Medi Assist India Complaints & Reviews

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]

Hi Sir/Madam

I have an insurance of National insurance Company for my father. The TPA for this is Mediassist. He is suffering from throat cancer and had undergone radiotherapy. After few months of radiotherapy he became very weak and needed supportive care and further investigation and treatment plan for surgery. We applied for cashless facility but Mediassist denied with a sentence that "denial of cashless is not the denial of treatment, you can apply for reimbursement" . When we applied for reimbursement after his discharge then they denied for approval saying that it is not in their policy. Although it is clearly mentioned that if hospitalization is for more than 24 hours and disease is from the listed ones it will be covered.My claim number with Mediassist is 17316439 . Kindly investigate the case and help as soon as possible.

I have applied for the medical claim regarding my sudden chest pain .So, In emergency I was admitted in the hospital in hurry and when I become stable I did the further process of admission in hospital so the hospital management print the admitting time when I paid the deposit amount which is much later than the actual time and in case of discharge also there are certain process you have to apply for discharge first so time of leaving the hospital is differ from the actual time ..And the hospital charge is too much for one day they charge 11k and suppose if I will continue there the 2nd 2nd day they will charge again 20k .And I don't have that much salary to afford that .Already due to this incident I took loan from my friend ...So please show mercy on me and do reimbursement as I don't have much salary .if I will have the salary then I will try to stay for 2-3 days

I have submitted a partial reimbursement claim for maternity of my wife. Medi Assist has denied both pre-hospitalization claim and post-hospitalization claim .
They also denied new born baby bill stating that hospital admission is not clear. I fail to understand how can it be not clear in case of maternity.
If the claim has to be denied on the face of it then why did Medi Assist kept on asking me for so many documents and so many documents were asked for many times.
No satisfactory reply for denial has been given.

Sir,
I have submitted a claim (Claim no[protected] for my daughter in medi assist for inguinal hernia.
As per the discharge papers of the baby given by hospital it was not present at the time of birth hence it is not a congenital disease/defect, also the opd notes of the hospital where baby got operated states that it is not congenital in nature.
Secondly even if we take this as a mistake from hospitals n go by the insurance company rules congenital external surgery is not covered under the claim but this surgery was inguinal hernia which is an internal surgery.
Hence claim should be processed or else we have to seek for other ways.
Regards
Priyanka kanjikar

R/sir
I'm regular payee person of the oriental insurance company for the last many years which you are totally.
On 30may2018 i was admitted my wife due to electric shock in d. S hospital mathura. And after this i sent all the required documents for settled the claim to mediassists which reached you on 06/02018. Till now claim is not settled. Ni information regarding this i am getting. It us impossible to talk you with toll free number[protected]. Plz help me to settle the claim.
Chandrapal sharma
Policy no.272800/48/2018/1752
Claims no. 17151451
Pt. Name krishna sharma
D. S. Hospital mathura
Date of hospital.30/05/2018
Discharge date 02/06/2018

I am the employee of mnc company. My son was admitted for the 5 days in the month of may 2018 and the hospital was out of mumbai. I asked the agent what documents required for claim and i brought all the documents from there which he was listed. The original documents submitted are as below,
1) final bill (Having stamp of the hospital with the signature of the doctor)
2) discharge card (Having details of why he was admitted and what the doctor did the treatment.)
3) all medical bills and pathology original bills)
After submitting all the documents the medi assist mailed me that they required others documents too which was not informed me before.
And the documents are as below,
1) kindly provide original investigation reports which has been charged in this said claim — which i have and submitted to the agent
2) indoor case papers (Icp) - attested copy kindly provide icps — which doctor does not have currently because i have not given him any requirement while at the time of hospitalization
3) kindly provide original final receipt of rs-7500 of final hospital bill - which was submitted before but now they are asking me printed receipt.
So if i will not able to submit the documents then they won't process my claim.
Its a very false requirement from the medi assist to avoid the payment of claim amount.
2 years back when i have submitted my wife maternity claim to the medi assist then they wasn't ask me anything additional documents.
I want to get the claim settled properly without any further deviations and misconduct and frauds.
Kindly close the issue asap.

