National Insurance Company Complaints & Reviews

Claim No. HH[protected]
Name pushpavathi
Tpa: Herittage Health
Query 1 raised, which is written in prescption by doctor, no intimation for me
Query no 2 raised no intimation for me..
Every time I have to call n answer to queries
This time they are telling claim time over and closed themselves
I'm uploading supporting doc

I'm suffering from Multiple Sclerosis and I'm a staff of a public sector company - Bank of Baroda. I'm having a group health insurance of national insurance company and TPA is Medi Assist. In their policy my disease is included for 100% reimbursable whether it is Pre-hospitalization, hospitalization or Post-hospitalization. Even domiciliary hospitalisation is also 100% reimbursable. Last year my claim was paid by the insurance company but this year they rejected it by mentioning it as a day care treatment. I was going for OPD as a lot of blood tests and different types of tests were there included MRI. Then doctor advised to get admitted because they were going to start treatment with a new medication - Rituximab inj. as drip. And as it is a new medicine I should have been under observation. I was hospitalised for 25 hrs, which is clearly mentioned in the discharge summary. In their policy MS is clearly written in the list of diseases covered. Then why such type of contradiction like one year they will cover and the other they won't. Although in the renewed policy nothing has been modified. In my MRI report the disease is clearly mentioned as RRMS which stands for Relapsing-Remitting Multiple Sclerosis. My doctor in the admission form had written MS. For MRI test it was written MS - protocol. Only in discharge summary they didn't mention properly. They could have asked me for clarification. I could have got it rectified from the hospital. But they didn't raise any query. And they recommended for repudiation. I need my claim reimbursed as soon as possible. If any letter they need from the doctor or any other documents they require I'm ready to provide. My policy no is[protected] and my claim ID is 28592416.

Name : Shila Dutta
Policy no.[protected]
Membership ID M58113921PNBA
I am writing to you to request reconsideration of a domiciliary claim[protected] which has denied by NIC Ltd. on 04.02.2022 against my claim form DTD 10.01.2022, whereas the next claim[protected] settled on 30.05.2022.
Since 2012 I have been under close & regular supervision of attending Oncologist Dr.D.K.Sarkar. The medicines & pathological tests are mentioned in bills DTD 10.01.2022 which has been prescribed by Dr. D.K.Sarkar is necessary for my treatment to prevent recurrence of cancer again.
Based on the above facts, the treatment is medically necessary & would appreciate for reconsideration of my said Medical bill.
Thanking you,
Yours faithfully
Shila Dutta
Senior Manager
Punjab National Bank

I have not been receiving any response even after sending many reminders. Please find details

We would like to inform you that your Claim vide CCN NI[protected]Insurance Claim No.[protected] has been recommended for repudiation to the Insurance Company on 09/04/2022. Please contact Insurance Company office for further details.
Card Id :GINI[protected]
Policy No261400/50/20/10009647
Company :INDIVIDUAL
Insured Name :MADHUP MEHTA
Claim in respect of :YASH MEHTA
Relation :SON
Claim Control Number :NI[protected]
Claimed Amount :5499
Regards,
Genins India Insurance TPA Limited

As per the confirmation received from the bank, the transaction ID:[protected] has been credited to the merchant in the HDFC bank account on 15/11/2021.

HI,
I bought my bike on March 24 2021 and insured it with National Insurance company insurance policy(Vehicle.No. TS 04 FB 6516, Insured Name. Mr.Vanamoju Naveen Sathya, Policy.No.[protected]) .On February 20 2022 my bike met with an accident and made and insurance claim on 24 February 2022(Claim No.[protected] and submitted the required documents to the insurance company .On March 07 2022, My bike is fully repaired in Venkanna hero showroom, Ramachandrapuram and the surveyor had collected the bills from the service centre on that day or on the next day. Today it is May 3 2022, it's been almost 2 months since i submitted the repair bills and still i didn't got my claim money. I contacted the National insurance customer care and they are not giving any reason reason and saying to wait for more days. Without proper reason why should customer wait? Are insurance company is waiting for customer pay policy money without cancelling the policy after valid date.Then why should customer wait without proper reason ? National insurance should need to be responsive and give proper explanation.

