Medi Assist India Complaints & Reviews

Dear Sir/Madam,

My complaint is that Medi Assist India doesn't have transparency in their services. They have representatives at corporate offices to collect the documents for Health Insurance Claims. Detailed receipts are not given to the customers after submitting the Documents and Bills. When customers follow-up on reimbursement, either it is delayed or the firm claim that some documents are not submitted.

Patient Name : Mewati Devi
Policy No : 221301/48/2016/338
Claim No : 11373236
MAID : [protected]

Worst mediclaim company in India. Never reimburses the money. My CCN#11073696 pending since April 2015. They regularly send a letter asking for some or the other thing. I have sent the same documents for 5 times and after that again requiring the same document. I am unable to understand what to do. The call center executive also never tries to resolve the issue. They also say we need the details. If we are asking for 10 times send it 10 times that is your duty. Is there any one to listen.

Dear Sir/Madam,

My complaint is that Medi Assist India doesn't have transparency in their services. They have representatives at corporate offices to collect the documents for Health Insurance Claims. Detailed receipts are not given to the customers after submitting the Documents and Bills. When customers follow-up on reimbursement, either it is delayed or the firm claim that some documents are not submitted.

Claim ID: 11891298
Patient Name: Hasini Nalabolu
Medi Assist ID: [protected]
Employee code: IN069947
Relation: Daughter
Primary insured: Ramu Nalabolu
Policy holder: Sutherland Global Services Pvt Ltd
Admission Date: 22-Oct-2015
Discharge Date: 27-Oct-2015

The statement of facts follow: 1. I suffered from heart ache during my stay (At my younger sons home) in bengaluru on 24th may 2015. 2. I was admitted to Yashomati Hospital on same day 24th May 2015 for check up and unfortunately due to non availability of Cardiologist, got discharged on 25th. 3. As advised by Yashomati hospital, I went for Angiography and other tests on 28th may 2015 to SAKARA hospital. 4. As per the report they advised for stent in artery, which we could not do due to some financial reasons and also we were waiting for 2nd opinion from my niece in UK. 5. I went for stent surgery on 2nd of June after arranging finances and receiving the 2nd opinion in SAKRA hospital. 6. After discharge and due rest as advised by doctor, i went back to Jalandhar my permanent address and contacted Oriental Insurance for claim and submitted the documents requested by them in the 1st week of July 2015. 7. I contacted Oriental after 2 months for status and they advised that the claim is being settled by MEDI ASSIST. 8. I submitted further documents in 1st week of October after going through their website. All the documents submiitted were Originals. 9. I sent mails to the grievance department of med iassist but received reply they are going through the process. PLEASE NOTE THAT THE PROCESS HAS TAKEN MORE THAN 5 MONTHS TILL NOW. 10. Going through the claim tracking, I noticed they are requesting for same documents again. HOW MANY TIME I CAN SUBMIT ORIGINAL DOCUMENTS. 11. Self an ailing 69 year old already suffered due to my health condition and so called fast PROCESS as promised during the purchase of policy is no where to be seen. Above facts were forward to IRDA complaint section and subsequent to this mail all the required documents were removed from the site. I received mail today 08/Jan/2016, after I requested for update from medi assist, stating claim has been cancelled due to non-submission of documents, however we were never asked for any more documents officially/verbally or by any means watsoever. We have been requesting for updates of claim by mail regularly and received reply that claim investigation in progress. We have submitted all original documents what we received from hospital. I did not suffer from any ailment before this. I am with my son in UAE to avoid North Indian Summer since Mid November 2015. I request you to intervene and advise further course of action, I am not in possesion of original documents as all have been submitted in Jalandhar branch of Oriental insurance.

MY CLAIM ID 11851885. Before three months i admitted in hospital and i full all condition of this company but now till date my claim is in under process. i think this is a fruad company because i fullfill all condition but my re imbursement claim is pening now... thanx...

