Medi Assist India Complaints & Reviews

I have raised a reimbursement request to Medi assist for hospitalization with claim number 25492220. Upon producing all the documents which i was given during the treatment and even post that, i was constantly asked to provide "Etiology of Ailment kindly enclose a letter from treating doctor mentioning the cause of the ailment".

I have called their customer care line almost 50-60 times and even have recording of each and every call that i have made. I wrote several emails as well stating that the root cause was not able to be provided by the initial treating hospital, so because of that i shifted my treatment to different hospital.

The hospital which i am getting the treatment provided written root cause of the issue as "HYPERTRIGLYCERIDEMANIA". Even providing the same thing and upon calling again i was told by the helpdesk supervisor as the documents will be enough and it will be closed on priority within 7 working day. I called back again after 10 working days only to discuss the whole story again and providing all the details, this time i was told that it will be resolved and you will get a reply in 48 hours. No reply, no call and no update. Upon calling again and being on hold for like 15-20 mins i get a different supervisor and same story repeats again and again.

Out of the blue i see my claim and repudiated without providing any update to me either via email or call. I am on call with them and getting disconnected 8th time in the row now.

I have raised claim with Mediassist in June 2021 .Status is showing as " Pending Claim Adjudication" from July. Called customer care more than 20 times each time they open a ticket and close it t saying "Resolved". But no update later.

Thanks,
Santosh...

Reimbursement claim raised on 17-Sep-2021
Claim id[protected]

Policy number -[protected]

Gross Amount(excluding refunds) - 734929
Discount Amount(given by hospital excluding refunds) - 151944
Net Paid Amount - 582985

Claim amount settled - 419813

Looks like the discount amount given by hospital(to policy holder) is again removed from the netpaid amount and the remaining balance is settled to us.

I want to understand why discount given by hospital to us is excluded from the netpaid amount again?

Also Neonatal warmer(equipment used to maintain temperature for new born babies while on ventilator) charges(approx 10K) is also excluded form the settled amount.

Raised multiple complaints and sent mails to the MediAssist.
The response we get all the time is, "we have forwarded the issue to the concerned team", but it will be same again from next day.

Corona kavach policy no.443390/48/2021/833 oriental insurance company ltd family floater plan.
Claim no.25924947, 25924974, 25924980.
Medi assist ack no.Coc01120718,

I have submitted the claim last mnth 20th aug'21 with the amount of 22k. However the claim was denied after 9days even without checking the complete document. Due to their irresponsible behaviour the claim got denied. Later I spoke with support team and teach them to how to open the document to verify the information. Even after multiple follow up the claim is still showing denied after 25day days ( still counting). Whenever I spoke with support team they are saying the same stories but nothing could help me on this and nobody ready to understand my situation. Due to lethargic attitude of your team, I am still suffering to get an update from yur end. I am highly disappointed with the way you treat your customers and never think about for solution and always looking for reasons to get out of it.

I have to bug your guys to send an acknowledgement. It is yur prime responsible to acknowledge yur customer queries which never happened. I am in the verge of bad condition in terms of financial & mental pressure because of you.

Claim id[protected]

Additionally I hve raised a tck as well which was closed again without any update or comment on this.
Tck I'd : [protected]

I have taken Arogya Plus Health Insurance from SBI(Policy No: POOPDH[protected]). Raised one domiciliary claim of Rs 670 on 08-Jun-2021.
There is no progress on the claim, called several times but not receiving any response.

Patient Name: Rishi Karmakar(M - Son)
MA-ID(Insurer Id): [protected] ([protected])
Policy No: POOPDH[protected]
Claim Submitted on 08-Jun-2021
Claimed Amount: Rs. 670 INR
Ticket No:[protected], [protected], [protected]

I am an IBM employee and I have submitted my Pre-hospitalization claims for Maternity expenses. My approved amount was Rs9000/- which was shown as Paid on their Website but the claim was not yet paid.
I am following up since then and I have also forward all the necessary documents for verification still I didn't receive my Claimed amount till yet.

Claim Id[protected]
Ticket Number - [protected]

I have submitted my claims on 22nd July, frim that day i am struggling to get the amount, each time i drop a mail or connect through phone call they tell to update the bank details, i have updated my bank details on multiple time however the details are all correct . But i am not getting any response and also they said that my account does not exist . However this is the same account where i recieve salary each month from TCS. I will file a case against mediassist

Claim ID : 25701134
Approved amount : 23209
I am a Cognizant Employee and I have submitted a reimbursement claim for my mother . The claim was processed on 1 September 2021 and is in ready for payment status since 1 September 2021 . They told that the claim amount will be paid to me in 7 working days . Already 16 days are passed still the claim amount is not paid to me . Whenever I call or mail medi assist they say that the...

Submitted all documents already and years passed still they haven't respond and resolve the issue?

Are they really there??? For what ???

Want money with interest... you get that meddi assist!

Ticket number: 7256060
Reference number: 19303802

We have give the cashless treatment to mrs. Sudha sharma in our hospital i.E. Mittal hospital and research centre pushkar road ajmer who was admited on 30.05.19 and dischared on 14.06.19. Total claim amount rs.303327/- and we have reminded many times to the company but no payment has been received till date. Please do the needful.

As per the policy terms & conditions for sum insured 5 Lakh & above, 1% of sum insured or single occupancy AC room whichever is higher is allowed but your Mediassist India has allowed only 1% of sum insured as room rent and accordingly all the charges have been deducted on proportionate basis which is against the policy terms and conditions. I sent them policy documents but they rejected it

Hi Team,

My wife was admitted in hospital due to covid 19.I have submitted reimbursement claim on 07th of May 2021.The claim was showing Processed Ready for payment from 21st of May.

Now 3 months are completed still the claim was not settled. Every time they are saying technical issue and till now the issue was not resolved.

Every time they are sayingthey escalated the issue but no resolution.

Regards,
Srikanth

Ideally they claim to resolve any issue in 24 hours, nut its been 4 days I cannot see any progress

Claim has been closed without prior notice and it should be processing as I have submitted all the documents and letter. I faced unsatisfactory experience with Capgemini mediassist and it customer service.

Despite multiple follow ups with Medi buddy team, they have still not provided any resolution or reason as to why Vaccine confirmation was not received for first dose (COVISHIELD). It has been almost three months so it is time for the second dose, but without confirmation of first dose, I cannot take the second dose. Terrible lack of coordination and NO RESOLUTION. They keep saying that they will email that first dose was given (4 calls), but no email was received.

Could you please reprocessed this claim as prior that this claim was submitted under cashless and you people got reject full claim of rs 109323 dated 04082021 and your executive told me that kindly submit this claim under Reimbursement.

And not you have deduct Rs 68005 from the final bill that I have already paid to the Hospital .

Now my treatment starts from Rajiv Gandhi Cancer Hospital and my 1st Chemotherapy...

Hi,

Claim ID 25167188.

Insurance amount is 400000.

1st time admission to hospital:

There was no cashless option.

Father got admitted on 08June2021 - 12June2021.

Hospital final bill claimed was 35975.

All required original documents shared to Medi assist

Claim got rejected.: Major Surgeries Limit is exhausted. Hence, we...

It's regarding cashless approval of my sister eye lasik. 1st they approved half amount and after the surgery they denied half amount saying it doesn't cover under policy...my question is if doesn't cover why they approved half and motivated us to go for surgery.

I want to complain for this

Please sir i have requested to you my names is sagaar sadavrte msedcl employee.sir my wife name do not add to your service provider .you can help for this reagrding to you.