Medi Assist India Complaints & Reviews

This is with regard to policy no. 272900/48/2017/5789 in the name of Mr. Inder Khurana.
We took a cashless claim dated[protected] in the name of Mrs. Ranjana Khurana for the surgical management of fracture in right arm.It was approved for Rs.1, 04683 instead of Rs.1, 18, 820.I wish to know the reason for that as for the approval complete amount was sent from the hospital.Let me know the reason for delay in approval of claim as well, it took 8hrs that day for approval of claim at your end even when your tat is of 4hrs.this was actually a pathetic experience from your end.I had to have follow ups and to be at calls with your customer service executives for the whole day for this purpose and even then the response was not satisfactory.
i need a proper explanation for less amount of claim approved as well as need cashback of rest of the amount pad by us to hospital authorities.
Kindly take note of it and reply asap.

Respected Sir/Mam
2 months already passed & didn’t get my reimbursement

I have submitted our papers for the reimbursement of claim but still I am not getting the money .

One reimbursement is submitted for Rs 71887 dated 24-june-16 ( under maternity)
Second reimbursement is submitted for Rs 9365 dated 20-may-16

Whenever I have checked it online its showing in progress, so I am requesting to you please look into the matter & release my payment as soon as possible…

My company Name is : Ceasefire Industries Limited
Employee ID : E02155
My ticket number is 429386

I am a TCS employee. I had emailed you asking for certain particulars. I got only one reply with incomplete details. I have written back asking for complete details for all the points I have raised. There is no reply yet. Only one phone no. works but is constantly busy.
I may have to admit my mother to hospital and details are needed in that connection. Please contact me on [protected] immediately.

Dear Sir,
My Employee Id 41012589
And claim number 92372233, 92409597, 92492909
Many mail and call your executive pravin jangam not any positive response Every time demanding new dr. cerficats I am already 10 certificate submit .
Who is responsible

pravin.[protected]@mediassistindia.com

Hi,

I have a corporate insurance policy with mediassist through Accenture Services Pvt Ltd

I had submitted a reimbursement claim 20 July for rs. 300000.

I got the first remainder mail on 10 Aug, 2016 asking for more documents.

I had already sent them the documents initially only and also again sent xerox copies which they acknowledged that they received on 21 Aug.

On 22 Aug i received another remainder mail for submitting the missing documents. The new documents i submitted are not uploaded in the mediassist portal

We have submitted all originals to mediassist - bills, receipts, scan, discharge summary, Doctors Diagnosis report, lab reports etc.

We need this reimbursement to get completed as soon as possible as we are in need of the amount to pay for further treatment

Please help in resolving this issue as soon as possible.
Policy Holder : Accenture Services Pvt Ltd
MAID : [protected]
CCN# 13041903 under policy# 421300/48/2016/427_P1

Customer care is of no help as they dont understand what we talk also they dont have escalation matrix as well which can help us get it expedited
.

My mobile: [protected]

From: udaya hanuman reddy
Sent: monday, august 22, 2016 3:32 pm
To: mohan banala ; '[protected]@mediassistindia.com'
Cc: '[protected]@mediassistindia.com' ; 'info'
Subject: re: request for information / documents (without prejudice) for ccn# 13029533 under policy# 431100/48/2016/2761 (emp no -1794;emp name - udaya hanuman reddy)
Importance: high

Hi sir,

I have visited mediassist office @ ameerpet and handover requested documents already. please check enclosed mails/ acknowledgement for documents received.

Am not sure, why mediassist has sent below mail requesting the same again?

Please help?

Thanks,
Uday

From: [protected]@mediassistindia.com [mailto:[protected]@mediassistindia.com]
Sent: monday, august 22, 2016 1:09 am
To: udaya hanuman reddy
Cc: mohan banala
Subject: request for information / documents (without prejudice) for ccn# 13029533 under policy# 431100/48/2016/2761 (emp no -1794;emp name - udaya hanuman reddy)


8/22/2016

Dear sir/mam,

Ref:
Emp no : 1794
Emp name : udaya hanuman reddy
Maid : [protected]
Policy holder : infor global solutions india pvt ltd
Originating claim ref# : ma[protected]
Please refer to our earlier letter dated 02 aug 2016 and 13 aug 2016 requesting you to furnish the following information which is required for further processing of given claim
• waiting for main claim to settle
• kindly provide original prescription of date 19/7 suggesting all the investigations for claimed lab bills
We regret to observe that we have not received the same till date. we request you to furnish the information requested within 7 days from the date of this letter, failing which we will be constrained to close your file. please note that once closed; we will not be in a position to reopen the claim for further process.
We assure you that on receipt of the above stated information / documents your claim shall be processed expeditiously. should you require any clarification do call on our customer service helpline.
Please quote our reference no: 13029533 in all your future correspondence.
Thank you for availing our services and assuring you the best of our services at all times.

