Medsave Healthcare (TPA) Limited Complaints & Reviews

Sir,
I have submitted my health claim with m/s. Med save tpa limited at indore on dtd.04.05.2018 but i have not received my health claim amount. I have submitted all original documents to m/s med save tpa indore.
On enquiry with concerning tpa nothing proper response given to me even after request also made with insurer m/s. National insurance co. Ltd., indore till the date my health claim is not received by me. No response from tpa nor insurer. Please help me to obtain my health claim.
My policy no. Is[protected]
With regards
Kailash chanda vijayvargiya
Old court building shree malivas.
Ratlam m. P. 457001.
Mobile no [protected]

I kurelli venkatesh, applied for health card to me and my spouse namely p. Anuradha under telangana state advocates welfare trust but only one health card bearing no.[protected]z vide policy no. [protected]p[protected] for a period from 30/05/2018 to 29/05/2018 has been issued to me i. E., kurelli venkatesh age 55 yrs. So, kindly issue health card to my wife namely p. Anuradha.

My card no.[protected]
I underwent a stent operation from appolo hospital in chennai. I have submitted all the original bills to your company. It is very surprising that over the phone they said the amount is settled but to our surprise only the pharmacy bill was settled and the doctors fees is yet to be settled. I would request you to help us and settle the amount at an earlier date
Patient name r ramani
Member i'd[protected]a
Employee no 50579

Dear medsave team

Claim has been register on the 25 of the oct and it was approved on the 10/08/2017. We have called many time still settlement has not been done we had called to customer care people many times they informing that the claim will be settled in 1 weeks time. After one week iam call back to cc team they informed its still under process it will take 1 week for settlement.
We have been running around for 7 months for the claim was approved within same day claim documents send by mail.
We are chasing the amount as its reimbursement we have already paid the hospital.
We have also claim for post hospitalization medicine from the 1st claim and they have rejected it we have been told that if a patient is hospitalized and after that any medication will be reimbursed.

Below are the details of policy. Kindly check and do needful.

Name : sainath
Card no : [protected]z
Policy : [protected]p[protected]

Thanks regards
Sainath
[protected].

Hi,

I have applied for the reimbursement for my wife maternity bill. It is operation one so i can claim till 70k as per my company policy.

And i have submitted all the original bill for around 78k in that 10k bill is colour xerox which has been given my hospital since we have missed that original bill. And now the company is requested to provide original bill, and even i have travelled twice to my native and in hospital they informed that they wont be able again to provide the duplicate copy since we have already provided. Now i am in confusion so i requested the claim team to unclaim that 10k amount and provide the remaining amount, but they are telling the answer is not suitable and asking to provide that 10 k bill even i have requested to remove that 10 k bill and provide me the reamining claim of 60k.

They are looting the amount and i want correct solution why they cant provide those amount. Is there any way i can get my amount of all the other bills which i have submitted. Please help me on the same.

Dear team i will give you name cheaters
I submitted claim on 1st october till i am facing issue with this cheating company i submitted all documents with dr seal with signature my claim is 20000 something they approved 14000 something... It's shame very bad service and customer support is very worst very less cashless hospitals in this company... Whenever i call and write a mail you people il get a reply wait for 8 days i don't know their 8 days become how many days.. This company is making us pool... Very bad company i would like you all request please please don't make any business with this company they are not eligible for this... Big salute fir this company

I have submitted all the documents required to process my application. But later query has been raised from your side saying that 2 more documents has to be send. So i courrier the required documents on 16/11/2017. I also confirmed with your executive whether the documents are reached or not. They told me that they have received the documents. My application has not been not processed until now. Even my refund amount has not been initiated.

From last fifteen days we will try to call at customare care number but every time casset songs like all executive are busy pl call after some time, everytime is not busy? Then why you provide us such a number? This is very poor service from you. Secondly nobody answer for our mail. If not able to answer then give us his name who is answer for the same. Waiting for your reply.

Please be informed that we are very much un-satisfied with the services and reply which is given by your company pertaining to my claim settlement.

