New India Assurance Complaints & Reviews

I have submitted bills for reimbursement but claim not yet received .
Also no communication received for discrepency generated .
CLAIM NO[protected]
Submitted bills on 08/04/22, no response till date .

Stricly annoyed from this company . Would like to change my insurance company

Sir/mam
I am AFLAH OA, from KERALA
I have paid for NEW INDIA CAR INSURANCE on 17 July 2022 . I choose third party insurance instead of comprehensive Rs 4031 .I want to cancel this insurance policy and refund my money .please cancel this insurance policy and inform me.

Dear sir,
This is pandi. I just given exam for New india assurance and haven't do any business with them. But my PAN is shows in IRDA portal. I request you to remove my PAN as soon as possible. I'm Facing problem in JOB.

Agency code : NIAAG00139935
PAN : EEHPP5957J

I hope you'll solve my problem.

Thanks
PANDI R...

1. Ref my PB Reference ID: 815354.

2. My case is under process since 26 Apr 28 wrt claim of insurance. My policy is from New India Insurance and the Insurance Surveyor is Mahendra Shah (MOB No - [protected]). The person has been negatively dealing with the entire issue. I have reported the same to Policy Bazaar customer care call on 3 May 22 (1 pm).

3. In first instance he did not include the entire damage to the vehicle. Thereafter he has been negotiating with the Mahindra Service Center since 26 April 22 without approval of the final amount. The car has been lying untouched in Service Center since 29 Apr 22.

4. Insurance Surveyor is Mahendra Shah has not been responding to messages and called he told that he is unavailable till Wednesday. Also he called me up and inquired as to why is he receiving calls and then demanded to listen to him uninterrupted.

5. This shows an absolute lack of professionalism and lack of consideration to a customer who has paid towards the insurance. You are requested to deal with both matter and person in professional manner.

Regards
Gaurav Kumar Singh

TO NEW INDIA ASSURANCE CO LTD.
I am Bharat Singh my Policy No. :-[protected], Claim No. :-[protected], Date of Loss :- 29/[protected], File No. :- 1382/2021, Vehicle No :- UK 05 C 8498.
I am waiting for Insurance claim last 1 year 3 month now my side all documentation process finished as per requirement of new India assurance com.
RC also transfer to Insurance Company office.
(ADMINISTRATIVE OFFICERTHE NEW INDIA ASSURANCE CO LTD
N-34, BOMBAY LIFE BLDG
CON. CIRCUS
NEW DELHI - 110001.)
from RTO office.

Their received my RC. 21 march 2022 (post receiving slip also attached) but I don't have any kind of information when I am receiving my claim amount.
So please try to resolve my problem soon as soon possible and give me a detail when I am getting my claim.
And why no one giving reply in my complaints.

I Am from CTS and applied claim and they are saying repudiated with ridiculous reasons

Pragnesh Shah
Attachments
6:17 PM (22 minutes ago)
to customercare.ho, dr.snehal.barot, crcmbaroda, jh.pandya, complaints

Dear Sir /Madam

With reference to above subject Query raised by Company of Diagnosis HYPERHOMOCYSTEINEMIA

For Genetic or normal We have enclosed documents as per list mentioned below.

1. Reply letter raised by SVP

2. Revised Medical Certificate – Dated 15/01/2022

3. Request letter dated 11 th Jan 2021

4. Medical Certificate dated 16th Nov 2021

5. Discharge Summry dated 28/10/2021

6. Summry of expenses after Discharge of Rs. 1.725/- bills already submitted

7. Summry of expenses from 26/10/2021 to 27/10/2021

8 . Letter to Raksha TPA

9. Letter to New India Assurance –Branch office

Recommendation for Repudiation for claim No. TP[protected] Ref No. [protected] dated 4/12/2021

Prposer’Name

Pragnesh Ajitbhai Shah

Policy Number

[protected]

Patient Name

Sejal Pragnesh Shah

Hospital Name

Diagnosis/Name

Policy Period

Age

Dev Office/Agent Code

Insurer

Claim Ref Number

Date of Admission

Sum Assured /Buffer

Claim

Gender

Relation with Insured

Corporate Name

Member ID Number

Date of Discharge

Claim Amt

Sardar Vallabhbhai Patel Institute

Hyperhomocysteinemia +Newly Detected Autoimmune Hasmimoto Thyroiditis

12- March – 2021 to 11-March-2022

44

D1210209

The New India Assurance Co. Ltd.

