Medi Assist India — cashless claims for maternity

Address:	560076
Website:	www.mediassistindia.com

Hi,

My wife maid no [protected] went through lscs operation in st john’s hospital, bangalore between aug 15 – aug 24 for which a total amount of rs 75858/- was given by hospital. Mediassist has approved 50000 as a part of my cashless process.

Further i’ve received message also from mediassist saying "enhancement request of inr 75858 for cashless claim no. 15104197 is authorized for inr 10400. The total authorization as on date is inr 50000 for hospitalization between aug 15, 2017 and aug 24, 2017 at st johns medical college hospital, bengaluru".
During the final discharge the hospital asked me to get mail from mediassist saying – “50000 shall be paid to st john without any deduction and patient should pay only the difference amount”
I spoke to your customer care agent ashok on day of discharge aug 24, 2017 who spoke to the hospital insurance cell saying he would send an email regarding the same i should only pay the difference amount. But no one sent any email and later i’ve written many mails to mediassist, even called them (Honeywell number –[protected] and general toll free number[protected] many times but they don’t answer. My wife and new born baby were suffering sitting near verandah due to such false policies. I was having an hard time with the discharge with your so called cashless claim.

Summary of authorization :
Total estimate 75858
Initial authorization 39600
Enhanced amount authorized 10400

Total authorised 50000
I’ve the mail which says mediassist has approved total 50000 but hospital claims they will get only 39000. I’ve paid the rest amount from my pocket i. E 35163/- and 1320/-. Mediassist has deducted this amount from my sum insured. Instead of paying the difference amount of 7585 + 18273 = 25858/-, i ended up paying 36483/- to the hospital. Please refund the difference amount asap.

Thanks & regards,
Sumeet