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Medi Assist India Complaints & Reviews

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Last updated May 10, 2024
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Medi Assist India reviews & complaints page 34

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N
NChavan
from Pune, Maharashtra
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I am complaining about my reimbursement of claim

Address:Pune, Maharashtra, 411045

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...
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M
muni kiran
from Ramapuram, Andhra Pradesh
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no cashless treatment even for network hospitals

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....
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A
Aakash. Kumbhar.
from Mumbai, Maharashtra
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claim reimbursement implant rod

Address:400709

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...
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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...
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V
Vjd2105
from Satana, Maharashtra
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medi assist claim 96558697

Address:Pune, Maharashtra, 411040

This is with reference with Claim number[protected] of Vijay Kumar Duggal submitted to Medi Assist by Ruby Hall, Wanowrie, Pune.

Initially the amount of Rs. 72294 was authorized by Medi Assist which was worked out based on my Mediclaim policy authorization of room rent and the cost of Procedure.

Since I took a private room the final bill amount was Rs. 103638.

I should have paid the difference...
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S
Sbhatulkar
from Aurangabad, Maharashtra
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medical claim pending from last 5 months with medibuddy

Address:Buldhana, Maharashtra, 443301

Myself swapnil r. Bhatulkar employee of bank of india. I have submitted my new born baby medical claim in the month of mar;2018 though our vidarbha zonal office to medibuddy which is delivered to medibuddy on 19th mar;2018 (Claim id:[protected] after 1month i. E. On 30 apr;2018 i received mail from medibuddy that your claim has been cancelled because of your dependent name not updated in their system. I have already added dependent name in...
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S
Sbhatulkar
from Aurangabad, Maharashtra
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medical claim pending from last 5 months

Address:443301

Myself swapnil r. Bhatulkar employee of bank of india. I have submitted my new born baby medical claim in the month of mar;2018 though our vidarbha zonal office to medibuddy which is delivered to medibuddy on 19th mar;2018 (Claim id:[protected] after 1month i. E. On 30 apr;2018 i received mail from medibuddy that your claim has been cancelled because of your dependent name not updated in their system. I have already added dependent name in...
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Address:560060

Hi,

I have applied for reimbursement of my fathers hospital bill, on[protected].
Policy # 421100/48/2019-183
Insurance company - the oriental insurance co. Ltd.
Insurer claim id 421100/48/2019/004456
Claim # 17226946.
Patient name - ravasab jayagoud.

The claim not yet settled, its keep on postponing, from june -2018 onward,
They are not responding, keep on saying the...
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H
Himanshu1213
from Patiala, Punjab
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claim rejection

Address:Patiala, Punjab, 140401

Applied for cashless claim and was rejected saying that cellulitis doest not lie under the critical condition so it is under one year waiting period.

As my father was admitted in emergency and was admitted in emergency for 4 hrs before shifted to wards. His condition was so critical that he his infection was growing high with severe pain and was told to be treated in emergency other wise it need to surgery of left leg and mediassist...
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D
Devendra Garg
from Siliguri, West Bengal
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claim no 17527000

Address:Patna, Bihar, 800001

I have submitted claim of rs.12940 in respect of domicillary treatment of my wife suffering from arthites. However a sum of rs.1500 not approved towards physiotherapy whereas a have duly submitted bill and receipt of physiotherapist in this regard.
I therefore request you to recheck the bill and arrange to settle the same for full claim amount of rs.12940.
Devendra garg ec no.45077
Asstt. General manager
Bank...
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P
pulkitshah
from Ankleshwar, Gujarat
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non settlement of claim

Address:Vadodara, Gujarat, 390002

Ref:Policy no. 144000/48/2018/32876
PORTAL REF: DEAID/E/2018/01808
Mediassist Claim Id: 17022791

Dear Sir,
This is with reference to the above mentioned claim.
Checking with Medi Assist I was made to understand that the case has gone for investigation on 31st July 2018. I would like to highlight some of the Facts.