[protected]

26-Oct-2021

800000

Reimbursement

F

Wife

Individual

N[protected]

28-Oct-2021

Rs. 12, 747/-

Observations and Opinion (As per Submitted Documents)

Receipt of Claim Documents as per available details the patient was treated for HYPERHOMOCYSTEINEMIA and as per medical certificate patient was newly detected autoimmune hashimotothyroiditis with vit B12 deficiency from 26/10/2021 to 28/10/2021. As per diagnosis has a waiting period of 48 months which shall be applicable afresh. As per New India Floter Mediclaim Policy Clause No 3.14 g Genetic Diseases or disorders with a sub limit of 25 % of Sum Insured per policy period of 48 Months waiting periods.

Note : For the Voverages defined in 3.14 waiting periods, if any shall be applicable afresh i.e. for both New and Existing Policy Holders w.e.f. 1st October 2020 . Coverage for such illness or procedures shall only be availbale after completion of the said waiting periods.

Hence claim stand non payable. Hence Claim is recommended for reudiation and file for required action.

Opinion

As per opinion from side I am eligible for reimbursement of against my mediclaim policy and against this decease.

As per your opinion this claim will be reimbursment after completion of 48 months w.e.f. 1st Oct 2020 but there is no knowledge given neighther insurance company nor insurance agent /TPA

I was admitted in Hospital dated 26/10/2021 and Discharge dated 28/10/2021 and at that time I already inform Development officer Mr.D.M.Shah Agency Code – 210209. I paid Mediclaim policy from year 2002 to 2022 and I have Mediclaim Policy documents from year[protected] to[protected] so I am eligible for reimbursement of my Mediclaim. I already all supporting origional Documents to Insurance Company/TPA

Meaning of Mediclaim is reimbursment of medical treatment taken by patient. I have age of 44 and I have no pre decese and I never taken medicine against this decease . I was Discharge 28th Oc 2021 and till dated I have not receive my claim amt. Today in this critical situation if insurance company /TPA not paid then as patient /Relative face mentally depression and face financial problem. Client has taken mediclaime policy for financial support igiven by Insurance Company /TPTA against medical treatment taken from Hospital. Patient / Relatives never knowledge of medical /Doctor Language of decease. Hospital /Doctors /Laboratories taken primary treatment and then after different kinds of medical reports and charge huge amt to patient. When patient was admitted at that time mentally situation of patient and Relative was very bad.

There was no knowledge given of Rules and Regulations by Insurance Agent / Insurance Company/TPT/Hospital to Patient and this reason patient /Relative was suffer financial problem.

Insurance agent resposibility to help to client for remibursement of claim. There is very long procedure for reimbursement of mediclaim. I Request kindly reimburment of claim within 1 week from submission of documents to company so patient /relative not face financial problems

I have receive only mediclaim polices every year and no other docuemnts of TPA/ Deceases list from Insurance Company / Agent.

I have mentioned detail below of Family Floter mediclaim policies with name of Pragnesh Ajitbhai Shah / Sejal Pragnesh Shah /Jainam Pragnesh Shah from[protected] to[protected].

__________________________________________________________________________

Period Policy Number Premium Amt. Policy Amt.

[protected] [protected] [protected]

[protected] [protected] [protected]

[protected] [protected] [protected]

[protected] [protected] [protected]

[protected] [protected] [protected]

[protected] [protected] [protected]

[protected] [protected] [protected]

[protected] [protected] [protected]

[protected] [protected] [protected]

[protected] [protected] [protected]

__________________________________________________________________________

I humble request kindly reimburment my claim as early as possible.

Thanking You

--
PRAGNESH SHAH
A-9 NEW RAMJI PARK CO-OP HSC LTD
B/H : MANGLYA TOWER
BHATTA, PALDI, AHMEDABAD-380007
M - [protected]

At the time of discharge our claim of Rs. 2, 64, 230/-, was partly approved only for Rs. 1, 01, 760/- making a deduction of Rs. 1.63 lakh on filmsy and wrong grounds.

They were supposed to make a deduction of 25% of the room rent only which comes to 17, 500/- however they made exorbitant deduction.

The cause of her hospitalisation and illness was not HTN which has been shown as the reason of the deduction, which is absolutely false and only to cause harassment to us.
It has caused us lot of inconvenience and harassment at the hands of MD India.
Request you to address our grievance immediately and get our claim money reimbursed without any delay.

