Medi Assist India Complaints & Reviews

There is a place atleast in Bangalore where you directly file a claim to medi asist . Pls provide me ur email address and we can talk more .

Sir,

I, K . Srinivas, submitte claim for reimbursement in the month of March 2010 to TPA (Medi Assist) office in Bangalore and now I am in Hyderabad. My claim No is 4839263 and Policy no is[protected]. It came for final opinion in July2010 last week and still it is under final opinion. His representative met me here and collected the requsite information 15 days back. I could not understand still how much time required by TPA for completion of final opinion and relesing the claim amount? The Reliance is communicating me the position of June 2010 to me now. That is the updation of Reliance General Health Insurance Company.

K . Srinivas

SIR
MY CLAIM 52855547 IS PENDING FOR LAST TWO MONTH.WHY IT IS TAKING SO LONG.
NAME PRADEEP VYAS
MAID [protected]
ADRESS 31 GUJRAT VIHAR DRLHI
POLICY IN NAME OF JARDENE CONSUMER SOLUTION

Sir

My claim no. 5610099 is pending since 1 month . while i have sent all the document. why it is pendig .
please confirm


D.P. GUPTA

My claim no. 5663108is pending since 5 month . while i have sent all the document. why it is pendig .
please confirm



Regards,

Madhuri

Hi,

My claim no. 5663108is pending since 5 month . while i have sent all the document. why it is pendig .
please confirm


Madhuri
[protected]
mail ID: madhuri.[protected]@yahoo.com

Hi

My Claim No.5784243 Is Pending 5 month.while i have sent all tha document.why it is pendig.
Please confirm



Rathod Asha
[protected]
mail ID:asha.[protected]@gmail.com

RESPECTED SIR LET ME KNOW THE STATUS OF CLAIM NO.6467953. SUBMIT ON 25/01/2012. FROM AKSHAY PAGDHARE.

Subject: FW: Claim for the policy number is [protected]
Dear Sir,

I had forwarded my claim file on dated 14th of march 2012 to below address via by hand to Medi Asist’s office NOIDA .but till date I have no idea about the status of my claim file. I request you to kindly look in to the matter.


Regards,

R.K MATHUR

My claim No.6656687 is pending 2 months and i have sent all the required documents. Please expidite by N.Gopinatha

my claim no 7335755 is pending 6months andi have all required documents colse .please expidite by puri deepak

I Rajnikant S. Kayasth had submitted my claim no. 2902624 one month ago to Medi Asist’s office Vadodara, but till date my claim is not process. I humbly request you to process my claim as early as possible.

Subject: FW: Claim MAID- [protected]
Dear Sir,

I had forwarded my claim file before 15 days .but till date I have no idea no sms about the status of my claim file. I request you to kindly look in to the matter.

Sir

My Clm No.:2748659. You have intimated that the form Received On 4/6/2013; Patient Name:Laly Binoy; MAID: [protected];Hospital: PUSHPA MISSION HOSPITAL MATERNITY HOME;DOA: 03/11/13 00:00;DOD: 03/22/13 00:00;Clmd Amt: Rs. 9945

I have submitted all the documents and cancelled check as per the information last May itself. Still I am not getting any information. please respond. We have invested money and started insurance. If it is for no use in case of emergency, it is waste. please value our comments and respond. I have called the bangalore office and they also are not able to guide properly.
thanks for responding

Binoy
email. [protected]@gmail.com
[protected]

My claim ID is 2897333, we have received SMS on[protected], claim status is passed the initial scrutiny and amt Rs. 76341/-, How much time to be taken for payment? . there is any problem ? if, any quiery, please contact to my registered mobile number with you.

