United India Insurance Company [UIIC] Complaints & Reviews

Client name : bank of india
Policy number : [protected]p[protected]
Employee number : 117974
Employee department :
Employee name : maria laura alvares
Patient name : maria laura alvares
Doa : 23-jan-2017 dod : 30-jan-2017
Dhs id : se[protected]
Claim no : dhs17z043955
Claim amount :28979.00 claim payable 16273.00 (Sanctioned but not settled)
Opd amount was not settled so resubmitted
Claim no, mediclaim number : dhs17z092768 for rs. 12237.00/- (Settled)

As per draft mentioned below i have been following up with raksha tpa and grievance redressal at united india insurance complain redressal mechanism but getting no response, i approached yourself to intervene into the matter and get the claim settled as per policy document. The below complaint was raised on 12 july 2017 vide complaint number
Pg[protected]

"a claim under the policy as per detail was registered on 18.05.2017 for rs. 7503.00.
And in spite of repeated complaint as per token number mentioned below raksha tpa is not responding the complaint and deducted some amount contrary to the policy document.

Claim no : [protected]
Member id : uic[protected]obcrd
Patient name : vinod kumar jain
Insured name : vinod kumar jain
Date of discharge : 10-may-2017
Hospital name : sakra world hospital
Token number[protected] raised on dated 12/06/2017 and token number [protected] raised on dated 20/06/2017

On 22 may, i mailed to enquire the details and reason of less amount of approval of rs. 446/- instead of rs. 7503/-
And 06-jun-2017 they informed via claim settlement voucher that deduction/remark bph not covered under domiciliary list, on the basis of policy terms and conditions, claim has been settled as per the instructions o[censored]nited india insurance company.

I mentioned time and again that this a claim regarding treatment of prostate and diabetes and its complications.in past also the claim under the same policy for the same decease and same hospital and same medicine was paid by you but now raksha tpa is not responding it.
Request you to please reconsider the genuine claim as per policy document and pay the full amount rs. 7503/- (Deduct rs 446/- already paid).
In case any clarification from hospital/ doctor is required, please write to me or enquire at your end."

In case not responded satisfactorily at your end i have no alternate other than to approach the irda or insurance ombudsman.

Hope the matter will be taken at your level and not force me to go to higher level.
Thanking you
Vinod kumar jain
[protected]

Dear sir
My name is vivek dasondhi residing on khargone mp.
I have the policy o[censored]iicl since 2009 to till year.
My policy no. Is[protected]p[protected].
Regarding my complaint i have admitted on date 13 july 2016 and discharge on 15 july 2016 against fighting the disease of stricture urethra at sharda hospital khargone.

Regarding the claim of these i have deposit the all related paper as attested by hospital authority and discussed with my insurance adviser mr. Deepak mahajan agent code is agd0063107.

Till date i can not received the claim amount and unsettled yet.
Regarding my claim we have informed the same to concern tpa agency and insurance company on date 13 july 2016 @ 4.50 pm

R/sir
My name is gulshan kumar and i work as a agent o[censored]nited india insurance company since 2016 my agency code is uii111787agn1004514 under khanouri (Sangrur 148001, punjab) admin officer sikander garg sir i have been misguided by my office sikander garg since the beginning even my policies are being credited in the name of some other agent who is in relative i have been reported many a times but now he has started harassing me i asked head officer dm sangrur (United india insurance company) but he did not care about this matter even he did not pic my call and transfer my agency to his other branch office sunam but i am not satisfied with this and i have sent a legal notice to dm sangrur and sikander garg a few days back sir please take a strict action against him. Sir i do not want to work in united india insurance company in future so please issue me noc for transfer my agency to other company sir i attach policy cover note which have give benefit to other

Thank you
Your faithful
Gulshan kumar (Agent uiic)
Agency code - uii111787agn1004514
Under sangrur branch 148001, punjab
Mobile no [protected]
[protected]

Sir,

I have purchased a policy from andhra bank named as "ab arogyadaan" on 26.05.2017 and renewed on 08.06.2017 by paying a premium of rs. 8, 527/- for 5 lake ba num :[protected] plan 1.

I have not received the policy and the insurance card so far to the address given.

My given address is :
Sreeramachandra murthy cherukuri
Tamarakollu village,
Kaikalur mandal,
Krishna dt - 521343

My present address is :
Sreeramachandra murthy cherukuri
H no:[protected], road # 5,
Sowbhagyapuram,
Sri ramakrishnapuram,
Saroornagar post,
Hyderabad - 500035

Hence i request you to send my policy details and policy card to the either address given above or to my concern andhra bank branch immediately.

S r m cherukuri
+91 [protected]
[protected]@yahoo.com
Reply reply to all forward

From
K.V.Krishnamurthy, 05.07.2017
27 E Vinayaka Apartment Coimbatore
Ambedkar Road
Velandypalayam
Coimbatore
641025 Phone[protected]
Email : [protected]@rediffmail.com

Sub: Reimbursement of cost of medical check up : Medi claim policy no: [protected]P[protected] valid till mid night of 23.07.2017

Sir,
As per clause 8 of the, page 13 of 17 .of the subject policy, I am entitled to undergo the medical check up once in a block of three years as there was no claim during the past three years. I also consulted the United India Insurance company, Coimbatore, and ( visu.[protected]@medassistindia, com ) before undergoing the medical check up. I am also aware that the claim would be restricted to 1 % of the insured value Which is Rs 1500/ in my case.

