Medi Assist India Complaints & Reviews

Claim amount of rs.5978/- alongwith necessary supporting document submitted at kolkata office of tpa-dhs on 31.10.2017 & and it was sent under lot no.361 by dhs, kolkata on 3.01.2017 to their controlling office & received by one staff named boibhav on 3.01.2017under united india insurance and bank of india (Retired) policy. Since then no reimbursement, no reply came from them
Even after several mail & phone reminders. Please advise.
Employee code 138273 (Bank of india)

Hi,

I have submitted all the documents on 30th april, 2018 as per below detail.
Domiciliary d[protected]c[protected] atharv first child claim document generated 668 —
Domiciliary d[protected]c[protected] atharv first child claim document generated 715 —
Domiciliary d[protected]c[protected] atharv first child claim document generated 720 —
Domiciliary d[protected]c[protected]...

We had a corporate tie up with mediassist. I have met an accident on 08th of feb 2018 on my way going of regional office ranch with the road divider in way of protectig a cow. Since after the accident i was unconsious and was referred to santae vita hospital ranchi.in the emergency there was a visiting doctor available at that time. He has written the details of the injury and for remedy he asked for surgery. My family decided to get operated at patna.in a clinic with no cashless facility i got operated and a plate was fixed in my collar bone. I have sent all the x-rays, bills, all diagnosis reports on 13th of march and 25th of march then they asked for five more thing a fir/ mlc, i am really confused against whom i have done fir. Then they ask for a certificate from the first treating doctor that i was not under the influence of any intoxicating substance, since i was on duty at that time and after the accident i was not in conscious mind i did not ask at that time but afterward when i visited the hospital the doctor was from outside, so i am not able to meet and hospital is also not responding. What to do? Now third document ask is brief description on how the patients has sustain the injury, time and place for which i have already submitted the prescription of santee vitae. Now the fourth paper is ic p i have sent all the case paper provided by the hospital but still they are saying insufficient without naming the paper. I don't know for passing of a mediclaim either one has to be from a medical line or should be an experience person who have all the knowedge of everything, because for a simple serviceman like me it's really hard to arrange the paper because in emergency only the cure is seen not the paper. My claim no. Is 16545482.

Ref no: 3461675
Mediclaim policy no.: [protected]

Its been 2 weeks over i sent mail to medi assist/medi buddy regarding my mother kidney stone removal treatment..
I didnt get the confirmation reply for my queries instead i get reply like we forwarded to concerned team will reply i got same reply 3 times.

If i dont get immediate confirmation on this i am going to inform my company to cancel your policy and to buy from other compay and also i will lodge a complaint against mediassist in consumer court.

Ccn# 16030464 under policy# 124500/48/2018/3711 (Emp no -41174;emp name - vishal deodhar[protected]
My daughter met with an accident at my house while playing and broke her upper teeth. I had taken assistance from mrs chandani on the case and after the approval from your medi team. I did the operation on cash payment basis from surya nursing home santacruz.

In the trail mail i had asked for details of requirement for doing this operation as i was aware that only dental claims arising due to accident are only covered, i did not got any details of this requirement at that time.

My 2yrs old daughter had swelling and since we could not take a opg we did the operation on the basis of the images and doctors consultation.

I have submitted all the possible doc’s and have stated that i do not have opg report. Still again and again i am harassed with same requirement.

Request you to kindly go through the documents submitted by me and please intervene as its almost more than 2 months.

I could have gone for cash less and have benefited, taking a reimbursement route has been a headache for me know.

Also, would like to bring to your notice that the rm mapped to me are not taking my calls, i am struggling with yogesh to be heard on my calls i suggest the change for axis bank relationship which i have raised to management of axis bank too.

My case is simple goofed up due to improper attention of the mapped representative.

Claim number 95445526 is pending over 3 months.
All necessary documents are received by ma bangalore team (Blue dart tracking number - [protected])
Have escalated the matter many times, called customer care over 100 times and wrote emails daily but no response.
Medi assist team nor the crm (Girish) trying to help in any way.
Very pathetic process and customer service.

Hi Team,
I have submitted my claim with medibuddy on 21-FEB-2018 and have been waiting till today with no progress and i have been calling MULTIPLE customer care agents and supervisors with zero progress regarding my claim.. i was told like 10 times from 10 different customer care executives that i would recieve a call back in 2 or 3 hours which never happened.

I would be more than happy of some one from here could help me with the situation and advise on how to takeup this situation in getting my hospital claim amount.

Thanks

Hi team,

I have enrolled my own brother on additional coverage in medibuddy application and paid the premium of 3060.
I would like to edit this amc because only disabled brother will get benefits of it.

I raised request prior to window freeze with cognizant internal medi assist support team, and team have not taken any action and request is still in open state.

Am looking to cancel this...

New india assurance — cashless claim not settled for 3 months!

I have a mediassist card which is provided by my company (Tcs), and the insurance is with new india assurance company. There is a cashless claim approved in december 2017, and due to some circumstances, i have paid the money to get discharged from the hospital. (The amount was approved). Now its been three months the new india assurance company is not willing to transfer the money to the hospital bank account. Everything is approved then why new india assurance is doing like this as am unsure.

Its is medi assist teams responsibility to get this done as our primary contact is medi assist team

Multiple times i have contacted medi assist, team and they keeps escalating for last one month and not getting any update. Sometimes the call will get hold and get disconnect.