Sir/Madam

This is with reference to above mentioned claim details. I was hospitalized in BLK Hospital on[protected] in emergency after suffering a severe chest pain, Seeing my condition worsening Doctors rightly took a decision for angioplasty where they implanted 1 stent right away as blockage was almost 100 % ¸ as I still had some uncomfortable feeling doctor decided for another implant of stent where blockage was 80-90% as not doing so was risking my life, so another Angioplasty was done on[protected] which was necessary and unavoidable. After 2nd angioplasty I start feeling better and was discharge on 21.12.2021. I could have stayed for 1-2 more days at hospital. As I was feeling much better my family and myself took decision to go home where better care can be given as the cases of new covid variant Omnicorn was spreading I didn’t wanted to risk myself to expose in hospital with other attends.
The total bill amount came to be Rs 248941/-. However, the settled amount was on Rs 202303/-. The deduction amount comes out to be Rs 43375/-. I was surprised to look at such a huge amount of deduction which was done. I was further surprised to look that the reason for deduction was given " As per PPN Package for General Ward".

I am not able to understand why the claim was settled as per package for general ward. I am a loyal customer and have been paying my mediclaim premium for more than 10 years now and having National Mediclaim Plus policy for sum insured 8 lacs.
Even after taking a policy for sum insured 8 lacs, I have been paid as per package for general ward then why should one take policy for higher sum insured. Then, it is good to have policy with sum insured 3 or 4 lacs if everyone is treated the same.
You are requested to look into the case again and settle the difference amount which has been deducted, Rs 43375/-.
thanks
PARAM PAL SINGH SAHAI

Sir,
I had written a mail to MDIndia regarding approval to probable expenses of Rs 5.20 lakhs prior to operation of both knees on 19th October 2021.I had written many mails but no response from the New India assurance.However the replaced both knees of my wife in Mahajan Ortho and surgical Hospital, Nagpur.Now the bill is reduced &is finalized to Rs 3.50 Lakhs.My bill is reduced by 113000.I am unable to bear so much loss.My CCN is 6710013.Kindly approve the bill without deduction.
Sharad Ujjainkar, Ganesh Nagar, Dabaki road Akola

Respected sir
i have ford car which insurance is the new india assurance.co.ltd policy number -[protected] its for three year third party validity from 5april 2019to 4th april2022 but its not showin on any website its showing policy hasbeen expired on 4th april2020.i have renue my policy thats policy number is[protected] and ithis is not showing on any website. i am facing many problem my number is [protected], [protected] please resolve this as soon as possible.
i am sending you insurance details
regards with
taposh sarkar

My Policy Number :[protected]
Policy Period : 17-01-21 to 16-01-22
Name : Anil Kumar
Phone : [protected]

This is to inform you that, I came to know that my claim has been rejected by TPA by saying Fraud, Misrepresentation, Concealment. Even after waiting almost 6 months of processing time and investigation they says this. I want to know what fraud and misrepresentation were done by me or the hospital. I was admitted on the same date, and done the treatment somehow managed to survive from Covid 19. I was so sick and saturation decreased drastically and with the support of oxygen and proper medication I managed to come back to normal life. We as privileged customers normally think that my mediclaim company will support me when this kind of situation comes. That was the peak time when all over India suffered from covid spread especially Delhi NCR due to lack of oxygen. Everyone knows that. It was too difficult for me to get a hospital that time, and somehow we managed to get a hospital with O2 support through one of our sources. It was all happened and the treatment has been done, and now my insurance company says we have done Fraud and misrepresentation to get money from them????? Are they serious? I want this case to be reopened and re-investigated. Also This has to be taken legally now. Hospital is also with me on this. Even after 10 years of relationship and constant renewals my insurance TPA says I am involved in fraud activity to get my genuine claim done. I cab bring each and everyone who were involved with me at the time of my treatment. For me its personal now and this is mental harassment. This is absurd and totally illogical reason given just to reject my claim. There is no use of taking such policies without trust. Kindly Help me please to get my genuine cliam... please.

All required papers were submitted by me, my agent Mr.Vimal ([protected]) knows the same. I have even visited their NIA branch as well which is in Yusuf sarai. Whenever the query was raised it was cleared by submitting the relevant documents. TPA should have informed me before rejecting or not getting support from the hospital, also it should have mentioned non cooperation from the hospital end instead of saying Fraud and misrepresentation. Who are they to decide this? This is literally an unprofessional approach from a nationalized firm.

Anyway I am taking this up legally now, I want a clear explanation from them, also would request you to reconsider the case and do the investigation properly. If you need any kind of support documents from the hospital then let me know. If there is any discrepancy found by their investigation team then they should have informed me or the hospital via Email or through any other communication method. That is the proper protocol to be followed. They have taken more than enough time to get the investigation and process. I have all the mail trials with me where I have done the follow-ups and reminders.

