Apollo Munich Health Insurance Customer Care

+91 124 458 4333

www.apollomunichinsurance.com

Apollo Hospitals Complex,Jubilee Hills, Hyderabad, Andhra Pradesh, India – 500033

I had applied for claim of Apollo Munich health insurance.

Kusum lata chauhan
claim number 147636
Member Id : [protected] on 26th sep'13.
Policy number 1102/11001/[protected]-02
Name of hospital:Ashwini heath care

The reason being told to me that insufficient document.

Request has been rejected because of "not submisson of original documents"
but on 26th sep i already sent all original documents evrything
precrption bills etc.. on this address

Apollo Munich Health Insurance Company Limited.
Gurgaon: Corp Office;10th Floor, Building Number 10, Tower B, DLF City
Phase 2, Cyber City, Gurgaon 122002

Then from that time period and today 7th may 2014, continusly I am
forwording the mandatory document as per their mail.and even the
copy of cancelled cheque. and now
I do not have any paper and i forwarded them all the related
documents whatever document they need.now i am tired of being sending
paper again n again, Now they are asking new paper for discrepancy and
first detection papers when patient diagnosed to have Diabetes
Mellitus & Hypertension.Everyday you demanding for a new paper weather
document are mandatory or non-mandatory, I Just wanted to tell you one
last thing that, she had diabetes and she was not taking any medicine
from the first day as per doctor concern and after finding Diabetes
Mellitus & Hypertension.and we do not have any papers which you need
now.Last year, same Apollo Munich gave a claim of 52k, That time, they
were aware about everything.now they are creating problems for claim
because of reimbursement scene and If nothing is going to happen, just
let me know.I have another ways to find out the claim.

This was my last mail for TPA, Now i and forwaring all the details and
mail to consumer court office.now i need to take an legal action
toward TPA or Apollo Munich.This is totally harassment case, Now i just
have this way to get the claim.

—

Thanks and Regards

Meena Chauhan
Email:meena.[protected]@gmail.com
Ph:+91-[protected]

+91 124 458 4333

www.apollomunichinsurance.com

Apollo Hospitals Complex,Jubilee Hills, Hyderabad, Andhra Pradesh, India – 500033

INSURANCE SETTLEMENT

Dear Sir,
I Have An Attack Of Appendix On 22 March. I Admitted In Saraswati Hospital And Cancer Care CentreOn 23 March And Discharge On 26 March. The Total Cost Of Treatment Is 32,200/-. I Paid 2 Payments1.10,000/-(adv) 2. 22,200/-.I Paid All Payment In Cash And I Have All The Paid Receipt N Stamped and signatured Document. I Submitted All The Document To Apollo-Munich Insurance Company For Claim. But After 18 Request And Mails Still Its Not Cleared.
In The Investigation Report Company Say I Pay Only 2500/- Cash Rest 7200/- In Cheque (Later On Cheque Has Been Bounced). I Complaint Several Times To Apollo Munich That I Cannot Gave Cheque To Anybody If You Have Any Cheque Return It To Me. I Cannot Claim For Single Rupee. I Take Treatment Amount On 5% Interest Rate. Every Time Company Gave Me A False Assurance That It Will Be Sort-Out Very Soon. But Still The Same No Response.
I Have All Hospital Document Paid Receipt With Signature And Stamped.

Sir Please Help Me And Please Tell What I Have To Do Because I Don’t Know What I Do.

Thank You
Your Faithfully
Ajay Sharma(Patient Name)
Age 32 Yrs
UHID- [protected]
Insurance Co.- Apollo Munich

+91 124 458 4333

www.apollomunichinsurance.com

Apollo Hospitals Complex,Jubilee Hills, Hyderabad, Andhra Pradesh, India – 500033

The Company rejected cash less Stating that Justification for the need of admission from the doctor,
Above all the hospital is renowned and on Panel of the Insurance company.
It seems they want me to approach insurance first and then trust doctor for need of hospitalization.
Hospital Name- MAX Saket
Insurer–Apollo Munich.
They called to tell me that i have Diabetes and Hypertension that why claim was rejected whereas nothing that is true nor existing!!!
They are very rude and since last 3 months no one called me after repeated requests.Hardly reply to mails.
Got reply only after writing to CEO, that also revert by very unprofessional staff.

