New India Assurance Complaints & Reviews

Date: 9th MARCH, 2021
From : Narendra Damani
Dharma Nagar, 247, Linking Road,
Borivali west, Greater Mumbai
Maharashtra- 400 091

To,
BIMA LOKPAL .
SANTACRUZ, Mumbai
Dear Sir/Madam
Claim No.: Against New India –[protected] settled by Raksha HI TPA Pvt. Ltd.
Insurance Company Claim no.- TP[protected]
Policy No.[protected]- valid upto 16/3/2021 in the name of Mr Narendra Damani.
Patient name /DOA- Mrs. Rachana N. Damani/4th October to 10th October, 2020 at United Multi Speciality Hospital- Borivali West, Mumbai
Diagnosis- Covid-19 +
=============================================================================
Dear Sir
PFB my written complaint lodged with Insurance company New India, on January 7, 2021 for unwarranted deduction of my claim amount from my Mediclaim policy, but there was no reply from Insurance Company at all. therefore after completion of 30 days, I again lodged my complaint on February 6, 2021 thru IRDA complaint portal vide token no.[protected] and entity reference number NIA00041678 and waited for 15 days, but there was no reply neither from New India nor from IRDA officials. Therefore after completion of 15 days, as per the process displayed at IRDA complaint site, I escalated the complaint matter on February 23, 2021. However to my surprise, when I checked today the status of my complaint on IRDA site, the IRDA portal mentions that New India communicated to me on February 26th, 2021 itself stating no change in their stand, and accordingly the IRDA Complaint portal officials have closed internally my complaint, without asking the complainant whether he has received the reply from New India and whether am I satisfied or not? Further on calling today at their customer care number- We were told that new India has communicated to us, but inspite of telling them, that we have not received any reply from New India on our claim as claimed by New India to IRDA, IRDA official is not ready to listen and asked us to approach Bima Lokpal directly, as they cannot do anything further, and even they cannot forward us the reply received by them from New India on our complaint. This is very strange. The process needs to be transparent and accountability needs to be fixed, as customer has no clue what is going on and even IRDA who is the highest authority is not able to help the common man even when he files the written complaint.
Therefore I am approaching your goodselves with hope to help us to review our claim complaint and arrange to award the unwarranted amount deducted by New India while settling my Mediclaim bill w.r.t. Covid-19 treatment of my spouse.
Hope this complaint will receive the priority and hearing will be done asap to settle the matter.
Regards
Narendra Damani
========================================================================
Date: 7th January, 2021
From : Narendra Damani
Dharma Nagar, 247, Linking Road,
Borivali west, Gretaer Mumbai
Maharashtra- 400 091

To, New India Assurance Co. Ltd.
Mumbai

Dear Sir/Madam
Claim No.: New India –[protected] settled by Raksha HI TPA Pvt. Ltd.
Insurance Company Claim no.- TP[protected]
Policy No.[protected]- valid upto 16/3/2021 in the name of Mr Narendra Damani.
Patient name /DOA- Mrs. Rachana N. Damani/4th October to 10th October at United Multi Speciality Hospital- Borivali West, Mumbai
Diagnosis- Covid-19 +

