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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 🤝

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Claim not settled since 40 days

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Raksha Health Insurance TPA reviews & complaints page 9

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Address: Anantapur, Andhra Pradesh, 515001

Sir, my employee is number is 337382. Working in punjab national bank. We sent a cashless approval request for maternity hospitalisation of my wife. Name is madam sowmya. We sent request on 2-10-18. Till now, we have not received any reply. More than 50 times i contacted customer care, every time they tell a different story. Some times they are telling they have not yet received mail. Some time they are telling request is received. Every...

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Address: Ghaziabad, Uttar Pradesh, 201001

Website: Raksha Tpa

I have submitted my maternity pre and post hospitalisation claim to rakshatpa on 31.03.2018 and submission was delayed by 6 month due to some complications in health of my infant baby. My original bills and reports was already sent to rakshatpa. But again and again they (Mr kunal) are asking for photostats & scanned copy of bills. They asked reason for delay in submission. I submitted reson for delay duly verified by employer through proper...

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Address: Faridabad, Haryana, 121006

Hi my raksha tpa member of is uic54546879obca and my claim amount of 9801 was approved but my bank account was closed and i gave then the new bank account no with cancelled cheque. I called them and checked that the new account is updated in the system, then they asked for bank statement for old and new account which i also provided but that have not credited the amount to my account. It's been 2 months now and they don't respond to my emails...

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Address: Raebareli, Uttar Pradesh

Website: devnath_2007@rediffmail.com

Member id uic[protected]pnba and claim no [protected] which is passed at feb 2018 before my account no [protected] which is closed at 31 march 2016 they send neft at this account but rhis account has been closed alredy then t send my account statement and new account no check leaves [protected] then they said that it will be salary account then i send account statement and salary account no check leaves [protected] but i did...

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Address: Mansa, Punjab, 151501

Website: Crcm@rakshatpa.com/helpdesk@rakshatpa.com/lalit@rakshatpa.com

Dear sir/madam,

In above reference my name is mukesh bansal i am employee of obc bank my pf no. Is 339296 i am regular claim medical bill for reimbursement of my father who fully dependend on me but my last bill delay for final payment and his claim no. Is [protected] however this claim is registered 10 july for raksha tpa chandigarh and passed as on date 23/07/2018 for final payment of rs. 23033/- but now till dated my...

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Address: Dehradun, Uttarakhand, 248001

I forwarded my file to my cmo meerut on 24.4.2017 and the concerned person (Mr abhishek verma) who collected my file from my cmo meerut on 01.05.2017 and there is no response from their side.
This is a request to please look into the matter and do the needful at the earliest.
Hoping to get a positive response on this matter.
Regards
Manju joshi
Membership id-uic[protected]obca...

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Address: Chennai, Tamil Nadu, +91

Dear sir/madam,
My claim number [protected],
Member id UIC54526742SBI,
Patient name Lingammal S.
Claim bills received on 17/07/2018.
I am working as Unit Manager at SBI Life insurance for 3 years. At 23/06/2018 God blessed me girl baby in ANDAL Hospital at Rajapalayam, Virudhunagar Dt. That is non network hospital so that I had applied for reimbursement along with requested all medical bills. In hospital...

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Recently i had undergone heart surgery in bangalore. The total cost of the surgery was rs 2.50 lakhs at panecea hospital. My main insurer star health cleared rs 2 lakhs immediately. But my corporate insurer raksha tpa is dilly dallying to clear the balance amount of rs 50, 000 for the last 3 month. Even i submitted noc from star health. Till date, after a gap of 3 months i have not received any feedback nor my claim amount. I have submitted...

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Member id: uic54542701obca claim no. [protected]

Dear sir,

I have submitted a mediclaim bill of rs.8224/- on dated[protected] along with original bills and a cancelled cheque of my staff salary account no. [protected] (Due to close of staff od account no. [protected], which was previously linked as bank detail with insurance co).

On perusal for settlement of claim your officials, it was...

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Address: 400063

Website: www.rakshatpa.com

Respected sir

This was the mail dated 23062018 by shri prasad wallkar

With references to below email would like to inform you that on scrutiny of claim documents charges related with dm and its complication paid in this claim and charge related with eye ailment will not be admissible hence deducted rs 4000 and rs 1000 total rs 5000

Please look in to the matter the treatment which i have done is...

