New India Assurance Complaints & Reviews

My sister is having a mediclaim policy from the New India Assurance Co.Ltd., Baroda in the name of her husband Mr.Pradeep Kulkarni. Her father-in-law underwent a surgery firslty at Bombay Hospital for removal of gall stone and secondly for cervical stenosis at Lilawati Hospital. But, the time the TPA of the insurance co.,MDIndia have denied the payment for these two claim saying that these surgeries come under exclusion of mediclaim policy. I made pillar to post to get justice for my sister, but all my efforts went in vain. You are reuested to kindly send me your email ID so that I may be able to sent you all the letter sent by sister to various grievance cells of the concerned insurance co. and the TPA.

Arvindlal R Modi
274, Ashirwad villa,
New city light road,
Bharthana, Surat.
Date: 5/12/09
Mob:[protected].
To,
Chief Manager,
Grievance Dept, Head Office,
The New India Assurance Co.Ltd.
Mumbai.

Sub: Claim of Personal Accidental policy No.230700/42/06/01/00003371.
(Insured’s Name : Rakesh Arvindlal Modi.)
Dear sir,
I, Arvindlal R. Modi , am Father of Rakesh A. Modi and assignee of personal Accident policy
No. 230700/42/06/01/00003371. My son, Rakesh A Modi, died on 17/03/09. The reason of the death was serious head (brain) injury occurred in Road traffic accident (RTA) at Udhana Magdalla Road.

I presented all necessary documents in time and many times I and my family members have visited your office but we were denied for the claim amount and mentally harassed.
I was the only assignee of above policy in spite of that I was asked to present the succession certificate from civil court.
I am 62 yr old senior citizen and suffering from diabetes and hypertension though I was mentally harassed for the claimed amount by the officers in your office. With hard efforts at last after about 8 months I got the cheque of rupees 6, 25,000/- on 18/11/09.
Uptil now I have spent following money to get the cheque, I claim reimbursment for that expense.

Rs. 7000/- Expense of court fee stamps to get succession certificate.(bill enclosed)
Rs. 8000/- Advocate fees. (Mr. Ashok Ghantiwala)(bill enclosed)
Rs. 8000/- Civil court Expense for Advertisement in Gujarat Mitra News Paper (4/7/09.)
(bill enclosed)
Rs. 50000/- Lump sum interest of Rs 6, 25,000/- as the delay of issuing cheque.
Rs. 50000/- for the mental harassment I went through.
[protected]----
Rs.1, 23,000/- Total

If you don’t agree to pay me above mentioned expense, I shall have to take shelter of Honourable COURT OF LAW.

Yours sincerely,
Arvindlal R. Modi

Copy To,
1. Regional Manager , regional office, New India Assurance Co.Ltd. Tirupati Plaza, Athawagate.Surat.
2.India Consumer complaints forum

Dear Sir,
With due respect I beg to state that I, Ashok Kumar Rajoriya have one car model “Maruti Suzuki Alto LXI”, purchased in the month of January 2009 from Gwalior (M.P.) and mean time I got insurance with your company. The policy Number is “[protected]” and my car registration number isM.P.33 -C- 1238.
In the month of October 2009 I am going to Himachal Pradesh for visiting purpose. During my visit I face an accident with a cow in near Nadaun village district Hamirpur (H.P.) on dated 2nd Oct 2009, it is minor accident, my son was driven the car. Mean time he has been informed nearest New India Assurance branch at Hamirpur (H.P.). The Surveyor of New India Assurance Mr. Avasthi was visited accidental spot and fulfills the formalities.
My son drops the car at nearest Maruti authorized service station at “Car Care Engineers, Hamirpur Road , Gaggal (Nadaun) Distt. Hamirpur (H.P.)” on 3rd Oct 2009 for repairing. On 11th Oct 2009 the Car Care Engineers handover the car to my son after completing the formalities with your surveyor. My son was paid all repairing amount cash to Car Care Engineers including your surveyor survey fees.
The Surveyor of New India Assurance Mr. Avasthi was submitted all my paper to Hamirpur Branch on next working day.
Sir after one and half month I have no information regarding my claim, kindly provided me the information of my claim and how to reimburse my money.