2. After the medical checkup I submitted my claim attaching all the original receipts to United India Insurance which was forwarded to The Medi Assist India TPA PVT limited, 1437, 3 rd floor, Red Rose
Chambers, trichy Road < Coimbatore 641010..Acknowledgement was also received through
SMS[protected] dated 24.04.2017. After a week, medi assisted wanted a copy of my Aadhaar card which was also furnished the very next day.

3. Since then, I have been following with Medi Assist, Coimbatore and United India Insurance, Coimbatore. But my case has not yet been settled and I have not received the reimbursement.
Now I understand the my claim has been cleared and sent to head office for payment

4.. I therefore request you sir, to effect the payment immediately, since it is nearing three months since I submitted the claim In this connection, I would also like to emphasis that UIIC and the TPA should settle the claims in atime bound manner, since the company does not not allow even a single day extension when it comes to the question of paying renewal premium. The contract must be fair to both sides

6. I also request you to intimate me renewal premium amount payable by me ( due 0n24.07.2017), since the Coimbatore office is unable to furnish the same because of the introduction of GST. Kindly treat this as urgent. Since I will be out of station from 15.04.2017 till the month end and I want to make payment before I leave the station of vacation.

Thanking
yours sincerely,
K.V.Krishnamurhty

From
K.V.Krishnamurthy, 05.07.2017
27 E Vinayaka Apartment Coimbatore
Ambedkar Road
Velandypalayam
Coimbatore
641025 Phone[protected]
Email : [protected]@rediffmail.com

Sub: Reimbursement of cost of medical check up : Medi claim policy no: [protected]P[protected] valid till mid night of 23.07.2017

Sir,
As per clause 8 of the, page 13 of 17 .of the subject policy, I am entitled to undergo the medical check up once in a block of three years as there was no claim during the past three years. I also consulted the United India Insurance company, Coimbatore, and ( visu.[protected]@medassistindia, com ) before undergoing the medical check up. I am also aware that the claim would be restricted to 1 % of the insured value Which is Rs 1500/ in my case.

2. After the medical checkup I submitted my claim attaching all the original receipts to United India Insurance which was forwarded to The Medi Assist India TPA PVT limited, 1437, 3 rd floor, Red Rose
Chambers, trichy Road < Coimbatore 641010..Acknowledgement was also received through
SMS[protected] dated 24.04.2017. After a week, medi assisted wanted a copy of my Aadhaar card which was also furnished the very next day.

3. Since then, I have been following with Medi Assist, Coimbatore and United Indai Insurance, Coimbatore. But my case has not yet been settled and I have not received the reimbursement.
Now I understand the my claim has been cleared and sent to head office for payment

5.. I therefore request you sir, to effect the payment immediately, since it is nearing three months since I submiied the claim

6. In would like to state that it is highly essential that UIIC and the TPA settle the claims in a time bound manner, because the company does not allow even one day delay in the payment of premium for renewal.
The Poilcy being a contact between the Company and the individual has to fair to both sides.
Thanking
yours sincerely,
K.V.Krishnamurthy

My policy is under investigation from past 5 months and we re not being informed anything about it nor the status. Very irresponsible behaviour on their part. They should have the minimum courtesy of communicating with the customers about the on going investigation. I have been calling the customer care number which is always busy and luckily if it rings, no one is receiving. There is no means to communicate with them or i would say they are too careless of about their duties. I am hoping to get a proper response atleast now

Dear sir/madam,

This mail is regarding my travel insurance for my travelling from CHENNAI TO GOA on4th of July 2017 (PNR no DE21XD booking ID[protected]. I had purchased the travelling insurance for all of my family members ( KARWAT COVER MORE, policy nos[protected],[protected],[protected],[protected].

As per the original schedule I was supposed to travel by indigo Flight 6E128 At 4:50 am on[protected], but my travelling was rescheduled to indigo flight 6E905 at 11:15 am due to cancellation of flight.

A per the policy any delay in travelling more than 6 hours of delay, I am eligible for the claim.
On enquiry for the claims at the airport, I was simply denied for the claims saying why did you accept the new schedule .

Hence i am forwarding this complaint so that I can avail the claims as per the policy.

I request you to look into the matter on priority and do the needful in this regard.
Thanks and regards
REZWAN SHAIKH.

Hi Team,

I have submitted the claim on 17th May for the medical reimbursement and its not processed yet and every time when i am checking with TPA/customer care are telling me to wait for 1 week and now its 6 weeks have been passed.

Waiting for the medical claim to be processed. its been pending from last 6 weeks now but they are unnecessary delaying the payment.

Please can you able to help me out.

