Medi Assist India Complaints & Reviews

Hi i have health insurance through my company when i was joined in my company that time i didn't updated my dependency details for that reason they rejected my claim.

But if i get this reason within in 10 or 15 days after submitting my claim my wife can able to process in her company.

But they updated this reason after 50 days every week i am checking with medi assist person in my company even he also not updated this reason..

My wife got admitted in hospital under mediassist tpa i have a corporate policy but these guys added our normal hospitalisation into maternity package and deducted whole amount of our maternity package in normal hospitalisation we have all the documents and proof for that but no response from staff.
Staff is so rude they never respond to calls and mails and always ignore customer queries i am following up manish kumar from delhi branch from last two months but he is of no use. Very bad service worst tpa please go for some other tpa.

Claim no[protected].
I had submitted all the possible documents related to the patients disease and the same were also verified by your executive who came for the inspection. But even after that the claim has been denied. This is unacceptable and you need to ensure fairness and transparency. It not only puts a bad image on the company's part but also creates customer dissatisfaction. Please look into the same and provide realistic solutions

Dear sir,
I am ravindra mahadik. Employee of access healthcare pvt ltd.
I am allready submitted pharmacy bills and lab reports in document file.
Medi assist executive not seen file, they only seen scan copies of that docs.
It is not practically not possible to take again lab reports. I have only scanned copies of that doc.
I am not happy with medi assist service.

My reimbursement claim amount has been approved on 8 mar 2017 but amount not credited in my account till now. I tried many times and spoke with customer care persons and concerned persons. Till i did not get any response from their end. They have mentioned in the mail claim will be settled within 7 days from the approved date. As my case they have taken more than 5 months and not yet credited amount.

Thanks,
S. Mallikan
Claim no: 13995222
Mobile: [protected].

Mediassist claim no. 14953059 was approved on 30th July 2017. It has been over 2 weeks now and still the refund amount has not been credited to my account. On following up, they informed the claims have been sent to the insurance company United Insurance Ltd. and they are not responding to the claim refunds. I am planning to raise a Corporate HR complaint informing them about this slack handling of claim reimbursements.

From:[protected]
Rajan h. Oza
Vijaya bank
Employee code 8083

Sir,

Reg: delay in crediting approved claims to my bank account. – nefts not initiated after approval of claim-tpa id no. – ma – id [protected] rajan h. Oza and ma-id [protected] of kalpana oza
—
In all i have sent 9 claims for the period from the month of march, 2017 to july, 2017, however only in one case claim amount is reimbursed to my account.

With reference to the following claim numbers, i am finding remarks in your web site/mobile app. That claims have been paid to me, however, there is no credit entry in my account pertaining to these claims.

Sl. Claim no. Claim paid to me as per information in tpa web site date of credit to my bank
Account
No. Rs.
[protected]=00 not credited as yet
[protected]=00 not credited as yet
[protected]=00 not credited as yet

Apart from the above three claims, 5 more claims are pending for reimbursement, 3 of them are transferred from pending claim files of erstwhile tpa vidal health pvt. Ltd. And remaining two claims were submitted just yesterday.

In all, 8 out of 9 claims submitted by me so far are pending for settlement and reimbursement.

I request you to kindly look into the matter and expedite the settlement and reimbursement of pending claims.

Also please let me know when above mentioned 3 claims are shown as paid in your portal, why the settled amount is still lying with you and not paid to the credit o my bank account.

I have also observed that so far an amount of rs. 1232/= only is credited to my account towards reimbursement of only one claim, however, my policy sum insured is reduced from rs. 400000/= to rs. 394021/- i. E. Reduction of rs. 5979/=, without giving credit of remaining rs. 4747/= plus other pending claims.

I fail to understand when you have so far paid me only rs. 1232/= to the credit of my bank account, how the sum insured is reduced by rs. 5979/= before giving credit to my account for remaining sum?

Please expedite sending neft for those claims which are appearing as paid in your portal as well a in your mobile application, but you have not credited this so called paid amount to my bank account.

With thankful regards

Rajan h. Oza
Employee code 8083 of vijaya bank

Claim amount not creit to my account even it has been approved on 24.7.2017 and i have been informed it has been credited to my account within 10 working days
I have sent mail to u but there is no any response from your part.

Myself employee of one of big bank that
Is canara bank. If we are treated as like thighs being employee of bank from where
Huge number of business are getting the
Company the i may hope what is happen with others

Hello team,

This is second time when mediassist just giving non-sense reason to decline the claim & they are just asking non - relevant document which was no where mentioned in medi assist portal or any t&c. Please find the details below:

Mtp done on request from doctor for some internal issue. & doctor has given medicine & told that this will help to recover. Please note that no hospitalization was required.
After 2 months again irregular bleeding & back pain, fever started and doctor suggested to hospitalize for d&c. It was done successfully & aal required documents for d&c i have received from hospital & same is submitted to mediassist.

Now when mediassist found all required document for d&c, they are asking for discharge summary for mtp, how i will get if patient is not admitted.

This is worst insurance provider, i am going to escalate to company hr as well.

Patient name : geeta goel
Policy number : 272900/48/2017/19504
Claim no. : 14637341

Filled claim and got a reply from medi assist for further documents on 10th june, sent the required documents on 13th june and from then onwards sending them e-mails but never got a reply from them.

Seems like they have misplaced my original documents, and now they are not replying to my mails because of that.