Regards,
Chetan bhamare

Dear sir,

Policy holder name: kishorbhai shantilal dave
Policy number:[protected]
Claim number is 16556891

We are regular premium payer with my all of family last 2 year or more.
As per above claim number we are submitted all necessary document as per rules & regulation to medi assist office in vadodara on month of march-2018. Insurance team rejected claim without any reason. We meted vadodara local team & explain all subject, they suggest you can get your claim. As per local team suggest we submit more document & avoidance for same. But still we have not received payment.
We are belong to middle class family, and suffering with hospitality, financial crisis. So i hope you understand your customer situation.
Kindly request to you same do need full as possible as
Please let me know if any more information required.

Thanks & regards
Kevin dave
[protected]

I am cognizant employee and i am going to admit columbia asia hospital for gallbladder operation and estimation amount is near about 92k. After aplying i received an approved amount of 40k.
Now none of the mediassist person are able to clarify the amount on what basis i am getting this much amount.
After waiting for long time they are picking up phone or some times that also not occuring.
In our official portal it's mentioned if the amount is below 1lakh then medibuddy will pay the full amount. But after that i came to know all will be calculated based on bed charge.
If bed charge is 2500 all the amount will vary based on that charge.
Now one medi assist employee is telling within 2500 bed, doctors charge for one day all will be included.
So what's the actual calculation.
All the medibuddy employee are not having any knowledge but they are serving people.
I want proper justification on what basis i am getting the amount.

I would like to escalate the below claim for my father who passed away on 9 dec 2017 and i had requested for his claim of ~inr 72, 000 in the month of mar'18.

It has been more than 3 months i have been chasing with response as "in process", can you update me how long does this take to process a claim???

It has been one of the worst experience considering the situation am going through. How can such a reputed company have pathetic customer service response / processing time.

I have been calling your customer service toll free every week since 3 months. Please have some mercy and get this claim approved as this is much needed for my mother who is in financial crisis.

Maid: [protected]

I am unable to get status of my submitted claim. I am trying to get the status and update over it but unfortunately unable to get it through either message or online.
After confirmation with meddiasist team i submitted the claim reimbursement documents to meddiassist executive by hand on 11th/12th april 2018. After which i got the acknowledge message from meddiassist team that they have recieved the claim documents on 17th april 2018 at 11:41 am by mentioning reference number only which is p[protected].

As i am unable to login to the portal (Which is already highlighted top meddiassist team by sending emails) and i dont have even claim number, i am unable to track my claim status. I tried to contact meddiassist team over tollfree number and they mentioned they are unable to see any request over there. Kindly help me to get the status of the claim

Subject about delayed in payment and no response from your tpa mediassist india ltd
Harshadkumar shambhubhai patel was operated auxiliary narcotic caseated axillaries lymph node level 1and leval2 wide excision. On 19/05/2018
With claim id: 17014600
Claim amount: rs.27398/-
Approved amount: rs.23980/-
Till today i had note received any amount from tpa kindly do needful
Patient name : harshadkumar shambhubhai patel ip no. :
Insurance company : the oriental insurance co. Ltd. Policy no. : 142600/48/2018/4497
Medi assist id : [protected] primary beneficiary : harshadkumar shambhubhai patel
Policy holder : mehsana dcmpu ltd employee id : 16004365

My ma-id no. Is [protected] and i had submitted my insurance papers along with other requested documents for a post hospitalization claim on 5th june at the medi assist office in delhi (Bahadur shah zafar marg). It is now 22nd june and i've not received any claim id. The tracker no. Is del00053604. How do i escalate this, it's been 17 days now?

I've called them 4-5 times during this period and the response i get everytime is that claim id will be generated in the next 2 days.

Myself mayur ramchandra yallurkar, with policy number[protected] have claimed for a bill for the first time with claim number. 96211462.
I was asked to submit additional documents for the same.
I have submitted all required additional documents as per their requirement on 15 th june 2018 by post.
Till today i have not received any update on my claim number nor got any message from mediassist.
I request you to do the needful immediately and serve us better.

I want to exclude my parents from the insurance policy and despite sending multiple emails before the renewal period (June 2018), medi-assist is unwilling to exclude my parents from the policy. They are deducting the amount from my salary account.

I demand a cancellation of the policy and a refund of the amount deducted.

Emp id: 750506 (Oracle)