+91 124 458 4333

www.apollomunichinsurance.com

Apollo Hospitals Complex,Jubilee Hills, Hyderabad, Andhra Pradesh, India – 500033

Dear Sir/Madam,

This is with reference to the 3 Medical Insurance Policies with "Apollo Munich", that me and my family had purchased on 20th Feb'2010. The details are herewith specified for your reference :

Policy Holder Relation Policy Number
1. Gurpreet Behl (me) [protected](FLOATER)
2. Ramneek Behl (Sister) [protected]
3. Tejpreet Chatrath (Brother-in-Law) [protected](FLOATER)

The policies were done by Mr.Manjeet Batra from "Santushti". At the time of issuing of the policy, we were told by Mr.Manjeet Batra, that after providing the previous policy details, the cashless benefit on the policies would start within 6 months of the date of issue. Because of this, we had submitted all the relevant documents and information to him.

However, when my brother-in-law, Mr.Tejpreet Chatrath, submitted the papers to RG Stones, Deepali Chowk, Rohini ahead of his wife's operation for removal of Gall Bladder, the cashless offer was rejected by Apollo Munich, stating that the policy tenure is less than a year.

Mr.Manjeet Batra is not available on phone now(Ph No.[protected]).

I hereby request you to please take appropriate action against Mr.Manjeet Batra, and direct your agents not to over commit and mislead people. I am currently working with the Auto Vikas Group, where again, Mr. Manjeet Batra, is providing such policies to my peers and colleagues. After this incident, I would recommend them, not to get themselves insured with such companies.

I am attaching herewith the mail I had sent to Mr. Manjeet Batra with the previous policy details.

I request you to please activate cashless offer on all the above given policy numbers.

Many Thanks !

Regards,
Gurpreet Behl.
F18/15 KRISHNA NAGAR DELHI 110051
MOB:[protected]
Note: Forwarded message attached

— Original Message —

From: "gurpreetbehl"[protected]@rediffmail.com
To: [protected]@santhusti.co.in
Subject: Scan Copies

Regards

Gurpreet Behl

Mobile : [protected] pls find enclosed attachment of pervious policy of Gurpreet Behl & Ramneek Behl

Regards

Gurpreet Behl

On Tue, 02 Feb 2010 19:10:30 +0530 wrote
>

Dear Gurpreet,

Please see the attachment file.

Best Wisher,

Manjeet
Mitra

Financial Consultant

Santhusti
Financial & Insurance Services

Mobile No. +91-[protected],

e-mail. [protected]@santhusti.co.in

(¨`·.·´¨) Always

`·.¸(¨`·.·´¨) Keep

(¨`·.·´¨)¸.·´
Smiling!

`·.¸.·´

Regards

Gurpreet Behl

Mobile : [protected]

ADDRESS F18/15 KRISHNA NAGAR DELHI 110051

+91 124 458 4333

www.apollomunichinsurance.com

Apollo Hospitals Complex,Jubilee Hills, Hyderabad, Andhra Pradesh, India – 500033

My agent convinced me to buy Apollo Munich Health Insurance for my younger brother, however, I faced the actual reality when I applied for claim.
My younger brother suffered from high fever, so I took him to nearest hospital where he was diagnosed with dengue, later I came to know that cash less claim is not possible so I paid from my own and applied for claim.
They asked for documents that I sent them, then they sent some one for verification, still they didn't processed claim. We kept on following up, then after a long time of follow up they demanded another list of documents. It seemed that they are searching the options to reject the claim.
Apollo Munich is a third class insurance company, they just find ways to reject the claim. My claim ID No : 157067-1 is pending because of their wrong intentions. They have requested the documents for the third time to find ways to reject. They are big cheat.
They keep on demanding more and more documents. My younger brother is a college going student, they are asking him to collect so many documents in order to reject the claim. I requested them to collect the documents themselves, but they didn't responded.
I will never recommend to go for Apollo Munich Health Insurance. In fact, I request all the policy holders to support me in fighting for the justice.
Shishir Gupta
+91-[protected]

