New India Assurance Complaints & Reviews

Respected Sir/Madam,

I Mrs. Meena Philip Rodrigues, policy No. 140500/34/10/11/00002040, submitted claim to MD India Health care services (TPA) Pvt. Ltd. on 27/04/2011. After some days I saw on the net the claim details shows that THE CLAIM IS REPUDIATE. After that we write a letter to MD INDIA for return the original papers of Sr. Divisional Manager’s Authority on 26/07/2011.

After seeing on the network the claim is again under process , we are waiting for decision , but again

THE CLAIM IS REPUDIATE , and after continuously follow up on telephonic as well as on net we have not received original papers uptill now, and also I am submit the letter to Divisional Manager .

Please look into the matter and try your level best. Sir if this type of matter happen what is customer do? Please tell solution



Thanks



Regards,
Meena Rodrigues

Respected Sir,
I Mohan Grover , Development Officer in New India Assurance Company Limited posted at Karnal Haryana. I have so many clients which insured their vehicles in Reliance Insurance last year. Now our company is renewing these policies but i want to know the status of NO CLAIM BONUS of these clients so that we may settle our pending claims. However i have mailed our message so many times but have received no reply. Sir, Kindly look into matter personaly. An early reply in this connection will be appreciated.

DETAILS OF THESE POLICIES ARE GIVEN BELOW:
Kindly intimate us the No Claim Bonus (NCB) status of the undernoted policies:

Name : RachnaChauhan Vehicle No. UP15AJ-9822 Engine No. : 1282701 Chasis No. 1325023

Policy No.[protected]

Name : Happy Chhabra S/O Jagtar Singh Chhabra Vehivle No. HR-05-X-1658 Engine No.3600035

Chasis No. 1285942 Policy No.[protected]

MOHAN GROVER
DEVELOPMENT OFFICER
THE NEW INDIA ASSURANCE COMPANY LIMITED,
KARNAL- HARYANA
MOBILE NO [protected]

From :
Jay Khodiyar Traders,
146, GUJARAT GINNING MILLS COMPOUND,
PREMDARWAJA, KALUPUR,
AHMEDABAD-380001.

POLICY NO. 21230011/09/11/00000439.

There was damage to stock of Rs.1,87,394/- lying in our godown due to heavy rain in Ahmedabad on 07/08/2010, the said claim is rejected by the company on the basis of improper reportng by the surveyor. The company has done the injustice to us. The matter needs a justice.

Thanking you,
Yours sincerly,

CHANDER V. CHAWLA
PROPRIETOR
MOB. NO.[protected]

I AM WORKING IN LIC AND HAVE A MASTERPOLICY IN THE NEW INDEIA ASSURANCE COM, LTD. I PAID THE PREMIUMS FOR ALL MY FOUR FAMILY MEMBERS THROUGH MY SALARY REGULARLY. I SUBMITTED A CLAIM LAST YEAR FOR MY WIFE `S SURGERY AND MEDICAL TREATMENT. I APPROCHED THE OFFICIALS FOR SEVERL TIMES, BUT THE CLAIM NOT SETTLED, WHEN I CHANLLENGED IN THE CONSMER FORUM. IN THE MEAN TIME ANOTHER CLAIM FOR MYSELF ALSO SUBMITTED IN MACRCH 2011. IT IS ALSO TOTALLY REPUDIATED. THE OFFICIALS ABUSED ME AND SAID THE AGREEMENT BETWEEN LIC AND GIC NOT FOR ME. MY PREMIUMS PAID TROUGH MY EMPLOYER. CONCERNED EMPLOYEE ASKED SOME BRIBE ALSO FOR THE CLAIM SETTLEMENT. WHEN I LODGED A COMPLAIN IN THE CONSUMER FORUM, I LOST MY HEALTH INSURACE POLICY.HOW IT POSSIBLE. PLEASE ENQUIRY IN THIS ASPECT.
THENKING YOU SIR,
B.VISWESWARA RAO,
CASHIER, LIC OF INDIA, BO (803)
DO BUILDING,
VISAKHAPATNAM
COMPLAINT AGAINST THE
DIVISINAL MANAGER,
AND MR. SIVAJI CONCERNED EMPLOYEE
THE NEW INDIA ASSURANCE COM LTD
OPP, POLLACKS SCHOOL
NEAR DIAMOND PARK,DWARAKANAGAR
VISAKHAPATNAM. OFFICE CODE 620000
CONTACT OFFICIALS,(62000)
MR.DS.SARMA, CRM (APPELLATE AUTHORITY & PUBLIC INFORMATION OFFICER)
ds.[protected]@newindia.co.in
DR.M.SANKAR, RM
shanker.[protected]@newindia.co.in
MR.S.K.BEHRA RM (GRIEVANCE CELL)
sk.[protected]@newindia.co.in
K.V PATHAK.(CHIEF VIGILANCE OFFICE)
kv.[protected]@newindia.co.in

