Medi Assist India Complaints & Reviews

Robotic TKR was done for my father on 1st July, 2022. And I have submitted all the proof asked for discharge summary, main bills, reports, doctors prescribtion and letter from doctor confirming why we opt for robotic TKR as there we few complications was there in femur. And the Medi assist intentionaaly deny my surgery cost even though all the documents were submitted. When the main surgeon cost is not reimbursed then what is the use of the...

I raised a request to get ecard for my new born baby on 22nd but till now no response.

I am registered with MEDI ASSIST past many years. Under the Corporate policy, Spouse and 1 Kids are registered along with me.

Claim No :[protected]
Policy: Gold Plus
Patient Name : Itish Nigam
MAID : [protected]
Hospital : NRS Hospital Wakad Pune
Treatment Date : 04-June-2022 to 05-June-2022
Ailment Summary : B/L KNEE AND HIP ARTHRITIS
Claimed Amount : Rs. 143, 452

We...

Hi Team,

Regarding my claim[protected] I called n no of times to customer care and hospital already submitted policy documents 2019-20, 2020-21.
Why my claim is not moving at all from past two days.. I am really fed up with the medi assist customer service, they kept on telling like "we escalated". My mother surgery is pending bcos of this and covid cases also increasing..

Can you please help me in this...

Hi Team,

Regarding my claim I called n no of times to customer care and hospital already submitted policy documents 2019-20, 2020-21.
Why my claim is not moving at all from past two days.. I am really fed up with the customer service, they kept on telling like "we escalated". My mother surgery is pending bcos of this and covid cases also increasing..
Please move the claim to next state asap

Regards
Abhi
[protected]

Hi Team,

One of my insurance claims[protected] submitted in Jan 2022 was approved and ready for settlement on Feb 15th, has been in the same state and has not been settled to date and there is no ETA as well.

Request you to kindly take this into regard and provide a resolution. I have tried contacting the MediAssist team and all they say is a technical problem just for me. I have been following them up regularly but no use.

As you know during the health issues, the settlement might be needed promptly else there is no meaning in obtaining the health insurance.

Thanks,
Krishna

I want to cancel my parental policy starting from year 2022-23. I did not receive any reminder mail or update regarding the open-window period for cancelling the enrollment for parental-policy. The helpline number or mail-id are useless. I want to cancel the parental policy. Policy no:[protected]P[protected]_Parents....

Dear Sir,

My insurance was declined.

Kindly request reconsider my insurance. Please do the needful sir.

Claim No[protected]

Dear Sir,

I was spent the Total amount Rs- 56000 for hospital expenses.

I am every month pay the insurance Amount. But, I am not get the insurance Amount yet.

Please do consider my insurance

Claim No[protected]

Thanks & Regards
Bright Tharma Raj S
[protected]@gmail.com
[protected]

Dear Sir/Madam, we want to tell that it’s a cashless claim . We informed you at the time of admission in the hospital but you denied for cashless as you promised at the time of renewal… we submitted all documents at that time … we requested many time our policy agent Bajaj capital and your employee to confirm our claim but they didn’t not respond us properly. After that as you asked… we went for reimbursement process… we submitted our all original documents at your office… but now we feel harassment from your side … we paid a high value premium for our policy. You made many commitments and offered at the time of renewal of our policy . But now you are harassing us … my mother is suffering from cancer but you don’t want confirm our claim … we are waiting for 2 month for your approval…
Sir/madam, our policy is vary old . We are paying premium from many years…
we are not so technical… we are villagers… we sent in attachment again the copy of first consultation card … if any doubt… pls contact our Doctor Dr Mukesh Patekar of Fortis Hospital.

Sir/Madam, now, pls don’t harass us more …otherwise, we have no option to go for complain against you to the higher authorities…

Thanks
Suramveer
Son of Gyana Devi
Contact no - [protected]

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 not accept this policy. What is your problem.

India is big country 140 crore population. Last 5 years population is very low.

Now, our government told family 1 baby accepted. One generation 30 years. My generation 2 people death my family. My wife and mine. But, birth 1 baby. Therefore, birth bady percentage reduced, death person percentage was increased.

Same government told next 5 years ago, please increase the population. Same, situation is going in China.

Therefore, your policy is very wrong.

Can you support for my insurance Amount. Please add the insurance Amount. Please help me. I gave all the bills, discharge summary and all documents.

Thanks & Regards
BRIGHT THARMA RAJ S
[protected]@gmail.com
[protected]

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...

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 of discharge : 11/3/2022
Claim ref:[protected]
I need reimbursement for the claim

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 ....

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. So please consider it . Thanks

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 the hospital and verify the needful.

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 .

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...

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...

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.

This is the most pathetic behavior from your team medi assist. The patient has to wait over 5 hrs just for initial approval for which your TAT is upto 4 hrs. The patient is a fool to you, that your team is not ready to give any revert on time. I am trying to reach the care number there is no response from them.