Thanking you,

With regards

Ashok Kumar Rajoriya
Bypass road, Rest House Colony, Shivpuri (M.P.)
Mob. [protected]

i myself president of karad urban bank sevak sangh. we have group mediclaim policy with above insurance co.my coligues wife suffring from harnia. heis claim was rejected because it related with seasorin .and. seasorin is not included in mediclaim.
dilip chinchkar
president
karad urban bank sevak sangh.

PAN NO. AIIPB3618B
DEAR SIR,
PAN NO. ALLOTED TO ME,BUT PAN CARD NOT RECEIVED SINCE LAST 5 YEARS.
YOU ARE REQUESTED TO KINDLY SEND ME PAN CARD AS EARLY AS POSSIBLE.
THANKING YOU,
YOURS,

BANSHI LAL BARMAR
THE NEW INDIA ASSURANCE CO.LTD.
DIVISIONAL OFFICE, G.E.ROAD,
THAKKAR CHAMBERS, BHILAI
DIST. DURG (C.G.)

Dear Sir/Madam,

I am owning a Bajaj Pulsar Motorcycle No. DL 9SP 9014 which is assured by "The New India Assurance
Company Ltd. 7255,Prem Nagar,Shakti Nagar Chowk,Delhi - 110007" branch(Receipt No. DRO[protected].This motorcyle was stolen(FIR No. 317/09) and later on this was recovered by police in a very damaged condition.After the inspection of motorcycle done by the surveyor appointed by the New India Assurance Company,I have submitted all the documents along with cash memo receipt for the compensation of the damaged motorcycle.One month has been passed and i am not getting any kind of information regarding compensation from the company side.I have visited and called to the company(New India Assurance Company Ltd. 7255,Prem Nagar,Shakti Nagar Chowk,Delhi - 110007) regarding this so many times but they are not responding and even they are not behaving with me properly.

Therefore i request you to help me regarding this matter.

Thanking you in anticipation.


Regards,

Abhay Kumar Singh,

Phone No. [protected]

Sir,

I am Jaya Sugan Priya Gopal Kothandapani. My PAN card No.AQAPK2641M was lost. So kindly issue me with the same at the earliest and post my following address:

THE NEW INDIA ASSURANCE CO. LTD
2ND FLOOR, CHARISHMA CENTRE,
NEAR AMBEDKAR GARDEN,
19TH ROAD, CHEMBUR
MUMBAI-400071

This is to bring to your notice that I have been a regular user of your Insurance services since last 7 years , you can please check the records .


The Insurance of my byke expires every year on the 16th Oct and without fail I visit your Green Park Branch ( Delhi ) atleast 10-12 days before ( around 1st week of Oct ) every year to get it renewed .


I think it goes on record ,that I never receive the policy before December ,this has been happening since last 6 years ,I need to make probably 4-5 calls every day to your Development Officer – Mr Balbinder to send the policy to me .


Ridiculous that I still continue to be a customer of yours .


If I call on the nos [protected] ,[protected] , 90% of the times no body responds and if I call on Mr Balbinder’s mobile then as usual he says he's not in office.What a shame!!!

Please find attached a copy of my last year's policy , on which he has received cash - Rs 448 , signed and put his official seal , cash received on 7/10/2009 .


My byke registration No : DL 9SK – 3812






Regards,

Satyajit Mohanty,

Sir, I Sudharani H singh is the member of Sahara Care house of M/s Sahara India Ltd vide I No. 4294. Under the scheme I got Mediclaim policy which cover Mediclaim of Rs.2,00,000/- from M/s New India assurance Co. Ltd. . There is M/s Safeway TPA service , 6/2, Ist floor, Kirti Nagar, Industrial Area, Near SBI, New Delhi-15 which is middle agency to process the claims. Policy dated 30.10.2008.
My husband got seriously ill having sever Neck and shoulder pain and got admitted in M/s Navin Orthopedic and Trauma centre at Surat on 10.8.2009 and discharged on 13.8.2009. He was consulted on 7.8.2009 and given medicines for reducing pain and referred to Civil Hospital for MRI on 8.8.2009.
The claim was for Rs. 9254/-out of which Rs. 8764/- were sanctioned. I put a representation against the settled claim since the fee of s. 300/- paid on 7.8.009 was not paid to me. Further a traction set costing R. 190/- was not sanctioned in my claim. Now again I got a letter dated 10.11.2009 that the Fee of Rs. 300/- and traction set amount could not be sanctioned. Traction set is used by me now also for every day exercise so as to cure the problem in total. Even if the cost of Traction set is not given to me, the consultation Fee of Rs. 300/- must be given to me. It is almost three and a half months passed, my claim is not settled even when I have provide all original documents.
Please look into the problem and advise me what to do ? I also want your honour to ask TPA doctors as why they did not pay the remaining charges i.e. consultation and instrument amount.
Your kind co-operation is highly solicited. Waiting for early reply please.
Yours faithfully
Sudharani H singh
Claimant