RESPECTED SIR/MADAM
I HAD PURCHASED A MEDCLAIM FROM
NIA BUT TILL DATE NOT RECIEVED ID CARD NOR LIST OR KIT. CAN YOU GUIDE ME FORPROPER MEDICLAIM COMPANY .
I AM VERY UPSET THAT IF ASMALL ID CARD IS NOT FIXED IN TIME WHAT GAURANTEE DO WE HAVE THAT IT CAN GIVE YOUR CLAIM
ASMALL THING IS NOT DONE IN TIME

KINDLY GUIDE ME
THANK YOU

My Mediclaim Policy is Midiclaim Policy No 321600/34/10/11/00001084 from New India Assurance Company Limited. My wife (Her Card No is NA-MMPY[protected] was hospitalised for a opertaion from 11th Feb to 12th Feb 2011. Firstly TPA E-Meditek denied for cashless facility and adviced for submitting documents for reimbursement. After 7-8 days I had submitted all documents as per New India Assurance co regional Manager.

Meanwhile I wrote to IRDA also, but on 30 July 2011 I received letter from E Meditek that they had written various letters for some documents but I had not sent these required documents (while I have never received their letters for such documents)So, they are considering my claim as NO CLAIM.

Can I get support from this forum. I am surprised that such insurance companies are making fool to people and there is no any system in this country.

Regards
S K Dixit
[protected]

Dear Sir,


I (My son his name Mst Ayush) had treatment in network hospital but i have no get cashless facility. After that I had sent all original document to e-mediteck(TPA). But my claim reputed due to variation in ipd papers in discharge summery. After that I have written latter form hospital that there is no variation in ipd and discharge papers and send this letter to e-meditek. After 20 days[protected] I have received a call santosh singh Phone no ([protected]) from e-meditek that your calim again reputed due to same region. you can’t not get this claim. So you can ask New India Assurance Office. They will help you. I have attached letter from received hospital and claim reputed letter.

Ayush Card no is NA-MMPY[protected].



So kindly solve my problem.

My bike no. UA07S-2675 was stolen at Pune on 22-03-10. An FIR was lodged with police authorities, Pune.
Final Report of theft was received on 27-02-11. The motorbike was insured with NEW INDIA ASSURANCE CO. LTD B/o 321702 Subhash Road Dehradun under the policy no.[protected] with validity period[protected] to[protected].

The claim was lodged with insurance co. along with all the req. documents( Ins. pol.,R/C,D/L& Police Final Report on[protected]. One copy was personally delivered in insurance office and second copy was dispatched with Reg. AD.

Despite repeated telephonic reminders and personal visits, my claim has not been settled so far.Please arrange to settle my claim for Rs 40000 as per the policy valuation along with compensation of Rs 50000 for harassment and mental agony.

Therefore i request the consumer forum authorities to justifiably settle my claim.

i had preferred a bill amounting rs. 2000/ under the scheme of medical assurance for retired employees of life insurance corporation of India, in the month of April 2011 through my Divisional Office Jabalpur (the controlling authority). this has not been settled so far even after two months

Tef:MGRENMAYAPP00083 Dt.[protected] Inspite of my refusal to renew the Policy no.712500/00585/MGMAY11 they have renewed the Policy and you have debited my card account no.XXXXXXXXXXXXX4002. I request you to reverse the entry as I am not interested in the Policy and your Credit card . Kindly confirm the same urgently. Zahid Hussain Baji.

Dear Sir,

I have a Mediclaim policy of Rs- 3.00lac in my wife name with New India assurance co.ltd from year 2007. This Jan 2011 my wife is suffered from Pistula & we operate her.
Base on the my mediclaim terms I done all expenses but when I submitted all the claim i.e before 30 days then operation exp + after 30days which total come around Rs- 42000/- through my Medicaim agent.
Now Heritage is the third party of New india assurance co. called me & informed u will get only Rs- 20000/- as per new rule.( i.e PPN ). He informed that as per his company terms in pistula operation we will given only Rs- 20,000/- to patient not more.
I am suprise bcoz this is not mentioned in poilcy detail when i purchase & whatever exp. happen as per the policy terms & regulation.
Now I can't understand what to do?