As per your records we have submitted our claim file on 27th june 2017, post till 01 month we haven't took any follow - up's as we were informed by our agent that the claim settlement will take around 45 business working days, in the month of july 2017 we had received a letter from med save stating that they would require ct scan supporting report.
During my mother's medical treatment we haven't gone under any ct scan then too we had visited our doctor and he had given a letter stating that it was not required in current medical treatment the same was submitted to the agent post we haven't took any follow-up keeping in mind that the agent is taking care of the same, later in the month of aug 2017 i started taking follow - up with the agent to which he replied that medi-claim company is not pacify with the document which we had produced hence the claim cannot be settled and i had given the helpdesk #[protected] to take further follow - up on my claim.

On 29th aug 2017 i had called on the said helpdesk # and discussed my issue with the executive ms. Priti at around 13:45 hrs ist on which i had clearly informed that the said claim file has been closed as they haven't got proper documentation after discussing she informed me that we need to produce the said report as i was having my earlier claim reports which was submitted to your company hence they have got the report and she informed me that she will re-open the claim file and it will take atleast 15 business working days to process the re-opened claim.

On 13th sept 2017 at 10:45 hrs ist discussed with ms. Priti and inquired on my claim status to which she informed me that as it's a re-open claim file so it will take some additional days to settle but she was unable to provide me the tat and told to call me next following week.

Again on 25th sept 2017 i had called to check on my claim status to which again she informed me that still it will take 01 more week and informed me to call next following week.

Post at 06th nov 2017 i had called so the executive informed me that the claim is under process it will take additional days so when i had asked what is the tat to close the re - open claim so they informed that they don't have any tat but it takes time and asked me to call on 08th nov 2017 as i was aware that will not get positive response hence i didn't called on 08th nov 2017 instead today 13th nov 2017 i had called and as expected i have received the same feedback that the claim is under process and asked me to call in the evening post 17:00 hrs ist.

Mean while i have sent a follow up mail but haven't received any proper reply.

Dear team,
In the month 3rd may 2017 i was submitted in a hospital for operating galbledder operation and discharge by 5th may 2017. After compliting 2 months i can not get settelment letter from medserve tpa. I was called kolkata branch for my settelment copy, one of your employee sumitra talk to me and said next week ur documets uploded but did not happen, i called him several time she said same things again and again. During this preiod she did not help me but she harazed me sevarel time. Today i called him up she said that its not uploded u can do one thing mail us.
This is joking to me or haresing me i dont undearstand. I want my settelment letter within 2 days otherwise i will do another step against this type of harasment.

I have taken mediclaim insurance thro united ins.co. I have been admitted in hospital global chennai on 29.3.2017. While hospital charges are paid by u as tpa. My claim in regard to pre and post opeative expenses submitted by me on 8.5.17 thro uiic pondicherry not yet been sanctioned. Sir u have asked for prescription for the test taken which were also submitted by me thro uiic regional office pondicherry on 10.7.17. I want know wheather my claim be entertained by u or not, to seek legal remedies.
Details:policy no:[protected]p11581035
Card no:[protected]a

Dear sir,
Your worst services has hamperedme a lot i havebeen discharged from hospital after lumber spine surgery with advance intimation in your tpa under cashless services but neither u peoples transferred money to hospital nor taken the proper feedback from hospital, your services are just a #.
Ms pooja your employee handlig it (Contact no:[protected]) even stopped recieving phone
I[censored] people are not capable to handle the services why u are taking money from us.

Date of Admission: 04/05/2017
MHCL ID Card No: [protected]F

This is to inform you that my father Sri. S. Subrahmanyam was hospitalized in M.S. Ramaiah Hospital Bangalore on 4th May 2017. For some trivial reasons Medsave disallowed the cashless facility. M.S. Ramaiah Hospital Bangalore has sent reimbursement claim about one and half months ago. Till date the claim has not been settled. Repeated follow up has not been of any use.

Please look into it and instruct Medsave to settle the claim soon.

