Medi Assist — mediassist insurance company rejected my claim for unconditional reasons

Address:	560073
Website:	m.medibuddy.in/Contactus.aspx

Dear team,

I am anil kumar vc and claim id 17703823 submitted through mediassist india pvt limited company which i acquired through corporate company.

I have been diagnosed with eye problem and doctor advised me for an ayurvedic treatment for 15 days. I initially contacted mediassist and they told ayurveda treatment will be covered under insurance. Since the hospital which i took the treatment does not provide cashless facility, i opted for reimbursement. I stay in bangalore and the hospital where the treatment is provided is in kerala. I went to kerala and got hospitalized on 27th july 2018 and got discharged on 10th aug 2018. I had to pay a bill of 42, 275 rupees.

When i returned to bangalore, i submitted my original medical bills and reports. I tracked the claim id through medibuddy and found the claim got rejected mentioning advice require from insurer. I connected with mediassist team and i was shocked to hear that my treatment was a day care treatment and does not require hospitalization. I spoke to the mediassist team supervisor roshna and explained my concerns who offered a call back within 24 hours after getting connected with the concerned team. Roshna did not even mention who would be concerned team and also the department name who she contacts when i asked for (I don’t know why so much to hide). It’s been 5 days now and nobody from mediassist called me. I called the mediassist toll free number[protected] multiple time but in vain. The toll free number is pathethic. It hardly gets connected.

The doctors strictly advised that i should be hospitalized since complete rest to be taken and shouldn’t go outside and avoid dust and sunlight while undergoing treatment. Paying so much of hard earned preminum amount to the insurance company and when there is no benefit does not make any sense. My family is insured with the same insurance company and how do i trust this insurance company. I need to get this sorted out. Please let me know if any details required

Claim id 17703823
Insurer claim no :[protected]c[protected]

Insurer member id :[protected]p[protected]

Regards,
Anil