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Raksha Health Insurance TPA Complaints & Reviews

www.rakshatpa.com

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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 🤝

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Claim not settled since 40 days

Claim not settled till time

Claim put on hold due to requirement of documents

Most useful reviews

Chandigarh tpa office for not settling claim of Sandeep Kumar Jyani pf 1359119

During Hospitalization Expenses not being covered

Claim put on hold due to requirement of documents

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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 8

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Address: PNB Ratanada colony branch Jodhpur Rajasthan

Sir, My membership Id is UIC[protected]PNBA, Claim refrence no [protected] claim amount 16341 not yet recieved. I send all details with tpa form of my bank account and cancelled check atteched but they release the amount in the account which was already closed in past. When I Inquiry of this then toll free representive told me to send email with detail, cancelled check scane and close account statement. I provide all details by email to...

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My corporate health insurance is with Raksha TPA, and I had applied for my claim for months and mailing them, still, claim is not passed and no response from Raksha TPA through mail is given.
I was informed once about original prescription of Doctor which was mis-placed in home by me as I shifted my place of residence and then I provided them all original documents and formalities asked by them.
Still my claim in pending and...

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I have submit a hospitalized medical bill of my mother on 06 june 2019 but after 15 days inform me by mail you have not sent original discharge summary and i submit our reply we have already sent original document s of total bills. After that we i meet your reception counter and tells our facts position of bills. We have already sent original bill and discharge summary. He says your bill we be consider for payment. But after some time another...

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Address: flat No.118,sector 13, Phase 1, Pocket 1,Netaji subhash apartments

Claim denied inpiste of claim documents received within 15ays consultation date is 3rd june and you received the documents on 18th june i will send you speed post details if required

Claim no. [protected]...

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Address: Chennai, Tamil Nadu

Website: Www.rakshatpa.com

I am ramalakshmi, my membership no uic[protected]obca, i had submit my domiciliary billfor my husband on 29.10.19, and it was confirmed over phone that it had been reached raksha's chennai office at 2.11.19. The claim was not registered so far, and i didn't received any queries by message or e mail. I made a call to this office 7 times from my mobile the staff who picked up the call confirm the receipt of the bill, and give assurance for its...

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Address: Syscom corporation, Gautam Buddh Nagar, Uttar Pradesh, 201307

Hello there,

Member id : uic545sys2044sccl
Policy no : [protected]p[protected]
Insured name : vishaish pandita
Claim in respect of : angli kumari
Relation : mother
Claim ref no : [protected]
Employee number : sys2044
Corporate name : syscom corporation private limited
Entity name : united india insurance co. Ltd

Claim bills received in 07/2019 and today...

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Address: Raksha tpa indore, 480001

Website: Crcm@rakshatpa.com

My name is anchit kumar and my member id is uic[protected]pnba. My child was born on 14 june 2019 and hospitalisation bill of rupees 63634 was sent on 24 th june. Due to emergency situation, i could not intimate to raksha tpa. My case was registered on 10 th july 2019. The placed queries that what is the reason of late submission and why i dont intimate pre hospitalisation? I submitted well on time and i gave reasons of no intimation. It has...

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Address: Maharaja Agrasen Hospital West Punjabi Bagh, New Delhi – 110026, New Delhi, Delhi, 110026

Website: mahdelhi.org

My mother got admitted in Maharaja Agrasen Hospital, Punjabi bagh in March 2019. We have availed mediclaim from United India Insurancee, Raksha Tpa(3rd party). But on her discharge Rs. 8000/- we not returned to us stating the reason as the CTScan was not cashed by Raksha TPA as their doctors treated that CT Scan to be irrelevant to the disease my mother was suffering from.
The doctor in Agrasen hospital provided information stating...

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Website: www.rakshatpa.com

My mother has an "the oriental insurance co. Ltd." insurance with policy number "252900/48/2019/2362". This insurance is managed by "raksha health insurance tpa pvt. Ltd.".

Recently my mother suffered with breastcancer and had to go under masectomy surgery on 3rd july. By gods grace she was diagnosed with stage-1 cancer and required further test "endopredict" to be done to determine further treatment. The cost of test is rs....

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I have admitted to amrit hospital on 08th june 19 via cashless scheme intimation done query came and reply also been done by hospital and me on the same day from email
Amrithospitalrdr gmail com and my personnel mail like almost 1000 mails daily since 8th june 19 still the cashless claim is not settled all the time call center and all the numbers mentioned in your site are saying mail not received we have sent mails to all the email...

