Medi Assist India Complaints & Reviews

I submitted the Reimbursement claim with required documents on[protected] and they received on[protected] and got approved on[protected]. But till today payment is not settled and a copy past email or an automated email is received saying this will be credited this week from the date it got approved but till today its not credited.

MAID [protected]
Cliam no : 93717896 and status is approved.
Claim submitted amount is Rs.6, 123/-
The approved amount is Rs.6, 123/-

Regards,
REJI

Hi Team,
I have submitted the Missing Documents mentioned in the Claim Status to Medi assist India Bangalore address mentioned by Medi assist member while I dialed to Toll Free number. I have sent the original documents through Blue Dart Courier and it shows the status as Shipment Delivered. But my Claim status is Information awaited. Whenever I dial Toll free no. now, they says to dial some other toll free no Since I am from Accenture. But that toll free no. is not reachable.

Claim No: 13924086
Company: Accenture Services

Please find the attached Mediassist Card, Claim form, Original Summary Bill & Original Report that I have submitted for Missing Documents. Please check and do the needful.
Thanks & Regards,
Gunavathy K

Hi,

I submitted the Reimbursement claim with required documents on[protected] and they received on[protected] and got approved on[protected]. But till now payment is not settled.

My Employeeid is 682073
Cliam no : 14159161 and status is approved.
Claim submitted amount is Rs.16, 454/-
The approved amount is Rs.15, 954/-

Regards,
Sandeep

My name is Rajit ram,

Employee id D0501043 [protected]

I have sent the reimbursement claim document Rs. 13k + and same has been approved last month 6th March 2017 however I have not received any claim amount back I have lot of follow-up from customer care team but no proper response come yet.

Request you to kindly credit my approved amount in my account.

Contact n. [protected]

Email id [protected]@gmail.com

I have submitted my reimbursement claim on 08.03.2017. but till now there is no response. if i am contact their customer care every time they are saying we are escalating your issue so that kindly wait 24 hours like that. but now more that 1 month gone. i have couriered original documents on 09.03.2017 and it has been reached 14.03.2017 but still they are updating my claim status as physical documents awaited like that.

all are blaming me. finally i am going to loose my money.

Dont believe this type of fraud insurances

I have submitted original bills where ICU bill was clearly charged for two days along with all necessary bills. Mediassist closed my flied without even any written communication, by saying that timing is not mentioned on doctor summary but yes dates were mentioned. its been aprox 10 months and I did not get any money back/ no response.

My question: why do we need timing on doctor summary if bill is charged for two days. How can they charge for two days if it is less than 24 hours. How can they close my file.

Claim no: 14065495
I had been hospitalised for 4days from 14/2/2017 to 17/2/2017.
I had applied for cashless treatment when I got admitted into hospital but claim got denied without any reason(claim no for this :[protected].
Later I applied for reimbursement for my hospitalisation and submitted all the required documents.
Its been a month there is no response from the company.
The status is still in in-progress.

At the time of submitting the documents its been told to me that the claim will be approved and the amount will be reimbursed but now they are telling the claim is denied and they are giving improper reasons.

Claim no:13913821

I am working for Techmahindra and i have submitted a claim for my mother, who is a policy holder with Mediassist, who was hospitalised for 2 days due to VERTIGO GIDDINESS CERVICAL NEURALGIA WITH HTN.

The claim was declined and with no proper justification. stating as "On persual of claim documents submitted the patient got Admitted on 23/1/16 & Discharged on 25/1/2016 at Dr Bhoomi Reddy Hospital, Karimnagar Diagnosed as VERTIGO GIDDINESS CERVICAL NEURALGIA WITH HTN managed medically .ADMISSION ONLY FOR INVESTIGATION PURPOSE .The given treatment and the ailments mentioned do not warrant hospitalisation . Hence, claim is repudiated as per T & C "

i have tried to escalate this to Mediassit through phone, the customer service person says, it can only be escalated through email.

i have emailed asking questions as below.

"This hospital mentioned was one of your network hospitals, and why did they asked for a 3 days hospitalization If it is it just for an investigation purpose and can be managed medically?

Why don’t you ask your member to investigate from hospital end? Since its one of your network hospitals. Is this why we pay for mediclaim policy?

Do you really think the hospital kept the patient for a bed rest just for investigation?

I would like to escalate this further please."

But no response received for the many emails sent since last one month.

I dont know where to go for help as the mediassist is not responding for my emails, i have all the evidences of emails that i have sent from last one month.

Please help me.

Bill rs 2964/- dated14/07/2016 bill rs2600/-dated 09/09/2016both bills has sent after one day to discharge from hopitals .i have sent many reminders but not a singal repply has come till date. so you are requestrd to look into the matter.lshall be highly thankful to you policy no.[protected].p.f.no.2627671.from darshan lal batra sbi retired employee. Kothi no.531 phase03 model town BHATINDA

Hi Sir,

I have claimed for Reimbursement with claim ID: 93811285. and also submitted all the necessary documents. But in claim status I could see "Require pre numbered cash paid receipt for IP bill of Rs.3000/-(Given only for Rs.1600/-)". Please find the attached document in the attachment which already has been submitted. Please let me know the exact status.