dear sir,
i have applied on march 2009 for a mediclim polcy at the new india assurance company at belapur branch in the name of navaz b.antroliwalla bearing policy no 140800/34/08/11/00001134 till date i have not received the mediclaim card which should be delivered to me with in 3months as officially.
i have nade several enquiry about the same at belapur, navi mumbai branch but all in vain and there was no proper reaply from the department i request you to please look into the matter and do the needful at the earliest and oblige.

thankig you and waiting for your reaply

I have corporate Mediclaim Policy under MEDICARE TPA Srevices. Policy No. 510700/34/09/87/00000161 and Mem No. 02I00571595A named KALLOL CHATTERJEE. I was admitted in Apollo Gelnogles with accute neck pain with left brachalgia on 26.10.2009. After investigation and based on MRI report doctor operated on 29.10.2009. The surgery performed on C5/6 microdiscetomy with fusion with plating (Globus Plate) under general anasthesia. My preliminary claim comes on 29.10.2009 and I was supposed to discharge on 01.11.2009 and the final bill and despatch summary was sent by fax to them at around 10:30am. The total bill was Rs. 1,28,945.04. At first they sanctioned total Rs. 80000 andwhen I called kanchan Aich of Medicare TPA he answered that doctor fees is so high. After long discussion they sanctioned total 90000 saying that now they can't differenciate between medical and non medical items so they can't give more. In this way they keep on mental pressure on me in this issue. After that he transfered the line to Mr. Deepnarayan Mukherjee and he also quostioned about doctor's fee and also for not having enough manpower to check the bill. After long long discussion first they enhanced to 1,05,000 and at last 1,22,000. There attitude is that we are begging infront of them and what they will approve we have to accept that and they do mental harassment to patient. My policy sum assured is Rs. 200.000 but still I am not able to get the cash less facility in corporate insurence. I personally feel that this type of activities from Medical Insurance should be stopped.

I AM HAVING MEDICLAIM POLICY FOR RS 100000/- WITH NEW INDIA .CO LTD. I UNDERGONE A SURGERY IN BHATIA HOSPITAL MUMBAI. COMPANY HAS GIVEN ME THE CLAIM ON ROOM CHARGES AT RS 1000/- i e 1% ON MY POLICY AMOUNT OF RS 100000 /- AND OTHER EXPENSES ON PRAPORTION TO ROOM CHARGES OF RS 1000/-.

I AM THE SENIOR CITIZEN, AND HAVING POLICY OF RS 100000 /- WITH NEW INDIA FOR LAST MORE THAN 15 YRS OLD. I CAME TO KNOW FROM OTHERS THAT RULES OF 1% ON POLICY AMOUNT FOR ROOM CHARGES,AND OTHER EXP ON ROOM CHARGES DOES NOT APPLY TO SENIOR CITIZEN. WHETHER THIS IS RIGHT OR WRONG ? IS TI IF MY CLAIM IS LESS THAN 100000 /- THEN COMP HAS TO PAY ME FULL AMOUNT OF MY CLAIM ? AND IF IT IS MORE THAN RS 100000 /- THAN THEY HAVE TO PAY ME RS 100000 / - AND ANYTHING ABOVE RS 100000 /- I HAVE TO BEAR. PLEASE SEND ME THE ANY NOTIFICATION NO OF IRDA RULES FOR THE SAME. BECAUSE I REC CLAIM AT 1% ON MY POLICY AMOUNT.

I had submitted all original reports in person on 03/09/09 at Medi assist india chennai office and have been following with them as well as new india but till date have not recd the cheque.Every time a new story is told in case they pick up the phone,generally it does not happen.Out of my six mails sent to them till date reply recieved for only one.As per the last converation with their manager Mr Suresh on 15/10/09 I was supposed to receive the cheque latest by 21/10/09.