Look forward to hearing from you as soon as possible.

I really want the legal authority to intervene on this case and please help me to get my genuine claim processed this time.

Thanks & Regards
Anil Kumar
+91 [protected]

Dear Sir/Madam,
My father Shivaji Vibhute was having PMSBY insurance of your company against account no- [protected]. unfortunately he was made an accident on 28/09/2020 after accident immediately we had shifted him to hospital wherein during treatment he died on 05/10/2020. all the documents along with FIR & PMR was submitted to your good office on 21/11/2020 through your sangli office. many a time i have enquire for my claim but after so many followups they told me that they required divisional officer letter a 10 days before, which is also i have submitted today.

honorable prime minster has launch this scheme to cover the common peoples & help them to survive after demise of head of family.

Till now its almost 1 years 2 months passed after submitting my claim but i haven't received my claim amount yet.

Please look into this & help me to get my claim amount at the earliest. if no response received from you also i will approached to prime minster office.

Regards,
Rahul Vibhute
Mob No - [protected]

Dear Sir/ Madam,

I am having health policy of New India Assurance Company with Policy No.[protected]. This policy is of Canara bank account holders group insurance policy. In the month of August, I have sent my all claim documents according to their document list mentioned on their official website with policy by DTDC courier, then also, they are demanding unnecessary documents.
For this purpose I have visited the New India Assurance Co. office many times, there Mr. Balraj Kota has tried everything by calling Vidal Health TPA, Bangalore. But No response is getting from the same. Also, I have Called 34 times to Vidal Health TPA, Bangalore, then also I am not getting any positive response from them. the Names are below to whom I called from Vidal Health TPA, Bangalore. Mr. Sagar Padwal, Mr. Kalpesh, Ms. Suvidha. etc. Kindly do the needful in this regard and acknowledge me regarding the same.

Following attached documents are sent to Vidal Health TPA, Bangalore through DTDC courier services.

Thanking you

Yours Faithfully,
Mr. Nagesh R. Tambake
Solapur.
Mo. No. [protected]

Claim registered and all documents submitted more than a months back. Requirement being triggered and are unnecessary. When called up the new India assurance office, officer named Mr Deepak states that how come your surgery is charged so much. I am a customer and not a doctor to say and understand the cost. All details of the bills are submitted and clear details are provided. This is unnecessary ways of troubling a customer. I am old and working hard. Dur to complaints had to undergo surgery it's was not timepass.
I need my claim processed and decided with all due amount being reimbursed else will have to go legal ways.

Policy details
CP-TMGHPL:
TPA GOOD HEALTH INSURANCE TPA Ref Claim#[protected] / Insurer Claim No# TP[protected] for the Policy no#[protected].

Regards
Mr Jayant Panchal
Unhappy customer

My claim no MDI6673468

I was trying to download my Two wheeler insurance policy document from the website, but after attempting many times to reach the website on "www.newindia.co.in" and "www.online.newindia.co.in" it always show "can't reach the website". Please fix this with your website, it always doesn't work when we are in hurry for something on the website....

[protected] policy no CAR NO HR35N 0599, SURVEYOUR DENY for claim, vehicle is moving out from harsh hyundai showroom rewari haryana
after registered claim after 5 days of wating, without any proof of deny claim they out car from workshop, and new India toll free said claim is open

I thinks 2 time for taking new zero depth insurance with hyundai assurance all are failed including area manager

Why we have to pay so high perimium for one time in 3 years, just 20000 rupees I repaired from after market

Worst experience with new india

Sir, m bharat lal vishnoi, my policy no is[protected], and its claim no is[protected]. My car got accident from back and got damages from back, front and its suspension . m not satisfied with complany settlement. pls see its as possible

Ref: Claim ID 3502906/1
Policy holder UHID No: NIAC.24105989
Policy No:[protected]
The policy holder had undergone a D&C procedure at KIMS Hospital, Trivandrum. She was admitted in the hospital on 26th September, 2021 for the same and discharged the next day after the procedure. Prior Intimation was sent to the TPA FHPL regarding this on 25th September, 2021. Claim intimation No. given was 399907. Under the terms of the policy D&C procedure was also covered for reimbursement. The D&C was necessary to check for abnormality as consecutive scans showed progressive thickening of endometrium. However the claim has now been rejected by FHPL on the grounds that there was no active line of treatment.
Kindly look into the matter and settle the claim at the earliest.