+91 124 458 4333

www.apollomunichinsurance.com

Apollo Hospitals Complex,Jubilee Hills, Hyderabad, Andhra Pradesh, India – 500033

Dear Sir,
This is to inform you that I have registered the policy from Apollo munich .
Policy No.110105/11121/[protected]-01 and ID is [protected]. I have admitted to my son in the hospital.e
When I asked for cashless facility from them, they have rejected my request. When I calls them they are not picking up my phone and when picked up then did not respond positivly.I have provided the letter which is written by Hospital doctor on which mentioned that patient cannot be admitted on OPD basis still they are asking that patient have to admit on opd basis.
Please suggest how I arrange money for my son now. please help me to provide the insurenced money.
Thanks
Deepak Shah
deepak.[protected]@rwbigelife.in
contact:
[protected]

+91 124 458 4333

www.apollomunichinsurance.com

Apollo Hospitals Complex,Jubilee Hills, Hyderabad, Andhra Pradesh, India – 500033

Dear Sir,
I would like to complaint against Apollo Munich Health Insurance Company. I am an existing customer with Policy No. [protected]-02.
In September 2011, I received renewal notice from the company along with an discount offer of 7.5% if we renew for two years. I talked to their executive that whether I'll receive two separate IT certificate for two years, because, if I get only one certificate, I can get exemption only for this year and next year I'll lose the IT deduction and that will be more than the discount I'll receive. She told that I'll receive two separate IT certificate.
I also wanted to upgrade from their plan standard to Exclusive as I cannot get critical illness cover in standard plan. Their executive also told that I need to fill up a change form and that she will send one executive to collect the change form and premium.
In September last week, they send an executive from Apna Insurance for collecting the change form and premium check. Through his mobile, I called the executive in the branch to verify the person and also the premium amount for 4 lac health cover in Exclusive package with 4 lac critical illness cover for two years. To assure me that I’ll get two IT certificate, he gave me two acknowledgement receipts with half the amount of two year’s premium. I also submitted the change form stating clearly that I need critical illness cover.
When I received the policy document, to my surprise, there was no mention of critical illness cover and also I received only one IT certificate. I wrote a mail to them for providing critical illness cover and IT certificates. I also wrote, if two IT certificates are not possible, they should provide me only one year exclusive package of 4 lac with 4 lac critical illness cover and they should return the remaining money to me as in that case I was not interested in two year’s cover.
Their customer relationship manager Mr. Karan Singh replied my mail saying that my case no. is 244903 and they will revert back to me by 25th October with complete solution. But as of today, I have not received any communication from them.
I therefore request the concerned person to have a look into this issue and provide a solution to this.

With regards,
Mukesh Kumar Varshney
Case No. 244903 Policy Schedule : [protected]-02

+91 124 458 4333

www.apollomunichinsurance.com

Apollo Hospitals Complex,Jubilee Hills, Hyderabad, Andhra Pradesh, India – 500033

I have submitted (3 months ago) all the medical reports for the reimbursement and till now Apollo munich has never replied to me. The agent who has collected the document, committed that I will get the money in 21 working days. I waited for more than 2 months but no luck. Later he stopped relying to my calls. Then I registered a complaint with the customer care, but every time they sent an auto reply by saying " we will get back to you in 2 weeks" (I have received the same message thrice, in the last one month).

I had lost the faith in this company, guys please be aware of Apollo Munich before taking any insurance from them.