We had submitted a claim with CCN no. 5340320 and 5340332 for a cancer patient. Our claim has been repudiated on 01 Feb 2022. However, even after one and half month, we have not received the original receipts that we had submitted for processing the claim. On enquiring with the TPA (Paramount health services), they directed us to contact NIC office at Gumti no. 5, Kanpur because they have sent the originals there. On visiting the Kanpur NIC office, they refuse to return the original. They seek a written clarification on why we need the original? The insurance company cannot hold on to original receipts which they are reimbursing and the cost is fully borne by the insured.

I have submitted hospitalisation claim on 16/9/2021 with Heritage Health Insurance TPA P Ltd. Query has been raised by them on 29/9/2021 and replied on 7/10/2021. Grievance registered with them on 16/2/2022. Till now claim is not settled and no communication in this regard.
Policy no:[protected]
Claim No: HH[protected]
Card No: HHS1.[protected]
Claim amount: Rs. 3, 22, 726/=
Please arrange to settle the claim at the earliest.
mob no: [protected]
email: v.[protected]@ymail.com

Respected Sir/ Ma'am,
I was renewing the insurance policy of my vehicle (Policy Number :[protected], but when i did the payment the money got deducted from my bank account but the policy didn't got renewed.
So, i request you to please look into this issue, and try to refund the money in the original payment method.
Transaction Reference No : WHD[protected]
UPI Ref. No.[protected]

Agent unique id NIC/AGT/10142020/005439 PAN NO. AJPPR8960E

My pan no. AJPPR8960E is registered national insurance company by only application form please deactivate my pan this company because my pan no is registered in turtlemint company. So my pan no deactivate national insurance company portal Agent unique id NIC/AGT/10142020/005439.

Dear sir,
My policy no[protected] claim has not been successful. It's been 5 months since my car accident, I didn't get my insurance claim amount . I have tried a lot to reach the nic officials on the phone but they don't pick my call. We have given all the documents they asked for.
I kindly request you to take necessary action.
yours faithfully.
pramod Singh

Ihave taken mrdiclaim from national insurance claim
after surgery i had claimed via reimbusrement
6 months have passed dey have paid 25 % of the claim amt
rest dey say det r checking

I Mukesh Mehta had claimed vide CCN no. 22786894 under policy no.[protected] of National Insurance Co. Ltd. National Mediclaim Policy. I have a policy of Rs. 5 lacs and submitted a claim of Rs. 192316/- on 16/09/2020. National has sanctioned only Rs. 94560/-.
The status on 24/11/2020 on their their Medibuddy website was showing approved amount as Rs. 159373/- but on final sanction they only sanctioned Rs. 94560/-
We had given many reminder mails for the complaint to be resolved but they replied us for the same as compliant status closed after almost 8-9 months.
I have already submitted a complaint in ombudsman. Received a mail on 10/08/2021 that the grievience has been closed saying that claim has been settled as per Maharashtra State Govt guidelines.
I have taken a policy that also with a sum insured of Rs. 5 lacs for no financial loss in an emergency, but the basic purpose of me taking the policy is not fulfilled, insurance company should pay the claim as per their policy terms and conditions and not maharashtra state govt rules, as we were not informed that claims will be paid according to maharashtra government rules.

Respected Ma'am/Sir,
With great regret I have to say that My Wife Rachita Mishra, Scooty UP-32-JU-5191, Receipt No. [protected] claim not settled from last 17 June 2021 (6 months). I am suffering badly, in trouble for being harassment by Mr. Phool Chand Branch Manager. Why is it so delayed? What is my fault? I purchased a policy from your company, Is this my biggest fault? Please resolve my issue as soon as possible.