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Address: 14/3, ist floor, mathura road, faridabad...121003, Faridabad, Haryana, 121004

I have applied my wife hospitalised docs for reimburesment to raksha tpa, faridabad last year, but still claim (Claim no...[protected]) is pending,, i am so much harrashed as what to do.. Tpa blaiming on insurance company for pendency and insurance company blaiming tpa... As it is showing that they are making fool o[censored]s... Shame on this tpa serivce, i will never say any body to buy this tpa policy a s making people fool... I will also...

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My member id o556c5003078epm

Last year i had a heart operation and i had claimed partial amount from raksha tpa insurance company. My personal insurance company reimbursed rs 2 lakhs immediately and remaining amount of rs 50000 i wanted to get from this corporate insurance company. Though i had sent all the documents as required by the company, they 're sending mails each time ' insufficient document'.in spite of sending documents...

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Address: House No-1601, Sector-3, Faridabad, Faridabad, Haryana, 121004

Website: rajkumarchourasia2015@gmail.com

Above said policy brought since 15 oct 2017 by shri narsingh prasad (My father) is admitted at sarvodaya hospitalat 16.03.2019 and discharge on 21.03.2019.

All the formalities full filled as per quarry asked by raksha tpa upto 6: pm but he said lastly that it is not applicable in case of brain related issue. Asking for terms & conditions of the policy by customer care denied to provide same.

You are requested...

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Address: New Delhi, Delhi

I have lodged claim of pre and post hospitilazation under member i'd: pnba under policy nos:
1. [protected] of rs 10570/- and
2. [protected] of rs 8969/-
Both calim are rejected /not by raksha tpa pvt ltd without any intimation.
My wife delivered baby with complications, doctor mentioned delivery date 20 jan but she delivered on 11 jan due to complications. And due to which delivery is cesearian.
Now...

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Address: Ahmedabad, Gujarat, 380002

My policy no is 243100/48/2018/1237
I had filled my claim on 4 sept 2018 but till today no cheque received not proper reply. They assured me that i will get cheque in 5-6 days from last 1 month, they try to miss guide me. I think company just want to delay the matter by giving new dates to me.
[protected]
Please let me know when should i get my payment.
Please co operate
Lalit agarwal
[protected]...

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Address: Gautam Buddh Nagar, Uttar Pradesh, 201305

Website: www.rakshatpa.com

According to my policy, if the refractive error is more than (-4) it is covered, please refer to the attachment. My refractive error is (-6.25) and (-5.25) respectively but still the cashless has been denied.

They are not telling us the reason why are they denying and it's been more than a week. I was not expecting this atleast for a corporate mediclaim.

Strict actions need to be taken again raksha tpa. We are...

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Address: Meerut, Uttar Pradesh, 250002

Website: sr_jain1976@yahoo.co.in

Dear sir/madam,

In above reference my name is saurabh jain i am employee of a private company my policy no. Is 252400/48/2018/7441 i am regular claim medical bill for reimbursement of my son who fully dependend on me but my indor out door hospital paper is not available hospital is written his indoor case sheet are a secured property of the hospital and cannot be handed over to any body. However they are really available for...

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Address: Jhansi, Uttar Pradesh, 284001

Website: www.rakshatpa.com

My health insurance policy is with raksha tpa and i have requested for. Claim to raksha tpa lucknow bcoz i. Was admitted to the smart care hospital kanpur unnder the observation. Of sir kalim ahmed. Khan so i have forwarded the claim. Documents. To the lucknow branch and they have provided with the claim no - [protected], [protected]
Now they are saying that the mental illness is not covered under the policy but according to...

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I have submit claim no:[protected] in the month of dec 17, claim process in april 18 and send voucher and inform amount credit in the account as of 1 of may 18 but as per verify of my ac amount was not credited. After several mail and call to tpa official inform wrong amount send to sbi instied of icici bank. I have resubmitted bank detail as on 14 july 18 but amount not credit in my account till dare after several reminder to crcm....

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Website: rakshatpa.com

This is my first experience with raksha tpa pvt ltd — pre & post hospitalisation expenses reimbursement.

What i realize that there processing of claims provide me smell o[censored]nfair practices. The hospital claims settled in 4days to 7 days mostly 10 days but the claims of real customer the insurer remain pending thereat and even the
Mails are not responded.

I like to remind the company that from insurer...

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