With regards,
Customer services department 80af11d[protected]a943-a058d0c9efb5
Medi assist india private limited

My 2 weeks old premature baby started vomitting one fine day and stopped accepting feeds. She wasn't fed for 9 hours when we decided to take her to emergency opd where they suggested to admit the baby for observation. They kept her for 2 days and after all the tests told that she didn't have any infections and as a treatment she was fed. Mediassist india rejected this claim saying that no treatment was given. I want to ask these that should we leave the baby unfed and let her die according to your policy?

Claim id/13006575 anush baliga s/o dinesh baliga sent all documents on 16/07/2016 you acknowledged on 26/07/2016 and on 5th you mail about some missing documents which i send it to our controlling authority they wrongly sent directly to your bangalore office ie: bannerghatta. On 10th august
Instead of giving it to your collecting official. Now i request you that kindly redirect the document to your concerned office and do the needfull to me sir.
Thankinf you sir

I have sent my application online on 26.07.2016 for e cashless benefit for admission to k m c hospital manipal, karnataka. My admission date was 08.08.2016. I have attached relative certificates issued by the doctor for estimation by the hospital. So for i have not received approval for admission to hospital. I have contacted several times your costumer care but they take all the details and in turn say they have not received approval from the hospital as soon as they receive, inform about password etc. I am till today waiting in anticipation of the same. My question to you is
1. How long i have to wait, if the hospital did not respond what will be the recourse available to me.2. When hospital is authorized, it is your primary duty to get the sanction within reasonable time frame or else how long the insurer should wait. I being a senior citizen it is very difficult to adjust the funds, hence on priority my case should be approved otherwise the very purpose of e cashless scheme is defeated. I have earlier taken treatment @ manipal hospital my file no is 2083503, i have forgotten to mention this while submitting my e cashless application on 26.07.2016. I have sent mail to [protected]@mediassistindia.Com and copy endorsed to [protected]@medi assist india.Com so far no reply nor acknowledgement from them. Pl treat the matter most urgent and help in this regard.

Dear Sir,

I'm Having a Mediclaim Policy No-151200/48/2017/3766 not yet received I-cards though I have Send all the details & Photos. my Mediclaim Card are at Indore office. I've Contacted Mr Tarun Mob No-[protected] & Mr Bhupandra Mob NO- [protected] but they are not giving me any response. If I not received my cards in 7 days I will take the matter seriously and complaint to IRDA

Claim no 12941269 jaya h bhadra policy no = 120100/28/15/p1/10438291
i have been not given amt of rs/= 2550/= of dr. Fees dr. Amar walavalka . why. I have paid fees to the dr.

On 23-july-2015 my wife gave the birth to girl child at my native place at rajasthan. the total cost of hospitalization, doctor charges, medicine charges were around 25197.

I submitted all the original hospitals/doctors/medicines/pathologies reports/receipts to alliance insurance brokers pvt. ltd.in first week of august 2015.

After one and half month later they sent one mail on sept 18 and told that they required the breakup bill of hospital while i already provided the hospital bill but they didn't ready to accept the provided hospital bill,

So my family members went to hospital and get the breakup of the bill and same i sent to the alliance insurance brokers pvt. ltd. to 08-oct 2016 and they acknowledged the same.

After that when i followed-up for my claim settlement then they told me that they are awaiting approval from insurance co. for processing the claim & it will take some time.

After some time when i again followed-up then now they said they closed my claim because i didn't provided all the required document and now they are in the process of open my case again.

After that i sent so many mails to them but they are not responding at all and not settle my claim.

Claim of : anita parmar
Date of admission : jul 23 2015 12:00am
Claim ref no : 11535243
Claimed amount : rs. 25197
Hospital name : samarpan nursing home

I have raised a complaint, because alliance insurance are not making my claim settled. It is more than a year they are ignoring my calls and not replying to my mails.

I have claimed a specific amount for mediclaim but it is not yet received and the reason they had given was i have provided them partial bills and receipts. But later on i have provided them duplicate bills from hospital and courier them.

Currently they are giving reasons that since you have provided duplicate bills the claim process will get delay.

