Medi Assist India Complaints & Reviews

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. After continous follow up on 11th July 2018 they raised 2 point query.The same were submitted on 11th july 2018. Receipt attached.
2, Again on 19th They raised 11 querry. Out of 11 query 2 were already the same as were raised on 11 th july and others related to the policy were answered on 23rd july.Receipt attached.

Medi assist for the past 2 months are coming with same ans as its under process.
I fail to understand that when the case was for investigation for 2 month again why has the same gone again.Its already 3 months now and it should be settled or denied for further action from our end.

I am 74 years of age and have been asked by Medi asssist to submit claim form twice with hospital signature in orignal. I at this age cannot run around for this. When all the documents required by the authorities are submitted they should come up with a answer of aprroval/denial for further actions from my end.

I request you to please look into the matter urgently.

Regards

Kirit C Shah
[protected]

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.

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 of baroda
Patna main br
[protected]
[protected]

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.

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.

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. Use link https://mbudy.in/tegfhn0 to track your claim details. Sign into medibuddy https://mbudy.in/emdtf7t for complete
Access to your health benefits.

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.

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

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 : 178844
Employee department : roorkee
Employee name : mayadutt joshi
Patient name : ahaana joshi
Dhs id : da[protected]
Claim no : dhs17y008782

Please do needful as soon as possible

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 that where did they find this information and how can i submit those papers?

Persons:
Padmavathi. [protected]@medibuddy.in
Anurag. [protected]@medibuddy.in

I h ave submitted my claim document on 5th of june, i am getting tracking no on 8th june as - mum00168..., but still my claim no is not generated. Its almost 2 month, i called so many times to customer care they told me we will escalate this with escalation no 4775922, 20 days ago, but still no one giving me response. Every time they tell me give us 3 days claim no will be generated. But actually its not happens. Let me know where i can escalate...

Maid no [protected]

We have submitted our papers for claims on 11th june 2018, after continue follow up for claim of one month have not got any resolution yet..
We are calling on medi asssist number also.. But no one is bothered over there on call... The service is so pathetic..
Need the claim money as soon as possible..
Policy we brought form kvo seva samaj sanjeevani.

My claim ID is 16653730, bill is pending since feb 2018(screenshot is attached)
Only due to a reciept of Rs. 8500/- which was not issued by the hospital because we didnot deposited any money in advance, but full payment was made at the time of discharge, and hospital issued BILL for the payment.

What is the mistake from our side, if we don't had the reciept. Please do the needful.

I am Alakesh Chakravarty, working in TechM, Bangalore (Member Id.- 25522). Let me elaborate this situation and I request you to treat this a Highest level of Escalation.

14.05.2018 - Visited FORTIS Hospitals, Bannerghatta Road. My wife was advised to undergo surgery for “Laparascopic Bi Lateral Hernia Repair” immediately.
14.05.2018 - Received the estimation Sheet for approx. 2 lakh for the surgery plus other charges of 38K.
15.05.2018 - Contacted my colleagues/friends and decided not to choose Fortis for the surgery.
15.05.2018 - Written to Medi Assist team sitting in TechM premise, asking for the Insurance limit of Hernia surgery but none responded to my mail. They have created a ticket number : 3783719 but no action was taken as if a generated ticket will resolve their issues. Pathetic!!
17.05.2018 (06:30 a.m.) - Admitted my wife in Q-Medical Center, Dickenson Road, Bangalore-560042 for the surgery and surgery was done by Dr. Shabeer Ahmed M.S., F.R.C.S., MMAS.

Final Diagnosis : BI LATERAL HERNIA (Bilateral TEP)
Description : LAPARASCOPIC BI LATERAL HERNIA REPAIR
Chief Complaints : Lump on both groins for the duration of one month.

18.05.2018 - My wife was discharged on this day.

Payment through cheque -
Rs. 90, 000/- was paid for the surgery of Bi lateral Hernia Repair.
Rs. 25, 000/- was paid for Laparascopic Tubectomy.

14.06.2018 - Submitted ALL ORIGINAL documents to Mr. Prem. from Medi Assist sitting in TechM premise in E-City. All old recoreds of my wife, all documents related to Surgery from Q Medical center, all Pre-Hospitalization Bills, Hospitalization Bills, Post-Hospitalization Bills. I was given a Claim Reference No. 17198467.

09.07.2018 - I was asked for few more documents, whereas I was looking for the settlement amount to be paid to me. Received those documents from Q Medical center on 15.07.2018 to Mr. Prem from medi Assist sitting in TechM E-City.

