Medi Assist India Complaints & Reviews

Hi,

i am very disappointed with the services, would it be the time taken and the kind of question being asked and the kind of effort medi assist took to process my claim. i am not sure why Hemalatha M, who is such an unprofessional is handling the corporate queries inlcuding her response to customer as "who needs money, it is is you (customer).

please confirm why there has been partial payment despite the requested documents been provided as requested and confirmed as valid by the medi assist.

To
The manager
Medi assist india


Sub: partial approval of claim no. 12502972

Ref: cashless claim no. 12427766 & 12598515

Dear sir/madam

I am submitting my complain about denial of approval of crohn’s disease related expenses during hospitalization claim no. 12502972

I have submitted a claim of rs. 28, 766/- on dated 05.04.2016. And against this claim i have received only rs. 950/- on 06.05.2016 (Neft no.[protected]joz1912)

In explanation there was a list of non-medical expenses which includes tooth brush, hand rub etc. As not payable. This is quite justified.

But with my utter surprise this list includes all pathology, biochemistry tests and ct whole abdomain during hospitalization.In the discharge summary dated 22.03.2016 final diagnosis it is clearly expressed 1) left tubercular pleural effusion, 2) crohn’s disease. And patient (Dr. Suva hom roy) was admitted under gastroenterologist dr. Sanjay banerjee. He even got no phone of query from you about admission & treatment details and you final denial decision own accord by speculation; (Cashless claim no.[protected]

Again my patient admitted in ils hospital on 26.4.2016 & discharge on 28.04.2016 and final diagnosis is crohn’s disease. Against claim no. 12598515 you approved rs. 14840/- against claimed rs. 15961/-

So, why your denial reasons “crohn’s disease related expenses np” in claim no. 12502972

In that situation i request you to review my claim no. 12502972 and please re-consider a justified approval for it.

Thanking you

Susmita hom roy (Paul)
P. No. 311700/48/2016/9989

Patient name : dr. Suva hom roy
Mid no. [protected]

My policy no [protected]p10146649 i have submitted the claim on 15th april 2016 and additional details as required have been couriered. i have sent mail of my courier sent on[protected] receipt no and also receipt documents duly stamped and sign of delivery of courier at medi. still you people are not acknowledging the receipt of documents instead of talking to so many persons and giving of so many mails no action is taken and our claim is not settled . we can not expect such things from medi assist. there should be some one to attend and respond . your people only listen and forget . they do not take any action they do not enquare why additional document sent is not taken on record pl do something otherwise i will complain to other higher authorities.. tel no [protected]

Sir/Madem,
I Vshnu dutt apply for claim but i didnot recieve the calim against incident .I have medi insurence through you. I submitted all of documnet many time through speed post . documnet recieved by company. i hospitalised from 20/09/2015 to 25/09/2015.claim amount is 35311 only that is not issued by you.this is last effort making by me other wise i will go to court.
thanks
Vishnu Dutt s/o Deen Dayal Sharma
reference no .[protected]
policy number - 242308/48/2015/48
MAID : [protected]

Forwarded message —
From: walter rodgers
To: hal
Sent: saturday, 7 may 2016 4:55 pm
Subject: claim not yet settelled

Respected sir
Me mrs. E. R. Rodgers is spouse of ex employ of hal hindustan aeronautics ltd nasik maharashtra
I have posted my doctors prescription and bills amounting rs. 3499/- on 09/03/2016 by indian speed post pod no. Em[protected]in.
To
Medi assist india tpa pvt ltd
Tower d (Hal team) 4th floor ibc knowledge
Park 4 bar 1, opp:- dairy circle fire station
Bannerghatta road, bengaluru - 560029
Board : +[protected]
Email : [protected]@mediassistindia.com
Website :www.mediassistindia.com

But none of your officials are co-operating with us my maid number is [protected]
My husbands ex permanent batch number was 4387
Bank of maharashtra
Nasik road branch
A/c no. [protected]
Ifsc code. Mahb0000123

My address is

Mr. R. W. Rodgers
Flat-51, 4th floor, d' wing, anand vijay sankul,
Opp:- st. Anns church & bishop house,
Central jail road, nasik road, nasik, -422 101
State:- maharashtra
(M) [protected], [protected].
Email id:- [protected]@yahoo.com

