Medicare TPA Services Complaints & Reviews

Dear team,

I have submitted a claim for the policy # 4745882 which is held with sbi general insurance.

The claim was submitted and no update yet. It has been more than 45 days. The worst part is if we call the # [protected] or[protected], we are not able to speak to anyone. If that is the case why is the numbers available.

I agree someone calls me once a while after i try to call at least...

I try to avail cashless facility in network hospital. Medicare rejected due to below invalid reason, though i crossed my 2 years waiting period
Cashless can not be accorded, patient is requested to come for reimbursement for further consideration. Pfa for details. I tried to call my insurance (Royalsundaram), they asked to contact tpa help desk....

My uncle bought a medical insurance policy from sbi on 4.2.16 with cashless benefits. My uncle was hospitalised in samaritan clinics pvt ltd on 19.08.17. He is still in icu. At the time of admission tpa said he will get cashless but now saying cashless not permitted. Sbi is also not helping. Now we don't have enough money to pay hospital bills. Help...

51379770: this is for my policy number 51379770. My mother is hospitalised and we have submitted the bills and all required documents, initial approval also we have received. But now hospital is submitting the running bills and asking for the approval for more amount but there is no response. Because of this hospitals is asking the money from us again and again. I we have paid all premium on time and also initial approval is given then why...

I mr madhusudan h. Thakkar one of your valued customer would like to bring to your notice that the increase in premium amount seems to be a burden to us middle class people. Do see in to the matter and i would be glad if your company see through own point of view. For rs 100000 the company charging rs37000 seems to be a question of thought in regards to continuing the policy my policy no 170700/34/16/25/00000816 and mem no [protected]a...

Respected sir,
Sub : reimbursement of bills under hospitalisation scheme
Claim file no. 18rb03nat0273 with tpa vipul mediclaim pvt. Ltd
Policy no. 271005/48/16/[protected]
Insurer – ravindra chunilal kalal

1. I request reference to my claim with your tpa with references as captioned.in this connection i wish to submit as under:

2. Sir, inspite of lapse of two months i have not...

I am shyamali banerjee. I was admitted in ils, dumdum (1, khudiram
Bose sarani, beside nagerbazar ils flyover, kazipara, kolkata-700080)
On 29/8/2015. My operation has done on 30/8/2015. Submitted the claim
Form along with all documents on 7/9/2015 in 11 prafulla sarkar street
Office

Total expenses=rs. 58799/-
Received amount:
Through cashless package=rs. 37000/-
On 27/10/2015,...

Sir

with reference to the above i would like to say that i have submitted the medical claim form for my cataract surgery. it is since 2 months the documents has been submitted but nothing has been done.
some days back i got a call from kolkata office stating that the document is not original and they are not initiating the claim. they said that they have kept it pending.

kindly help us to get the claim...

Dear Ms.Bhawnaben Vyas,

Ref your trailing mail, it is really surprising that you quote the letters - two of 28.08.2015 for Cataract operations of Bhupendra Patel and third one dated 31.08.2010 for Lt. Knee Joint operation of Mrs. Urmila Patel, which have never been written to me by TPA - Raksha.

On the contrary, three vouchers / letters have been taken by me from Raksha's Site and have submitted to all concerned...

They are t.P.A. Of united india insurance, chennai for eastern region. I am a policy holder of their arogya raksha health insurance scheme (indian bank).
As interaction with the t.P.A. Is very important for the insured, medicare t.P.A. Are unreachable. Their website never opens. They have had a very poor reputation in the past.
United india insurance should give an option of more than one t.P.A. For a region....

I subhasish Banerjee vill;Ballavebati.po; munshirhat dist;Howrah, policy no;H043/[protected]/01, have admited west bank health and wellness institute, 120/1, andul road, Howrah711103 dated on 25/09/2014. I also have submitted claim form at LIC'S Domjur, howrah branch dated on 16/10/2014.But Ihave not received any information till now.It is injustice to me.If you kindly take the matter, I shall be highly obliged....

Ref: T[protected]/ Tarun Kumar Roy.

Sub: Complaint against partial refund of claim.

Dear Sir,
I am a policy holder of LICI Health Plus. I was admitted to the Appolo Hospitals,Greams Road , Chennai 600006, on 05/04/2012 & was discharged on 08/04/2012. I submitted all the documents on your office on 04/05/2012 for reimbursement of medical expenses.

I regret to inform you...

Kolkata, West Bengal.

Dear Sir,

The New Indian Insurance Company and its T.P.A. “Medicare “ T.P.A. service Ltd at Flat No. 10, Paul Mansions, 6B, Bishop Lefroy Road, Kolkata-70020 is harassing the customers. Its agents convince with many a ‘facilities’ of several kinds, particularly for the Old-aged people, who need it best. The papers and documents of huge nature or produced for obtaining signature...

I give below the abstract of correspondence with Sr. Manager of MEDICARE TPA SERVICES (I) PVT. LTD. CALCUTTA,which is self explanatory:


Re: denial letter of M Jasani‏
From: abhishek aditya (abhishek.[protected]@medicaretpa.co.in)
Sent: 17 February 2010 14:10PM
To: Mahendra Jasani ([protected]@hotmail.com); the new india assurance co.ltd. mumbai (bijay.[protected]@newindia.co.in); helpline medicate ([protected]@medicaretpa.co.in)br...

I attached below the letter from medicare, which is self explanatory.


Medicare tpa services (I) pvt. Ltd.



6, bishop lefroy road, kolkata 700 020

Ph: 40079999, [protected], [protected]

Fax:[protected],[protected]

E - mail: [protected]@medicaretpa.Co.In

Website:medicaretpa.com

 


Dated...