Medi Assist India Complaints & Reviews

My father mr. P balasubramanian, a senior citizen of 77 years ib being harassed and made to run pillar to post for settlement of his claim raised in march 2018 vide claim o 17392845.

No proper resolutio us being given but the calls res disconnected stating that the claim in settled. We are not even informed regarding the amount of settlement and are asjed to check with our bank.
The statements clearly showing non receipt of the credit have been forwarded but thers is no uodate on the same yet.

Need immediate status update and the reason for the delay and harasssment

Ma id [protected], name : saraswati padhy, odisha. My mother has been hospitalised in Kokila Ben hospital in Mumbai on 31.8.18. The hospital authority has already sent their related papers of treatment to your office. but till date no response has been received from your office for which operation is being delayed. An early response to this case is requested.

My daughter 'Akshata Yadav' admitted and all original documents regarding to it I had given to the Mediassist I followed up many time on mail and finally I got mail regarding to claim has been settled but amount is not received yet.
This is very Pathetic since around two year I am chasing the genuine claim but amount is not received yet.
Please do the needful and Pay the claim amount.

Hi I have Corporate Mediclaim Policy Under Mediassist Policy : 072400/28/17/P1/13199548
Priti Minal
MAID : [protected]
Claim No :17556379

Initially, I went for cashless treatment, and it got Approved by TPA later they denied and asked to do Reimbursement.
All Original Bill and every documents are accurate and submitted to Mediassist.
As i go through company policy Laparoscopy is covered under Mediclaim .
But now they are giving excuse of nature of procedure.
if its due to nature then by they approved in initial cashless and denied and asked to do reimbursement.

Always Health insurance providers intention is to deny claim always.
Even they did'nt asked any query simply send rejection email it really pathetic.

Thanks
Priti Minal

From
St. Thomas hospital
St. Thomas mount
Chennai - 600016
Email: [protected]@gmail.com

Dear sir,
Sub: short settlement of payment in respect of the claim made for
Krishnamurthy, maid no. [protected]
D. O. A: 17.02.2017 d. O. D: 01.03.2017
Claim no. 93662897 – regarding

Ref: 1) our reminder letter dt. 18.11.2017, 13.12.2017, 26.12.2017,
19.01.2018, 17.02.2018, 14.03.2018 & 25.04.2018

Greetings from st. Thomas hospital!

I am writing this letter under great pressure due to the short settlement of the bill related to mr. Krishnamurthy, maid no.[protected] which was claimed as per our letter dt.07.03.2017 for a sum of rs.1, 50, 000/-. But we received rs.1, 04, 679 (Including tds) only. I have spoken to all the concerned office of medi assist about this several times. So far no settlement has been received. Every time i contact the chennai office, i am given to understand that the matter is under active consideration.
A separate letter was also sent to mr. Gandhi – branch manager, chennai.
Till date the short payment has not been settled by the insurance company.
I request you to kindly take step to settle the long pending case and i would appreciate a reply from you in this regards.

Sir,
Your company has sent a mail today regarding submission of documents which we have already submitted. The mails and messages are repeatitive in nature as i have received the same mail thrice already on different dates in 1.5 months. The documents were submitted as soon as we received the first message. The patient is 70+ in age and even after his surgery is going through physical and mental torture by your company.
As per documents required by your company repeatedly i have submitted application stating that original receipts we're not provided to me by the hospital. Only the final bill was given at the time of discharge. The second point mentions original receipt of rs 29000/ - which is a refund by the hospital to us for which the account statements have already been submitted. We also visited ito office on 13th august where it was assured the things are through but again same things are beings asked.
Contact details [protected] ashish puri

Hi,

Am yet to get reimbursement for the approved claim number 17521783. The claim has been approved on 07th august 2018, and payment not released to my bank account. All my followup to your help line does not yield any progress.

Am only getting standard reply from your help desk, that the issue has been escalated to concern team, but progress in status.

Please check and help me to get my reimbursement.

Regards,
Jayashankar
Standard chartered gbs

Hi

My hospitalization claim was approved on 07/20/2018 itself but didn't received the amount in the bank yet.

Initially, when i contacted them, they said it will be credited in 7 to 10 business days but its been more than a month and now i am not even getting responses back from them.

I have attached the screenshot for the reference. Kindly help me get the approved amount.

Regards
Hussain

I have mailed to the concern person more than 30 times and been in touch constantly over phone for claim id 16797412 even after submitting all the documents i have not received any proper response neither it reimbursed.

I got message saying the claim is closed for non submission of documents but concerned person said it is still process and not closed but haven’t heard anything over it. Is this the way media assist provide services to its customers.

Health insurance tpa is medi-assit, without verification the claim has been rejected by less than 24hrs, after submitting the doctor certificate for the same, still the claim status was denied why? Claim is submitted in june 2018 till it is not resolved, service is in very worst condition. Kindly check no of calls and complaints on the claim.

Claim number 96291897

My claim number[protected]
No any follow up my claim neither answer however results of my claim. Much time to submit my documents, within over three months i have submitted my documents. Last over one month i got one answer, which your claim has under process. But now no any results.
Please do fast action for this, otherwise i will go to the under legal termination.

Dear team,

I have visited to hariyana from ahmedabad for back treatment at arya ved shala in the month of jun 2018. After returning back i have submitted all the documents. But due to unawareness, i have missed the original copy of the indoor case paper. I have managed to bring the scan copy of the same and submit the same to mediassist. But i have been to told to get the original copy. Original copy was couriered but not received.
However, i have already submitted all the documents, discharge summary medical bills etc in original format.
This is a genuine claim and i am excepting the support in this regards.

