Medi Assist India Complaints & Reviews

The Hospital Denied to take the cashless treatment in-spite of being in the network hospital list and after waiting for 2 months we have received the claim not even the half of the Insured amount.

Policy No. 431602/48/2021/5438

Claim Number : Claim Number : 431602/48/2022/00000166

I have written an email on 10th Aug asking for an explanation and still waiting for a response from your end asking why I have received less amount.

Hence I am requesting to the higher officials to take-up this case at the utmost priority and help me here and my family here.

I have received lass claim amount of about 20000 being doctor charges not payable do you think that doctor give me free treatment

Dear Team,
I am an employee of TCS. had raised a claim in March. The medi assist team keeps coming back to me asking for the same documents over and over again. All documents were attached to the original claim request.
I have been following this claim for several months now. They have also been sending emails intended for me to other peiople. One such email in the month of July intended for me, has been sent to some Ramya Natarajan.

Reference :TCS India Health Insurance Claim[protected]
Ticket no: [protected]

Please help expedite the reimbursement.
Thanks,
Shalini

Dear Team,
Please note the claim number with CCN 25149340 of Mr. Manohar Wadhwa is not resolved yet and its above 30 days an above the claim was given to Medi assist. Please be advise i am senior citizen age 75 years with suffering from Cancer Larynx i.e Throat Cancer and i need funds for my further treatment.
Kindly confirm when the claim will be resolved.

My claim no 23303342. I have received acknowledgement letter denoting Process for payment but still pending for very long time. Please take necessary steps on solving the problem.

I have submitted all the documents as they Requested 4-5 times. But every time they just send me an email as the documents are clear.
Even those are proper scanned documents. They are not scrutinizing the documents properly
I am continuously taking the Follow up with them but got no success. They just sent me an email as they would require some additional documents that too after 1.5 months from applying.
I am literally fed up now. No one from Medi Assit is helping.

Hi Team,

Please check the ticket number [protected]
and provide resolution as soon as possible as I am unable to raise hospitalization claim for newly born baby as in raise claim drop down name is not coming.

Also, raised concern on false and misguided claim or information from your on phone call attendees.

Iam reputed corporate employee, In a case of emergency, I hospitalized my wife for delivary in a private hospital in puducherry, I have insurance in mediassist india. They have deducted around 50% of total amount raised, says the reasons like proportionate deduction due to high room rent occcupancy even deducted on doctor consulation charges which is around 15000, My room rent for 2 days is 3900 and they allow me for twin sharing ac room....

Hi sir,
I have submitted a claim on 24 jun 21 ny giving all origithard copies to the help desk directly at bangalore. They have registered the claim on 28 jun and it was processed and showing payment under process from 19 jul 21..its been more than 17 days and claim was not settled.. When I cal to customer care, they are telling stories like we are escalating the issue.. Everytime same answer.. There is no other way to solve the...

My husband is expired on 17th May who was working with L&T. I have submitted all required documents with Media Assist insurance team, inspite of sending all additional documents over email this team is sending me mail to share hard copies. On top of my every mail, these guys are giving different reason. Although I sent reimbursement form and other hospital documents to given address, but these guys unnecessary mentioned documents are not shared. Still I am waiting for my expence amount.

Please provide the soltion for ticket no : [protected].

Its already completed almoast 1 month, but dint recieved any feedback.

They had asked for covid ward tariff details, when I had checked with hospital they said it was a delivery ward (gyno hospital), as per BBMP suggestion it was converted to covid ward and they don't have the tariff. They have shared the document for the same which I have submitted. Still they have cancelled the claim ....

I have initiated one claim from 11 th june. But still amount is not credited to my account. Almost 1.5 month is over. I dont know why they are taking this much time. Frequently i used to call and update through mail, but processing was too slow..
And also i have submitted all the original bills with all lab report, but they processed was incorrect amount without checking the docs.
So could you please do the needful

My cliam number :[protected]

Thanks and Regards,
RASHID
[protected]

I am Geeta Belladd also known as Geeta sangam wife of late shivanand I Sangam . My husband was a DM club member agent of lic of india in city branch 1 Hubli, Dharwad district.
In the year 2018 October premium for medical insurance was deducted from his commission. And this insurance was in force upto 2019 october . I regret to inform that he expired in September 19th 2019 . I submitted all the medical expenses to lic of india were he was serving . Medi assist lic
Mbuddy company recieved the documents on 31 October 2019 . Later in month of june 2020 they asked to submit death certificate, NOC legal heir certificate on rs 500 stamp paper and cheque cancelled leaf . I submitted all the documents to lic of india .and they sent to the medi assist. After repeatedly enquiry about the settlement through mail. They asked me to send the documents soft copy . I sent all, for every equiry they were asking for the same documents .
Now they say that they have recieved all the documents except NOC . How is this possible ? . They are asking to send once again the Noc on 500rs stamp paper. .purposely they are delaying and mentally harassing me . I need justice

Hi Sir,

I have send all the original Hard copies through courier to the particular address and continuously, i have done follow up regarding the status and today they are simply saying due to home quarantine your claim got rejected, it's not fair, moreover, it is not possible to admit all the covid patients in bed. If the insurance company is going to give nothing, then why they need all the original documents, it's waste of time and money.

Thanks

don't go with this insurance

Respected Sir/Madam,

Had taken Comprehensive Parental plan which should cover pre-existing and detailed expenses. However, they have reimbursed a very less amount and reduced the actual Claimed amount by hefty Rs. 58356. Claimed Amount was Rs. 149322/- and Reimbursed Amount is Rs. 90966/- only.
Also, they are not clarifying there Policy - Terms & Conditions.

Please find the details below and do the needful at the earliest. Thank you !!

Mediassist ID - [protected]
Policy No. - [protected]P[protected]_WT_BPS_Comp_Parent
Insurer Claim No. - [protected]C[protected]
Claim Bearning No.[protected]

Thanks & Regards,
Pankaj Bhilwar
[protected]@gmail.com

Dear Sushma,

How much time it will take, it's already 2 months approax, I have requested to return my original documents and that's also a month now.
Please send me back all ASAP.
Following up since June 05th and till now no resolution, it's really pathetic services.

Regards,
Viney Yadav
[protected].

Delay in insurance claim against claim ID[protected].

This is in regard to the Insurance Claim made on 03/06/2021.I had initiated the claim settlement and submitted the required documents on 03/06/2021.

I had submitted all the documents last month but still don’t see any response rather asking some more documents which I already submitted everything. Again they have come up with new story for a new document which I already submitted with them.

Hi All,

My Wife suffered a Eclampsia during her pregenancy on July 1st and was admitted for 2 days for observation on the doctor advice.

There was no cashless available although the hospital was part of Medi Assit network. I tried raising this to customer care and there was no help. They just dissconnect the calls telling speak to the hospital staff.

I agrred to pay the amount and then raise a reiumburse from SBI . Then have raised the claim and submitted all the necesary documents the portal and the customer care has aksed me to do. The originals also have been couriered to the address provided by the customer agent.

Today the status of the claim is "repudiated" and when asked for the reason, they say it is not part of the policy.

I have considered SBI ARogya keeping in mind the maternety expenses it is covering. Agent when taking the policy assured that all kinds of reason will be covered expect pre-exiting issues, which are none as on date.

I would Kindly request someone to help us get Justice here.

2 months completed still claim not settled urgent to settle the claim in urgency Please provide the reimbursement as soon as possible Policy details[protected]/00/00 Certificate no[protected]/00/00 Patients name s sanjay kumar Mobile no [protected] Please remuburs the payment

Regards Sanjay kumar