Submit a Complaint
Claimed

Raksha Health Insurance TPA Complaints & Reviews

www.rakshatpa.com
1
Updated: Feb 29, 2024
Complaints 235
Resolved
36
Unresolved
199
So far, so good. Raksha Health Insurance TPA is working on building a stronger response system and taking steps to address most of the complaints. While there's room for growth, their efforts show a positive trend in customer support. We hope Raksha Health Insurance TPA will keep up the work and continue to help more customers with their concerns even better 🤝
Complaints
Contacts

File a complaint to Raksha Health Insurance TPA

Having problems with Raksha Health Insurance TPA?

File a complaint and get it resolved by Raksha Health Insurance TPA customer care. It’s quick, effective and absolutely free!

SUBMIT A COMPLAINT
Insurance
Raksha Health Insurance TPA

Recently resolved complaints

View all complaints

Most useful reviews

5
Chandigarh tpa office for not settling claim of Sandeep Kumar Jyani pf 1359119
4
During Hospitalization Expenses not being covered
3
Claim put on hold due to requirement of documents

Featured stories

Reimbursement pending for long time
Rejection of my claim with out asking any query
Claim amount not passed stating bills and receipts not attached, where each and every document is submitted in hard copy

Raksha Health Insurance TPA reviews & complaints page 12

Newest
  • Newest
  • Most Helpful
  • Most Popular
  • Resolved
  • Contains Photos or Videos
  • Oldest
M
manishbaluja
from Pune, Maharashtra
Jun 18, 2010
Resolved
Report
Copy
Resolved

REFUSAL OF CLAIM

Address: Amritsar, Punjab

My self Manish Baluja s/o Sh.Balbir Chander Baluja,R/o # 76,St. No.1,Kapoor Nagar,Sultan Wind Road,Amritsar,working with M/s Organic India Pvt. Ltd.,Lucknow at Amritsar Head Quarter as Senior Sales Executive.

My Company has provided me a Medi claim Policy of Raksha TPA as per details.

Policy No.: 082401/48/09/87/00000079
Member ID : UIC545264ORGA

Unfortunately, My son Ritish Baluja...
Helpful
Found this helpful?
1 Comment
Report
Copy
N
NIMIT_OM
from Mumbai, Maharashtra
Jun 10, 2010
Resolved
Report
Copy
Resolved

NOT REOPEN MY CLAIM

Address: Surat, Gujarat

I HAVE SUBMIT MY CLAYNT CLAIM FILE. RAKSHA TPA WAS QUARY OF THIS FILE . I M SUBMIT MY QUARY[protected] AND RAKSHA TPA IS CLOSED MY CLAIM[protected].THE RESION IS QUARY IS NOT SUBMIT. RAKSHA TPA IS FROUD TPA IN INDIA. AND VADODARA BRANCH IS SO LAZY. THER WAS NOT UPDATE MY QUARY AND CLOSED MY FILE. FOR MOR DETAIL MY CONTACT NO IS [protected] NIMIT SHAH...
Helpful
Found this helpful?
1 Comment
Report
Copy
A
aprabhu
from Pune, Maharashtra
May 17, 2010
Report
Copy

Not sending the approval for medical claim

Address: Bangalore, Karnataka

Insurance company raksha tpa of mumbai & bangalore branch are not sending approval from last 5 days. For 2 hours work they have taken 5 days, they are ignoring us due to which am unable to get discharge from the hospital

Name: Hency Dias
Menber id: UIC54519415SECL
Mob No:[protected]
Raksha TPA Contact No:[protected]...
Helpful
Found this helpful?
1 Comment
Report
Copy
J
jkgoyel
from Kapurthala, Punjab
Apr 10, 2010
Resolved
Report
Copy
Resolved

False Denial of cashless facility

Address: Ludhiana, Punjab

April 10, 2010

The Manager,
Raksha Tpa pvt. Ltd. SENT BY E-Mail
Ludhiana/Chandigarh/Faridabad.

Ref.: The New India Assurance Co.Ltd.
Policy No. : 360100/34/09/11/00001087
Raksha TPA Identity...
Helpful
Found this helpful?
Write a comment
Report
Copy
N
Niranjan Mishra
from Mumbai, Maharashtra
Apr 4, 2010
Report
Copy

decline of Claim-Policy No:52129604

My claim has been rejected as
per reason given that Doc delayed one day later as per defined TAT by company and as per company's detail claim was not intimated to them but same is not is not correct. As I had applied for
cashless admission and due to lack of coordination between insurance company and CMC hospital doctor andeven 6 times clarification (between them) it has not got processed and I have made cash payment....
Helpful
Found this helpful?
Write a comment
Report
Copy
G
Goyal WC
from Barnala, Punjab
Oct 30, 2009
Report
Copy

Non receipt of Health Insurance Cards

Dated October 30, 2009
I have taken a mediclaim policy from you vide policy no. 200404/48/08/97/00000328 in the name of following persons:
1 Wakeel Chand Goyal
2 Krishana Goyal
This policy was valid upto 09/09/2009. The policy has already been renewed upto 09/09/2010.
It is regretted that I have not received the I-cards till date despite repeated reminders sent at registered office of the company.
All...
Helpful
Found this helpful?
Write a comment
Report
Copy
D
DR.MOIN ZAMIR KHAN
from New Delhi, Delhi
Oct 16, 2009
Report
Copy