My employe id 33656 Bill amnt 16540 but claim approved amont is 6700 it is very bad it is is iam not continue this insurance policy so kindly request resolve the problem

Respected Sir/madam Few Days Ago, My Grandfather had operated on 8th of august 2015 at ROY INSTITUTE O[censored]ROLOGY, JAIPUR. We have taken a medical insurance policy. We have submitted all the documents regarding them to branch of Noida. Patient Name : Mahabir Parsad Policy No : 261200/48/2015/2030 Claim No : 11711676 MAID : [protected] I would like to draw the attention to you that no response, no steps have been taken yet... you are requested to take a reasonable steps as soon as possible.

My father in law is admited in miot hospital on 24 nov 2015 to 29 nov 2015 in ICU. I applied for cashless. Hospital initially requested for 75000. i got the approval, but later he was in ICU for 5 days and hosipital asked for enhancement for 1.8 laks, but medi assist declied the approval. I don't know why they denial. I paid all from my pocket even i have the insurance. Can some body help me to get back the amount from insurance.

MediClaim claim Id[protected] Claimant Mr. Nutan Kiyawat Mediassist Id/ [protected] Claim Amount- Rs. 197586/ All documents as required by TPA submitted. Many times called on toll free. Always say it is under process Claim submitted in April 2015 Even emails to medi assist not answered. I am suffering from Prostate cancer and need money for my ongoing treatment. I am being harassed by Mediassist for no fault of me. I am driven to a point by Medi Assist where I am rendered helpless in such a difficult time. Help me by reimbursing my claim or else I do not know what will happen to me.

Dear Sir, I submitted claim wide id[protected] on 5 Nov.2015. But company not release claim amount. Please issue claim amount ASAP

The detail particulars are as follows Name of insurant - Smt. Swati Jha Name of Patient - Shashank Jha Policy No. - 151200/48/2016/6174 Hospitalised date - Name of Hospital - Pushpa Mission, Ujjain M.P. Claim amount - Rs. 6406 Date of submission of claim - 9/9/2015 Date of reciving of cancelled cheque at Noida - 12/11/2015 But we are sorry to inform you that my claim is not approved till date and even there is no upadate about the progress. Please pass the claim as soon as possible.

Hello, This is regarding medi assist corporate insurance company poor sevicing story. I have insured amount 50000Rs for my father and he had an surgery on 6th Novemeber and supposed to be dischraged on monday morning But when hospital people has sent discharge summary around 12 15 PM, insurance people have taken the request around 5 30 and raised a query. Query whatever raised was not sent to active email id of the hospital with which they earlier communicated last nigh for other query. On all total i can summarize is: Medi assist has wrost servicing and want to gain something with health insurance Lack of responsibility and time sense Very wrost process Kindly do the needful asap i need compensation for one extra day stayed at hospital Thanks and Regards, -Deepa N

After the settlement of my claim, I asked to reopen my case and no one helped me in this and no one even responded to my emails, then I went personally to the jpnagar office of mediassist to submit some more documents and reopen the case the ACKNOWLEDGEMENT SLIP NUMER IS -1709 It was for the duplicate bill submission which I got it stamped from hospital and submitted . it has been one month I didn’t get any sort of intimation or any contact from medi assist So for all the duplicate bills I got it stamped and submitted in JPNAGAR OFFICE AFTER THAT I DIDN’T RECEIVE ANY RESPONSE . I mailed this also to medi assist couple of times but still no response . It has been a big issue that I have been facing for a very long long time ... there is a big story that I explianed around 30-40 times and still didnt get my complete refund. I need this forum to help me in speeding the process and making the medi assist people to know that that cannot harras people like this.

