Medi Assist India Complaints & Reviews

Dear sir,
This is prem lata khandelwal. My medi assist id is - [protected]. I claimed at 27/06/2017 and 28/07/2017. My claim no. Are 15338771 and 15610697 respectively.
But i don't receive the claim amount till yet. But claim approved at 20/09/2017 and 1/11/2017. But still i don't receive the claim amount.
Kindly look into the matter and do needful action as soon as possible.

Thanking you
Yours faithfully
Prem lata khandelwal
W/o mohan lal khandelwal
Pf no. 1977105

Sir/mam
My claim is pending from last 6 month. My original discharge already submitted and also submit verification letter from hospital. I also submit all required document and self declaration form.
Claim id 94307914/94307748
Claim amt-55000/- & 13110/-
Claim receiving date-16-june-2017
Sir/mam i submit all document related to my claim please do the needful...

We have raised query for the denial of my claim on the grounds of delay of submission of documents for which we have mentioned the clauses mentioned in the policy terms and condition which are mentioned below.

Policy terms and conditions:-

Non intimation of claim should not lead to rejection of case by tpa / insurance company. Tpa would be authorised to review the case and accordingly call can be taken in
Conjunction with axis bank.
Employees to submit documents for reimbursement of claim amount within 30 days from the date of discharge. However, no repudiation of claims to happen on basis of late submission of the documents

Cliam refernece no.[protected]
Patient name - mr ramesh chandra gupta

On the basis of policy term and conditions its unfair practice and fraud with the customer

Hello mediassit team,

With really disappointment, as under claim number 15141466 mr bhadresh dholakia valuing rs 3147but even after submitting the scan copy of doctor original note for admission to mail is [protected]@mediassistindia.com on 10.09.17 still we have not received our due amount as it is almost 2 months.
Kindly process at earliest.

As per the policy i have already submitted the documents but the claim is not getting passed and i am not getting proper justification of the same. Mails are not getting answered and also the customer care is not able to answer on the same. I have already mailed the pending documents but the response is not received from your end. The documents are still showing as pending.

Hi team,

I have submitted a claim, claim no:94719422 to medi assist india

I have submitted all the needful originals documents to the company and my claim is approved on[protected] and it has been 50 days it's showing claim is approved but money is not reimbursed.
I am taking regular follow up but not giving proper information and all the authorities are escaping themselves by saying there is a technical problem.

As per company norms claim amount should be reimbursed before 15 days from the date of approval of claim. Please do the needful to reimburse my claim amount

Dear sir / madam,
This is reference to the claim id[protected] name of the patient neethu s admission date on 6th aug 2017 at credence hospital. I have already submitted all the details to canara bank on 12th of this month as reference to your query. The last date mentoned was 18th of this month. I have contacted the medississt representative of our bank but she is indifferent and not properly behaving to us.

I have checked the claim status today and
The status is still mentioned as information awaited. I want to know why so much of delay in processing my claim because i have already submitted the reply to all your queries and i havent been informed of either my claim status or any queries.
Hope for your reply at the earliest.

Thanks and regards,

Vishnu s

My claim 15180375 was raised on august 29th. But still the claim status was showing as inprogress for two months. I have submitted forms within 30 days of discharge but as the baby was not nominated, the team was unable to raise the claim and the documents are sent to godown. When i returned back to office, i have nominated my child and claim was approved and raised in exceptional case.
Though the team failed to get back the documents,...

I opted policy with medi assist from 19 june 2017 but it showing from[protected] in policy details. They provided me e-cards but those are useless no hospital is accepting those as those having wrong id's. Unnecessarily i opted for top up also from last two months i am trying to contact customer care no response from them. Unnecessarily collecting money with allotting wrong policy and wrong details with which we cant claim. Attaching screens for details. Don't take policy with mediassist.

Sir/mam
My claim is pending from last 6 month. My original discharge summery was lost i submit duplicate discharge summary and also submit verification letter from hospital. I also submit all required document and self declaration form.
Claim id 14358539
Claim amt-37, 394/-
Claim recieving date-24/04/2017
Sir/mam i submit all document related to my claim please do the needful.

My father was a employee in united india insurance co. Ltd, retired at eluru. He have "medi assist india tpa p ltd" policy with tpa id no. [protected] (Employee id no. 14760).
As a spouse, my mother smt. V. Vijaya applied for eye treatment at maxvision, a. S. Rao nagar and request ion submitted on 16.10.17 though portal.

Still date no response and any intimation from your side. Last time in april 2017 and rem basement paid 4 month later.

Very bad service and still not take care of the policy holders.
Immediately inform the condition whether we continue our policy or not.
Thanking you

V. R. Krishna
[protected]

Although i have sent all the necessary original documents to [protected]@mediassistindia.com, i have been receiving auto generated emails stating that i need to provide cancelled cheque leaf. How many times will you send this email?
I have sent emails innumerable number of times explaining that i have submitted all the necessary original documents and receipts. Please refer my email dated october 4th from [protected]@yahoo.co.in, with the scan copy of the cancelled cheque leaf. Please don't send useless emails without checking your inbox. I have also included [protected]@mediassistindia.com, [protected]@mediassistindia.com but no response yet.
I went to your office in chennai and inquired about this and they stated that the mumbai office is responsible for settling claims. I tried calling your customer care but there is no proper response.
Please settle this claim at the earliest and this is my last email. Failing which i will register a complaint and take action against you for not settling the claim having one of the worst customer service in the country. If the claim is not settled soon, i will take legal action against the company via life insurance corporation of india, who is my employer.

