Raksha Health Insurance TPA Complaints & Reviews

Dear Sir/Madam,

This mail is in regard to the Unfair Insurance Payment or Settlement for my details mentioned below.

Name of Insurer: VASANTBHAI VIRJIBHAI PATEL
Policy/ Claim No: - Policy Number[protected] / under Claim no- [protected]
Claim Amount: - Rs. 143450.00
Sanctioned Amount: - Rs. 99110/-

Please find our submission on your settlement description: -br...

DEAR SIR/MADAM,
I AM CONTINUOUSLY FOLLOWUP REGARDING MY Claim intimation of policy no. 252400 / 48 /2021/630 DT 25.01.2021
BUT NO RESPONCE UR SIDE REMINDER1, 2 MANY MAIL SEND BUT NO ANSWER I CALLED TO RAKSHA OFFICE AFTER PICKUP ONE OR TWO DETAILS CALL DISCONNECTED.

IN FUTURE IAM NOT SUBSCRIBE WITH RAKSHA POLICY

all doctors releaving documents discharge card couriered through speed post dt 07.04.2021...

Since 3 months I am contacting their staff for deductions in my claim but no justified answer has been given.my only concern is that when same hospital bills has been passed by them in second claim then why they have deducted amount of the same hospital bills in first claim.when I asked one of their staff then he threatened me that he will reject the second claim also which has been passed already.
No one answer my question and also...

I need Item wise details of deduction from Hospital Final Bill, which are not provided despite my repeated requests....

As I've been writing continuously but no response is coming back.
I request you again to reprocess my claim.
number [protected] for Raj Kumar Rai
I have even submitted my documents multiple times, all of the documents that were asked for.
Please look into the matter ASAP...

Given below are 2 Screenshots of Claim Settlement Letters of Raksha TPA for Oriental Insurance Co, and of HDFC Ergo for your reference and records.
There is a Very Important Difference between the two, as the Instructions for Amount Deducted from the Hospital Final Bill, to be Paid by the Patient or Not.
While Raksha TPA has Clearly asked the Insured to Pay all the Deductions, HDFC Ergo has asked the Hospital Not to Charge it...

I have contacted many times to raksha tpa office regarding deductions in one of my claim but didn't get satisfactory answer also recently one of staff talked very rudely and also threatened me that he can also reject other claim which has been passed by the company.
Very rude behavior and very unsupported staff....

Have submitted the claim with bills to the Raksha TPA Office on 18th of March but there is no update yet from them
Today I just had a call with Customer Care and from there I got to know that claim was denied because pre and post hospitalization cover is not there.
In claim there was 10422 INR during hospitalization because some medicine was not there in hospital and I bought myself from hospital TPA I was told that you can...

Claim rate is very low.beacuse of this reason I loss 20000rupees from my side.
This health insurance company not accepting total bills because of this reason I loss 20000rupees.hospitals total amount collected from side.that total bills not claimed by this health insurance company.please take action...

My raksha TPA member ID is O[protected]JETAIR and claim no. is [protected]. About 15 days have been passed past filling of reimbursement claim but the claim is still in 'processing' stage. Please look into the matter to settle the claim at the earliest....

My father ( Mr Suresh Kumar Mittal) and mother (Mrs Madhu Mittal) were admitted in Maharaja Agrasen Hospital Dwarka on 14/4/21 as they were covid +.
Unfortunately, my mother and father got expired on 1/5/21 & 3/5/21 respectively.
The total hospital bill of Rs. 10, 00, 000 + (bill attached). The person who looks after Tpa claim in hospital said that my parents claim file has been mailed to Raksha Tpa and Rakha Tpa is neither...

Dear Sir/Madam,

Respected sir/Madam,

My name is Sandeep Kumar Jyani pf 1359116 working at b/o Arniwala sol 030110. Sir last year in November my 3 years old son fell sick and hospitalised then my son admitted in delhi child care hospital sriganganagar rajasthan from 21 to 24 November 2020 then dr told us for meckel's diverticulum test then we went to SDMH hospital jaipur where we tested him meckel's diverticulum...

I raise a complaint on 05 April 2021 regarding claim not pass till date and said complaint is closed says that complaint is resolved
There is no response about the complaint, then how said complaint was close without resolving it...

Claim no. ([protected]); Member Id: UIC[protected].
My above claim is more than 1 yr old. I hd initially lodged claim with M/s Star Healthcare on agents advice, but due to sub limit being exhausted my claim was rejected and original documents were returned. Raksha tpa RM has refused to pass my claim alleging that my claim amount has been paid in part by Star Health despite my giving them claim amount disbursement certificate stating...

I raise a claim vide claim id [protected] and also send reply of query dated 07 dec 2020 within 15 days i.e. on 20 dec 2020 but your company rejected my claim without any intimation
Please do the needful...

Name sunder pal garg claim amount rs.41398 claim no.[protected]...

My wife is admitted for hernia surgery and has been requested to discharge today. From afternoon we have been trying to reach via email and phone to get the claim approval and there has been no proper response from Raksha TPA.

I have a 7 months old kid as well and my wife is getting mentally stresses because of this situation, as we need to stay one more day due to lack of response from the so called 24/7 team.

During...

Sir I submitted claim of my wife right tube raptured claim no.[protected] I submitted all documents provided my Hospital but after continuing giving reply my claim recommended for non pay...

Sir I have submit my daughter tuberculosis treatment claim ref no.[protected] dt. 09.01.2020 and my member ID N90227702LICGKP. I am employee of LIC OF INDIA BO-2 GORAKHPUR UP. I had sent all query document for ct thorax and suporting investigation dt 05.11.2019 by our office latter dt.15.12.2020 and mail 25.02.2021. Kindly look into the matter and resolve my issue and early settelment of my claim.

Thanking and regardbr...

Respected sir
Whoeith regards kindly i inform you that my claim no [protected] has been taking longer than usually.inspite of i submited all related document as per query raised.but it seems there is no carefully attention about my claim settlement no information is updating about claim status.
Plz acknowledge the same
I will be thankful to you...