Medi Assist India Complaints & Reviews

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,
Ram

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 above declaration on plane white paper and signed and emailed to them.I am waiting to hear progress with it.

i am very disappointed with such kind of service from Mediassist.
Could you please assist me with this?

Thanks,
Sachin Karale

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 in pending stage.

Details:
My Name:sudha Padmini.G
My spouse Name:Naveen Kumar Nomula(dependant of my claim)-(Patient in the present claim)
My MAID:[protected]

My claim was pending since one and half month.After so many follow-ups, no one from Medi assist has responded to my calls properly and finally Suguna garu(Superiori who looks after Medi claims) has told on 12.02.18 that my claim will be settled under Pre-Hospitalisation by weekend(i.e 17.02.18).

I had a call with the customer care representative(Mithun), he had a word with suguna mam and telling now that it cant be settled under Pre-hospitalization claim.

Pre-hospitalisation claim settlement doesn't relate with main hospitalization claim as my previous claim of pre-hospitalisation(Self claim-of Typhoid) was settled with no hospitalisation documents

DETAILS:
MAID NO:[protected]
NAME: SUDHA PADMINI G
COMPANY: AXIS BANK LTD

And one more info is the Main Hospitalisation claim is settled under other TPA of my spouse.Hence the hospital people were saying that they cannot provide the Hospitalisation documents for two different TPA'S.

Request the Medi-Assist to process the present pending claim under Pre-hospitalisation atleast now.

Regards
Sudha.G

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 in pending stage.

Details:
My Name:sudha Padmini.G
My spouse Name:Naveen Kumar Nomula(dependant of my claim)-(Patient in the present claim)
My MAID:[protected]

My claim was pending since one and half month.After so many follow-ups, no one from Medi assist has responded to my calls properly and finally Suguna garu(Superiori who looks after Medi claims) has told on 12.02.18 that my claim will be settled under Pre-Hospitalisation by weekend(i.e 17.02.18).

I had a call with the customer care representative(Mithun), he had a word with suguna mam and telling now that it cant be settled under Pre-hospitalization claim.

Pre-hospitalisation claim settlement doesn't relate with main hospitalization claim as my previous claim of pre-hospitalisation(Self claim-of Typhoid) was settled with no hospitalisation documents

DETAILS:
MAID NO:[protected]
NAME: SUDHA PADMINI G
COMPANY: AXIS BANK LTD

And one more info is the Main Hospitalisation claim is settled under other TPA of my spouse.Hence the hospital people were saying that they cannot provide the Hospitalisation documents for two different TPA'S.

Request the Medi-Assist to process the present pending claim under Pre-hospitalisation atleast now.

Regards
Sudha.G

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 discharged. Then i applied for reimbursement and submitted all required documents but claim denied. I don't even know the reason.

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.

I submitted the claim on dt. 29 september, 2017. The reference # is 15573517.
It is more than 4 months and the claim is yet not settled.
The query and documents asked then after, were also submitted before 2.5 months.
Since then, there is no progress in the claim settlement. The status checked online on their site shows “in progress” since a long.
Pl help.

As i have to undergone my parents cataract operation from caseless hospital network of mediassist, i have to submit e card of my parents. Same will not download from the site (Message show error during downloading e card). So i was sent a lots of mail and reminder mail to mediassist. But there is no reply till date from them.
So please do the needful asap....

I dheeraj gupta employee of canara bank bearing staff id 92609 had apllied claims in mediassiat portal bearing claim. Number16248006 and 16265739 are denied and the reasonof deniel given by tpa mediaasist was this treatment is not covered under policy, but mediaasit was unable to. Provide list of diseases treated under policy and tpa mediassist was not cooperate and not provided the terms and conditions of policy which is under policy

I am writing to inform you that i have been waiting for more than 3 months to get my claim for inr 10640 approved.
My claim number is 15698815 which was raised on 8th november 2017 but to my utter surprise even after 3 months it is still in limbo.

I have called the help desk umpteen number of times but every time i get the same response that things are being looked into.

Please get it approved asap.

Regards,
Madho

My claim id is 95181566 emp i'd (824072)
I had hospitalised my father on 1st nov 2017 and i submitted all original bills in time to madiassist office. Till date my claim is not processed. Every 2nd or 3 rd day i call representative and ask to process claim but they kept pending saying original bills are not there. Representative every time confirm that original bills are there and says today i will process but till date not processed.

My tracking number:h[protected] & claim no: 15886277. I have submitted my claim on 24th november 2017 for 32, 949 (Inr) for my father. They approved for only rs.21, 057 and remaining rs.9053 will be reprocessed based on break up bills for medicine. After that i have submitted my father medicine bill hard copy on 11th january 2018 and yet there is no response from medi assist end. I have called customer care number for this claim process alone more than 10 times. Most of the times they wont pick the call or say it will be processed. Also i have sent email more than 15 times with hard copy and with query. But no response for this medicine bill amount. Such a worst insurance process.

Hi team,

I am a dboi employee with id 8386364.

I am waiting at billing section in imax hospital, wagholi, pune to get the claim bill for discharge.

This claim is against my dependent - son

Claim no[protected]

Let me know current status. I was told 1:30 hrs before that the approval will be done in next two hours.

Please let me know the status and the reason of the delay in approval.

Let me know the escalation point contact number

Claim no. 95509121
Issue - claim was raised for my dad's stroke when he was admitted to the apollo hospitals chennai on 3rd feb'18 at 9:22 pm.
Claim raised on monday 5th feb'18 through apollo mediclaim deptt.
Medi assist insisted to be provided details of actine line of treatment, medication, running bill which was provided by mediclaim deptt. Of apoloo hospitals greams raod, chennai on 5th feb'18.
Medi assist hasn't provided any approval stating such cases cannot be approved. I (Anirban talukdar - wipro employee) spoke to them 5 times on 6th feb'18 and twice on 7th feb'18 begging them to consider the case and put me through their management or doctor assessing this case. I spoke to the consulting neurologist dr. Dhanaraj m and he said that he is happy to speak to anyone from medi assist. He also said that he has done the required test and given the medication as after a stroke next 72 hours is critical and hospitalisation is must for case and monitoring.

I am failing to understand why i pay so 50k inr premium every year when such pathetic service is provided. This is not the first time that i have experienced this as it possibly is the 3rd time in last 3 years.

Need medi assist to take ownership and i am happy to file a case in court if i donot get a proper resolution.

We refer to your hospitalisation claim vide our ref # 16243550 please find attached claim approval advice for the hospitalization at dhirubhai aoh and family welfare centre for the date of admission: 10-jan-2018 with claimed amount of rs.8004.

At the time of submitting the claim insurance person told x ray film will show when ask. It is available with me. I will hand over and show if you need. Now they deducted rs. 390 from approved bill which is not acceptable.

Jeevan Hospital is empanelled with Mediassist for cashless services. Even after getting the preauth and approval they are yet to release the due amount for the past one & half year. Our repeated complaints have gone in vain. Our calls to the claims Department personel Viz Arpitha & Mahadevi are being cut repeatedly. Whom to contact now. We posted a mail which gave us a ticket No 30774258 and claimed that we would get a response within 1 working day. It has been 10 days now no reply or response. Our hospital has tied up with companies like Religare and Star Health. Nowhere we have had such a horrible experience.