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Medi Assist India Complaints & Reviews

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Last updated Jan 24, 2024
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Bangalore
Bangalore District
Karnataka
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560078

Medi Assist India reviews & complaints page 4

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B
brighttharmaraj
from Kanyakumari, Tamil Nadu
May 31, 2022
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Insurance Amount declined 107756774

Address:South Karumpattoor, Swamy Thoppu

Dear Sir,

My claim No[protected]

My insurance Amount was declined.

I asked to year team. Your team members told, third boby is not eligible this policy.

What is your policy. My insurance Amount per year 250000. It is correct.

My family is used 2.5 lakhs, I am accepted. Otherwise exceeded my Amount value 2.5 lakhs. I am accepted.

Third child is...
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M
Mani Manja
May 26, 2022
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Claim Delayed -Claim Reference Number:(107372780)

Address:bengaluru

I initiated the reimbursement process, provided all the documents, responded to multiple annoyed queries, and still after 1.5 months of back and forth, Medi Assist moved the claim to the "Repudiated - awaiting insurer concurrence" state.

There is no explanation why the claim was moved to this status, or what else they need from me. I have mailed them many times, calling on numbers that apparently are not working anymore.br...
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L
lazer8
May 17, 2022
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Improper review , hence delay in claim

I have provided all the bills for my father's cataract surgery . The hospital has provided the room rent bill and operation bill on the day of admission. On the day of discharge, hospital has provided the split up bill by mentioning the date and bill receipts details for admission date. But Medi assist team is not processing the claim, further asking for pre-numbered receipt for admission date.
Date of admission:10/3/2022
Date...
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R
rehmana222
from Ballia, Uttar Pradesh
May 17, 2022
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Claim not reimburse and claim referred for Repudiation

Address:Belthra road

Hello
My name is Abdul Rehman .
I have taken helath policy with hdfc bank from medibuddy .
My wife meet with an accident and I have paid all my expenses .when I claim my expenses.they have send my claim for Repudiation.
Why we should take insurance if claim is not remburse.
My policy no is Q2177730
Claim I'd 28368350
I have attached all bill prescription checkup ....
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S
Sachchidanand1976
from Varanasi, Uttar Pradesh
May 14, 2022
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Claim Payment Rejection

I am an lic agent . My name is sachchidanand Pandey .I submitted my claim in dec 2021 at my LIC Varanasi Division office.
My claim no. is[protected]. When I submitted documents, break up bill was demand by your end, which was presented by me on 23 march by medi buddy app and email also. I have all proofs. But finally claim was rejected due to late filling of documents ! How am I responsible for this even after sending documents on time....
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S
Subhash Kr jha
May 11, 2022
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Reimbursement of claim number 107403774 & 107403884

I have provided all the required documents like bill receipt and pre diagnosis report and also reason for delay in claim submission to medi assist as provided by the hospital, but after that pre numbered paid receipt and pre diagnosis report and reason for delay in claim submission is being demanded and my reimbursement is being delayed.
I had already suggested that in the condition of any doubts or need of clarification do contact...
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C
Chaitrashree S
Apr 26, 2022
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Reimbursement of a Claim

I have claimed for my father's insurance and I a calling almost 3 a week for enquire, all they say is its under process, they have escalated the issue, but no one escalated and is still in the same status. Nancy, Monisha were the agents who told it will get resolved in 2 days, but its been more than 15days, still no change in the status. After that also agents are cutting my call ....
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K
keyur suthar
from Gurgaon, Haryana
Apr 21, 2022
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Not reimbursement of my anesthesia bill.

