Medi Assist India — Reimbursement Claim no 22719647

Address:[email protected]

Dear Sir,

I am Chandan Thadani employee of reputed Bank.
I was hospitalised due to Covid 19 in the month of July.
As you would be aware due to Covid, beds are not available in majority of the hospitals, so luckily, I got admitted to Inlaks and Budhrani Hospital which was not in the list of cashless facilities by Medi assist.
I have submitted all the required bills and documents required to process the claim.
I have claimed amount of 46643/- but the claim is approved for amount of 20450/-.
If the same would have been cashless, I wouldn't have paid a penny because hospitals would have managed everything.
In Reimbursement process,
1. Pathology charges are not approved
2. Procedure charges are approved half
3. Medicines/Drugs are approved half
4. Ambulance charges are approved less then half.

I am doing follow ups for the reason why my claim is approved less with Medi assist team .I have received an explanation stating as per government norms and Covid policy, they have approved claim.

I have paid my hard earned money to the hospital and submitted all the bills required, so how can a reputed hospital can charge anything which cannot be paid by insurance companies.
If the same would have been cashless, insurance company would have paid whatever amount and bill submitted by hospitals and I wouldn't have paid a penny.

I request you to please look into the case and do the needful.

Thanks & Regards,
Chandan Thadani
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