Medi Assist India Complaints & Reviews

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

My claim Id 25119092 in which deductions has been made mentioning reason pre-post.But as per policy 1 month pre & 90 days post allowed then why deductions made for that period.
Why it has been categorised as maternity in general claim it would have been better then

Claim status for #24851518 is “processed ready for payment” for a month now and the settlement has not been done. After multiple follow ups via email and phone calls to customer care, I hear the same response that settlement would take 7 to 10 business days and the settlement is not made yet. Such a poor customer service by Medi Assist India.

Ref: Ticket number [protected] & [protected]

Sir,
I am Rohan Karhade
Working at CCCM Division MSEDCL Nagpur
CPF no 2569671
On dated 18/05/2021 & on 29/05/2021 I have admitted my Daughter Ku. Ahana Karhade Age 7 months at Aastha Childrens Hospital At RAMDASPETH Nagpur and she got discharged on 01.06.2021
I have already informed to you telephonically on 18/05/3021 & 29/05/2021 Also informed to you by email

Till now my daughter name is not added in the list of mediclaim.
On 05/06/2021 I have enrolled my daughter's name in the mediclaim till now her name is not showing in my benificery list.
For reimbursement process it is necessary to show name of my daughter in the Benificery list.

Till now no action has been taken from your side.
I have already submitted all the claim form along with all relevant documents.
Till now no response is received as well as nor updated my daughter's name.
It is once again requested to look into the matter.
Rohan Karhade
Dyee civil
Msedcl Nagpur Division
[protected]

Claim id 24746800
On 19th June status show processed ready for payment after that till now no change in status. I had mailed to medi assist but no response received...

Im a corporate policy holder and works with Credit Suisse India Pvt Ltd.
Emp id - 6574513

- 19thJune ’21 - I was hospitalized at Dr. LH Hiranandani Hospital, Powai for my Knee Ligament & Meniscal repair surgery.
- Pre authorized claim for amount 2Lakh was approved by Medi assist before admission.( refer attached )
- 21st June ’21 my discharge Summary was submitted to Medi assist with Gross amount of INR 578688 and net Bill INR 461041 after deducting hospital discount of INR 117647.
- Medi assist erroneously processed my claim on gross amount with incorrect hospital discounts ( refer attached document )
- As there is no mention of dedicated contact number anywhere specific to CS employees not even on signatures, after multiple rounds of calls I got the Contact of dedicated help line –[protected]
- I had to call them at least 15 times to brief them about as call was getting disconnected due to technical issue at their end
- After multiple round of calls I was told your case has been escalated and you shall get the response within 1 hour.
- No response was received and I struggled for 8 hours in pain and stress after surgery.
- At last I paid sum of INR 35142 post negotiation with the Doctor who treated me and later discharged on 21st June ’21 night @ 10pm after a long battle . The actual amount hospital was asking to pay INR 60, 000.
- Hospital Accounts department has already mentioned they will not entertain any refund queries once you get discharged and said to follow-up with Medi assist for reimbursement of amount I paid ( 35142 ).
- 22nd June ’21 I received a revised letter from Medi assist with correct bill amount and discounts.
- I have been following up with Medi assist since last 21st June and I’m yet to get a resolution.
- Medi assist has agreed it was an error from their end in claim processing and keep asking for more time on resolution.

I have raise for reumbursement to mediassist on june 1st regarding my husband's traetment and submitted all the documents with mediassist team. Every day i am calling them for ststus an they are telling me kyc pending and making me getting stress and i am bursting out with tears because of this issue.I have submitted kyc documents 10 times and stil. they are telling me that i have to submit documents for kycehat else i need to do for my claim...

In a case of emergency, I hospitalized my father in a private hospital in Hyderabad. I have insurance in mediassist india. They have deducted so much of amount nearly 50% and they mentioned reasons like hospital discount and excess room rent. Though I am eligible, even after writing and calling somany times to them, they are not responding at all. Kindly take action against this insurance people.Please do needful....

Hello Team,

I claimed for hospitalization for my spouse in April and once approved it was payment failed due to my bank account was changed then I updated my bank account again It was failed because they required cancelled cheque that also attached in after that 3rd time again it was failed on 22-Jun-2021 due to bank details.

After that i sent mail many times to mediassist regarding this issue haven't get any...

Since the last 1 month my COVID vaccination claim has not been paid. The customer service desk is utterly incapable. They respond with wrong claim reference, while ignoring the proper claim.

I really don't know if they are going to pay my claims. Iron is the status of the claim "Processing Payment". They have approved the same but not paying out.

I m working in cognizant. Employee id 626057.I have submitted claim[protected] for my baby on 28 April 2021. And status changed to ready for payment on may 4 but amount is not settled yet....

I was hospitalized due to covid and my insurance claim was repudiated saying wrong report format, Something is missing in the bill.
CLAIM NO: 24681588

and I had another claim, they didn't approve even 50% of the bill amount and even after 2 months its not even processed

Sir/madam

With reference to above, my claim Reference Number H[protected] has not been resolved. Kindly look into the matter at the earliest.

Thanks and regards....

Hi Team,

My wife got operated for cervical incompetence on June 7th 2021, submitted cash less claim from the hospital and Medi assist TPA asked for the query, upon submitting the required documents they rejected our claim telling surgery was not required. Again after few days we applied for Reimbursement Claim by submitting each and every document. Till date they have not settled our claim. Again they have come up with new story for a new document which i have already submitted with them. They are not even going through the document which we have sent. Blindly they are asking us the same document again and again. If you are not interested to settle our claim be specific I will take up the case with office and the IRDA .

Dear sir
Please fund transfer in my account for my claim
9 th aprail to till time Regular pending in process ready for payment
I Request you to please transffer amount this time is very critical I need money for very urjent please transffer my claim amount in my acount.
Claim no. 24040573

Policy no[protected]

Thanks and regards
Hritesh Kumar dhangar
Mob [protected]
[protected]