Dear Sir/madam
Sub; Unlawful/Unwarranted illegal deduction from my Covid-19 treatment claim
Submission – Thru E-Mail
This is to inform you that I have taken above mentioned policy which was renewed well before Covid-19 lockdown in India. I have been associated with new India for many years.
My spouse Mrs. Rachana Damani was admitted for covid-19 treatment between 4th October to 10th October at United multispeciality Hospital, Borivali west, Mumbai hospital and her total hospital bill was Rs.1, 80, 105/- for which all the documents and bills incl. reports were provided to Raksha TPA for settlement
However Raksha TPA after review, assessed and settled the claim only for Rs. Rs.131, 632 /- instead of total bill of Rs 180, 105 .( i.e Deduction of Rs.48, 473.i.e. 27% deduction out of the total medical bill) on the pretext of internal capping/ not admissible/ beyond per day limits/ consumables ( incl Mask/Sanitiser, etc. which was provided by the Hospital as part of Covid-19 treatment) and some amount deducted towards Ayurvedic treatment/bio waste, etc.
As you all know. Covid-19 being new type of Global pandemic disease, the patient once admitted in the Hospital for treatment of Covid-19 is fully dependent on the Hospital Doctors for the treatment of this new type of disease and has no say at all in such new type of treatment being given to him/her as the patient, by the Hospital Doctors, as Doctors try their best to save the patient by all type of allopathy/ayurvedic/non medical items/recently known successful remedies (incl. PPE Corona Kit) as newly introduced defenses available in the public domain thru reliable medical sources as simultaneous treatments and available and known measures in such global pandemic situation across the country.
Further the bio waste of such disease/treatment also needs to be specially disposed off, so that such contagious disease should not spread. This all involves cost and being passed on by the Hospital on the patient and patient expects in such stressed circumstances to be borne by the Insurance Company under Mediclaim policy as special disease treatment charges and not as routine treatment charges and should not be put under lens for scrutiny of such each charges which are newly introduced.
However If Insurance Company feels that any specific Hospital is charging more than prescribed/ normal charges, they should put into public notice about such hospital name and warn the public that due to unnecessary levying high charges, such hospital treatment will not be considered at all for Mediclaim settlement or their will be major deduction in submitted bills.
It is really very sad to know that the deduction has been made out of my mediclaim bill for Rs. 48, 473/ - on the following grounds which is unwarranted:
1- Rs.4900/- Assistant Doctor charges
2- Rs.7000- Non medical items
3- Rs.2100/ - Bio Medical waste
4- Rs.5250 – Supplement charges
5- Rs..500/- admission fee
6- Rs.3500/- Mask
7- Rs. 13300/- towards PPE kit charges ( payable Rs.600 per kit per day only)
8- Rs.1423/- N95 Mask, Gloves, sanitizers, etc. And
9- Rs.10, 500/- - Ayurvedic integrated treatment charges
I would like to strongly emphasise that the treatment of Covid-19 patient has been very critical and all Hospital Doctors incl. staff put their best to save the patient from this new pandemic disease at any cost even by giving all types of new treatments( even if it is not allopathic or non customary treatment) as even the global doctors are still in learning mode at present.
However when patient recovered after treatment, the treatment used by them while treating such patient in stressed situation, which is acceptable to the patient is questioned by the Insurance Companies as excess or not allowed/permissible like grounds. I would like to advocate that there should not be any capping or ad hoc deduction under the name of Ayurvedic/Consumable or Capping by any Insurance Companies especially for Covid-19 Patient treatment bills under any circumstances considering the global pandemic treatment being experimented all over the world.
I further state that myself as an individual, has no say or bargaining power in front of the hospital and had to pay whatever amount was charged to me. Therefore I sincerely request that I should not be penalised and the full hospital bill claim amount should be paid to me, as billed by the hospital.
The ombudsman ( Shri Milind Kharat) vide his award order no. IO/Mum/A/HI/[protected] dated 24th November, 2020 ( vide complaint Ref no.MUM-H[protected] in the matter of Mr. Abhay Chhapia and Bajaj Allianz GIC may be noted in such matters, where he ordered to pay the patient majority of the deductions made in the mediclaim.
I strongly protest the unwarranted deductions from my Medical Hospital bill made by the TPA on behalf of Insurance Company and legally demand the above said deducted amount as eligible under mediclaim from the Insurance Company.
If such deductions are allowed, it will put undue hardship on the policyholders and the patient, and I request that such practice of any random deductions out of Covid-19 patients bill, should not be allowed to be implemented in this pandemic times. I would further like to state that people take Mediclaim policies for such uncertainties only and hence should be considered with open mind and not as routine matter.
I am enclosing herewith, the claim settlement advice / voucher showing settled/deductions ( hospital bill being large file- not attached-but certainly available with Raksha TPA) received by me for the review and ratification by ordering immediate settling of the deducted amount by TPA of the Insurance Company, considering the ongoing global pandemic situations and its treatments in the hospitals, where patient has no say but to receive the treatment as being given to him/her in good faith to come out of this dreaded disease/situation.
Pl. note that if I do not hear within 15 days from the date of this letter, from your office, I will proceed to file my claim with the Ombudsman .
Thanking you
Sd/-
Narendra Damani

Please refer to our letter reference no.RM/WKS/20-21 dated 13/01/2021 written to the Regional Manager, The New India Assurance Co. Ltd., Delhi Regional Office-1, R.G. City Centre,
Lawrence Road, Delhi-110035

We wish to inform you that we have neither received any acknowledgment of the same neither have we received the payment till date.

I wish to inform you that I had got my Vehicle No. HR24P-4000 repaired at Rajiv Motors (A Unit of Satya Service Station Pvt. Ltd.) vide Tax Invoice No. GSTSALE[protected] dated 05th October, 2020 amounting to Rs. 96, 200.00 (Rupees ninety six thousand two hundred only).(copy enclosed)

They had given estimate dated 17/09/2020 for Rs. 1, 04, 130.00 (Rupees one lakh four thousand one hundred thirty only). The name of the surveyor is Shri Sandeep Kumar Pruthi.

You are requested to send us balance payment of Rs. 58, 555.00 (Rupees fifty eight thousand five hundred fifty five only).