Details & Attachments
Ms. Rachita Mishra
UP-32-JU-5191
Rupees 1612.00 Money
Receipt No. [protected]
Cetr.No. :[protected]

CLAIM SUBMITTED TO hitpa FOR RS 1, 32, 504/-( REIMBURSEMENT )
CASHLESS DENIED BY THE SAIVANI SUPER SPECIAITY HOSPITAL.
d.o.a 28/4/21 DOD 5/5/2021 .DURING II CARONA WAVE PERIOD.
DIAGNOSIS; ACUTE CHOLECYSTITIS
BUT CLAIM APPROVED
FOR RS 48, 179/- MY SB ACCOUNT CREDITED ON 13/8/2021 BY NEFT.,
Amount not paid rs 84, 325/-
1.. Details breakup o[censored]napproved amounts not given, in spite of requesting. They sent me claim processing
sheet which does not contain the details o[censored]napproved amounts.

With regard to the above subject, I am addressing the whole incident with respect to claim no. NI-3-80079. My wife Jaswinder kaur was admitted to Karla Hospital on dated 12.08.21 and discharged on dated 18.08.21, total claimed bill amount was Rs. 197153/- authorized amount was Rs. 152500/- and amount paid by the insured was Rs. 23065/-

Our TPA M/s Safeway insurance TPA pvt Ltd, deducted the following amount which is not acceptable to us, however the same is in line with the treatment. Duty doctor has already recommended the same.

Consultant Visit Rs. 3500/- Reason for deduction Ortho Consultation Irrelevant.
Investigation (Radio + Patho) Rs. 14170/- Reason for deduction Vitamin, CT Wrist Knee, Viral Marker, Glucometer, Thyroid, etc

I had submitted the case for refund of said amount to Safeway TPA along with relevant documents and doctors recommendation, but they refused the claim and only reimbursed the post discharge medical bills worth Rs, 9500 approx.

My only request is to please look into the matter personally and reimburse the amount of Rs. 17670/- immediately, as the same is relevant and in line with the treatment or else I will address the same to grievance.

Your prompt response would be highly appreciated.

I have filled a reimbursemnt claim of my father which is being closed by the insurance company giving the reason that hand written discharge summary is not accepted. And that medicine bills should carry gst on them. Where the hospital has issued us bills for medicines over mrp. I m myself a bank employee and i m facing many financial hardships as an amount of approx 259000 is stuck with company.kindly assist. My pf no is 80872,
Patients name is suresh chandra arora

Mohammed Malik,
Manager
Central Bank of India,
Noorkhan Bazar,
Hyderabad -500 024
Cell[protected]

To
Sri Tajender Mukharjee,
CMD
National Insurance Company,
Delhi
Email : tajinder.[protected]@nic.co.in ( MD and CEO National insurance Company )
bsrambabu.[protected]@gmail.com ( General secretary All India Bank Association )
Dear sir,

Reg:non response on my complaint Policy Number[protected] of Md Malik Emp 79206
Manager working in Central Bank of India

With reference to the above, I constrained to bring to your notice that your company employees showing negligence on corporate clients, they think the policy holders are taking free service from your company . In this regard the following incidents are noted and brought to your notice.

01 Policy number [protected]
02 Claim numb[protected]
Date 14/09/2021
03 name mohammed Malik
04 approved by Hitpa
05 DATE AND AMOUNT 29/09/2021 Rs 7207/-
06 my reminder to Bina.[protected]@nic.co.in
Yogita.[protected]@hitpa.co.in
Subratakmaji/ho/[protected]@nic

07 Remark Sent on 19/10/2021 No response on my mail
08 online greavance GRI[protected]
09 Date 23/10/2021
10 response Any online grievance will be settled within 10 days but, here third party has settled my claim HITPA but National insurance not been credit claim amount till date . Why this parity on settle claims
11 Account details Current account Number
[protected] IFSC CBIN 0282407
Cancelled cheque already submitted

Dear Sir,
I want to leave your company and have given letter for NOC before six months. But this is very strange that You did not pay attention towards my letter
Agency Code [protected]
Name Manoj Kumar Singh
Mobile No. [protected]