I got one sms from medi assist insurance tpa pvt ltd on 17th july 2017 saying that i have been enrolled as a member of policy a under policy state bank of india valid up to 31st may 2018 and a welcome kit containing id card shall be dispatched shortly to my pension paying branch within 15 days but so far i have not received the kit and the e-card as told in the sms. Please look into it and arrange to dispatch the kit and the e-card at the earliest.

Claim #[protected] not processed, no amount approved
—

I had kidney transplant of my mother in last feb, 2017 in rabindranath tagore hospital, mukundapur, kolkata.

At that time i had couple of claim in the med assist portal as an tcs employee, since then they are playing with me, not giving any update.

Med assist - very worst please guys don't go for it.
As i have been facing very bad experience am writing this...

I have been for response from past 4 months. Till now nobody given proper response.
Every time they said this week end it will get approved, from past 4 weeks. I don't know how long i should wait.
Really very frustrated with customer support guys...

Very bad insurance that i have opted... Going forward i will not go with this...
Very worst customer support, no technical persons available to speak properly...

Worst and bad customer service...

I mr. G. Prasadu babu having ma id [protected] and working in megha engineering & infrastructures ltd. And claimed for reimbursement of rs.19593 with ref no. Allotted 14983319 and accepted for rs.14547 only and short fall amount of rs.5046 due to bill date is beyond permitted date. But whatever bills submitted by is 100% accuracy and genuine. Even though if we consider date also the bills value as per your calculation comes to rs.3478 against...

Hi,
This is in regards to my mother's angioplasty surgery. The hospital had charged us enhancement request of inr 138474 for cashless claim no 14964614 is authorized for inr 77352. The total authorization as on date is inr 89352.

You have not reimbursed the amount promised as per the company policy stating a 80% or a 90% reminbursement for dependents.

Your claim is that u reimburse only for general ward charges. Why is that the difference from a general ward to semi private is just 500 rs difference. I could have just paid the difference for the room. I have ended up paying 50, 000 extra for just choosing a room which is 500rs extra.

Pathetic service, the lady i spoke to had no remorse. If this the type of policy that you guys are offering than my company should think of changing the insurance company.

Do something about this now!! Or i will go to the media for this.

Regards,
Jennifer.

Dear sir,
Policy no.[protected]
Claim no.94328021

I have rise the reimbursement claim of my son surgery right leg at madhuram hospital rajkot.

Amount claimed rs.102950/- and settle amount rs.81490/- in these claim
Ambulance charge not consider a reason given that bill was handwritten.

I was submitted printed bill which was given by ambulance owner.
(Invoice attached)

Pl. See the matter and take necessary action.

Dear sir, on 3.4.17 i recd. A sms that my claim under clim no. 14246627 is passed for rs. 4220. Oo and shall be credited to my account no. 968 with canara bank. Till date i have not recd. My claim amount credited to my account.

Further i have sent a claim under claim id 14685888 for rs. 168049 after operation for reiumbursement. Lot of letters e mails sent after that but n response recd. When searching for claim status i came to know that final papers recd. For claim on 14.6.17 status shows information awaited i am sorry to inform you that i hve not recd. Any query or being asked any information.

Since claims are pending and i have spent money from my pocket, please credit the amount of claim without further delay to my canara bank account no. 968. My canara bank id is 12475.

Regards,

Rajendra patni

Dear sir/mam,

Reference to the captioned subject this is to inform you that i am not satisfied with the services provided by your company mediassist pvt ltd. I have sent you the claims with claim no's[protected] and 14541376 amounting rs 14241 and rs 15402 respectively file also attached for your reference.
As both claims documents are fully completed by me personally at your mumbai h. O saki naka, andheri (East). And yours dhs h. O churchgate on 5th july 2017 and same has been uploaded by you but till date i have not received the claim amount even one claim has already approved and other is pending with you without any reason. I have called so many times to mr gaurav jain ludhiana ([protected], [protected]) and to your mumbai's no - [protected] and [protected] but no one attending the call even i lodged the complaint to toll free no but no response. Yours company services are pathetic and irresponsible. As per irda guideline company has to settle the claim with in 30 days of completion of documents but you have already crossed. So it is my humble request to you kindly settle the claim at the earl list other wise i have to approach my consumer court.

Regards

Sumit narang
Pf no - 185900
Mb no - [protected]

Dear
I am work with lifstyle retail ltd. I am sumit remibursement form. To meddiassistindia and conformation message recived form. Sent to. Me and my claim no 14707430 are approve ammount are 11292 my claim id 14707430 are approved 03-07/2017 but till date not credit in my account they send me claim. Approval letter 3/07/2017 but till date i have not recived ammount credit in my account please do needful

Regardbr...

Not approving the claim and not coordinating with us
Not coming to hospital for investigation and processing the investigation process pl help us to get our of the problem our patient admitted 01 march and till today not approval
Claim no. 93969119
Patient name. Deviyani

Hospital: - sardar multispecialty hospital

With reference to claim no.93969119 of mrs. Deviyani h patel regarding usg report kindly find enclosed singed and sealed usg report of dr mr. Suresh k patel for any further clarification in this regarding you may contact dr. Anand bhatt no.[protected]

This is for your information and further action

Not approving the clam and not coordinating with us.
Not coming to hospital for investigation and not processing the investigation process
Pls help us to get out of this problem. Our paitent id admitted till 14 july and till today not approving the claim or not coming the member to check or investigate for approving the claim
Claim number :[protected]
Patient name :- harsha
Hospital :- sehgal neo hospital