Vikram Rathva

Sir
I requesting to you regarding claim
MAID no. is[protected] and all document allready sent to you
but no respons ur side let me know about my claim status
so pls call to me or massage at my registered mobile no.


thanx & regards

Sir

My Claim No.:10035525.Policy No.310300/48/13/[protected]

I have submitted all the documents and cancelled check as per the
information last May itself on 25/04/2014 at Baroda, Gujarat. After more than 25 days has been passed nothing heard from the company and by inquired so many time about status of my file and payment then they have informed that today evening i.e.21.05.14 you will get the information online about your file and claim. Even approx one month I am expecting payment of my claim in place of that I am getting only online information of my claim only
Please respond. We have invested money and started insurance. If it is
for no use in case of emergency, it is waste. please value our comments
and respond. I have called the bangalore office and they also are not
able to guide properly.
Sanjay Chavda
email. [protected]@yahoo.com
M-[protected]

my claim no is 9962208...they had denied my claim...wat r the reasons about dis...can i send again our documents of medical if some document is missing????

my claim no is 9962208...my claim has beeen denied by medi assist with no particular reasons...??????????? this is not good on part of medi assist...i want immediate reply.. from mediassist(noida)...cani send my documents again????? my nos is [protected]

Dear ranganath,

I have met Mr. G.V. Rao., Vijayawada and had a conversation as you told.

But he is telling that the file is closed and you people can't open again. How is this happening. It looks like i am toy and you guys playing with me. How are you working and giving trouble to the customers. As you said to talk with Mr. G.V.Rao. But he is telling the other story to apply for "ODBUDSMAN"

Note: Claim No: 9753622-Patient Name: Syed khader Unnisa Begum

As you guys giving trouble and telling us to complain to ODBUDSMAN. This is not fair. For a genuine case., you guys making it difficult and closing the file. I don't angry with your response.

Regards,
Asad Mohammed

Sir

Quote our reference no: 10192663. is pending since 1 month . while i have sent all the document. why it is pendig .
please confirm. Policy Holer: Jayshreeben Pravinbhai Pastakia


D.P. GUPTA

Dear Sir,

We request you to update the status for as I submitted my documents 1 month back their is NO RESPOND on the same.
Yesterday I have discussed with your Executive reference (Mr.Dixit) his stated that within 7 working days you will come to know status.

Please do the needful.

Reference no:[protected] Clim No [protected] # Mrs.Jayaseeli dtd.8th November, 2014 - (DOA) and documents submitted on 11th November, 2014.

Request you once again to update at the earliest.

Regards
Lalitha.S

Respected sir,
I have sent all the required necessary original documents to Mediassistmediclaim (andheri office) but they are not giving any reply or about the status of claim.I have sent original documents by professional courier on Jan 4 th 2016 by doket number [protected], and the office received the same on 5 th itself, then also no reply from their side.
Maid no: [protected]
Patient name: gopalkrishnan k.s.


Regards,
Gopalkrishnan k.s.

Sir

My Claim No.27092692 so cliam is aprroved and not payment settld pleace satild

My claim no 15424805
I have submitted all the documents
As per your requirement, but still
Pending at your end.please look
Into the matter and settle the claim.

Ramana Murthy raju p v

I HAVE undergone a treatment from Yashroop hospital, gurgaon. the claim bill has already been submitted with claim no.17198446. it was received in ur office on 14th june, 2018. but till now it has not been resolved whereas the time frame is of 20 days. you are requested to process it soon .

pls refer to my earlier mail of 13th july. i am very sorry to see such type of working in mediassit india. the claim no. 17198446 is still under investigation even after one month. the claim was received in ur office on 14th june, 2018 and till date i.e. 20th july, 2018 the claim is under investigation. very disheartening situation this is! even after a week's time, i haven't got he reply of my mail.

on contacting the toll free no. [protected], the executive provides a mob. no. [protected]. She informs that the claim is under investigation and she can't give the the details as she has no other information. she doesn't have any information reg. e-mails. this is the working system o[censored]r office. the executives don't provide the details of the higher authorities.

in this age of technology and advancement, your people are befooling the customers. why so much delay? is there any solid reason to give? no reason at all

"Medi Assist" should change their brand name to something els. They never "Assist" their Policy Holders but never do a fair settlement when it comes to Bills settlement. Very pathetic settlement of payment and policy holders are reimbursed less than half the amount they spend and submit their original proofs. They come back with hundreds and thousands of reasons when you ask them and show their funny "rules book. My recent experience with these guys is very very bad. Better avoid "MEDI ASSIST" and choose some other Insurance. There are hundreds in the market these days.