Hello i my self yogesh j suthar. I have oriental mediclaim policy in which medi buddy is my TPA. On 31/01/2022 my wife was admitted to hospital. For that i had submitted reimbursement claim for that. I had submitted all my documents to Ahmedabad medi assist office. My claim no was 27441506. From that claim what ever query they arrise i had fulfill all. After that they reimburse my claim but deducted some amount from that claim. I saw the...
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This was for my mother cataract surgery for one eye. Even after submitting all the documents doctor office can provide, MediAssist has repudiated the claim. They have so far provided pathetic service. The overall experience is been that they would find an excuse to not to pay the insurance claim. Doctor office says that these are documents his office giving to patients and they are been able to get it reimbursed. However the same set of docs...
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V
Vipulnahata
from Delhi, Delhi
Apr 14, 2022
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Didn't get Cashless approval on time

Dear team
I am having a surgery for gall bladder removal & stone removal.
The hospital TPA team has raised a request for the same to medi assist team around 11 am on 14april, but till now they didn't get any revert from your side. My surgery is schedule in Sir Gangaram hospital.
Kindly provide the approval on urgent basis. As the test is scheduled by 4pm. The patient is waiting in the hospital from morning itself. br...
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S
Swatibk
from Delhi, Delhi
Mar 29, 2022
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Rejection if claim

Address:Bob raja garden

Hi
I have submitted claim for cervix erosion which was come in notice after my annual health checkup. I am going though all the treatment for which i was diagnosed. And now i am claiming the amount which was spent by me for my colposcopy, consultation, medicines etc.

Now i am getting the reason of rejection that gynae opd can not be reimbursed, i am asking if none of the gynae opd is non reimburdable then what is the...
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V
Venkat Annamneedi
from Hyderabad, Telangana
Mar 17, 2022
Apr 13, 2022
This thread was updated on Apr 13, 2022
Resolved
The complaint is marked as resolved when a company has responded to the complainant, addressed his or her dissatisfaction, and came to an agreement where both parties agreed that the complaint is indeed resolved. However, a complaint can be automatically marked as resolved if a complainant isn't responding or updating a complaint for 30 days after the company has tried to reach the complainant.
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Resolved
The complaint is marked as resolved when a company has responded to the complainant, addressed his or her dissatisfaction, and came to an agreement where both parties agreed that the complaint is indeed resolved. However, a complaint can be automatically marked as resolved if a complainant isn't responding or updating a complaint for 30 days after the company has tried to reach the complainant.

Proportional deductions (Unnecessary)

Address:Hyderabad

My name is Venkata Rao A.
my policy number is[protected]

I have submitted my wife's all medication documents for Rs.62, 158.00 on Oct29th for in medibuddy portal for they approved Rs. 45, 188.00.
when I submitted my documents in medibuddy portal, -mistakly, I have selected deluxe room instead of selecting the normal ward room (Non AC single room).
Later I submitted Room tarrif documents as well.br...
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V
Venkat Annamneedi
from Hyderabad, Telangana
Mar 17, 2022
Mar 22, 2022
This thread was updated on Mar 22, 2022
Resolved
The complaint is marked as resolved when a company has responded to the complainant, addressed his or her dissatisfaction, and came to an agreement where both parties agreed that the complaint is indeed resolved. However, a complaint can be automatically marked as resolved if a complainant isn't responding or updating a complaint for 30 days after the company has tried to reach the complainant.
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Resolved
The complaint is marked as resolved when a company has responded to the complainant, addressed his or her dissatisfaction, and came to an agreement where both parties agreed that the complaint is indeed resolved. However, a complaint can be automatically marked as resolved if a complainant isn't responding or updating a complaint for 30 days after the company has tried to reach the complainant.

