Medi Assist India Complaints & Reviews

Hi Team,

This is referring to my claim no 94163092. I am a TCS employee with employee ID: 896089
My Cashless claim took more than 3 days to process and was helpless with calling customer care 29 times in precise and still no help. Additionally the reasons for additional requirements were as stupid as it could ever be. Totally helpless and customer care team has nothing to say but to wait and we will review and keep you updated.
The team has no sympathy against the emergency situations and has nothing to do in relation to help and get the issue resolved.

I am HPE employee and I accidentally/ mistakenly selected parental issurance while submitting and which I tried cancelling immediately, but it didn't the cancel request.
I do not want to add my parents for this insurance because which I already have made from outside and now it is waste of money here. For three months the insurance company is deducting nearly up to 6500 RS of amount from my salary account.
I do have my personal commitments like education loan and vehicle loan which I need to pay, there is short of money to pay those loans now and I cannot explain these things to bank now, where they do not listen to all this stuffs.
I spoke to 'N' number of people in mediassist and everyone answers the same that they cannot cancel the policy once it is opted.
This is ridiculous and stupid rules which is made by insurance company, it is individual decision and our money which we are paying it to you and we do not have any rights to cancel the policy.

I do not need any explanations on this anymore and I just my want money back on this what ever it is deducted for two months.

If so as per the prorated charges, deduct the money from the time I have opted and refund the amount immediately.

Medi assist id [protected]
New india assurance policy no: 730401/34/16/25/00000044
Cashless claim number : 94091862

I would like to bring to your kind attention that i have been admitted in a hospital at madurai for pcnl surgery under cash less claim with preauthorization of rs 25, 000 on 26/04/2017.
After discharge on 29/04/2017 our hospital claimed rs 60397.
They have refused to the claim because of excess room rent and nursing charges.
Actually they have allowed rs 1000 perday but i have availed rs 2700 per day room because of hot summer. The balance i can pay to the hospital. But based on these reason they have reduced proportionately all the charges made by the hospital. Now i have to pay rs36479 to the hospital. How the surgeon will perform surgery with all medicines for rs23918. I requset you to kindly revive my claim and do the needful.

Having corporate tie up with Medi Assist and they accepted approx Estimation for cash less facility at the time of Joining, but while discharging, mediAssist people raising same queries from past 5 hours, which hospital provided all documents.
Almost from 6 hours my old father (Who went for surgery) waiting for discharge on wheel chair.
Ridiculous TPA.
claim no 14380309.

Hi,
My self shatansh saxena. I have send reimbursement claim of jyoti and rohin saxena.
I have received jyoti claim no..[protected].
But not received rohin saxena claim no..
His acknowledge receipt of claim document on 25 april. Which had been received by the company. Tracking no.. For his reference is b [protected].
Plz provide it asap.
My per no - [protected].

I am DM club agent of LIC.
Branch- Bina Distt- Sagar
Division- Jabalpur.
My name is Santosh Mishra spouse Mamta Mishra, My agent code is 324-37J.
I have lic group insured policy from mediassist via New India Insurance company limited.
group policy No.[protected] 05.
I have an medical emergency issues and i hospitalies now and i had a face surgery.
i want to claim my insurance
but i dont have any detail of my insurance or e-card.
please do need full.
Regards,
Santosh Mishra
H No.33 College Tiraha, Shastri Ward, Bina
Distt- Sagar Madhya Pradesh.
pin code- 470113
email- santosh.[protected]@gmail.com
mob[protected]

Hi,

I am an employee of TCS and I have the health cover of Mediassist for my family. Recently, my mother was hospitalised for a day and I had submitted a reimbursement claim on mediassist. I had provided all the original documents to their team. They denied the claim on the ground that the patient was not there in hospital for at least 24 hours which is totally wrong. The patient(my mother) was there in the hospital from 7th March 2017 7.00 AM to 8th March 2017 4 PM. This is clearly more than 24 hours. I clarified with them many times but they kept on rejecting. I want justice!!!

Iam an employee of canara bank. I was hospitalised on 7th march 2017 due to viral fever and i got discharged on 8-mar-2017. As soon as i was hospitalised, i informed the medi assist team. And also i submitted all the required documents on time. I got my claim approved letter through e-mail on[protected] saying that payment will be credited to my account within 7 days. My claim ref no:[protected]. But i have not received the payment yet. I have contacted the customer care several times. Every time iam getting the same reply"within 4 to 5 days the credit will happen.
Do the needful at the earliest.

We are waiting for approval of the claims for more than 12 hours. We want to do cashless payment and we are not waiting to get discharged from hoapital and too much irresponsibility from the staff of Mediassist. They have not forwarded the mail to concern person and delay for more than 12 hours. It's very bad treatment of patients. Do it ASAP and take action on your staff.

Dear team,

I’m requesting you to add my daughter’s details in medi assist portal.
Regarding this i have dropped a mail to [protected]@mediassistindia.com for assistant.

Father name : n gowrishankar (Emp id#21533)
Daughter’s name : g. Tanmayee
Dob : 11th feb 2015
Working in bangalore metro rail corporation ltd (Bmrcl).

Looking for your reply soon.

Thanks & regards,
Gowrishankar.

Insurance company - United India Insurance
Emp No: 2258
Emp Name : Shreya Yadav
Policy Holder : National Law School Of India University
MAID : [protected]
Originating Claim Ref# : MA[protected]
Reference No: 93365126
I filed for the claim on 9th Dec 2016 which as approved on 17 Jan 2017 for the amount of 18600. It has not been settled even till today i.e. 17 April 2017. I have regularly contacted medi assist the third party service provider but there has not been any response. In addition to that three of the customer care executives have particularly misbehaved and have disconnected my call. Their names are Imtiaz, wasim and lokesh.

Please help me!

Hi,

I submitted the reimbursement claim (Two claim) with required documents on[protected] and they received on[protected] and got approved on[protected] & secound claim approved on[protected], but till now payment is not settled.

My employeeid is [protected]

Claim submitted amount is rs.6225 / 2903
The approved amount is rs.5604 / 2903

Regards,
Mayank agarwal

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.