These guys are not worth of even one Star, hence I chose "No Rating".

can u please let me also know. i also stuck with same problem

dear sir, 28/12/10

my name is Sunil Uttam Sathe, i have a reliance general insurance health wish police,
my address is Surat city, i purchase police number is[protected] in
Agon Religer company. i submit claim document( all document to hospital original) Delhi Meddi -assist branch send to courier number[protected]tracon courier) 08/12/10medi . i call Delhi branch number is[protected], 30913811, 30913813 and[protected], 41624845, i call this number but this is not Riccive my call, and not given my claim detail claim number

Pl settle my claim i want to detail my claim

my mobile number is [protected], [protected]

my email id- [protected]@gmil.com

pz

Medi Assist — Reimbursment

I have claimed for 4 lakh when i have 5 lakh of insurance policy. but they have some clause saying they can pay only 1.3 lakh for a particular disease.
I want to know whether this is true & where can i get these policy terms & conditions.

Dear sir,

Let me know the my reimbursment status (claim)

Details:
policy no: 710400/34/10/04/00000001

policy holder; Nagarjuna oil corporation limited
MA-ID--[protected]

Please reply to Madhanraj.[protected]@nagarjunaoil.com

in absence of accountability, it is difficult to make somebody do one's job

Decency and etiquette demand reply to insured. The insurer must dictate guidelines to TPA and ensure no harassment and mental agony to its customer who has paid premium including service charges of TPA. Whether the 7 days limitation of no reply is as per Insurance Act or Act of Limitation?

Both Underwriter and TPA to clarify and improve its services to insuring public. Such bureaucratic approach adds to ever increasing pending cases with Consumer Redressal Forrum and Ombudsman.

People have no good opinion for TPAs.

To : Medi Assist India TPA Pvt. Ltd.
Claim No. 1720688
MAID : [protected]

Sir / Madam,

This is further to the following email and the documents that were faxed to Medi Assist India TPA PVT. LTD., Andheri office fax number for the expenses incurred towards my father LATE Sanjeeva Shetty

After several attempts could connect to the andheri office on[protected] which is not on the letterhead and i could manage to get from internet. I was able to take up this matter with Ms. Tabassum in this office. Even the office do not know who has signed the two letters received by me. I too do not find any name of the person who has sent these letters. While the transmission of fax of 4 pages is shown okay at my end i am being told that the fax machine is not working and that i should courier my complaint to their office, which they will reply later.

Still now i am not able to understand why the claim is repudiated??? Where is the annexure A as mentioned in the letter???? why the expense cannot be reimbursed??????

When i insisted to meet the Incharge of the office, i am being told that Ms. Vijaya Bhandari is the head and she is not available till monday and that too on monday i should first courier the letter and then callup before visiting the office.

What impression are you giving about your service to the general public - who have gone for mediclaim with the hope that it will come to their help in hour of need especially when i have lost my father.

I am also working on a very responsible position as the head International division for 15years in a pharmaceutical company and i see the attitude of your staff very lax and inhumane.

I am going ahead with taking up this matter with the legal department.

ASHOK SHETTY
Direct Line No. 67739109
Cell No. [protected]

G.P. Mathur
3/474, IInd Floor
Dakshin Puri Extension
New Delhi-110 062
Mob:[protected]
Email: [protected]@yahoo.com

Date: August 4, 2010
Medi Assist India Pvt. Ltd.
TPA
Indian House
A-Wing 6th Floor
Marol Naka
Off Andheri Kurla Road
Behind Star TV Office
Andheri East
MUMBAI – 400059
Phone :[protected] / 01

Sub: Unfair trade practice and Gross deficiency in not allowing the claim

Ref: Claim No.4990749, Insurance Policy No.9202/[protected]

Dear Sir,

My wife, Soma Mathur, was firstly admitted in Sawan Nellu Angel’s Nursing Home, Saket, New Delhi for treatment of stone in gallbladder in and around 21/12/2009. She was operated upon. Your Company being TPA for Reliance Health Insurance had given approval for Rs.32, 000/- (approx.) towards treatment of my wife and the said hospital was paid by you. The sample taken from the gallbladder was sent for further biopsy.