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Address: Dehradun, Uttarakhand, 248005

Member id : uic54563381pnba
Name : rajendra singh rawat
Claim no. [protected]

Kindly tell the reason of non payment of this claim since 14 june 2017. Even after 1 year of submission of claim it is not reimbursed till now. My father is not well so he is not able to regularly contact the tpa.. Also intimate any document you need to pass the bill and speed up the process of reimbursement....

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Address: Udham Singh Nagar, Uttarakhand, 244713

Website: Nitin.agrawal921@gmail.com

आपके द्वारा 21000 का पेमेंट नही किया गया जो कि गलत है में मानता हूं कि प्राइवेट रूम लेने से 20%एक्स्ट्रा चार्ज लगते है तो आपको 20% काटकर ही पे करना चाइए था मुझे केवल रूम के बारे में...

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Address: Ludhiana, Punjab, 141013

Website: www.orientalinsurance.com & www.rakshatpa.com

Member id : o[protected]
Policy no : 233902/48/2017/7108
Insured name : smt. Sukhbir kaur
Claim in respect of : smt. Sukhbi r kaur
Relation : self
Claim ref no : [protected]
Employee number : na
Corporate name : individual
Entity name : the oriental insurance co. Ltd.

The claim is pending from last one year as they have not settled the claim
They don't even have...

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Address: Amritsar, Punjab, 143001

Website: www.rakshatpa.com

As per telephonic conversation on[protected] on 11 may i was told told claim has been passed and claim amount 2 lakhs would be credited to bank account on friday.
To my utter shock today morning my claim status showed rejected as per clause 4.1 and 4.2
I want to bring to your notice that rejection on basis of clause 4.1 and 4.2 is invalid.
As per clause 4.1 any disease which is preexisting is excluded from insurance....

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Website: www.rakshatpa.com

Raksha TPA – Non responsive customer care

Sadly (by bad luck) our TPA for Insurance is Raksha TPA. They have several numbers as their customer care numbers Faridabad[protected]-180-1444, Mumbai[protected]-220-456, Bangalore[protected]-425-8910

Unfortunately not a single one works. The numbers do connect but all they say is no agents are free now, please call after sometime.

We...

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Address: Faridabad, Haryana

Website: rakshatpa.com

In respect to the claim number [protected], original investigation reports, originai brain plain, original mri ls spine plain, original mri screening with film dated 03/10/2017 have already been sent to you via dtdc docket number z52268862 which was received in your office on 16/01/2018 (Copy of docket and receiving is attached in the mail).

It seems that the docket received at your office is not updated in the computer...

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Address: Gautam Buddh Nagar, Uttar Pradesh, 91

Website: www.rakshatpa.com

My wife neelam rao was hospitalized on dated 03/01/2018 for maternity. She was admitted in apollo hospital noida and next day on 04/01/2018 she gave a birth a daughter, on another day she discharged from hospital. I applied a claim amount of neelam rao18100/-and baby of neelam rao 34885/ on dated 16/01/2018 to raksha tpa gorgon. My memberid no is n90240264licmrt and my claim number is [protected],[protected]. They already settle claim...

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Address: Patna, Bihar, 800001

Website: www.rakshatpa.com

Sir,

I have sent claim form along with original medical bills of my mother smt malti devi to raksha tpa boring road patna on dt[protected] having claim amount rs. 22593.76 but till date claim has not been registered on the site. The said claim has kept under the table drawer. Despite several reminder sent via email and talked over the phone with mr. Hiren, claim is still pending for registration. I also said over the phone...

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Address: Hisar, Haryana, 125001

I am completely not satisfied with your service as my mother is being diagnosed with retro peritoneal tumour in aadhar hospital hisar. The tpa agent refused for cashless service and says it can only be claimed later since amount sanctioned for this disease as per the company is 25 to 30 thousand while the cost of operation as per the doctor is 1.5 lacs. I am still getting my mother treated here and paying all in cash. What was the benefit...

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Address: Kottayam, Kerala, 686013

I am bijo john
Member id :m[protected]jgl
This cimplaint is regarding deduction of my claim amount.
First i confirm the tpa customer care about my room rent and my sum insured amount. I got the information is room rent is 2% of my insured amount (150000) that is 3000rs per day. Igot 1500 per day rent room. And now it is deducted at the time of claim approval. They deducted and calculated it to 1 % amount. And they mentioned...

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