Thanks,
Ranga rao
Lic of india
Chennai division i
Mobile : [protected]

Dear team,

I had taken insurance policy from punjab national bank & my tpa is medi assist tpa pvt ltd.

I had given post claim as on 29.09.2017 of rs 5042.00 vide claim no. 15404224 for my wife name as jyoti which includes report charges, consultation charges & medicines charges.

As per report haemoglobin of my wife is 8 gram only so doctor suggested 3 months medicines to be continues & he written the same as on 22.09.2017 & the same i had been purchased as on 23.09.2017.

Now tpa approve only rs. 1292 (150 lab charges, 600 consultation charges & 542 against medicines) while i had putted medicines bills of rs. 4292.00 for all the months as per prescription dated 22.09.2017 (Which is in 60 days period) also they denied the same medicines which has been already paid in main claim & now they said its of protein medicines so not to be paid. But as per doctor the same is required for the patient for the recover the normal stage. How tpa can denied the same medicines which they had already paid in main claim?

Now tpa rejected rs. 3750.00 as query post 60 days & approved only rs 542.00 which is wrong amount. (They had already recalculated yesterday by their doctor panel the same & accepted this had their mistake only)

When i visited tpa office the manager named mr prashant gone away in office hours & also not picked my call tried more than 3 times. And staff is behaving like nonsense with me & refused the process my excess amount which has also accepted by them that is their mistake.

So, request you to see in matter & help me for cleared excess amount form the tpa so that insurance company can pay me. I had attached claim settlement advice for your ready reference.

Tpa contact details are as under,

Address:
Medi assist insurance tpa private limited.
401, 4th floor, rembrant building,
Opp. Associate petrol pump,
C. G. Road, ahmedabad – 380006.
Customer care department
Phone: [protected]
Email: dona. [protected]@mediassistindia.com, [protected]@mediassistindia.com

Request you to clear my pending excess payable amount asap & take some action against tpa for the mistakes they had done.

I have dropped my original post hospitalization medical bills, lab reports, discharge summary in tcs karappakkam rtsc office on 20th sep 2017. Till date mediassist did not approved the claim and asking to submit the original documents again and again even though i already submitted via tcs his drop box. Kindly do the needful.

Cliam request no h[protected]c002
Claim no 94842123
Ticket no. 2273071

Thanks,
Jayapandiyan

Dear sir,
I am applied for the claim no:15151423. All the needful documents reached the company in[protected] and it has been 50days it's showing claim is approved but money is not reimbursed. I contacted all the responsible persons but not giving proper information and escaping themselves by saying there is a technical problem. As per company norms claim amount should be reimbursed before 15 days from the date of approval of claim....

I am a employee of axis bank ltd.
My father was admitted thrice in the month of july with that 1 of them were cashless.
I have submitted all the necessary documents of admission and transfer from one hospital to other near 14th of august to the executive chandni employee of mediassist mumbai. She said it will take 15 to 20 days for claim settlement.
After 15 days she asked me transfer documents of the hospital and i submitted that to the next day.

After 20 days when i called the customer care i got to know that my claim was pending for original irda form which is the basic form which is the first eligible form to submit a request but when i enquired they said by mistake it happened and i got a mail also for that with that they told me that your claim will be settled with in a week and will call you just submit a adhar card of the patient, i mailed that to the email from which i got the query.
Today is 15 october and no body has called me for the status and my claim is not yet processed.
I have all the evidence of email and the copy which i submitted to the mediassist mumbai.
This is the last reminder for them other wise i will complaint to irda forum. I will complaint for the reimbursement plus the payment delayed compensation for which they are harassing from last 2 months.

Regards,
Nitesh thakur
Mediassist id - [protected]
Employee no - 103763

I applied for post hospitalization claim with claim number 15281979 which was received by medi assist on 13th sept and claim got approved on 26th sept but its been 14 working days and amount still not credited to my account. I am continuously dropping mails and contacting customer care but not getting any reply from anyone. Very poor customer service

Hello sir,

I have requested for a domiciliary claim of number 1542205 (Tracking # z[protected]) on 18th september, 2017 with proper documents to medi asist as it is our official insurance partner. I am an ibm employee and submit the premium every year.

But, on 3rd october, 2017 i get a single message in my registered mobile number that, this claim is denied and asked to refer the repudiation letter. What does it mean?

Even no reason has been communicated to me. Contacted customer care but as usual they are so busy. Not any mail till that message is intimated to me.

Already have mailed them from my registered corporate mail id about this.
I want my claim money back or they should contact me to correct the claim if required.

Please take action.

Thanks and regards,
Trisha mandal

My mother admitted in hospital for one surgery.
Claim id : 94133819
Branch generated claim on 21-jun-2017 and submitted.

From last one month am getting same reply on tool/branch.

However while calling to customer care [protected], it saying "your claim has been closed due to insufficient documents"

Am bit confused and request to settle my claim at earliest and execute reimbursement.

I am r. K. Mttal id no 50397 retired offier from
Canara bank.
My domiciliary bill of my spouse alka r mittal for rs-1220/- for aug 2017 id no isd[protected] is pending for payment.
Even your toll free no at[protected] nobody is replying since last one week.
Please expedite the payment immeditely and gear up your system for quick customer service which is very bad.

R. K. Mittal id 50397 canara bank ahmedabad