Ir,
I attended a call from one assist regarding their insurance plans, I told them I dont want this service but they charged me 1299 for its subscription for one year. I just don't want the subscription and please cancel my subscription for my HDFC credit card ending with 7749.Other wise cancel my credit card, i don't like to spend money on all these things.

My number is [protected]
Mail id is [protected]@gmail.com

I have contacted Wipro team multiple times and medi assist helpdesk multiple times ... no one is responding back .
Could anyone please help ...
any claim should be settled with in 15 days as per your norms .
Now its 6 months almost ... no one is responding ...

claim id : 93211823
complaint lodged num : 2595700
pol no : 070300/28/15/pl/11529814

I am employee of Canara Bank and i have submitted my claim in September 2016. Till Date i have not received my money. Even after numerous mail no one is replying every time when i call to customer care executive no one gives a satisfactory replying every time they are saying your claim will be settled in few days. This is really bad as my family members are questioning my integrity they all feel i have received the claim amount and not informing them.

The company is a total fraud, our claim for hospitalization has been stuck for a month, even after providing all the necessary documents, they have completely forgotten about remitting our money.

I keep emailing their generic ID and they always send back standard responses that we are working on it. All the phone numbers mentioned on the website do not work and they have also provided me with a wrong email ID for their corporate office, seems like they have left us no choice.

This is a plea for help to get our rightful claim and put a stop to these corrupt practices.

Have submitted a mediclaim in Mediassist. There is no proper response from their side in the last three months. I have been trying to contact them in the last three months. But they are saying the same story again and again that they have not received the payments from Insurance company. Today also I have called them but they have disconnected(the customer care person) the while taking and asking for the reason. I am totally upset that they are not even ready to talk to their customer and give proper reply to the customer. They do not know how to give respect to the customer.
Really, I feel very bad to do the claim over there.
Claim ID : 93057760

My Policy No: 570500/48/15/[protected]
Claim No: 13701621
MAID: [protected]

with ref to above claim, I have received similar 3 letters from Medi Assist
asking to provide Investigation Report for Rs. 7500
and letter stating delay for submission.. reg.

I have been paying the Mediclaim premium for last 10 years to Medi Assist.

I have well submitted the report and do not understand why Medi Assist is repeatedly asking the same Question / reminder on the subject..
inspite not getting a proper reply what is the status of the claim..

With much regret I would like to inform you that even after two months, there
is no proper reply received from such a reputed Company like Medi Assist.
Would appreciate your immediate / proper response by return.

Also I have been trying your toll-free customer care number to talk,
which never getting to speak and I receive answer that "Sorry Network is
congested"..

with much regret, I remain.

Dear Sir
My claim number 13748207 is pending with you long back . I had submit email to my head office that reject rs 400 - chest pain report and rs 950 lab bill reject and pass reaming amount.

I had already submitted hospital seal pdf file to my head office

Deal in submitting bill is due not known procedure to me
Regus to you pass my claim immediately effect

Regards
Sunil deshak
Pune
[protected]

Hi Team,
My employee ID is: 10916229 and I have working for Accenture Solution Pvt. Ltd. I have submitted the hospital Documents for Re-Imbursement on 27th Oct'16 the amount Rs.5282 I received a Pending document that pending document also i already there in medi assist but they are not review properly on my document again they asking those document finally I have go and ask hospital they advice me already these bill are available final summery why they asking again after they also provide again those requested document to medi assist team. after receiving those document they are not review properly they aging asking same document. in meanwhile i have explain clearly i have submitted those document your end and I mention bill number also please review properly. now they are put my claim status in progress i need to know when this claim is approved and settle my amount please help me on this query Claim ID as: 13476614. I tried calling to the Toll Free number is not working now.
Hence, Can you please check this and let me know what is the status on this as it’s been more than 5 month.

My Name is v. sampath am working in Sansera Engineering pvt ltd plant-7 Bangalore, my medi assist ID : [protected] and my Emp id : 9477.This is the complaint ABOUT not updated my wife details in medi assist insurance. I already submitted all details to HR Department but not added...Please do ASAP...
My spouse name : s.priyanga

age : 23

Date of birth : 20.06.1993

Date of Marriage : 16.06.2016...

Dear Consumer complaint,

I have not received payment of my approved medical insurance claim id : 13585263. Pending since 07-Nov-2016.
And I have got a rejection on claim id : 13854912.

Both the claims are related to maternity claim.

Such delay is unanticipated and completely not unaccounted for.

Poor professionalism from Medi Assist India.

Best regards,
Ritesh Agrawal