then till now i have uploaded all the relevant documents but still team is blind and asking for the same documents again and again. I wrote to senior staff but they didn’t responded yet. I called on helpline but system says my claim number is wrong. I called via other help options executive said to contact via email. All together very worst service and improper communication.

Dear sir,

I am arvind bhikaji kale. I will issue two claims.

Claim detailed are as follows :-

1] arvind bhikaji kale, maid id no. [protected]
Claim amount rs.1060/-

2] subodhini arvind kale. Maid id no. [protected]
Claim amount of rs.917/-

So, please this two claim was settle early as possible.

And transfer to bank account.

Thanks & regards

Arvind bhikaji kale
Mobile no. [protected] / [protected]

Dear Sir/Madam,
This complaint is regarding my reimbursement claim filed with ‘MediAssist TPA Pvt. Limited’ (TPA for Oriental Insurance Company Limited) for Rs. 13, 790 which is withheld unethically by the TPA even after approval without citing any valid reason.
I had a Mediclaim Insurance Policy bearing policy number 272500/48/2018/4611 issued as a policy for PNB Customer covering my family of 3 including my son Nehit Sukhija (aged 2 years now). This policy was in continuation since November 2013 and without any claim.
My son was hospitalised on 24/09/2018 in a non paneled hospital for which I intimated about this admission on 25/09/2017 with intimation id 10671831. All the bills, reports, prescriptions and discharge summery alongwith reimbursement forms and NEFT information was sent to the TPA after getting the form signed by the hospital. Amount claimed being Rs. 13, 790 The claim ID issued by the TPA was 18127868.
After receiving and processing the claim as approved for total amount 13, 790 MediAssist asked me to submit the cancelled cheque mentioning it as missing whereas it was already submitted. I received the message for the same on 23 Oct. On 24 Oct, I replied them about the cheque through mail mentioning that they had received my cancelled cheque and even that is uploaded by them in their app as documents received for claim. I even attached the soft copy of cancelled cheque again in this mail. I was issued a ticked no. 4985216 for this mail. I got no reply for this mail.
After few days I again received a reminder for missing document and was asked to submit it by 8 November. I now sent a new cancelled cheque again through courier (waybill no. [protected]) which was received by them on 6th November 2018 as per records of courier company.
I received no communication from the TPA in this regards. On 8th November my claim was put on hold and I was sent a msg by TPA that it is being reviewed and an update will be received soon.
After waiting for some more days as there was no communication I started to contact at their helpline, which is quite pathetic. After trying it for several days it got connected on 26/11/18 to the executive named Mansur, who was unable to provide any reason for this delay in processing. After forcing him to register my complaint he noted it down and unwillingly provided me with a complaint no. 5670950 and replied that I’ll get the resolution of this case by a week’s time.
Today on 4th December 2018, even after a week I have received no communication in this regard.
One more information, which may be the possible reason of this unethical business practice or behavior shown by the TPA or Insurance company, I would like to tell you and won’t be informed by the TPA that seeing this kind of service I discontinued with the insurance company and got my policy ported to another Insurer wef. 07/11/2018. So, as now I am not their customer now, they have held my payment and no communication is being replied even.
The policy was in force and was duly paid for last 6 years without any claim. After submission of documents, the claim was approved. First they intimated a cheque as missing without realizing that is even uploaded by them as received. Then when it was sent to them twice, no acknowledgement was given.
A real example of Pathetic service being in the service industry which is related to Emergency situations sometimes. Even their executive accepted that their phone lines are poor to connect or handle the queries.
You are requested to kindly look into the matter and help me in realizing this claim from TPA or Insurance Company which is withheld by them without any legal reason.
Thanks and regards.
Amit Sukhija.
#[protected]
[protected]@rediffmail.com

My name is janina merlyn george, working in vijaya bank, member id [protected]. I have sent claim form of my daughter eva elizabeth jibin for admission period 11/09/2018-15/09/2018. I have received the status of the claim as approved on 30/10/2018. But till date i haven't received the amount.
Claim no. 18092184
Regards,
Janina merlyn george
Staff code 31355
Vijaya bank

From,
Shankarbhai m shah.
E-25, prachi park,
Near vitthal nagar society,
Waghodia road – vadodara

To,
Medi assist india tpa pvt ltd.
Vadodara,

Sub: claim status not updated under the claim no.17876297

This is inform you that, i am already submitted the query document dated 25th october 2018. Under the claim no.17876297

But the still very long time claim status not updated, so please updated the status and release the payment at the earliest.