Related to this i had talk with trupti bhatkar (Senior manager - employee benefits)

Claim reference no. 11600967
Claim of: jitendra modi (My father)
Date of admission:jul 24 2015

Contact for trupti bhatkar
Alliance insurance brokers pvt. Ltd.
Hand phone : [protected]
Direct : +[protected]
Board : +[protected]
Fax : +[protected] / 6739 0918

Attachments:

From alliance insurance brokers pvt ltd, i have received a mail,

Dear sir,

Please find below requirement for your claim, requesting you to kindly provide the required documents at the earliest.

Kindly provide the orignal pre numbered paid receipt to the hospital for rs 8000/- and advance receipt paid to the hospital for rs 5000/-, please provide bank account details such as name of the account holder, account no., bank name, bank branch, ifsc code, account type (Account holder should be the primary beneficiary or the employee), enclose cancelled cheque of the account holder. The one you have send does not have the primary beneficary name

Dear dipesh modi,
Claim of : jitendra modi
Date of admission : jul 24 2015 12:00am
Claim ref no : 11600967
Claimed amount : rs. 25819
Hospital name : bhushan orthopedic and general hospital
We acknowledge receipt of documents towards reimbursement of expenses of hospitalization / post hospitalization / pre hospitalization.
Kindly note your claim reference no. 11600967

According to the above mail, i have provided them both receipts which were not needed because -
The hospital has provided provisional bill only. But then i saw that this bill is titled as provisional bill - cum receipt so they have not provided any separate receipts for rs 8000/- and rs 5000/-.

According to all this i should recieve my requested claim amount.

Dear Concern,

I am Dinesh Reddy Policy Holder in Medi assist.I had been tried to all the Branchj Offices including Mumbai, Bangalore & Hyderabad for some assistance.None of the phone numbers were working at 5:15pm.If this is the case either you can correct the phone numbers or else what will be case in emergencies.If you have any intension to correct please contact me.
Mo:[protected]

Dear sir,
I am a retired State bank of Mysore employee and my wife Mrs.Jayanthi sarathy is undergoing treatment for Cancer treatment. Of late I find extremely difficult to manage hospital bills in view of inordinate delay at Mediasist, bangalore. The reasons are best known to them. My personal visits to Bannerghatta road office and umpteen no of calls to their call center of of no use. The callous answers of the call centers are unconvincing and my ordeal is better untold. My Employee No. is 13113 and I belong to SBM (IBA).
pl do the needful urgently.
regards
sarathy

Hi,

I have a corporate insurance policy with mediassist through volvo india pvt. Ltd. Employee id : a047797.

I had submitted a reimbursement claim 13th june, 2016 for rs. 337220.

I got the first remainder mail on 21st june, 2016 asking for more documents.

I had sent them the documents a week later and it was handed over to mr. M a chandra babu (Mediassist). He called back and confirmed receiving these documents.

On 12th july, 2016 i received another remainder mail for submitting the missing documents. The new documents i submitted are not uploaded in the mediassist portal (Please see attached screenshots).

We have submitted all originals to mediassist - bills, receipts, scan, discharge summary, biopsy report, lab reports etc.

My father was diagnosed with cancer and has started treatment. We need this reimbursement to get completed as soon as possible as we are in need of the amount to pay for the treatment and also require the original documents which was submitted to med assist for consulting doctors for treatment now.

Please help in resolving this issue as soon as possible.
I have attached 2 screenshots. Latest documents are not updated. Latest status says 'awaiting information' since 21st june, 2016.

Thanks & regards,
Deepty koshy
Contact : [protected]

Dear sir
My claim details attachment

Hi,
Me and my all my family are a policy holder of your company. Now my mother admitted in Aster Medicity Hospital at Cochin, Kerala for heart surgery. Our policy amount is 1lakh rs and have 22500 rs as no claim bonus. Hospital bill is above 3.5lakhs. we submitted the details in your office through Hospital and they approved only 55875 INR. I want clarification about this. Since more than 13 years we are taking insurance from your Co. I need the approval for full amount( INR-122500) Please do the needful ASAP. Patient not discharged, still in CICU. The MA-ID no is [protected] and cash less no is 12997595.

Regards,
Navaneeth.
[protected]

Ref.: Medi Assist ID – [protected]/ Policy No. 120200/28/15/P1/12677548

With reference to above, I am already submitted all original documents regarding above claim to your Noida Office on 10th June 2016 with claim form. But till date no information regarding my claim receives from your side. Please do the needful and revert back.

From last three to four day i am follwing from your executive to send one pdf of claim form, after assurance till time they have not send...

My mail id is [protected]@gmail.com
[protected]