Garbage

Who so ever it may concern

Dear Sir,

It is to bring in your kind notice that I m a Citizen of Free India by birth and now living in Jamia Nagar New Delhi a Hub of education, a place of true secularisms and unity, since my child hood and till date I have seen every ups and down in the area and feel that this particular area is being ignored by MCD in terms of sanitation where we are going to celebrate the common...
Helpful
Found this helpful?
Write a comment
Report
Copy
S
sampat parmar
from Mumbai, Maharashtra
Jul 30, 2009
Resolved
Report
Copy
Resolved

mediclaim disallowance

I have family mediclaim policy from Oriental insurance since many years. My policy no is 111700/34/08/11/00002925 . and my personal insurance limit is Rs 400000/- I had to undergo
surgery of Right Ureteric Calculus. Total Claim amount was Rs. 39669/ whereas i was paid Rs 29669/-
Rs. 10000/- was deducted from surgeon charges saying it was not proportion to room rent.
It is shocking to hear this. Even though my insurance...
Helpful
Found this helpful?
Write a comment
Report
Copy
D
dineshbhai s. trivedi
from Mumbai, Maharashtra
Apr 27, 2009
Resolved
Report
Copy
Resolved

TILL DATE CLAIM NOT RECEIVED

DEAR SIR,

I dinesh bhai shantilal trivedi i am 61 years old man and i have medicliam policy in RAKSHA TPA. My policy number is 130400/34/08/87/00000234 and my member id is NS907031JWSL. Before six month's my wife was admited in ahmedbad gyatri hospital. after tretment i am submited all document in ahmedabd office thorw pragnesh joshi. and after six month's they say's your file is colsed bocoz you are not replay...
Helpful
Found this helpful?
Write a comment
Report
Copy
K
ktripathi3
from Noida, Uttar Pradesh
Feb 20, 2009
Resolved
Report
Copy
Resolved

non payment of medical bills

I have taken my son to Kailash Hospital for some injury and after initial discussion they told me that there will be some surgery So pl pay some advance amount or deposite your medicliam detail and card no so the treatment can be started But to my surprise the raksha tpa contract was cancelled from such reputed Hospital and when i contacted Raksha so they told us it has been cancelled two month back only but you can continue with your medical...
Helpful
Found this helpful?
2 Comments
Report
Copy
B
bhadreshbhaisheth
from Mumbai, Maharashtra
Feb 10, 2009
Resolved
Report
Copy
Resolved

Disagree with my claim amount

Respected Sir,

Our claim amount is more than Rs. 51, 326.00.
I encashes chaque of Rs. 46, 193.00 as partly payment of our total claim amount.
We are disagree with your settlement of our claim amount.
Because I have send too many raceipt and bills of our claim amount, that all receipts/bills you have not taken in your calculation of claim settlement.

So, I request to you please note my objection...
Helpful
Found this helpful?
Write a comment
Report
Copy
C
Chander Chopra
from Gurgaon, Haryana
Feb 10, 2009
Resolved
Report
Copy
Resolved

Claim denied in spite of timely submission of papers

Hi,

I have a medical / health policy from New India Insurance company .
Details of my Policy are

Member id : N086721
Name : Chander Mohan Chopra
Policy no : 312000/34/07/11/00000556
Claim amount : Rs16885

I was admitted in the hosiptal on 21-aug-2008 to 23-aug-2008 and had a put a claim to Raksha TPA on 8th Sep'08 since my cashless hospitalization form was not...
Helpful
Found this helpful?
1 Comment
Report
Copy
P
Praveen Sharma
from Delhi, Delhi
Sep 19, 2008
Resolved
Report
Copy
Resolved

Hospitalization Bills

Dear Sir,

My wife was admitted in the Hospital from 20-june 2008 to 06 july 2008. Due to some unavoidable reasons i submitted the bills to my company on 10 -august 2008, and Raksha received those bills on 14-aug-2008. Raksha denied to pay the bills becuase it was submitted late (not with in 20 days period).

I want to know that is there any time limit of receiving the claim, or any Insurance provider can deny...
Helpful
Found this helpful?
Write a comment
Report
Copy
D
DINESHBHAI SHANTILAL TRIVEDI
from Mumbai, Maharashtra
Sep 12, 2008
Resolved
Report
Copy
Resolved

LAST 6 MONTH THEY CANT GIVE MY CLAIM

DEAR SIR,

I DINESH S. TRIVEDI MY AGE IS 60 YRS. I HAVE COMPLAIN AGINST RAKSHA TPA. I HAVE JOINT ACCOUNT WITH MY WIFE POLICY IN RAKSHA TPA. MY WIFE WAS ADMIITED IN KARNAWATI HOSPITAL AT AHMEDABAD DATE OF 7 - MARCH -2008 AND MY MEMBER ID IS . "BNJWSL04836" . AFTER FEW DAY'S THERE ARE SENDED ONE LETTER REQUST THEY WANT A SOME DOUCMENT .WHEN SENDED LETTER THEY GIVE ME ANOTHER LETTER AND REQUST FOR ALL PAST DOCUMENT...
Helpful
Found this helpful?
1 Comment
Report
Copy
C
colin77
from Pune, Maharashtra
Feb 29, 2008
Resolved
Report
Copy
Resolved

Details of deductions not given

Dear Sir,
Before I make an official complaint I need to know my rights with regard to a mediclaim made by me.
Details of this claim are available on the following website:
www.rakshatpa.com
Click on Claim status and on the form that appears fill in

ID Card Number : BN1195327
The claim No is : [protected]

This claim is made with regard to my son who was recently admitted to...
Helpful
Found this helpful?
16 Comments
Report
Copy

Related businesses

PACL India
1
(2718)
AppsDaily
1
(1265)
Jain International Organisation [JIO]
1
(337)