I have parental insurance taken via my company JP Morgan Services India Ltd. Howeve, recently when my mother got admitted to hospital for hypoglycaemia, they denied the claim saying - "As per the submitted documents, patient was admitted for ? hypoglycemia in k/c/o DM, hypertension, dyslipidemia on 16/08/15 and discharged on 20/08/15. On scrutiny of the claim documents, it was found that all its vitals were within normal limit. Also, oral tablets were given during hospitilisation. No active line of treatment given to the patient. Hospitilisation not justified in this case. Hence the claim stands denied under clause 1.0." Don't understand how they can reject the claim, wherein I had a doctors letter advising her to take to the hospital as her sugar level was going down. My mother was unconscious & the doctor who had come to check her advised to move her to hospital as she was not able to move her limbs and sugar level dropping by. On taking to the hospital emergency ward, her sugar level had dropped further (to 106) form what was observed at home (it was 155). My mom is diabetic and was taking insulin twice, along with GLimisave M2 (before meals - twice), Glucobay M25(thrice in a day) and Lipaglyn (in the morning after breakfast). On admission, doctor immediately stopped insulin and Glucobay M25 and observed her for next 4 days continuously checking her sugar levels. There was a definite line of treatment so I don't understand how can they reject with the above reason. Dr. Pardiwala advised then to keep the sugar level a little on the higher side, because that can be controlled, however such sudden drop of low sugar levels may have adverse effect on brain and her heart and is very risky for her health. Does the insurance company wanted me to wait for my mother's sugar level to drop to 40 - 50 and then hospitalize her . Luckily we reached in time to hospital to avoid further dropping of sugar level. I tried to reach out to Medi Assist team on mails, phone but they are not reverting. Please help me.

I have a health insurance policy from Mediassist and I was denied of my claim that I have exceeded my policy amount ...which I didnt. Please help me recover my amount as I am a senior citizen and i cannot deal with these people who claim themselves as humans.

This is my Claim ID: 91247362, Have submitted all the original documents, after 12 days of submitting the documents, they are asking for some nonsense documents like, Require letter from the Hospital stating the number of beds, Hospital Registration number, facilities available etc with an attested copy of Hospital Registration certificate....

I work in Infosys and my company is tied up with Medi Assist. My wife had a surgery and I provided all the documents they needed for claim. Its been 2 months but nothing was done. Every time I call customer care, they say claim is under process. Worst case is even my wife has insurance from some other company and instead of claiming there I opted for Medi assist. And now I cant claim with other insurance company since its been 2 months from surgery and this pathetic Medi assist will not let me know what is the status..Really frustrating... Claim number : 11313822

I am a mediclaim policy holder. The policy is issued by New India Assurance Co. Ltd, Chennai. TPA for this policy is Medi Assist Indid. As per norms laid down by this TPA, the policy holder has to inform the TPA immediately on getting admitted to the hospital. I needed to get admitted to the hospital on[protected]. I desperately tried to contact Medi Assist on[protected]/49066500. I could not contact them. The hospital agreed to admit me and get clearance from TPA. On getting discharged I had to wait 7 hours to get out of the hospital refused to let me out without the approval of TPA. This was a bigger mental/physical torture than going through the treatment.My repeated attempts to contact TPA on the given tel.nos. failed as the phones were continuously engaged.Finally on getting the clearance at 6 o'clock in the evening it was found that certain amounts were deducted.As the amount was considerable the hospital officials and I tried to contact the TPA to seek clarifications, but failed to contacta them as the line were either busy or kept off the hook. I finally had to pay the difference amount and got out of the hospital at 8.00 P.M.Due to poor facilities and delay in processing claims I have gone through a lot of physical/mental torture, that too when I am in poor health. I want to be compensated by Medi Assist for a sum of Rs.25000/-. Besides the TPA has deducted certain sums for which I am actually eligible . I shall take up this issue separately.

I have sent one reimbursement application on 30.06.2015 and the Same has been delivered at your Bangalore address on 03.07.2015. There is no response till date from you and even ur toll free number is not working. Even I have tried n this number[protected]. Nobody is attending the call.My MA ID is[protected]. Hope u will look in to the matter urgently...thanx

HI I am chaithra shankar i have an medical policy with medi assist, i have already submitted all ur requirement original documents, kindly look into it and let me know if you required any documents.its already a 2 months over plese do the need full.