Ref.
patient name - mr. Binod sarmah
policy no. - 200102/48/13/[protected]
card no. - [protected]a
Dear sir/madam,
with due respect i mina sarma w/o lt. Binod sarmah. I have the honored to request to reconsider my
Above referred claim.
that my husband lt. Binod sarmah who died in international hospital
Following rta and in connection the dispur police station also
Registered a case vide no. 2449/14 under section 279/338/304 (A) ipc
And after completing their investigation police charge sheeted the
Case to honorable court. Soon after the accident police arrived at the
Spot and also collected spot witness of the accident and also both
Court and police have provided us the required document which is
Government document also. the police authorities opine that the
Accident took place due to rush and negligence driving in the part of
Driver of the said involved vehicle. As a result my husband died.
so sir after going through the police document it is found to be
Prima fecie case of the motor accident.
that later after medical examination / post-mortem examination the
Findings as mention in your letter is observed but he was not
Suffering such type of disease before his death or during his survival
Period. Always attending his office regularly without any medical
Leave.
therefore i request you kindly to look into my claim once again.
kindly take your necessary action

Sub: Medi- Claim submitted in January 2017-Remarks raised in March
2017-Remarks attended and resubmitted on March 2017-No reply
Received from your end -Regarding.

Ref: File No.[protected]R2C7971
I, S.Ramasamy working as Assistant Engineer /TNEB .Due to chest pain, I was admitted in Vijaya Hospital, Vadapalani on 4.10.16 and stent was fixed on 5.10.16 then discharged on 10.10.16.
Total expenses incurred towards the medical treatment was Rs. 2, 18, 215/-. Rs.1, 71, 400/- was paid through the New Health Insurance Scheme 2012 and balance amount of Rs.46, 815-/- was paid by me.
Now I am claiming the balance amount of Rs.46, 815 / through med save health Insurance TPA Limited and submitted with necessary all valid documents in January 2017.
Stent was fixed in October 2016, but I am submitting the claim in January 2017, because the Doctor advised to take rest.
You have accepted it and replied that, the company wills action for processing. Again I was asked about the remarks attended in March 2017; the remarks were attended in March 2017 itself.
So far I have not received any reply from your side even after making several Phone call .While making phone call on 10.05.2017 the company told that the claim is rejected with the reference file no 20170128B016R2c7971 and transferred the file to United India Insurance Tarapore Tower Annasalai. While receiving the claim you have accept it and asked me to attend the remarks after three months. It will make unnecessary tension for me. I request you sir kindly issue necessary favorable order please to avoid unnecessary any further action of reporting to Ombudsman.
Thanking you sir,

Truly

Ms.Leena (cust care rep)who have not provide details about non network hospital properly to us. she simply given reply that "you can admit any hospital".After I remembered about my past conversation about the same matter I got full details. she hold the line and provided full details.It shows untrained customer care professional from medsave TPA.I was totally disappointed.
Regards
T Prakash

To,

Medsave Healthcare (TPA) Ltd.
B-805, 8th floor, Wall street 2, near Gujarat college, Ellis Bridge, Ahmedabad- 380006

Dear Sir,

I have taken Mediclaim policy called as Jyotirgamya Plus for my mother and father from GSC bank and Medsave Healthcare TPA limited name mentioned in card given to me.

We have done admission of my mother in hospital mentioned in their network hospital. During cashless process, they have rejected our claim saying that they cant give amount for Biological Therapy for cancer treatment saying that its precautionary treatment while doctor suggested us to give treatment for curing of cancer.

I tried to contact their Ahmedabad branch but they are saying we can not give amount for this treatment. Neither they told us in advance of purchasing this policy nor they are allow us for reimbursement for this claim. I told them to provide doctor letter saying that its necessary treatment for cancer but they are not ready to listen this. Initially, for same treatment National Insurance has approved our Cashless mediclaim.

Really dissatisfied by such behavior of company.

Mediclaim: we are having mediclaim policy since last 10 years

My card no [protected]a r s paharia
Policy no. [protected]p[protected]
For loosemotion treatment admited in mannulal hospital jabalpuro on 16 may 2016


Dear sir

Your claim has been registered ref number 20160517b006r2a685


Thanks
Urya
Complaint :united india insurance company ltd, jabalpur & tpa: medsave healthcare (Tpa) ltd, new delhi, india

Till now claim has been not settled and no intimation to us - this is big harassment to me.
When it will be settled must be inform to us immediately.