Medi Assist India Complaints & Reviews

Hello,

This is regarding my claim 16959625, as i want to raise an issue regarding my claim which i submitted on 9th june in ssc. However after several request and follow up the claim has been denied with an invalid reason.
In brief my claim was about op-poisoning which was purely accidental and no fir was lodge for this as the meddiassit wants all the data. I have provided all the data and indoor case study regarding this along with i have provided the letter from the doctor that my case was a genuine and accidental one. Even though they denied the claim after so many follow ups.

Please help me on this.

With reference to the above i mr. Satish k j code number 18207 hereby state that i had sent a claim on[protected] by dtdc courier no. B53912278, 53912279. You had received the same on[protected]. Please kindly approve the claim at the earliest.
It is more than a month. I have not received the claim number to further clarify the same. Please kindly sanction

It's really disappointing.& shameful that despite sending all documents in original & duly acknowledged receipt of that by your office,. I m harassed again n again to send them for my claim no 16803756. Original stent cover, implant charges bill, breakup bill & all other original docs were duly received by your office. Either there is miscommunication or lack of doing your duties in ur office by staff or they r not capable of seeing docs sent. It has been more than 2 months since i lodged my claim with all required docs.
Look into the matter seriously.& stop harrassing us by demanding same docs again n again

My father admitted to sakra hospital for knee replacement surgery, i have provided the insurance details to hospital and they are proceessed and initially got an approval of 1 lakh from insurance company.
After the operation, mediassist guys have denied to give the amount saying "as per the policy not payable".
Then i called customer care service employees and supervisor they are saying sorry, by mistake it was approved.
Then i have paid the complete amount.

Medi assist guys are playing with patients. Really irresposible guys.

Cashless claim reference number:[protected]

Dear team,

I have claimed my reimbursement for my mother hospitalized.
My claim amount is 18, 602 but in claim status approved amount is 14, 482-
I have submitted claim more then 1 year is over, still amount not settled

Please update me as soon as possible.

Name - srinivasa reddy atla
Claim no.15371744
Email - [protected]@gmail.com

Thanks and regards,
Srinivas reddy

Claim status number: 17002490
Case: emergency delivery maternity

All the documents from hospital were sent and the claim pre approval for full amount was received.

Hospital told me that the final approval letter was sent with a wrong details.

Room category is mentioned wrong which was clearly mentioned at the time of taking the pre approval as well.

I contacted mediassist helpine with numerous calls. It takes approx half hour to get someone to talk. And many times person put your call on hold and disconnect after few mins.

After going through this 5-10 times and talking to different helpline people they admitted as well it is a mistake from mediassist side only and each one assured me correct letter will be sent shortly. 20 mins then wait another hour then next morning nothing happened!!

Then after two days again after numerous calls to helpline luckily got someone to talk after 1.5 hrs hold and disconnects. Then someone told me that sir please contact your company dedicated corporate helpline mail they only can resolve for you now as patient is discharged!!

I sent the mail to corporate dedicated mediassist mail id @mediassistindia.com

Only a automated kind response received "we are working on your request
Ticket number: 3825853 will get back soon". I have mailed multiple times now in 3 days same thing just an automated kind of response.

It is a very simple thing hospital has asked me to get the letter of approval corrected mentioning the right room category the claim approval is already there no increase in approved amount or anything still there is no response and from beginning people are giving false promises we will send the letter in 20 mins then wait till next morning etc!!!

What kind of service is this for a corporate insurance.

Can this be resolved i need to focus on my patient and baby or spend my hours arguing with the helpline number and mails.!!

Mayank aggarwala
[protected]

Claim status number: 17002490
Case: emergency delivery maternity

All the documents from hospital were sent and the claim pre approval for full amount was received.

Hospital told me that the final approval letter was sent with a wrong details.

Room category is mentioned wrong which was clearly mentioned at the time of taking the pre approval as well.

I contacted mediassist helpine with numerous calls. It takes approx half hour to get someone to talk. And many times person put your call on hold and disconnect after few mins.

After going through this 5-10 times and talking to different helpline people they admitted as well it is a mistake from mediassist side only and each one assured me correct letter will be sent shortly. 20 mins then wait another hour then next morning nothing happened!!