Re: Fw: DISAGREEMENT OF CLAIM NO. [protected]
From : crcm <[protected]@rakshatpa.com> Mon, Oct 12, 2009 03:57 PM
To : [protected]@indiatimes.com •
Reply

Reply All Forward Open in new window Show Original

•
Cc : vd halbe <vd.[protected]@newindia.co.in>, cmd nia <cmd.[protected]@newindia.co.in>, [protected]@rediffmail.com, [protected]@rakshatpa.com
Reply To : crcm <[protected]@rakshatpa.com>


Dear Sir;

Your file has been received back from the regional office with their opinion
which is under consideration , we will revert back soon with the updates.

Regards,
CRCM
----- Original Message -----
From: <[protected]@indiatimes.com>
To: "Customer Care" <[protected]@rakshatpa.com>
Cc: "vd halbe" <vd.[protected]@newindia.co.in>; "cmd nia"
<cmd.[protected]@newindia.co.in>; <[protected]@rediffmail.com>
Sent: Monday, October 12, 2009 10:23 AM
Subject: Re: Fw: DISAGREEMENT OF CLAIM NO. [protected]


>I feel, customer satisfaction is not a part of your business so taht I am
>force to take appropriate action By 19th Oct' 2009.
>
> Sorry for inconvivence.
>
> Regards
>
> ----- Original Message -----
> From: crcm <[protected]@rakshatpa.com>
> To: [protected]@indiatimes.com
> Cc: vd halbe <vd.[protected]@newindia.co.in>, cmd nia <cmd.[protected]@newindia.co.in>,
> [protected]@rediffmail.com
> Sent: Fri, 25 Sep 2009 17:43:32 +0530 (IST)
> Subject: Re: Fw: DISAGREEMENT OF CLAIM NO. [protected]
>
> Dear Sir;
>
> Your file has already been delivered to the Regional office of The New
> India
> Assurance Co. Ltd. for their advice. We will revert you shortly on this.
>
>
> Regards,
>
> CRCM
>
> ----- Original Message -----
> From: <[protected]@indiatimes.com>
> To: "Customer Care" <[protected]@rakshatpa.com>
> Cc: "vd halbe" <vd.[protected]@newindia.co.in>; "cmd nia"
> <cmd.[protected]@newindia.co.in>; <[protected]@rediffmail.com>
> Sent: Friday, September 25, 2009 4:59 PM
> Subject: Re: Fw: DISAGREEMENT OF CLAIM NO. [protected]
>
>
>> It is regrate to write again, after 10 days gone no one revert.
>> Now I am going ahead to take appropriate action in interest to get my
>> money with interest and expenditures incurred in this regard.
>>
>> Thanks
>>
>> ----- Original Message -----
>> From: crcm <[protected]@rakshatpa.com>
>> To: [protected]@indiatimes.com
>> Cc: vd halbe <vd.[protected]@newindia.co.in>, cmd nia <cmd.[protected]@newindia.co.in>,
>> [protected]@rediffmail.com
>> Sent: Wed, 16 Sep 2009 18:06:00 +0530 (IST)
>> Subject: Fw: DISAGREEMENT OF CLAIM NO. [protected]
>>
>> Daer Sir;
>>
>> Your claim file will be referred to the Regional Office, The New India
>> Assurance Co. Ltd.,
>> we will revert you shortly with the status.
>>
>> Regards,
>>
>> CRCM
>> ----- Original Message -----
>> From: "contact" <[protected]@rakshatpa.com>
>> To: "Customer Care" <[protected]@rakshatpa.com>
>> Sent: Monday, September 14, 2009 5:34 PM
>> Subject: FW: DISAGREEMENT OF CLAIM NO. [protected]
>>
>>
>>
>> Dear Team,
>>
>> FYA.
>>
>>
>> Regards,
>>
>> CRCM Mumbai

Fw: DISAGREEMENT OF CLAIM NO. [protected]
From : crcm <[protected]@rakshatpa.com> Wed, Sep 16, 2009 06:06 PM
To : [protected]@indiatimes.com

Cc : vd halbe <vd.[protected]@newindia.co.in>, cmd nia <cmd.[protected]@newindia.co.in>, [protected]@rediffmail.com
Reply To : crcm <[protected]@rakshatpa.com>


Daer Sir;

Your claim file will be referred to the Regional Office, The New India
Assurance Co. Ltd.,
we will revert you shortly with the status.