Pls help me to sort out bcoz now I don't trust in New india assurance co.ltd.

Regards,
Sagar Hadaye
[protected]

Yusuf Anwar Khan
Mob -[protected]
To,
The Complaint Office,
Ombusband,
Mumbai.

Subject: New India decline to issue a endorsement policy copy of long
Term Act only policy No.[protected] Date[protected]

Sir,
I have recently taken a second hand Enfield Bullet from Mr. Milind, Vehical Enfield Bullet (Vehicle No MH-04-AF-9543) after making the full payment I got the R.C. name transferred in my name. Thereafter as the vehicle was already having a long term Act Policy. I approached New India Assurance Company Chembur Branch for an endorsement for change in name & requested them to issue a fresh copy with my name init. I agreed to pay the charges if any required for the same . But I was not given proper reply a number of time & after several visits I was told by Mrs. Bhagyashree Madam that I cannot get a endorsement copy of change of name of existing policy. But I have to take a fresh policy instead. Simply because the computer system does not have the facility to issue such Long Term Act Policy any longer.

I request you to look into matter and help me to resolve the matter.

Hope you will do the needful.

Thanking You,

Yours faithfully


Yusuf Anwar Khan

Enclosed: 1) Policy Copy
2) R.C. Book

i had applied for a claim to the company for my ear operation which is in the limit of the claim amt,,,,,, but the company is deniying to pay the full amt to us as they are only paying the minimum amount of operation but we have presented them the full bill and paper work of operation done... this clause is no where mention in the policy that they will only pay back the minimum amt.... i have been writing them letters for claim amt but they are constantly denying to pay...
sir/mam i want u to take strict action against the co. so that no one else is harresed by them n ask them to pay the full amt of claim...
km chitlangia
[protected]

I am covered by a group health insurance scheme of M/s New India Assurance Co. Ltd., Chennai. Now I am suffering from Kidney failure and need to undergo Dialysis thrice every week since Feb. 09. I have been submitting hospital bills on a monthly basis and the insurance Co. have been reimbursing the amount spent. They deducted Rs. 12, 915/- from my claim for the month of July, ’10, on the grounds that some hospital bills supporting my claim did not provide details of material used for dialysis. I replied, stating firstly that they have been settling all my claims both previous to and subsequent to the claim for the month of July, ’10 where some supporting hospital bills may not give details of material used for dialysis but there was never any objection. If details of material used are necessary, then why did they not ask for these when settling my other claims? If these details are not required then why are they asking for them to settle this claim? Secondly, the 14 hospital bills for dialysis during July ’10, can be divided into two categories. Those where the total amount charged is Rs. 2,604/- and those where the total amount charged is Rs. 1412/-. One bill, totaling Rs. 2604/- has details of material used. Similarly, one bill totaling Rs. 1412/- has details. It is obvious that all other bills wherein the treating hospital is the same, patient is the same, the month when procedure was performed is the same, the process is the same & totals are the same, the material used will also be the same. So, details of material used for dialysis already with them, for all bills and thirdly, the treatment to be given and the material to be used for such treatment is entirely at the discretion of the treating doctors/hospital and any alteration there does not alter the liability of the health insurance Co. This was pointed out to them.
However, the insurance TPA refuse to pay the deducted amount.

VORA DIXIT RAMNIKLAL
302,JURA PALACE,NANA SHANKAR SETH
CHOWK LIBERTY GARDEN, ROAD N-3
MALAD (W) MUMBAI-400064
CELL NO-[protected] / [protected]
DATE- 21/01/2011
TO,
THE NEW INDIA ASSURANCE COMPANY LIMITED
MUMBAI

SUBJECT- COMPLENT OF MD INDIA HEALTHCARE
SERVICES (TPA) PVT LTD.

SIR,
WE GET MEDICLAIM BY YOUR COMPANY WITH THE POLICY NUMBER- 140600/34/09/11/00008597FOR MY DOUGHTER PRIYANSHI DIXIT VORA .
HEAR WE NEED TO INFORM YOU THAT WE CLAME FOR MEDICLAIM TO MDINDIA AND CLAMING AMOUNT IS RS 19633/- WHILE THE CLAIM IS CLEAR ONLY OF RS 12415/-. SO THE AMOUNT OF DIDUCTION IS MADE OF RS 7218/- . SCINCE LAST SOME YEAR WE ARE WITH YOUR COMPANY WITH SATISFACTERY WORK . SO WE HEAR REQUESTED YOU SETTLED OUR ALL AMOUNT WHICH WE ARE CLAIMED, OR WE CAN CHANGE THE COMPANY FOR THESE PURPOSE.
ALL THE ORIGNAL PAPERS REQUIRE FOR MEDICLAIM IS SENT TO MDINDIA SO YOU ARE REQUESTED TO CHECK THE PAPERS FROM THERE.
WE HOPE HEAR TO DO OUR WORK AS EARLY AS POSSIBLE .