Then after two days again after numerous calls to helpline luckily got someone to talk after 1.5 hrs hold and disconnects. Then someone told me that sir please contact your company dedicated corporate helpline mail they only can resolve for you now as patient is discharged!!

I sent the mail to corporate dedicated mediassist mail id @mediassistindia.com

Only a automated kind response received "we are working on your request
Ticket number: 3825853 will get back soon". I have mailed multiple times now in 3 days same thing just an automated kind of response.

It is a very simple thing hospital has asked me to get the letter of approval corrected mentioning the right room category the claim approval is already there no increase in approved amount or anything still there is no response and from beginning people are giving false promises we will send the letter in 20 mins then wait till next morning etc!!!

What kind of service is this for a corporate insurance.

Can this be resolved i need to focus on my patient and baby or spend my hours arguing with the helpline number and mails.!!

Mayank aggarwala

Meddibuddy app. Installed but not working after some months. I installed medibuddy app around three years back. This is working very fine and also download our ma id, but now a days this is not opening and only making round n rounds.
Requesting, to line up to set right the problems, so that we shall open meddibuddy app to get the required information.
Thanks n regards
Ma i d [protected]
Raj kishore nigam
Tata steel limited (Retired employees)
Employment id 104436

Sir, i submitted a reimbursement of claim for my wife pregnancy dated 06.04.2018 to the new india assurance through my office namely lic of india. But till date no response or message. My policy no is
120700/34/15/04/00000007. May i know why its getting delayed over 50 days. Let me know the claim status and resolve my claim reimbursement as soon as possible from your end.
Thank you.
P. Parthasarathy.

Dear sir/madam,

I had applied for cashless and the new india assurance co ltd had approved my application on 18/07/2016 via approval number [protected].
My policy number 210402/34/15/04/00000049. Total amount of bill was 194250/- but approved for rs 155400/- and remainig amount was paid by me. Now the approved payment is not paid to hospital till day and hospital is demanding the same amount from me. As i have applied...

Hi sir,
I talk to ur people concern person mrs. Ruppa she told me that we are forwarding the details through email at present i knever get any single email from ur staff. I have given alternate email id same story and reply from ur staff.
What is the next solution i asked she told me i will send courrier to ur address
Again past 1 week iam waiting for document. Today i asked her what happen. She is telling this sir that sir. What is the poor service from u people.

My father is one o[censored]r bank staff he recently retired. He is under gone byepass surgery. Daily he is ringing and speaking to ur people but there is no any good news from ur people. I fed up with ur insurance sector. I spoke to ur mrs. Ruppa from banglore office she told me we sent courrier then i asked better send me the track number she told me that we will send thrugh sms
At present i knever get single sms. I have submitted a bill copies she told me within 6 working days it should be transfer to ur account near 24, 000/- but only 14, 000/- some change as been approved ok let it be then i have submitted 40, 000/- some change she told me that i want summary letter from u already claimed insurance sector ok i told that they are asking korrean sheet. She told me i will send through courrier at present i knever get any reply is there is any concern person to speak about my quyires.
Today i got some email from ur staff again ur people are playing with me ur email id is wrong thrugh sms he is chatting with me

After all my effort:

Today around 3.28 pm i received some email from ur staff. Over phone covacation iam asking to ur staf[censored] told my email id is wrong again from my side it is correct again it is wrong same story going on. Now finally i got a email from u people if my email id is wrong mean how i will received???

Tell me the proper reason iam having complete audio msg, chating convection msg, and email proof what i have sent to ur staffy msg i[censored] people not giving any proper response i will face next step...
Thanks & regards
Adithya sankaran
[protected]

Hii this is Akshay Neve from Pune . I registered the claim in Medi assist through TATA business support services (TBSS) before 2 months, also I got approval from Medi assist India Pvt Ltd but still amount is not credited. I taken many follow up but no one responding me . Both are told that it is pending from other company means Medi assist India Pvt told that write fresh mail to TBSS and Tbss told that it is pending from Medi assist.and my medical bill is RS 26000/- But I got approval only RS 23565/-, they guys are not explained that where is deduction. Please take a strong action to both of these companies.
I think someone doing fraud with me .
You guys are take action and solve it ASAP
Policy holder name .Ms.Tejaswini Babasaheb
Sasane (emp no:180632)
Claim No: 16828687
Approved Date: 19-Apr-2018

My father has a policy in this firm. Last year we paid for the session year 2017-18 but somehow there database doesn't have any record of that. I got the policy number from the agent and now from the past 10 days I have been trying to call the customer care to update that policy number in there database so that I can pay for my policy for the year 2018-19 whose last date is 21 May. I'm calling them everyday and they always say that they are updating it and I will get a response in 24 hours but nothing happens. I'm afraid if last date to renew the policy passes then who will be responsible for my loss.