Regards,

CRCM
----- Original Message -----
From: "contact" <[protected]@rakshatpa.com>
To: "Customer Care" <[protected]@rakshatpa.com>
Sent: Monday, September 14, 2009 5:34 PM
Subject: FW: DISAGREEMENT OF CLAIM NO. [protected]

Dear Team,

FYA.

Regards,

CRCM Mumbai
________________________________________

----- Forwarded Message -----
From: [protected]@indiatimes.com
To: [protected]@rakshatpa.com, [protected]@rakshatpa.com
Cc: vd.[protected]@newindia.co.in, cmd.[protected]@newindia.co.in,[protected]@rediffmail.com
Sent: Thu, 00 Sep 2009 23:45:11 +0530 (IST)
Subject: Fwd: DISAGREEMENT OF CLAIM NO. [protected]

REMINDER PLEASE................

K.Attn.:- Chairmen cum Managing Director / Chief Manager - The New India
Assurance Co. Ltd.
Please look in to the matter and do the needful.

Respected Dr. B.S.Rawatji - Office of Insurance Ombudsman

W.r.t. G1/66/NIA/09 dated 15.07.2009, I need your help to resolve the issue
with satisfaction.

Best Regards


Y.S.RANA

----- Forwarded Message -----
From: [protected]@indiatimes.com
To: [protected]@rakshatpa.com, [protected]@rakshatpa.com
Cc: vd.[protected]@newindia.co.in, cmd.[protected]@newindia.co.in,[protected]@rediffmail.com
Sent: Fri, 28 Aug 2009 12:17:03 +0530 (IST)
Subject: DISAGREEMENT OF CLAIM NO. [protected]

Friday, August 28, 2009
To,
Raksha TPA Pvt. Ltd.
15/5, Mathura Road,
Faridabad, Haryana – 121 003

Reference: Claim No. [protected]
Subject: Disagreement of settlement of said claim
Member id N8565915
Policy Number 310400/34/07/11/00001177 Type: Renewal
Policy Period 10/03/2008 to 09/03/2009
Period of Hospitalization - DOA: 07/06/2008 DOD: 08/06/2008
Claim Amount 17568/-
Approved Amount 10862/-
Deducted amount is Rs. 6706/- & details are as under mentioned:-
Sl. No. Charged for Charged Allowed Deducted Remarks
1 Room Rent 2400 1000 1400 Disagree
2 Operation 2900 1450 1450 Disagree
3 Anaesthesia 1680 840 840 Disagree
4 Surgery 3500 1750 1750 Disagree
5 HIV 550 Nil 550 Agree
6 HBSAG 480 Nil 480 Agree
7 Miscellaneous 80 Nil 80 Agree
8 Mask 31 Nil 31 Agree
9 Admission 125 Nil 125 Disagree

Dear Sir/Madam,

As per your CLAIM SETTELEMENT VOUCHER, the above said deducted amount is as
per policy while as per my knowledge [noted from the Co. site] it is not
like that therefore you are requested to re-check it and revert back along
with extra deduction made for Rs. 5565/- [As mentioned disagree] as soon as
possible.
In addition to above, if my knowledge is in complete then please don’t
hesitate to up date me [by sending details of amendment w.e.f.] with the
relevant amendment done and applied on computation of the said amount.
Since it is after awarded from INSURANCE OMBUDSMAN, I am expecting
appropriate action and satisfactory response with in one week there after
shall be force to escalate the matter.