Claim Number : 1251528/1

Thanks

Sir, my policy no [protected]p[protected] and claims no hh[protected] i submitted all necessary documents on 30.11.2016 and i made lot of correspondence with heritage tpa (Bojoria) kolkata as well as to dm office silchar but they didn't response, i submitted online complain to grievance cell vide no pg[protected] from that i didn't get any response. You just tell me, would i go to court? I am waiting for your suggestions. Please inform via my email ie [protected]@gmail.com and also my contacts no [protected]. Thanking you with regards

Policy no.[protected]p[protected]/ ui00039865

Claim no. Dhs16z186869 query no q[protected]

Policyholder's name-mr santosh vitthal [censored]ole

Claimant's name mast rudra shilole

In above claim i have given original hospital
Bill at time of submitting main file. Still dhs tpa asking
That bill. Then i have also resubmitted photocpoy of that
Bill. But dhs has repudiated my son's claim on the groud
Of it. As i have observed that dhs is harrashing us.

So pl. Look into the matter and solve it as early as
Possible.

I am rakesh dahale ì am agent but i am not interested agency because i have complaint from rahuri branch i have pass exam april month but staff avoided me my licence nd agency cod they i don't have any training nd any primium app so i can't say primium to custamar my 5 full insurance customer goes to any other company so i am not interested uniated agency plz request to you nd help me i want licence nd noc. Thank you sir

Dear sir/madam,
I am account holder of syndicate bank. So, i read about syndarogya mediclaim policy and i am decides to purchase for me and my parents. But parents i. E. Father and mother having an aadhar but as dob only year available and on voter id only age available on both. Both don't have pan card. So, please guide me about purchase the policy.

Regards,
Datta shinde.

Hi, i have taken a car policy from uiic & at the time of policy i've asked for 0 dep. Policy. That time the executive said ok i given a chq. Of rs.9251/- for 0 dep policy & he given me a insurance cover for policy where clearly mentioned that this 0 % dep policy & after some time provide me insurance paper. But at the time of insurance claim service centre deny that this is normel policy & charge me as normel policy. Now uiic said this is dealarship problem.

Greetings from rainbow hospitals hyderabad,

We are receiving tpa cashless claims payment through bank's they are providing only utr nos from which are unable to trace out the claim details (Belongs to which tpa) as your company is providing cashless fecility through tpa s in india.

Ex:12-may-17 united india by transfer-neft*citi0000003*citin[protected]*uiic-payments — 43, 302

With this information hospitals are unable to trace out the claim details.

Kindly make arrangement to include tpa details in bank payment transaction.

So kindly solve the problem.

A theft occurred in my office after breaking the locks of my office on 21/05/2014 at about 4.00 am. Police complaint was filed. 3 Computers, 1, Blackberry Mobile and some other valuable items were stolen. The items were insured under Policy No. 021400/44/58/20000039. As per HO letter bearing reference no. Marine Claims: AVK/[protected], dated March 30, 2015, Purchase invoice and Final Investigation report submitted. Frequent follow ups were done through the Agent who is handling my account. Even reminder mail also was sent. But, till date no action has been taken. Today also I have phoned up the Agent. I was informed that the concerned officer is on leave and END NUMBER OF CASES ARE PILED UP ON THEIR TABLE.
GENUINE CASES LIKE THIS, WHEN IT IS NOT RESOLVED, PUBLIC WILL LOOSE FAITH IN THE COMPANY.

Dear sir,

This is to bring to your kind information that I am a regular policy holder with ur firm and my membership no. Is UI0048011.my claim no is 14310509

I had been operated on march 22nd 2017 for removal o[censored]terus due to increasing inner line o[censored]terus and syst in ovaries. I had incurred about 80 thousand rupees. Due to health problem i had been operated. It was neither a joke nor i wanted to hv knife tearing my body. But yesterday my LIC agent, thru whom i had taken mediclaim policy informed me that my claim had been rejected.

I am very deeply hurted by this. V keep such a deep faith in you. We have a faith that if any circumstances come, v hv somone who will help us. V take ur policy, renew it annually. My policy expired on 31st march 2017 but had it renewed till 31st October 2017. Why should we put our money for mediclaim when we are not getting any help during difficulties.

Please do me a favour by letting me know the reason why my policy claim was rejected. My mobile no. [protected]. Hope to hear from you soon.

Thanks and regards

Surija ramesh

For my policy no. 500600/28/16/P[protected] MD INDIA has uploaded all the required documents and it is showing claim is settled on 08th March 2017.
But still the amount is not yet credited to my account my MDID NO. - MDI5-[protected]. Please look into and let me know how much time it will take to refund my claim or provide me the contact person to whom i can contact for my claim.

Again the same notorious tpa harassment similar to last year.
I was provided 7000max Hospital room rent in [protected]@ghpltpa.com. Later in discharge it was decreased. Being day care urgent surgery of my child with fracture arm. K wire was surgically placed.
With more than four yrs of insurance. I am legible for reimbursement cashless but again this time I had to pay 20000 out of 87100 medical bill. Even after paying non consumables which is paid by a customer, being a Doctor I understand the Claus, still I paid 20000medical expenses. I want an immediate reimbursement.