Lately upon examination of the sample it was found that an operation of “Incidental Carcinoma gallbladder (post laparoscopic cholecystectomy) is necessary. My wife was consulted in ‘Gujarmal Modi Hospital & Research Centre for Medical Sciences’ by Dr. Harish Kapila and an estimate of Rs.2, 50, 000/- was informed by the said hospital for operation. Instead of getting the operation done in the said private hospital, I opted to go in AIIMS (All India Institute of Medical Sciences), New Delhi for the operation of the said disease. I incurred about Rs.30, 000/- in the Government hospital (AIIMS, New Delhi) and filed claim with all bills & consultation / diagnosis reports in original with your Delhi office on or about 31/3/2010. I followed up several times with your Delhi & Mumbai office and also on their demand sent additional papers. A receipt was obtained by me upon filing of the claim of Rs.30, 000/-.


Contd…p/2


: 2 :

To my utter surprise and astonishment I received a Cheque on 3/8/2010 bearing No.168044 dated 27/7/2010 for Rs.1, 410/- drawn on HDFC Bank Ltd. towards full and final settlement of my claim of Rs.30, 000/-. I being honest to your Company / Reliance Health Insurance went to Government Hospital so that minimum expense is incurred. I paid several visits to the said AIIMS, New Delhi for operation of my wife. I spent my time and money in AIIMS for the operation. The operation which was conducted in the Government hospital i.e. AIIMS, New Delhi would have definitely cost about Rs.2 Lakhs to your Company if done privately. Even in the AIIMS in private wards, it would have cost you about Rs.1 Lakh but I chose to go for general wards to minimize the expense. Still such an unfair trade practice at your end by clearing the claim for a meager amount of Rs.1, 410/- as against Rs.30, 000/-?

I wish to mention here that it is not full and final settlement of my claim as mentioned in your covering letter dated 28/7/2010. Your Company has to still pay me Rs.28, 600/-. I, therefore, request you to kindly send me your cheque for the balance amount at the earliest.

I acknowledge having received the said cheque of Rs.1, 400/- under protest. The same cheque is being deposited by me.

It is pertinent to mention here that in case my balance amount of the claim is not settled within 21 days, I shall approach appropriate forum for redressal of my grievance at your cost, expense and consequences, which please note.

Thanking you,

Sincerely yours


(G.P. MATHUR)


Encl :

1. Photocopy of Letter dated 31.03.2009
2. Photocopy of Letter dated 12.05.2010
3. Photocopy of Letter dated 13.07.2009

To Mediassist TPA
please take reference of claim No. 5666955
we have summitted claim paper on 23 feb 2011 with all paper and MLC to mediassist TPA delhi, but till date TPA raising descripency for MLC paper.
phone was not picked up by executive Dr Faisal and Dr. Alam in Delhi both are like dictator.
we will complain to IRDA

thanks
Rajender Singh Negi

Times Of India — NON REPLY OF QUERY

I have made several inquiries to the officials of TOI through email regarding subscription of the news paper. But I think either they are too busy or they are least bothered about the queries of the customers. I just wanted the subscription schemes available in north-east Delhi. Thanks & Regards.

my name is Chandrakanth D and I have a Medi Assist India Pvt Ltd policy through my employer Ref: EmpCode[protected]HCL)
and I have submitted a claim for my hospitalization on 15.12.2013 and submitted a claim on 29.11.2012.
Till today I have neither received the claim nor the company responding to my repeated reminders, even registered letter sent by me.
What should I do to get a relief for my grievance faced by this company and the mental agonies I have gone through
An early action in this regard would be appreciated
Chandrakanth D
Mob: [protected]