Thanking you,

Yours truly,


YOGENDRA SINGH RANA

I HAVE HAVING A MEDICLAIM INSURANCE POLICY WITH THE ABOVE MENTIONED COMPANY SINCE LAST MORE THAN 10 YEARS. MY POLICY NO. IS 230500/34/08/14/00005320. MY POLICY COVERS HEALTH OF MY FAMILY MEMBERS WHICH INCLUDES MY SELF, MY WIFE AND MY MOTHER. MY MOTHER IS AGED ABOUT 65 YEARS. I WAS HOLDING INSURANCE WORTH OF Rs. 25000/- ONLY BEFORE TWO YEARS. HOWEVER, BEFORE TWO YEARS I WAS COMPELLED TO TAKE AT-LEAST INSURANCE WORTH OF Rs. 50,000/-. NOW, I WISH TO EXCLUDE MY WIFE INSURANCE FROM THE ABOVE POLICY. BUT THE AGENT AS WELL AS THE COMPANY IS DENYING FOR EXCLUSION OF MY WIFE. I HAVE NEVER CLAIMED ANY AMOUNT ON HOSPITALIZATION OF MYSELF OR MY WIFE. I WISH TO CONTINUE MY POLICY WITH THE INSURANCE COVERAGE OF MY MOTHER AND MY SELF. IS THERE ANY WRONG? IS IT AGAINST TERMS AND CONDITIONS OF THE POLICY. CAN I CONTINUE MY POLICY EXCLUDING MY WIFE? PLEASE REPLY AT THE EARLIEST. THE PREMIUM IS BEING DUE ON[protected]. THANKS AND REGARDS. FROM DHARMESH RETIWALA

Dear Sir,
I, Malay B.Shah, having N.I.A.'S.-Surat, FAMILY MEDICLAIM POLICY since last seven years without any claim in past.Unfotunately this year I get illness and passed through surgery.I opted cashless option for the same.But TPA-MDINDIA,PUNE didn't provide reasonable Claim.Then I have made Additional Claim for the same as per TPA- guidence , But they didn't provide any accurate anser for nonpassed Amt.which is for Rs.60,874-

My POLICY NO IS-230500/34/08/11/00005135
MY CCN NO IS -MDI-0468387
MY Email Id. IS [protected]@ewdiffmail.com
MY MOBILE NO IS[protected]

Guide me for the process.Hope for Co.Operation.
-MALAY B.SHAH

Certificate no : JWS-M/[protected]
Policy No : 130400/34/08/87/00000195

Claim No : [protected]

In my above refered calim I calimed Rs. 70182/ for Three operation (1. Appendicites 2. Two side Hernia operations) but company passed only Rs. 45000 all to gather and deducted Rs. 25182 giving reason that excess charges.

It seems that by mistake company passed on operation charges i.e. Rs 45000 and Consultation charges, Room charges, Dressing, Investigation and medicines purchased etc. are not sanctioned.

Please look into matter and pay Rs. 25182/- which are deducted due to mistake on the part of the company.

thanking you,

Pratapray Mehta

sir,
this is my policy no.[protected] this policy is my child name and i was opration of my child but insurance company not give me claim.
provlem is that, mere bete ki paisab karne ki jagah problem hone ke karan doctor ne kuchh skin nikali ur opration kiya but medical company ne kaha ki ye muslmano me karaya jata hai wo opration hai
aur claim nahi diya .

We have Family Mediclaim Policy from The New India Assurance Co. Policy no. 450203/48/06/20/70000299 and 450203/34/07/11/00000301.
My Son Manogya Sharma who is also insured under this policy was admited in hospital for treatment and all relevent document were submitted to them and now it is due more then 1 and half year.

1. DOA 18/12/07 DOD 20/12/07 - 26089

2. DOA 25/01/08 DOD 26/01/08 - 10141

We are regularly following up with The New India Assurance, Nagda ( MP) and Its Bhopal office and TPA FHPL office in Bhopal.
We only get the feed back that payment will be made soon but til today we are only waiting.
We also write complain to FHPL, [protected]@fhpl.com and [protected]@fhpl.net but no positive reply.

There is no proper response from connected officers. It seems they are deliberately not taking action

We requedt you to look in to this case and take action so that claim amount can be received.

Regards

My new Maruti 800 got accedented badly on Dt. 22nd April, 2008 I have declared my car in total lost and submitted request for claim with insurance company The New India Assurance Co. Ltd. but still they have not given me my claim and also not giving any satisfactory reply to me when they will give me claim. Now we are not getting my car and also not getting my claim amount to purchase new car. e are facinf problem since 15h months.

Details is as follows :

Insurance Company : The New India Assurance Co. Ltd.
Policy No. : 40183273
Issued on Dt. 21/02/2008
Vehicle : Maruti 800 STD
Total Value (IDV) Rs. 191362

MY Contact details

Indrajeet Sonker
106/149, Gandhi Nagar, Bharat Park,
P. Road, Kanpur, Uttar Pradesh