Please co-operate


Yours sincerely
Mrs. E. R. Rodgers

R s kannan ex. Staff no. 14429 canara bank medi assist india pvt. Ltd., bangalore
Claim ref no. 12459670 ack no. [protected] dt.25.3.2016.
I have submitted a claim for rs. 19465/ for hospitalisation. I was under
Hypertension problem because of that left nose blood bleeding was there. I have consulted nearby residence doctor and then ent specialist. It has not been stopped and hence he has recommended to admit in madras ent research foundation, raja annamalaipuram chennai . As per the doctoer advice i have consulted the doctor and i had treatment., it was not stopped and then i was admitted in the hospital on 8.3.2016 at5 4 pm and discharged on 9.3.2016 at 6pm. Only after stoppage of bleeding of blood in my left nose i was discharged. In the history it was mentioned as hypertension and because of that nose blood bleeding was there.
I have submitted the bills to medi assist india pvt. Ltd., bangalore and i t has
Been rejected by them fror the reason that the hospitalisation is not necessary for that treatment. Please note that hospitalisation should be
Decided by the doctor and not by the insurance company. It is clear in the
Bank circular that under item no. 13 hypertension treatment is also available
For hospitalisation and also domicilary treatment. I have been denied the
Same by medi assist india pvt. Ltd., hence it is due to negligence of staff it has happened. Hence my genuine claim should be sanctioned immediately.
I have tgaken policy under united india insurance iba medical care and the
Bank has directly debited in my account.
Report by r s kannan

Claim : 12414354
Maid : [protected]
We have intimated about surgery in one week advance. Documents submitted within 10 days of discharge.
Even they have not approved the claim by saying non receipt of intimation. Neither they replied on mail nor customer care number picked up.
We have sent the require documents again by courier which was reached to mediassist, bangalore office on 29th april but no acknowledgement.

I had hospitalized in jan and i have raised a claim on 23rd feb which has been approved on 24th march but till date the amount is not yet settled.

Also i had claimed 20, 066 amount but approved amount is only 16377.00 by deducting 3, 688 which is an invalid deductions as shown below

15jan-c-180+120 19jan-c-180+335.No prescription for 9 th feb.Casuality, 16jan-p133..

Called many times and kept many mails but no proper response from mediassist team..

Looks like a no 1 fraud company i had ever seen.

https://track.Medibuddy.In/

My claim id : 12165269
Claim received date: 19-jan-2016

It's more than 3 months complete and claim is not done yet. I have been talking to both mr. Sumeet from royal sundaram and pankaj from medi assist. All the documents have been submitted from my side. They are saying no further documents are required.

I also talked with mr sumeet manager amit satav ( phone no: [protected]). He is not responding with any updates.

It's a serious issue from a customer perspective. I have been very furious and frustrated with claim process.

Dear Team,
Deductions are done in my account without any intimation & reason. Pls refund it on priority.
Account No. :[protected]
IFSC : ICIC0006451


Pls refer attached snap & refund the deducted amount on priority.

Claim id 1238263
I am already submit all document but revert only document is proper customer care officer is give Chennai branch but Chennai bran not received call this claim long time pending

Claim id[protected]
Patient admitted in delhi heart and lungs institute yesterday and the document were submitted for insurance cover in the morning at 10. 00 am.

Till this hour we have not received any single update on this, called numerous times on the helpline numbers and wrote many mails, but now received any revert.
Our patient has been suffering from heart attack and needs to be operated urgently but the surgery is on hold due to the negligence attitute of this company..
We along with the patient are being harrassed.. Need urgent support

Hello Team,

I would like to tell you that I am completely disappointed and pained by the kind of service provided by MediAssist & IndiaFirst.

I have been following up with the customer care for the last 3 days for approval and the same has not yet been provided. The surgery is planned for today @ 09:00. The pre-surgery medication has already started.

The claim number is 12463528.

I was calling up the customer care whole night yesterday & before that and every time, I get the same answer, the request should be approved in 1 hour. At the end of all this tiring exercise

I haven't slept all night yesterday tried to get the approval from you guys
I have still not got my approval
I have to consult the doctor again to check the effects of the medication taken


Regards,
Surya,

Hi team,

Is there any possibility of withdrawing the Medical Insurance from Medi Assist which is done by mistake and you guys are deducting the money.
This time my whole salary is deducted for the same insurance even when I didn't want to continue with this Insurance.
This is not the way any insurance company works, even if a person don't want a Mediclaim you are taking the money.
This is leading to such inconvenience for me.
Last time in July, 14, 000 was deducted and this time 20, 000 is deducted that is my whole salary.
How do you expect me to look after my expenses after this.
This is not the way of continuing with the Insurance even when the Customer does not want to.
This time it's really pathetic to deal with this again.

