| Address: | Bangalore, Karnataka | | Website: | Mediassist |
My husband underwent treatment for lumbar spondylitis problem at ksac ayurveda hospital, koramangala, bangalore. I submitted all the relevant documents for reimbursement from mediassist for the amount 197, 019. But the claim was settled for only 84, 258 (Which included only inpatient charges, medicines and other miscellaneous charges). But the actual treatment charges are not reimbursed. I even submitted the papercutting of the government approval for ayurvedic treatment. Government already declared that ayurvedic treatment should be covered under health insurances. I submitted all the relevant documents still this claim is not processed fully.
I got that partial amount also after so much struggle, after numerous followups in december 2017. Claim is submitted in may 2017.
I already followed up for the remaining amount but they responded only 84258 is the final amount. I lost 112761/- in this claim. This is not at all acceptable and not serving the purpose of insurance policies. As per government when ayurveda treatment is covered under all health insurance policies why is mediassist not supporting this.
As per the comment from mediassist"expenses on abhyangam rs.14000/-, elakhizhi rs.19600/-, sarvangadhara rs.40000/-, mamsarohini rs.10000/-, navarakhizhi rs.10000/-, bone setting rs.9800/-, total of all these i. E rs. 103400/- which would fall under massage, dhara and alike procedures that are excluded from the scope of the policy are not payable"
The above procedures are the actual treatment which are suggested by that doctors. The above answer doesn't make sense that comes under massage.
Ayurvedic treatment itself is massage treatment and i am not convinced with the solution provided.
Please kindly look into this issue and help in getting the full amount reimbursed. I am ready to file complaint in consumer court if i am not getting justice. Was this information helpful? | 
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