Unnecessary Proportional deductions

Address:Hyderabad

My name is Venkata Rao A.
my policy number is[protected]

I have submitted my wife's all medication documents for Rs.62, 158.00 on Oct29th for in medibuddy portal for they approved Rs. 45, 188.00.
when I submitted my documents in medibuddy portal, -mistakly, I have selected deluxe room instead of selecting the normal ward room (Non AC single room).
Later I submitted Room tarrif documents as well....
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P
Pavithra duti
from Bengaluru, Karnataka
Mar 2, 2022
Mar 2, 2022
This thread was updated on Mar 2, 2022
Resolved
The complaint is marked as resolved when a company has responded to the complainant, addressed his or her dissatisfaction, and came to an agreement where both parties agreed that the complaint is indeed resolved. However, a complaint can be automatically marked as resolved if a complainant isn't responding or updating a complaint for 30 days after the company has tried to reach the complainant.
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Resolved
The complaint is marked as resolved when a company has responded to the complainant, addressed his or her dissatisfaction, and came to an agreement where both parties agreed that the complaint is indeed resolved. However, a complaint can be automatically marked as resolved if a complainant isn't responding or updating a complaint for 30 days after the company has tried to reach the complainant.

Claim delay

Address:Bangalore

Dear sir/madame,

My husband was Hospitalized on 13.12.2021 @ supriya Hospital, Bangalore due to pneumonia.

Am submitted all the documents on 21.01.22 for reimbursement Rs.201394/- and regarding the claim query has been raised and replied.

On 31st Jan 2022 @ 9.31pm i got a message from Medi Assist - Claim No 27251077under policy issued by UII Co. Ltd for INR 201394 is processed for INR 170545/-...
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M
mistriragini7
from Mumbai, Maharashtra
Feb 14, 2022
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Claim is not settled after 1 month of processing

Hi Team,
I am policy holder of Oriental Life Insurance and TPA is Medi Assist India Pvt. Ltd.
I have raised claim on 18th August 2021. But that claim processed on 6th Jan 2022. After processing all the documents and getting clearance from team, I got the message on my mobile number on 8th Jan 2022 that you will receive money in 7 to 10 working days.
Today is 14th Feb 2022. Amount is still not credited to my bank account.br...
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V
vishakarun2006
Feb 14, 2022
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Reimbursement claim unduly delayed for settlement

I am V.Vijayakumar retired Chief Manager of Bankof Baroda. My employee ID is 139086. I submitted a reimbursement claim in the name of my wifeMrs Shanthi Vijayakumar and the same was received by Medi Assist team c/oBank of Baroda Regional office Bangalore on 07012022. I was given claim number 27238439. I replied the queries on 28012022and spoke to your representative on 07022022and followed by e mail of the same date for which I was given...
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V
Vinoth Sitaraman
from Bengaluru, Karnataka
Feb 13, 2022
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Claim NO-27169456

Hi Team,

Good Morning!

This is Vinoth, I'm working in IBM, Bangalore.

I have undergone eye surgery(TPRK WITH KXL COLLAGON) for Kerataconus on 10th of December 2021. Initially, via Hospital I have opted for a Cashless claim, but I have received the confirmation that it is not covered under cashless and they asked me to go ahead with surgery and there is a possibility for the claim if you submit...
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A
anish gourav nayak
Feb 13, 2022
Feb 16, 2022
This thread was updated on Feb 16, 2022
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Amount not yet settled

Hi team,
I got my father cataract on 31st of December 2021 and i submitted the reimbursement on 10th of january and the claim was processed to payment on 20th of january and it's more than 20 days the amount was not settled . I tried calling them and even wrote emails and they tell me they have forward to the team and that's it..i was told I will be getting an update with 48 hr but i didn't get any update from medi assist .
Please...
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A
Aman Gupta
from Gurgaon, Haryana
Feb 9, 2022
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Processed Claim Reference: CCN# 22760408 under policy# 215301/48/2021/462

Dear Sir/Madam,

I have raised the claim for the reimbursement in Sep/oct 2020 however till date TPA has not paid the money.

They have confirmed one year back that the claim is approved for INR 273, 622 but they are not paying the money also.

I have sent 100 email and every time they had confirmed that there is technical issue and payment shall be done in next 2 working day.

Request...
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Dear Sir/Madam

On 4th Feb we have one query we submitted on 7th Feb and again 8th Feb another query we have to know why all query told once time why your employees irrtate to us then we sold claim such embrassing for only 15k amont very disappoint with mediiassist...
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