Kindly, ensure that the payment is debit to our account as early as possible.

Thanking you,

With Regards,

(Kashmir Singh Sokhal)
8/99, 2nd Floor,
Ramesh Nagar,
New Delhi-110015
Mob.: [protected]

Hello I am Hiren joshi from palanpur, Gujarat . i am advisor of new India assurance . My one of client policy was expired on 3rd jan 2021. client name is : Motibhai S Rajpal. I was visited 2 times at branch for collect of renewal notice but no one provide me renewal notice and behave with me like very badly. i want to renew car policy with new india assurance but no one give me any help from branch. at the end i was renew policy at other company. so if these type of rude behaviour with me than what about customer. if no action taken than i will compalint at ombudsman. my number is:[protected].

Dear sir
we had a bike on 28/12/2020 . Whose claim number was registered, whose claim number[protected].Its policy number[protected]. Despite being long no one came to survey us.Please take appropriate action on this.Our garage address is asr automobile near fire sations jind road narnaund hisar haryana 125039

I am Hiren Joshi. Advisor of new India assurance since last 4years. My code is:NIAG00096737. My name is Hiren Kumar Suresh Bhai Joshi. My client policy which was going to expired on 19/01/2021, but no renewal Notice was provide by branch even i was visit 3times in a branch but no any response from branch. As A advisor if this type of behavior done by officers with me than what about customer. so i renew that policy in other company because of bad behavior of new india assurance branch staff of Palanpur, Banaskantha, Gujarat, 385001. so kindly do necessary action .

Sir,

मेरा नाम अनिल दवे है । मेरी मेडिक्लेम पोलिसी नंबर -[protected] है ।
ओर अभी रिन्यू की उसका नंबर -[protected] है ।

सर मेरी पोलिसी न्यूइण्डिया से करीब 10 साल से है ..
मैने यह पॉलिसी आपके एजेंट (NIAD[protected] ATUL OZA से चालू करवाई थी ..
अभी मुझे 14 ओगेस्ट 2020 को कोरोना हुवा जिसकी पूरी डिटेल ओर सब पेपर मैंने अतुल ओझा को दिये थे । आज दिनांक 06/01/2021 तक इसने मेरे पेपर सबमिट नही किये । करीब 6 महीने हो गए । ओर यह प्रॉब्लम सिर्फ मेरा ही नही है इसने बहुत लोगो से ऐसा ही किया है । जबकि मुझे रुपये की सख्त जरूरत है .. करीब सेप्टम्बर 2020 से इस एजेंट ने मेरे कॉल रिसीव करने बंद किये है ओर व्हाट्सएप्प पे मेसेज के जवाब भी नही दे रहा । जबकि यह एजेंट मेरी ही बिल्डिंग में रहता है ।
यह जिम्मेदारी किसकी है ? क्या एजेंट का काम सिर्फ पालिसी स्टार्ट कराना ही है या पीछे की सर्विस देना भी ।
क्या न्यूइण्डिया की भी इसमे कोई जिम्मेदारी है या नही ?
मेरी आपसे रिक्वेस्ट है कि इसबारे में आप सख्त से सख्त कदम उठाए ।
अगर ऐसा नही होता है तो अभी सेप्टम्बर में मैंने जो पालिसी रिन्यू करवाई है उसमें मुझे एजेंट बदलकर दे नही तो मैं ओर मेरे पूरे परिवार को आपकी कंपनी से पोर्ट करवाना पड़ेगा जो मैं नही चाहता हु । ओर इस एजेंट का मेरे में जो कमीशन मिला है वो भी मुझे दिया जाए ।
कोरोना से मुझे शारीरिक तकलीफ हुई लेकिन इस एजेंट के कारण मुझे आर्थिक और मेंटली तकलीफ भी बहुत हुवी है ।
आपसे मुझे आशाजनक रिप्लाय नही मिला तो मैं ग्राहक सुरक्षा मैं भी कंप्लेंट करूंगा ।

Anil dave
Mobile no : [protected]
Mumbai .

Sub --- Issue In claim settlement in A/C LOKESH BHARAL, VEHICLE REGISTRATION NO DL1CQ0887.

My policy no is[protected] and we have lodged a claim on 24th July 2020 and My claim no[protected], Which are not yet settled.
I had a word with surverior (Name Lalit Mohan, Contact No [protected]), as per him he has submitted the document to keshav puram office but later surverior has blocked my no, So I have no update from his side.

I contacted your customer care and they gave me the landline no of Keshav Puram office[protected] and asked me to contact Mr M.P. Singh but nobody is picking up any call.

I am completely help ness now, Pls help me to settle my claim ASAP.