THANK YOU,


DIXIT R VORA

ENCI-
MDINDIA CLAIM PAYMENT STATEMENT IS ATTACHED HEAR

I have recently operation of the CA Lungs. but Health TPA is not claim the my medical . i am senior citizen person my Age is Approx 72 years .
My request to you clear the my mediclaim & sanction the my amt to in your The New India Assurance Co. Ltd. at ahmedabad , 1 st Floor , Neptune House , Mithakali Six Road , Ahmedabad.
My Contact No.
Mayur Shah
[protected]@yahoo.co.in
Mo. [protected]

My husband undergone ayurvedic treatment at Sanjeevanam hospital at Chennai for his frozen shoulders.We applied for the mediclaim at new india assurance co in the month of February 2010. Till today (14.11.10 i.e after 9 months of our application) our claim has not been settled. whenever we approach the insuance co, they ask something like letter from the doctor in his letter head, doctors' registration certificate & the hospital's registration certificate etc. Now they are telling, since the hospital is not registered under Form C the claim cannot be settled. Since Sanjeevanam hospital, chennai has less than 20 beds (which is required for registration as hospital under form C), they did not get registered under Form C. However it was registered under shop act. However the same insurance company has settled a patient's claim who had undergone treatment in a private hospital which was not registered under form C (this information we got from our agent). On enquiring about this, the ins. co is telling it had happened in Bhopal. And they ask us to bring a letter from the Municipal corporation of Chennai about the Form C issuance. I would like to know the following:
1. Why it took New india assurance.co. these many months (9 long months)to ask for such a detail like Form C?
2. When this insurance co. is a govt. (or semi govt) organisation and its rules should be same throughout India whereever the insured gets treatment. Is it OK if the claim settled in one state, and rejected in another for the same reason?
3. Whether we will get our claim settled?
4. Is it OK to keep the patient's claim unsettled and keeping him in dark for these many months?
5. Kindly advice & help me in getting this claim.
Thanks,
G.Vijayalakshmi.

Full Name: Bhavin Natubhai Patel Mediclaim Policy Number: 210600/34/09/11/00010687 Family Id: 33357EM Claim Number: NA-A61846-D6AH-72979

Respected Sir,

I am a mediclaim policy holder with The New India Assurance Co.Ltd. Since last three years with above Policy Number.
Case History:

On date 09/04/2010 I got a left side region pain below stomach in my body and I was consult to Devasya hospital. Dr.Dinesh tries to found my disease with X ray and Sonography Reports and detects a stone problem. He had advised me for operation to remove stone. I had admitted at Hospital from 10/04/2010 to 13/04/2010.

I was hospitalized for treatment of LT Ureteric Calculus at Devasya Multi Speciality Hospital, New Wadaj road, Ahmedabad. My treating hospital send a pre Authorized claim form for cashless claim to The Health India TPA Services Ltd,Ahmedabad on 12/04/2010, that time they made a human error in the form regarding LT Ureteric Calculus region pain. They had mentioned in form that left region pain was since 3 to 4 years instead of 3 to 4 days.
In reply of above pre authorized form Health India denied my claim with above reason. In connection to above query my treating Doctor submitted relevant letter on 12/04/2010 to Health India TPA Ahmedabad and he had clearly mentioned that it was Human error by him.
Actually Pain was from 3 to 4 days only.
So kindly request to you that please consider the above genuine request for passing the Claim.

Dear Sir,
I have claimed in MD INDIA for my medical expenses but I received very few amount cheque which is not acceptable by me. The recent letter which I wrote to MD India is below you will understand the whole matter.
Kindly go through the letter.

Regards,
Madanlal Jain


From,
Madanlal M. Jain
Mulund (W)
Mumbai – 400 080
Date: 04/08/2010

To,
MD India

Ref : Policy No.140600/34/09/11/00009907
CCN No.MDI0686796; MDI ID No. : MDI5-[protected]
Sub : Non Acceptance of claim cheque.