18.07.2018 - Received the SURPRISED mail from Medi Assist with Subject: Approval for Claim Reference:CCN# 17198467 under policy# 021700/28/17/P1/19045393.
Approved Amount : Rs 60000 from Amount Claimed : Rs 134431.

This is something I never expected. Your team said there is a fixed rate for Hernia operation which is Rs. 60K in my case. WHY? WHO fixed this rate in Medi Assist? Is this rate fixed by a Doctor or by a Clerk? Why I was not informed by the Medi Assist guys when I enquired them about the Hernia surgery coverage? I have chosen to go for Q Medical center because Fortis was quoting me much higher. I was not given the Pre-Hospitalization and Post-Hospitalization Medical bills saying my slab was already reached 60K.

Would you send back all the ORIGINAL Medical bills, Medical reports of my wife which were not been considered for the claim immediately to me? If Pre and Post medical expenses are not payable, then WHY did you guys collect all the medical bills/medical reports from me?

Representatives from Medi Assist sitting in TechM premise here in B’lore E-City was not aware of your 60K limit for Hernia surgery? In that case, only surgery report would have sufficed for this 60K.

Terrible experience with Medi Assist. I would surely like to get your “rule book” to see your policies when it comes to Settling the Payment to the Policy Holders.

You can ask your Medi Assist team sitting in TechM premises for the mails I had been sending to them after receiving the settlement letter.

I understand that this Escalating to Medi Assist about their poor payment settlement...! Also, I know What would be the outcome of my escalation...

Thanks - Alakesh/Tech Mahindra

I am Indrajit kumar upadhayay, I have tried lot of call to customer service but no any people pick the phone last two days.
I had renewal our medical policy on 7th of June 2018, But no provide any documents from your side, like TPA Card or Hard copy of insurance yet.
So please provide us our TPA Card ASAP.

Thanks & Regards
Indrajit kumar upadhayay
Policy no - 272900/48/2019/6273

Inspite of repeated emails from my end no initiative has been seen from your end regarding refund of my rs 61157 amount.I have repeatedly sent the bills both by post and by mail.You have mailed me that you will be doing it shortly.But still no initimation has been seen.If this thing continues, my lawyer and consumer forum will have the necessary dealings with you.Alreadt the issue has been reported to consumer forum and complain has been lodged.within 1 month if this thing is not settled I will discontinue my policy with you and consumer forum will have the necessary action for you.

Hi Team,

URGENT ATTENTION!

Can I've the settlement letter and my original documents of the below claim Id ASAP. As I need to submit the same to claim the balance amount with my brother's insurance company.

It's been more than 2 months now and still haven't heard from you.

Medi Assist Id: [protected]
Policy no: 670100/32/17/04/00000006
Insurer Claim no: TP[protected]br...

Dear Sir,
I was admitted to Aashka hospital, Gandhinagar for right Knee operation on 10.03.2018. I had submitted bill for Rs 161752/ on 12.04.2018. The bill was passed for Rs 138764/ on 09.07.2018.
The insurance co has not paid me Rs 22988/= Out of 22988/ following bill for Rs 20532/= is not paid.

Aashaka hospital medical store medicine bill Rs 20532/=

I had to purchase medicines for Rs 20532/ from the medicine store run by the hosptal,
The bill is genuine and it is to be paid as per terms and condition of the policy.
I request you to do needfull at the earliest.

Bipinchandra C Dave
EC NO 30652
Ex employee Bank of Baroda
Mrdi ID No [protected]

We have submitted claim form for hospitalization along with necessary documents on 10.06.2018 and received claim confirmation mail to National Insurance Company Raichur branch and the same was confirmed by Raichur branch manager. Please let us know claim status for above policy number. We have tried to call your Hubli Office and our call was unanswered.

This is regarding reimbursement claim follow up with Medi Assist India for almost 8 months,
The case is I have submitted reimbursement claim for he first time in my 4 years 10 months, for which I was asked to provide covering letter for late submission of claim though I was under treatment, and now when I am asking to return my original bills and reports, I am getting no response from neither mediassist official mail nor from vedanti Kale coordinator for idbi bank in mediassist.
The company is neither assisting in claim nor returning the bills,
Such irresponsible behaviour in service sector is not acceptable.
Requesting your kind assistance for getting the bills and report submitted by me, and take strict action so that further no other person may be harrashed by them.
Please do the needful.
Solicit your cooperation.

Thanks & Regards
Jubilee Evangelist Bara
Assistant Manager
IDBI Bank
Bhanrro Branch
[protected]