Thanks & Regards
Lokesh Bharal
[protected].

I had submitted my request to surrender my License with New India Assurance Co. Ltd.
Since two months they have been delaying the process, and they are asking for Rs.5000/- to provide a cancellation letter .
There were no such clause during the time I was appointed as Agent in the year 2002, that cancellation of Agency requires a payment of Rs.5000/-.
I have written to them multiple times and also contacted the RO, but they were very rude while interacting .

Hospitalisation claim of my father Mr M.C. Salian, SR. NO. 4288
Retired staff mediclaim has been delayed by over one year.
Mr Salian expired on 12 Oct 2019 but New India has still not cleared the claim.

Intimation Number - GIPSANIAINTxx42

Regards
Sudhir Hejmadi

There is something wrong with your policy.I have purchased policy via policy bazar.com for my bike for 3 years .During purchase of policy PA cover is for 1 year.Same thing escalated to customer care of The New India Assurance Co.LTD.But nobody bother this issues and giving a contact no of [protected].I have tried a lot to contact this no, But nobody picking till now.

Bike policy No:-[protected]

Dear sir,
I am wilson kumar, i want to deactivate my agent code of NEW INDIA ASSURANCE from IRDA portal. Agent code is AG00072339 and my pan no is BCRPK9448N. Because i got job at PNB METLIFE. I already submitted the code cancel request on 24.01.2020 I also enclosed my cancellation letter below but till the time code status reflected inforce in IRDA portal
Please do the needful as earliest. Its urgent.
Thanks and regards
Wilson kumar
Phn. No BCRPK9448N
branch HAMIRPUR
STATE HIMACHAL PRADESH
mob -[protected]

Non receipt of my mother short settlement claim till date. I at least 20-25 times make reminder to my agent and he taken follow up with HEALTH INDIA TPA service provider, but till date we haven't received any reply or payment and not answering any reply in against of our various complants.

I have submitted my claim two months ago but it was rejected with improper reason. I have called customer care but they put my call on-hold and taking it back. As per their instruction, submitted new claim as well.

I have sent all original bills through courier service but they keep my claim in open status. I don't know whether they are trying all possible way to reject my claim as claim amount more than 2L. I never see such worst company/service who tries to neglect a valid claim request.

I highly recommend others NOT to choose 'New India Assurance' to buy your medical insurance.

Dear team,
my name is madhu sudan sharma & my contact no.[protected].We have purchase a cattle insurance policy of my buffalo.Its cover note/policy no. Is 238751 and tag no. Is 160030/738694 on dated 21/04/2020. Unfortunately my buffalo was dead on dated 07/05/2020.Surveyor mr. Ram singh sharma was deputed in this case.I follow this matter last 6 month continue but my claim is not satellited .I am very irritate.Kindly solve my case urgently.

Dear Sir/Madam,
Kindly update for the our dead cow claim states of the policy no.[protected]
the New India Insurance Company Osmanabad Branch Is Not any replay to our claim settle for last three months
they have not claim settle for our dead cow please check the all details as per attached link

https://mail.google.com/mail/u/0?ui=2&ik=[protected]e&attid=0.1&permmsgid=msg-a:...⇄

I had given a request for removal of my license with New India Assurance company in Dec 2017 but till today the status is showing as active in irda portal kindly remove the license

Hi,

I have reneued my insurance policy on 19.05.2020 for my vehicle reg. no. AS04W9887. I have got my proposal number also. i.e. SR1981389.
But I haven't got the policy copy yet.
Kindly help.
I need the policy copy urgently.
My contact details:[protected]
Email: [protected]@gmail.com
Regards,
Dhrubojyoti Boruah

I filed a cashless claim and pre and post hospitalization charges, New India Assurance co Ltd. Their TPA, Raksha, and New India Assurance do not even reply to my emails leave aside reimbursement.
My claim no. Is [protected].
Policy #[protected]

How can they do this after collecting premiums . I pay n don't get any service.

Rgds

Praveen Verma
New Delhi 48.

Dear Sir,

Kindly inform you that this Surveyor RatulJit Deka belong from Guwahati, Assam is very rude surveyor, ill behaved and some time use slang languages. Such a lazy surveyor who does not collect the bill from the dealer and never submit his report on time.
I hereby request you to please take action against this surveyor.

Regards
Bishal Mazumdar
Bimal Auto Agency
Adabari, Guwahati, Assam

Dear Sir/Madam,
I have sent my daughter hospitalization claim documents to your Faridabad office[protected], but till now I have not reimburse the claim amount. So I humble request you to please process my daughter's claim and reimburse the claim amount on an urgent basis and if you require any other information/clarification please let me know.