Request new india assurance team to do the need full
Employee number : 1083730
Mediassit claim number: 95287799
Hospital name : royal med care, karukachal, kerala
Employee name: anoop somasekharan
Policy holder: tata consultancy services ltd
Policy number :-920000/34/17/04/00000001

Why the claim not settle in my account from december to til now.

I think i doing a big mistake to take your health policy for me.

I giving rrmbursement docs.in january to getting claim but toaday is ist april and calim is not passed till now.
This company is very bad when i call in customer care of this company he is not giving me a right suggestion and everytime say please wait for sime day your claim is i n process and the today till now calim is not credited to my accont very careless and bad company.
Claim id is:
124500/48/2018/090388

Hi Team,

Policy Number:[protected]

Policy Holder name; Nagaraj Rao Mohithe

Patient Name: Kalpana Nagaraj.

1.Came to know that claim numbers 95664640, 95664584 are denied with reason as Preexisting disease.

2.Our Policy was issued in 2002 and the disease was diagnosed in Aug 2014.

So how is it preexisting Disease ..?

3.For only Financial year[protected]Mediassit is the TPA.

4.Where as for[protected] and[protected] the TPA is Vidal Health.

5.Policy Number for[protected]=[protected], Vidal has settled under claims under this policy.

Can you please revert at the earliest.

Thanks,

Vishnu,


Your escalation email id
[protected]@mediassitindia.com is not acknowledging any email reciept.

I have taken Floater mediclaim policy (PNB PARIVAR SURAKSHA), subsequently my wife hospitalised. Due to some techinical poroblem, I have paid payment to hospital and taken bills. For Reibursement purpose, to which address I have to sent the same. Pl inform me. My telephone number [protected]. My policy no.[protected]. I am enclosing the hopspital bills for your reference and process the same and reimbursement purpose. I am also submitted...

Hi
This is ajaykumar jivani, worked in tcs for 6.2 year. While i left the company, one claim was pending to approve.
Claim number : 95386197
Member id: [protected]
I have been moved to australia after submitting document on 1 jan 2018.
One month later, till one month everything was shown as payable in the status. After one month, suddenly they realised one document is missing which is already there in the file, but i thought to connect to doctor and i am blessed that doctor known my case. He helped me to provide the document and submitted in february.
After lot of followup, they came back to submit via portal. (Very disappointed as i do not have access to ultimatix). Said clearly to them that consider this and i have also sent hardcopy of the same.
After few days, today they came back to ask same document again.
They are doing just waste. Harrasing people, doctor and me.
I would request consumer complaints people to help me with this.
Regards,
Ajay
([protected]@rediffmail.com)

I opted out for parental top up plan.. But i dint get any confirmation. N by default now it is opted in. I don't want any topup plan for my parents. N so i don't want any deductions in my salary. Last month already 4000 got deducted n now there is no option or help available. This is how u people make money.
Revert me on this email id-jji. [protected]@gmail.com

Please note that my claim ccn# 95557068 under policy#[protected]Emp no -018011;emp name - asoke kumar lahiri is not been settled as yet. I also not being informed either by e-mail or sms about the status of the settlement till date. This cause me imense displeasure. A line of confirmation about early settlement is highly appreciate.

Regards,

Asoke kumar lahiri.
Mob: [protected]

I cheena jain bank of baroda emplyoee i also submitted reimbursement bill of my father before 3 month ago but no process in this even no satisfactory response i receive it is a continuous domicillary treatment for life time. Why its so delayed and why you could not reimburse my bills? Please explain your criteria of bill reimbursement so can i reimburse our bill.

As cashless facility was on hold, i had to go with reimbursement option for my father's claim. Submitted all documents. Now mediassist is asking me clarification of "why cashless facility is not used though hospital is in network list". I had crossed checked with customer 10 times. They said ruby hall clinic, pune is not in network list. So reimbursement option is fine.

Could you please tell why clarification is required if mediassist/united india insurance itself has put 'cashless facility on hold' for many private hospitals on hold?

Could you please how shall i produce it, any specific format?

Thanks and regards,
Sachin karale
91 [protected]

My father was admitted for an operation, craneoplasty. I. Received an initial approval. After 3 days of observation the operation was called and justification has been sent along with claims request. The discharge summary and final bill was sent at 10am today morning. I repeatedly got updates telling there will be an update after half an hour but no use. Luckily i was able to talk to customer are executive around 5pm and he told claims will be approved around 6pm. The insurance office is available only till 7pm in the hospital. At 7.40pm i receive a notification telling additional information required patient's initial medical records.. Why couldn't this have happened earlier. Now it's a waste of time for us full of today and tom extra hospital charges. And the customer won't pick the call to attend any queries later on. Such is the pathetic customer service. I want the claim to be released right away else i'm escalating this issue.

I have made a reimbursement claim for amounted 45000 INR, claim number 16457686 for my wife Elizabeth. Now I got the messenger like INR 38290 is under process. I want to know what happened to the rest amount, so I called their customer care numbers but none of them is working. Poor and Worst service. There numbers are not working and they are not servicing well. I want to solve this ASAP

Patient name : rajaram. V
Ccn : 95251716


Patient name : d. Selvarani
Ccn : 16223310


Patient name : s. Jayamani
Ccn : 16198810


Patient name : s. Rajendran
Ccn : 15924627


Patient name : k. Baggiyam
Ccn : 15402151


Patient name : jegadeeswari palanisamy
Ccn : 15376776


Patient name : r. Dhanampakiyam
Ccn : 15313747


Patient name : s. K. Raja
Ccn : 15286008

Kindly send settlement report at the earliest