Karvat Cover-more Assist Pvt Ltd Complaint – Reimbursment Of Mediclaim

Subject: Reimbursment of mediclaim
My Name: Karunaben Ravikumar Kagathara
My City: Jamnagar
My State: Gujarat
My Complaint Against: Karvat cover-more Assist Pvt Ltd
Complaint Category: Insurance Companies
Claim Amount (Approx.): 27806
My Complaint Description:
Dear sir/madam,

I am waiting since last 5 month now i am tired no body giving me answer and i am calling in ahmedabad office to Mr prashant meghanani he is giving me Answer round and round.
Whenerver i talk to DHS TPA they are giving me answer like united india insurance will make the payment whenever i was talk to United india insurance company they are giving me answer like Karvat cover will make the payment so i am not understanding who is the responsible to make the payment.

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The New India Assurance Co Ltd Complaint – Deduction Of CSSD & Other Charges From Mediclaim

Subject: Deduction of CSSD & Other charges from mediclaim
My Name: Nanjibhai J Shingadia
My City: RANAVAV
My State: GUJARAT
My Complaint Against: The New India Assurance Co Ltd
Complaint Category: Doctors & Hospitals
Claim Amount (Approx.): 2500
My Complaint Description:
I was admitted in Wockhardt Hospital on 28.11.2016 for treatment of Anorectal Polyp with Fissure. I have incurred expenses of Rs.69201/- and submitted claim for under above mentioned mediclaim policy.​ The TPA Health India TPA Services Pvt. Ltd. has deducted Rs.1800/- of CSSD charges. CSSD charges is a part of surgery and essential for infection control in surgery. It is not any services provided me in hospital.

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Vipul Med Corp Complaint – Mediclaim Amount

Subject: Mediclaim amount
My Name: Jinal Shah
My City: ahmedabad
My State: gujarat
My Complaint Against: Vipul Med corp
Complaint Category: Insurance Companies
Claim Amount (Approx.): 40104
My Complaint Description:
I have sent a claim documents with all original documents to Vipul medcorp regarding my insurance.
They have also confirmed me on 21.07.2017 that the your claim amount had been sent to payment department. But still neither they are answering nor making payment.
I have sent 12 reminders to them. But no one reply to may mail.

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National Insurance Company Ltd. Complaint – Mediclaim Denied As ‘No Claim’

Subject: Mediclaim denied as 'No Claim'
My Name: Dilipkumar N Patel
My City: Khavad, Ta: Kadi, Dist: Mehsana
My State: Gujarat
My Complaint Against: National Insurance company Ltd.
Complaint Category: Insurance Companies
Claim Amount (Approx.): 31633
My Complaint Description:
Good morning sir/ma'am, greetings.My name is Dilipkumar Patel.I was admitted in the hospital from 14/02/2017 to 18/02/2017. I informed about my hospitalization to authorized person in NIC office on the same day of hospitalization. After discharge from hospital, I submitted my all the necessary original documents personally in the office on 27/02/2017.On 14/08/2017, I got a letter by RPAD saying that my claim is considered as 'No Claim'.I sent a letter by RPAD to the office on 17/08/2017 for reconsideration of my claim.I didn't get any reply.So I sent an email on 07/09/2017 for the same.

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The New India Assurance Company Ltd. Complaint – Mediclaim Denied By Raksha TPA

Subject: Mediclaim Denied by Raksha TPA
My Name: Nayan B Patel
My City: Ahmedabad
My State: Gujarat
My Complaint Against: The New India Assurance Company Ltd.
Complaint Category: Insurance Companies
Claim Amount (Approx.): 245000
My Complaint Description:
The New India Assurance Company Ltd
Customer Name: Paulomiben
Policy Number: 21020534162800001540
Email Address:: [email protected]
Claimno:: 90241718049026
Claim Rejection by Raksha TPA Reson given : "It is not approved from any Medical regulatory authority like ICMR,CDSCO(central drug standard control organization)etc or association of orthopeadic surgeons of India or by European country or FDA(USA)"

But Same kind of Surgery and treatment already passed by New India through Paramount TPA and Others
I Have Proof of Documents showing that Other TPA passing Mediclaim of New India but Raksha TPA not Consider the same
Pleas Look into this matter and Do needful as early as possible

Many Thanks
Nayan Patel
Policy Number: 21020534162800001540
Email Address:: [email protected]
Claimno:: 90241718049026
(M)+918128929001

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