Dear Sir,
With reference to above please note that I hereby returned you the claim cheque amounted Rs.1,14,638/- dated 28/06/2010 cheque No.001582 . Also I request you to go through following points:-
1. I have mediclaim since more than 15years.
2. This is my first claim.
3. My Sum Insured is Rs.1,50,000/-
Cumulative Bonus is Rs.75, 000/- 50% (check with NIA)
Total Rs.2, 25,000/-
4. Also note that I have sent all the policy copy to you with this claim.
5. Total Sum Insured Rs.2,25,000/-
Hiranandani Hospital Cashless Rs.13, 685/-
Now eligible amount is RS. 2, 11,315/-
6. As per NIA mediclaim policy I am eligible for the package and all relevant medical expenses on the criteria of 1% of Sum assured. My 1% of Sum Insured is Rs.1500/-(Please check my policy is for Rs.1,50,000/-)
7. You had calculated all the expenses @ Rs.1000/- which means you have given 50% less amount than my eligible amount.
8. Now I request you to go through all the bills once again.
9. Total balance Sum Insured amount is Rs.2,11,315/-
10. I have received your cheque for Rs.1,14,638/- (which I hereby returned you back)



Total Bill Submitted
Claim Amt Eligible Amt

• Cardio Vascular surgery Rs.2,49,000/- Rs.1,45,200/-
• Bed Charges RS.3900/- Rs.1,500/-
• Lab Medicine Rs.13,565/- Rs.5,426/-
• Material Management Dept Rs.74,379=70/- Rs.29,751/-
• Miscellaneous in Hospital Bill RS.1,523/-____ Rs.1,523/-
TOTAL Hospital Bill Rs.3, 42,367=70/- Rs.1, 83,400/-

• Pre Hospitalisation Doctor Charges Rs.2050/- Rs.2050/-
• Pre Hospitalisation Doctor Charges Rs.250/- Rs.250/-
• Pre Hospitalisation Investigation Rs.15,500/- Rs.15,500/-

• Post Hospitalisation Rs.740/- Rs.740/-
• Post Hospitalisation Medicine Rs.1258/- Rs.1258/-
• Post Hospitalisation Medicine Rs.1771=25/- Rs.1771=25/-
• Post Hospitalisation Medicine Rs.133=40/-____ Rs.133=40/-____
TOTAL Claim Amount RS.3, 64,070=35/- Rs.2, 05,102=65/-

Now once again I request you to go through all the papers and please send fresh cheque with my eligible amount.

Encl: As above


Thanking You,
Yours Faithfully,



(Madanlal Jain)

Note:-
1. If Rs.1700/- per day bypass package cost is Rs.1,65,000/-
2. Our Eligible amount Rs.1500/- per day allowed is Rs.1,45,200/-
(Hospital Tariff attached herewith.)

HELLO SIR,
I MINAL N KIRI HAD REMINDED IN HEALTH INDIA FOR MANY A TIMES BUT THERE IS NO RESPONSE FROM THEIR SIDE. I HAD A GENUINE CLAIM FOR RS.18,150/- WHICH IS THE NURSING EXPENSES OF RS.9,900/-& RS.8,250/-RESPECTIVELY. I HAVE ALRAEDY SUBMITTED REMINDER LETTERS TO THEM.
IT IS SUCH THAT MY HUSBAND WAS ADMITTED IN HOSPITAL FOR A VERY SERIOUS CASE. AT THE VERY LAST MOMENT WHEN DOCTOR DECLARED HIS LAST STAGE WE DECIDED TO SHIFT HIM TO OUR HOUSE.
HERE, KINDLY NOTE THAT MY HOUSE AND HOSPITAL IS IN THE SAME BLDG. SO WE SHIFTED HIM TO OUR HOUSE AND CONTINUED REPUTREATMENT ON HIM BY PROVIDING NURSES AND ALL OTHER MEDICAL FACILITIES TO HIM.
SINCE HE WAS IN THE LAST STAGE WE WANT OUR FAMILY MEMBER i.e. MY HUSBAND TO BE IN FRONT OF ALL OF OUR EYES. SIMILARY, WE ALSO THOUGHT OF SAVING THE AMOUNT OF YOURS AS WELL AS OURS, THUS THE CHARGES AS PER RULES IS OK, BUT I THINK THAT YOU SHOULD RECHECK MY FILE AND I AM SURE THAT AS PER YOUR POLICY TERMS & CONDITIONS THE NURSING CHARGES AND DOCTORS BILL IS PAYABLE .
DETAILS :-
1. CLAIM NO.NA-M-45959-D1GH-5836Ext-1
2. Policy No. : 140600/34/08/11/00009180
3. HI ID NO. : 305006EM
HOPING A GENUINE RESULT FROM YOUR SIDE.