That is why I have marked the Consumer Court team in this mail, so that everyone gets to know the kind of Insurance against the will o[censored]ser is done here.
Even the Opt Out option is not there for the Parent Policy which should be there and this is how you are making money unnecessarily deducting the amount from salary.
This time I DON'T want to continue with this Insurance and I want to withdraw this and get the amount back as I have not used even single penny from the money provided by Medi Assist.
This lead inconvenience to me last year in July also and now they have taken my whole salary.

Make sure this is taken care of or else I would take this to higher level which can easily lead to the brand image impact to Medi Assist.

IBM Employee id: 05804V
Contact Number: +91 [protected]

Dear Team,

Myself Ranjit Gill I want to know about the Reimbursement of my wife Kirandip kaur. Claim ID is 12089237 & the ID Number is [protected]. I had already submitted all the original bill along with claim form as well as all the documents which you required for Reimbursement which are submitted at your vadodara branch, gujarat on dated 18.02.2016. & i had also contact to your customer care for the same but they told me that they didn't received any claim i had contact at ahmedabad office phone number [protected] i had contact to baroda branch contact number[protected] as well as chennai branch [protected] & [protected] no one pick up the phone and no one respond me

now you are requested to solve this problem at your end as already nearest one month completed.

I hope you resolve this issue as soon as possible.
Encl :
1) received slip of acknowledgement of submitted claim (Attached)

Hi,

I have a medi assist claim ID because I submitted my hospitalization documents through my employer to get the claim on Jan 27 2016, and the same verified my Mediassit on 1 of Feb and the amount was approved on 4-Feb-2016 but still my amount not settled.

1. I spoke with Customer care they escalated multiple time but no response
2. I spoke with One of the manager they said "if you want you can contact Ombudsman or Court"
3. I spoke with my employer they asking to call CUS
4. Still the amount was no settled
5. My insurance company is Oriental Insurance

Due to some software issue my settlement amount not credited near two months.

Don't Believe Medi Assist TPA...
They are FRAUD...
They are Cheating People
They are Playing with our Time and Money
No Proper Response
No Intimation or Information to the Insurer..

My card is illegible for which I tried my best for e-card also but on every option he says "Details not available". What should I do ? My MA-ID No. is [protected]. Can u help me pl.
My mail ID is " [protected]@rediffmail.com "

Watching fo reply
Yours
(L.B. Afley)

Dear Concern,
I am working in Reliance life insurance at hoshiarpur Branch.I have book a medical appointment for Modi nursing home at hoshiarpur. This appointment is book as on date 19.3.2016.This medical appointment is done for sunday mrng.your customer care executive have collected the information about client and tell me that I will give you a tpa code in mrng.As same I update to costumer and call for mrng medical.But I not receive any call from Your side, and client was wait in hospital till afternon.I was lot of calling to your toll free no., But no body pick the phone. This is very poor service provide by you.

Me mr r.W.Rodgers is a ex employ of hal hindustan aeronautics ltd nasik maharashtra

I just need my login id and password of my account in medi assist india

Our maid number is [protected] & [protected]
Of me and my spouse
My ex permanent batch number is 4387
My address is mr. R. W. Rodgers
Flat-51, 4th floor, d' wing, anand vijay sankul,
Opp:- st. Anns church & bishop house,
Central jail road, nasik road, nasik, -422 101
State:- maharashtra
(M) [protected], [protected].
Email id:- [protected]@yahoo.com

I just need my login id and password of my account in medi assist india and confirmation of my email id in medi assist

Thanking u
Regards
R w rodgers & e r rodgers

I Hrishikesh Jadhav have claimed of my mother (Rajani Jadhav) sum of Rs.23139/- (Typhoid Hospitalization) submitted at your company on dated 22/12/2015 & completed requirement on dated 27/01/2016 but till date i have not received my hospitalization claim amount. Kindly update & please send any confirmation mail about the same.