Ccn# 17279040
Policy#141200/48/2018/35779
Ip no / bill no: doa 05 jun 2018
Dod# 17 jun 2018
Claimant name: rajesh kumar c limbachiya
Maid# [protected]

Member id: [protected]
Claim#: 17000198
Insurer claim id: tp003670200189000019000
Submitted date: 15-5-18
Status: denial review awaited

When i called agent, to get status he said it's denied but i didn't get any email or message about reason since 3 months.

There no reason to deny of my claim as i admitted my mother for 3days in hospital and still we are continuing the meditation!!br...

Dear sir,
I am bank of india employee my i/d 144820. Mahendra singh kapoor.
My mother mrs kamla kapoor have hospitalize on 09.05.2018 at tejankar health care and medical research inst. Pvt. Ltd., ujjain claimno.16969415
Cashless. All revant papers send by hospital at the time of discharge on25.05.2018. Your tpa medi ass have approved claim on 01.06.2018 of rs.92493/- against claim amount rs 95383/.
Hospital has deposited amount rs10000/-at the time of admission. They are not refund my amount till final claim not settled by you (United india indurance co.). We have many time talk to medi ass.co. (Tpa) they said wait for one week insurance payment in progress from 03.06.2018 it is more than 72 days pending at your end.. Medi ass ap show that approved debit note but amount not credited in hospital account why!
Please tell me how many days we will wait for my deposit amount refund by hospital. Please look into the matter and resolve my problem as early as possible.
Yours
Mahendra singh kapoor

Mediassist: ccn# 17556981 under policy# 110600/34/18/04/[protected]

To provide more clarity:
- my mom is admitted to brs hospital on 11th july morning and discharged on 15th july evening.
- when we admitted, the hospital was not having the operator for scan, hence doctors suggested to take usg scan from scans world. We took the scan in the scans world and the original bills (Rs.2600) along with original scan reports are submitted for claim.
- during this period she had been given 4 units of blood transfusion. For which i have submitted all 3 original bills (Rs, 1300, rs. 1300 and rs. 2600). All the original bills are submitted for claim.
- when i checked with the front desk team in chennai office, they said for blood transfusion, the discharge summary which is submitted by hospital as part the claim will be used. So no need of other details.
I spoke to mediassist customer care on the clarification requested by you. He is also not clear what details requested for and suggested to write a mail to this id.
So i am not sure what other details of the bill receipt is required. It is not clear from the letter and mail sent by your teams.

It's 6 month we have submitted the claim. Every month we aee asked for new document and reason given is they decided the need now. Don't they have documentation around what need to be submitted based on amount? Please learn documentation from your competitors. Worst. Customer service experience. Better to avoid..

Their website confirms claim settled but employee conveys that its invalid status. Are we living in digital india?

Sir/ Mam,

My Policy Number is -[protected].
Claim Amount of Rs. 26654

My husband hospitalized in Metro Hospital on 02.06.2018 .
I am submitting my reimbursement documents on 18.06.2018.
From insurance company inform me,
We regret to inform you that, your claim has been denied because, "On scrutiny of claim documents it has been observed that, patient admitted at Metro Multispeciality HospitalPune for prolapse of intervertebral disc L4-L5 from 02/06/18 to 04/06/18 and as per date of first MRI report 06/02/2018 and date of inception of policy is 27 Mar 2018 which means duration of illness prior to inception of policy and patient disclose this material fact in his /her proposal form so we regret our inability to admit this liability under the present policy conditions. we wish to point out, that you still have the right of appeal with the insurer."
But I sending a mail to insurance company again and again and inform to insurance company;
The date of MRI 06/02/2018 is mentioned as per the MM/DD/YY format.

In case you have any doubt or confusion with MRI date, can I Submit Original MRI Films/ Copy for your reference/ Verification.

But insurance company again and again forward me the following mail.
I request you to please check all information by right way & perfectly and then after you can take final design about my cllaim


Thanks & Regards,
Mrs. Sushma Chavan
Mb. No. [protected]

I have corporate insurance (Techmahindra) with medi assist. As per their policy they will allow cashless treatment in their network hospitals.

But even after submitting all the reports and blood samples and necessary documents from the hospital they are simply rejecting and asking to come for reimbursement. They are really cheating even corporate insurance holders also. If they are not okay with cashless why they will reimbursement. As per their policy unless patient is about to die its not critical, behalf of this policy better to go for insurance. They will note down your number and answer the calls. I am requesting to withdraw my insurance.

Thanks,
Munikiran
[protected]

Hi team,

My humble request, please forward this to escalation team. I informed that, implant rod sticker is not available with hospital nor with dme store. Also provided the reason (Dme store stated that implant sticker is available for imported rod which cost 50000/- plus. Mine was for 21000/- hence sticker was not available on rod, please escalate it to supervisor on urgent basis.)
However none of the person is replying with proper resolution.
I stated that apart from implant rod bill, please pass other claim.
Please get back to me on urgent basis... It has been one month no resolution founded.

Hello medi assist plz hear me . my all type of vaerification is done amount is claimed but compney is do give money . im going in office every week officer told i give u tu ans on monday many time .wht is the resun iffice in vadodadra gujrat india .apme himmat hai to paise dilwake dikhaiye itna bdha isurance compney ese hi chalte hai ??kisa satff hai koi response hi nai hai