Medi Assist India — Negligence and False Assurances in Claim Reimbursement by Medi Assist Insurance Ltd

Medi Assist India — Negligence and False Assurances in Claim Reimbursement by Medi Assist Insurance Ltd

M MitashaM from Bhilai, Chhattisgarh May 22, 2025 May 22, 2025 This thread was updated on May 22, 2025

I had submitted a claim for my mother's medical reimbursement on 9th January 2025 under the Medi Assist Insurance Ltd. policy. All necessary documents were provided at the time of submission. However, the claim was repeatedly rejected for various documentation reasons, despite my timely submission and clarifications. This constant back-and-forth has been extremely stressful and harassing. After multiple follow-ups, the claim was finally moved to "Processed" status on 18th March 2025, and I was informed that the reimbursement amount would be credited within 7–10 working days. Despite this assurance, the payment has still not been made. I have sent multiple emails and made regular follow-up calls, but each time I am told to wait for another 7–10 working days without any concrete update or resolution. In their most recent written communication, they assured me that the claim would be settled by 19th May 2025. However, when I followed up again on 21st May, I was told the same generic response—that it would take 7–10 more working days. This delay is unacceptable and reflects a serious lack of accountability and transparency on the part of Medi Assist. The claim has been in "processed" status for over two months, and yet the reimbursement is still pending. I am seeking immediate action to get the rightful reimbursement amount credited to my account without further delay. Was this information helpful? No (0) Yes (0)
Medi Assist India customer support has been notified about the posted complaint. May 22, 2025 Updated by MitashaM Date : 18 Mar 2025 10:06 To, Mitasha M, Amazon Development Centre (India) Pvt Ltd 10TH FLOOR, BRIGADE GATEWAY, WORLD TRADE, CENTER, NO.26/1, DR.RAJKUMAR, ROAD, MALLESWARAM(W), Bengaluru-560055 Dear Mitasha M, Your claim bearing No[protected] against policy issued by National Insurance Co. Ltd. has been processed for Rs 23904 against the amount claimed for Rs 28923 towards medical expenses incurred for treatment of Pilonidal sinus with abscess at RAMKRISHNA CARE HOSPITALS, Raipur for the period from 12 Aug 2024 to 14 Aug 2024. The details of the claim are as follows: Patient Details Patient Name Manapuram Laxmi Policy Holder Amazon Development Centre (India) Pvt Ltd Primary Beneficiary Mitasha M Medi Assist ID [protected] Policy No. [protected]_Par Relationship with Primary Beneficiary Mother Employee ID [protected] Procedure / Treatment Planned Incision & Drainage Insurer Claim No [protected] Insurer Member ID Summary of Approval Processed Amount (INR) 23904 Mode of Settlement NEFT Processed Date 18 Mar 2025 10:06 Account Holder Name Mitasha M Bank Name HDFC BANK Account Number 50*********786 Category-Wise Breakup Charge Type Bill Amount (INR) Payable Amount (INR) Non Pay Amount (INR) Reason for Non-Payment Investigation & Lab Charges 5077 4606 471, Investigation Reports Not Submitted; Pathology (HPE, Biopsy) NRQty: 1.00:-471.00 Pharmacy & Medicine Charges 1596 1266 330 BETADINE / HYDROGEN PEROXIDE/SPIRIT/ DISINFECTANTS ETC:-102.00, GAUZE:-228.00 Package 22250 22250 0 Total 28923 28122 801 (LESS)Copay 4218 Net amount recommended for payment 23904 Approval Remarks : You will receive the payment advice once the claim is settled by the National Insurance Co. Ltd.. We assure you the best of services, always.
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