Medi Assist India Complaints & Reviews

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...

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...

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...

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...

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

br...

Dear team,
I have claimed my reimbursement for my surgery which is held on 01/12/2017.
My claim amount is 55754/- but in claim status approved amount is 53170/-
So i want to know reason the for rejected amount. I have submitted all my documents.
Please update me as soon as possible.

Name - deepak
Claim no.[protected]
Contact no. [protected]
Email - deepak. [protected]@gmail.com...

Hello,

The domiciliary claim that was lodged by my father has not been settled even after 6 months by the bangalore office. I have tried to phone their call center but i have not been successful in months now even after waiting for hours on ivr. I have been looking for an escalation matrix, but there is no information on the escalation matrix as well. Can you please help in getting the escalation matrix.

Thanks,...

Hi,

It's almost 50 days that i had submitted reimbursement claim along with clarification of why cashless facility is not used instead of reimbursement. I have explained that given Ruby hospital, Sassoon Road is not in the list as conveyed to me by customer care before admission of my father to hospital.So i had gone with reimbursement option.

Still they asked me for clarification. So finally i have written...

I recently underwent d&c procedure at a clinic because of a missed abortion. I submitted relevant bills and report but my claim has been repudiated on the grounds that i was treated as out patient.
I was treated by my gynaecologist and procedures were carried out in a way she thought it would be correct.
Hence i was treated without being admitted or hospitalised as she thought it was not required.
But i underwent dilatation...

Dear sir/Mam,

Im Sudha.G working in Axis Bank LTD.On[protected] my spouse(husband-dependant of my claim-Naveen Kumar Nomula) has undergone under PRPO treatment due to self Leg Injury .I have submitted all the original bills and documents under pre-hospitalisation which has reached Medi Assist office on 08.01.18 of amount Rs 12805.

But they have wrongly processed my claim as Main Hospitalisation and kept my claim...

Dear sir/Mam,

Im Sudha.G working in Axis Bank LTD.On[protected] my spouse(husband-dependant of my claim-Naveen Kumar Nomula) has undergone under PRPO treatment due to self Leg Injury .I have submitted all the original bills and documents under pre-hospitalisation which has reached Medi Assist office on 08.01.18 of amount Rs 12805.

But they have wrongly processed my claim as Main Hospitalisation and kept my claim...

Dear sir /ma"am,
As per policy we operated my father stone operation at kanpur in suraj hospital and submit the all paper to mediassist department by courier (Tracking number —[protected] — pushpak courier) before two month but still no body reply for this and no any status are update or inform to me kindly process the claim on urgent and any pendency to let me know.
Thank you
Jitendra kumar
[protected]...

Dear sir, our claim id no.16032950 dt.01/01/18 from vadodara-gujarat. There is claim amt. Only settled rs.20220/- out of 30530/- a huge amt. Deducted in our case so, mail lots of to your ahmedabad office, but there is no any response to us so, we complain to you kindly look in the matter & solve our problem.

Shardaben k. Parmar
2190, shaknar soc,
Bajwa-391310. Dist. Vadodara
Gujarat.
Mo. No.[protected]...

Dear sir,

I have corporate mediclaim policy under medicare tpa srevices. Policy no. 602200/46/17/[protected].

Name:nagalakshmi
Claim num:16319012

I have admitted to hospital as i got hepatitis and because of that i became very weak and they told me to admit so admitted and i applied for cashless but that process was too slow and became delayed. So i paid all my hospitalization bill and got...

Hello sir,
You assist in this matter will be highly appreciated. It’s been 6 months to get the reimbursement for my claims. To many follow-up’s, inefficient process and communications, no transparency. The claim has not been handled by mediassit as promised by them in their policy.

In this complain form, i'm unable to attach mail communications. I can submit it when you request for....