I was recently in Lilavati Hospital for some problem. I was under observation from 3rd January, 2014 to 5th January, 2014. My agent for medi-claim filed for reimbursement with Medi Assist India Pvt Ltd . I have been receiving queries after queries which are unnecessary and raised just to delay my legitimate claim. But despite my regular replies and follow-up, they are delaying the claim on flimsy grounds. HOW CAN A COMPANY CLAIMING TO BE ISO CERTIFIED BEHAVE LIKE A GOVERNMENT DEPARTMENT AND DELAY PAYMENT. Claim reference number quoted in the letter is 9778585. If the claim is delayed, I will be constrained to file Consumer Complaint and also highlight the issues in PRESS.

Hoping for early response and disbursal of my claim.

Regards,
Mayur V.Shanbhag.

I have submitted my parental insurance claim documents 4 to 5 months back still they are saying the claim is in progress. I went and ask my corporate officials they also saying the same its in under progress. The medi assist people they are not responding when i called customer service they are thinking that they are paying the money from their pocket and even they don't know that we had paid the money well before for the premium in starting of the year. I don't know when these things and all get solve in india. Getting angry on lazy people who doesn't care about there job and there work. If anybody tell me how to approach to get reimburse for the claim submitted is there any short way.

I undersinged Mr.KETAN ATMARAM JAGTAP Aged 25 years. i am a member of pancard clubs.my folio no is AKP-269. You had assured us mediclaim policy with your membership.

I was admitted in FAUZIYA HOSPITAL KURLA on 27/06/2009 and discharged on 04/07/2009. i submitted all my original papers to you on 30/07/2009. My claim Application No. is VM-3732 then as per your requirement again twice you demanded me different documents which were immediately provided to you but still my medi claim is not sanctioned.

In this procedure 1 year & 2 months are passed but still medi claim is not sanctioned . let me me know the reason for non sanctioning my mediclaim mony.

Is it not your responsibility ?
please sanctioned my MEDI-CLAIM as early as possible.


YOURS FAITHFULLY,
(KETAN A . JAGTAP)

Hi
MY NAME SURESH OJHA MERA CLAIM NO.5330193, POLICY NO.1603/[protected] RELIANCE GENRAL INSURANCE LTD MERA CLAIM
CLEAR NAHI MIL RAHA HAY APPACTION DATE-7/01/2011, 07/02/2011/18/02/2011 KOI JAWAB NAHI MIL RAHA HAY

PLEASE URGENT ACTION LIYA JAI

[protected]@yahoo.co.in
suresh ojha surat
[protected]
[protected]

Mediassist — Claim is not settle

Hi,

I am TCS employee , I have registered the claim with mediassist in month of March , along with it I have also sent the original necessary documents but still claim is not settle.

Regards,
Akhilesh

Hi, My name is Todupunoori Srinivas, i met AN ACCIDENT ON[protected] subsequently i admitted in Hospital at Visakhapatnam, Andhrapradesh.
Imy M A Id No. is [protected] I insured with National Insurace co. Ltd and my premium No. policy No. 551112/48/11/[protected]. I have submited all the bills in the month of may'june 2012, but till date my claim is not solved. kindly expediate the action as early as possible.

with regards,

T. SRINIVAS
mail Id [protected]@yahoo.com
mobile No. [protected]/[protected]
[protected]

ur right medi assist service bad & employer not give to customer proper answer unsatisfaction

Hi

I have submitted again all the documents as per your requirement submitted in DELHI (East of KAilash Branch) on 27/10/09 by Hand to Ms.Priyanka.

I m Submitting this my docs at 3rd time please process urgently, and one thing is more when i called to ur branch Delhi office east of kailash there is some person Mr AMIT he is not giving any proper answer and also missbehave on phone.


THANKS



Thanks

Vijay Kumar

PH NO-[protected], [protected], [protected]

I had deposit my original medical bills with attested copy of hospital bills (Amount 254000 INR ) on dtd 26th Feb'10 at Delhi office, Kailash Plaza . At that time all they had confirm that claim will be cleared with in 2-3 wks.