Recently we have submitted the medical bills for the medicine nivolumab with medi assist and we had admitted in hospital due to the some of the side effects may happen after taking this. We had took two injections in the gap of 15 days and its a costly medicine in the hope of medi assist will pay off the amount. But they denied the claim.
Claim id: [protected]c[protected]

I got admitted for eye surgery in yashoda, secunderabad on 15.05.2018 after i got initial amount approval. After surgery, the hospital submitted for final approval. But reply has not come on the approval. I am held up in the hospital.
It is frustrating experience. Pl resove speedy redressal.
My mediassist id: [protected]
Claim id from the hospital: 16985504

Thanks

K. Venu
[protected]

The call center support for medi - assist is highly frustrating. I would have called not less than 20 times for an error made by your team. Highly unprofessional behaviour by all your agents. Please have the calls made by me monitored. Its like breaking my head on the wall.
Firstly your system was incorrectly updated for the policy, the agent asks for the policy document which was shared immediately. Was assured that it will taken up immediately and will receive the revised claim, this was precisely at 3pm, its 11pm still no resolution. The agents put you on long hold and then themselves disconnect.
Request if this behaviour is read by irdai and some action is taken.
One we are worried with the patient and then this kind of frustrating and unprofessional behavior by the organization.

Dear sir/madam,
I claimed for rs.34237 but received only rs.27840. My claim no is15765775. Firstly they told your medical bill submitted without date and one report is missing. I gave again duplicate report along with the duplicated bill of medicines which was attested by the medical shop. They gave an email that we received your documents and will process soon. But till date, they processed only one claim which was rs.900 the earlier mentioned (The report is missing) but the medical bill of rs.6397 wat not given till date. After several follow up they are just giving me either your claim has settled or in process.
What type of service is this? After six months they didn't process my claims even not contacted me. If the date was not mentioned in medicine bill this is not my fault this is the fault of the hospital. Further, as per their instruction, i submitted again duplicate bill as they suggested but useless.
In simple language, i want my money back hope you will consider my plea. Irda.

Thankyou.
Satyendra
Officer (Bobcards)
[protected]

Hi mediassist,

As communicated earlier the normal delivery economy package is 38055 but mediassist has approved only 25800 (Old rate). Also, mediassist has not approved additional day admitted charges inspite of we sending doctors letter regarding the same which is not acceptable and also a lot of inconvenience. I am attaching hospital’s new tariff rate and doctors letter for which patient was admitted for additional days. Please look into it and do the needful on priority.

Regards,
Nagarjun b n
[protected]

Hi mediassist,

As per conversation with mediassist representative. I informed hospital to send pre-authorisation to mediassist but they denied. Mediassist representative spoke with hospital corporate representative asking them to send pre-authorisation but again hospital corporate representative denied saying they will not accept oral words instead they need a confirmation e-mail sent to [protected]@gmail.com. They say they are refusing as mediassist as denied a lot of baby claims in the past for them. Later your mediassist representative, also said she is helpless as hospital is not sending an e-mail. There is lot of miscommunication, due to which i am facing inconvenience on emergency situation. I do not want any of our employees to go through these kind of situations. Also, a ticket has been raised on the same concern which is 3767246. Please look into it and do the needful.

Regards,
Nagarjun bn
[protected]

My no. Is [protected] and my wife no. Is [protected]. Recently i submitted two opd reimbursement claims i. E., one in respect of self and another in respect of my spouse. One claim of around rs. 3000/-has been settled. But status of another claim of around rs. 2000/- in respect of my spouse is not known though both were submitted on the same day. Kindly look into the matter and settle the same immediately.

Thanking you

Regards
Ramachandraiah