[Resolved]  Medi Assist India — reimbursement issue-refund my money

Address:Bangalore, Karnataka, 560017
Website:www.mediassistindia.com

Hello team,

This is second time when mediassist just giving non-sense reason to decline the claim & they are just asking non - relevant document which was no where mentioned in medi assist portal or any t&c. Please find the details below:

Mtp done on request from doctor for some internal issue. & doctor has given medicine & told that this will help to recover. Please note that no hospitalization was required.
After 2 months again irregular bleeding & back pain, fever started and doctor suggested to hospitalize for d&c. It was done successfully & aal required documents for d&c i have received from hospital & same is submitted to mediassist.

Now when mediassist found all required document for d&c, they are asking for discharge summary for mtp, how i will get if patient is not admitted.

This is worst insurance provider, i am going to escalate to company hr as well.
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Aug 31, 2017
Complaint marked as Resolved 
Mediassist approved the claim
Medi Assist India customer support has been notified about the posted complaint.
Complaint comments 

Comments

Hi Team,

I want to edit my enrolled family members details like DOB..

i don't find option to edit the enrolled members DOB..

i sent couple of mails as well, how to update DOB of enrolled members.. NO response still date.. highly disappointed..

Please assist on the same..

Thanks.
We had a corporate tie up with mediassist. I have met an accident on 08th of Feb 2018 on my way going of regional office Ranch with the road divider in way of protectig a cow. Since after the accident I was unconsious and was referred to santae vita hospital ranchi. In the emergency there was a visiting doctor available at that time. He has written the details of the injury and for remedy he asked for surgery. My family decided to get operated at Patna. In A clinic with no cashless facility I got operated and a plate was fixed in my collar bone. I have sent all the X-rays, bills, all diagnosis reports on 13th of March and 25th of March then they asked for five more thing a FIR/ mlc, I am really confused against whom I have done FIR. Then they ask for a certificate from the first treating doctor that I was not under the influence of any intoxicating substance, since I was on duty at that time and after the accident I was not in conscious mind I did not ask at that time but afterward when I visited the hospital the doctor was from outside, so I am not able to meet and hospital is also not responding. What to do? Now third document ask is brief description on how the patients has sustain the injury, time and place for which I have already submitted the prescription of Santee vitae. Now the fourth paper is IC P I have sent all the case paper provided by the hospital but still they are saying insufficient without naming the paper. I don't know for passing of a mediclaim either one has to be from a medical line or should be an experience person who have all the knowedge of everything, because for a simple serviceman like me it's really hard to arrange the paper because in emergency only the cure is seen not the paper. My claim no. is 16545482.
Hi team,
Mediassist is asking for final bill when my wife was in ICU.. how can you ask for final bill and discharge summary when patient is in ICU after all my wife shifted to room and next day got discharged. We sent all the required documents. Mediassist dined the claim.

One of the worst experience and one of the worst company.
I. Will suggest not to go will this company.

Riyaz Malik
[protected]

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