Last month they had asked some addtional paper (Document) which i had also diposited in Delhi office.

But After 3& 1/2 Months has passed and no one of Medi Assist person are giving proper reply nor interested to discuss actual status (Matter).

Patient Name : SMITA KHARE
Policy No. :[protected]

Hope you understand my problem.

Waiting for your positive response.

Thanks & Regard's
Satat Khare
[protected]
[protected]

PER YOUR LETTER REFERENCE NO.4431687/03.12.09 I AM VERY SOCK I HAVE SUBMITTED ALL DOCUMENT RELEATED ADMITTED IN APOLLO BSR HOSPITAL BHILAI ON 02.10.09 MY POLICY NO, 2303/[protected] EMP.CODE 70 VIBHUTI BHUSHAN BABU (SIMPLEX CASTINGS LITD.) MY CLAIM NO.4431687.IAM REQUESTED TO YOU PLEASE TAKE ACUTION OTHER WISE II AM GOING TO CUSTOMER CARE.MY EMAIL ID [protected]@simplexcastings.com .I AM WAITING YOUR REPLY

I have been trying for the last twenty five days to get Medi Assit to give me an approval so that we can do tests recommended by the doctors, as per my phisician the treatment is need to be done within one & half month but till date we didn't received any confirmation form your side.

I am unhappy with medi assist service.

please do needfull.my policy no. is 140100/34/10/12/00007867

Hi, I am Anbu raja, I am from TCS, I am having the mediassit insurance for the past four for me, my mother and for my father. I have not done any claims ever before. Now i am in a situation to take an operation for my mother. I consult the Doctor in MIOT Hospital Chennai. They asked to take the operation. So, I collected all the document and I have summited to mediassit through MIOT Hospital. I have applied on[protected]. Still i didn't get any approval or feedback from mediassit or from MOIT hospital. When i went to the hospital they told that me simply it is not approved.

When I spoke to mediassit in this [protected] number given my Ramaswamy.
They are telling me that they will not approve it.

Please tell me know what I can do now.
What is the purpose of taking the insurance?
Also I want to ask my office why they have given mediassit insurance for TCS.

Thanks,
Anburaja

I HAVE SUBMIT ALL DOCUMENTS WITH CLAIM FORM ON[protected] AT J B NAGAR, ANDHERI, MUMBAI OFFICE BUT STILL I DIDN'T GET ANY REPLY FROM MEDI ASSIST.
PL DO NEEDFULL AS SOON AS POSSIBLE.

NO BODY PICK UP THE PHONE AT ANDHERI MUMBAI OFFICE ON[protected].

Myself Dhiraj Raval working in Reliance Next Link Pvt. Ltd as Sub Area Manager at Ahmedabad cluster.
I was admitted at hospital in the month of July.
i was discharged from hospital on July.
I have put the claim after 10days but still not cleared after 20days from the submit date.
As per teletalk with Ms. Ekta at local ahmedabad mediassist officer, she had informed that my claim has denied.
Please give the status about my claim.

Employee Name : Dhiraj raval
Employee ID :23505314
Claim No : 4275880

Sir,
Please refer CCN#4209568 under Policy 1306/[protected]

I have received your reminder on dated 13 Aug 09 to submit the original documents

I don's not why my claim is still pending with you last more two months, can you contract me for an early settlement of claim on telephone [protected] Jitender kumar and Mr BK bararia [protected]. Further I would like to inform your that my all original documents are still with hospital Administration because this claim was submitted through hospital when patient was admitted..

thanks

jitender

Sir,
Please refer CCN#4209568 under Policy 1306/[protected]

I have received your reminder on dated 13 Aug 09 to submit the original documents

I don's not why my claim is still pending with you last more two months, can you contract me for an early settlement of claim on telephone [protected] Jitender kumar and Mr BK bararia [protected]. Further I would like to inform your that my all original documents are still with hospital Administration because this claim was submitted through hospital when patient was admitted..

thanks

jitender