1. Claim was filed on 18th May 2018. On 25th May 2018 it went for investigation....
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R
Rupali kute
from Nagpur, Maharashtra
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health claim pendency towards medi. assist india

Intimation id: 10632496
Treatment for: rupali kailas kute
Medi assist id: [protected]
Ailment description: maleria fever
Date of admission:[protected]
Hospital details: jeevanjyot hospital, satpur, nashik - trambak road, nashik, nashik, maharashtra
Contact details: [protected]. Nearly two months are going out but still they not given any pendings or not giving claim amount....
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D
Devendra Garg
from Siliguri, West Bengal
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wrong deduction of rs.1500 in claim no.17527000

Address:Patna, Bihar, 800001

I have submitted claim of rs.12940 in respect of domicillary treatment of my wife suffering from arthites. However a sum of rs.1500 not approved towards physiotherapy whereas a have duly submitted bill and receipt of physiotherapist in this regard.
I therefore request you to recheck the bill and arrange to settle the same for full claim amount of rs.12940.
Devendra garg ec no.45077
Asstt. General manager
Bank...
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M
msrimu
from Bengaluru, Karnataka
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returning of bills

I have policy issued through my company. My claim was rejected during nov 2017.
Later called several times from company and personally asking to return the bills. But repeated calls and emails nothing worked and not it is aug 2018 and still not the bills are not received by me. Every phone call will take to 8-10 mins to get them to talk. I was never allowed to talk to the manager and every time it was addressed as a new complaint....
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V
varghese mm
from Angamali, Kerala
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reimbursement rejection

Address:Thrissur, Kerala, 680589

Tpa rejected my claim[protected] without any any reason. I submitted all the originals to the company, and tpa received on 06/07/2018. Ma id no. [protected] /[protected]. Also i sent a letter from jubilee mission hospital, trichur, conforming that i have not utilized any cash less facility during hospitalization.
Iam a legitimate policy holder and have to know the reason why the claim is rejected....
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K
Kale satish
from Pune, Maharashtra
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for discharge

Address:Pune, Maharashtra

Dear sir my son treatment already ok then why my son not discharge tuday. Your confirmation discharge message give mi tomorrow. Please give me a confirmation message just. Please. Paisant name. Shreyas satish kale claims no claim no 96485806 for kale shreyash satish. For inr 10000 is authorized for cashless. The total authorization as on date is inr 10000 for hospitalization between jul 25, 2018 and jul 29, 2018 at shree hospital, baramati....
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R
Ritesh Burghate
from Mumbai, Maharashtra
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unsettled claim since jan 2018 and no action has been taken

Address:Mumbai City, Maharashtra, 400072

I was working with cipla ltd and had mediclaim policy with new india assurance (Tpa - mediassist india). My mother had gone cataract operation and i have claimed for reimbursement for the same.. Since, jan 2018 i've mailed several times but only i get revert as we are working on it and no major action has been taken.. This is highly outrageous as mr. Khalid from mediassist is not responding and receiving my phone calls....
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Address:Dakshina Kannada, Karnataka

It is noticed that an amount of rs.23, 479/- has been deducted from total bill, indicating prorata basis and i had paid the same to hospital at the time of discharge.
I do not understand the reason for such deduction. Such huge deduction put me in an embarrassing position and in such cases the purpose of mediclaim policy is defeated.
My email id: padmanabhan. [protected]@adityabirla.com...
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M
Maya Joshi
from Lucknow, Uttar Pradesh
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approved claim amount not credited into my account

With above reference, i (Mr. Maya dutt joshi) pf no. Mj178844 has a reimbursement claim of my daughter miss aahana joshi of amount rs 41, 825/- which had been approved on[protected] and the amount is pending and not credited into my account. It had already taken 4 month from the approval date. And the following details as given below

Client name : bank of india
Policy number : [protected]p[protected]
Employee number...
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H
Hyma koduri
from Hyderabad, Telangana
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ignoring the doctor letter and rejecting claim

Address:Hyderabad, Andhra Pradesh, 500072
Website:mediassist

Raised a claim 96197007 and then mediassist asked several documents. I provided all the documents that includes a doctor letter stating the root cause of the infection. Doctor clearly mentioned that "root cause? Local infection".
After 2 months of investigation mediassist rejecting claim stating that diabetic foot and giving wrong statement like "patient taking treatment since 2014 and submit original documents". They did not mention...
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