+91 124 458 4333

www.apollomunichinsurance.com

Apollo Hospitals Complex,Jubilee Hills, Hyderabad, Andhra Pradesh, India – 500033

Dated : 27th August 2011
Ref. : Complaint/[protected]/270811

To,
Apollo Munich Health Insurance Company Limited
10th Floor, Building No. 10,
Tower-B, DLF Cyber City,
DLF City Phase II, Gurgaon
Haryana, 122002.
Website -www.apollomunichinsurance.com

Kind Atten. : – Deepak Anand – Customer Relationship Management Team

Reference: –
1. Apollo Munich Health Insurance Policy Number : 110100/11051/[protected]
2. Agency code : 80122322
3. Agent Name : ACHYUT PARTNERSHIP ONLINE (Mr. Sachin Sood (M) [protected]/[protected]
4. Agent Contact Number :

Subject: – Application for Cancellation Policy Number : [protected] dated 21st August 2011 and refund the money without any deduction.

Dear Sir/Madam,

It is with great agony, I shall have to draw your kind attention on following departmental lapses and wrong commitment.

I took the policy through policybazar.com Mr. Sachin Sood (his contact number (M) [protected]/ [protected]) with some certain verbal confirmation about the policy and I transfer the money through my HDFC credit card to get the above said insurance but when I went through policy and other details found that there are so many discrepancies in the said policy.

I wrote a request letter for cancellation of the said policy number and also approached on customer care number[protected] to cancel the policy.

I got the confirmation from customer care department that you will be informed about the confirmation of the cancellation of the said policy number within 72 Hrs but after constant fallow up and reminder and email , I did not get any confirmation from customer care department .

Now after seven days I am conferred by customer care department as follows.

Dear Mr. Bipin Kumar Thank you for contacting ApolloMunich. With reference to your mail below, please note that the change in existing plan can be done only at the time of renewal , subject to necessary approval from underwriting and the decision will be given after receiving renewal premium and change request form which is according to company norms & policies.In case you need any further assistance, Please feel free to write back to us.We look forward to serving you. Regards,
Deepak Anand, Customer Relationship Management Team

Apollo Munich Health Insurance Company Limited

10th Floor, Building No. 10,
Tower-B, DLF Cyber City,
DLF City Phase II, Gurgaon
Haryana, 122002.
Website -www.apollomunichinsurance.com

“Apollo Munich offers its customers free consultation for common ailments. To talk to our experts and for free consultation, you can dial [protected] between 9 AM to 6 PM, Monday to Friday”.

In view of the above, I would request to you kindly look into the matter and refund my money without any deduction as requested.

If you will not accept my request of cancellation of policy I will take this matter in consumer court. So it is humble request to repay my amount back into my account. I shall be thankful to you. Otherwise I will be forced to do some next action against your organization.
Please also note that if it is not happen then I would like to register the complaint to

Insurance Regulatory and Development Authority
GENERAL INSURANCE & HEALTH
POLICY HOLDER COMPLAINTS REGISTRATION FORM
(Separate forms to be used for each complaint)
Annexure II
Please approach your Insurance Company first with the grievance. If you have not received a response or you are not satisfied with the response on your grievance, you may use this form to register the complaint with IRDA. If the complaint is a dispute in regard to premium paid or payable, dispute on policy wording pertaining to claim payment, delay in settlement in claims or non-issue of insurance document the same may be lodged with Insurance Ombudsman. The addresses of the Ombudsmen are available on our website. Copy to :

Shri K.Srinivas, Asst. Director,
Insurance Regulatory and Development Authority
Consumer Affairs Department
United India Tower, 9th floor, 3-5-817/818,
Basheerbagh, Hyderabad – 500 029.
e-mail ids:[protected]@irda.gov.in
Mr.R.Srinivasan, Officer on Special Duty
Insurance Regulatory and Development Authority
Consumer Affairs Department
United India Tower, 9th floor, 3-5-817/818,
Basheerbagh, Hyderabad – 500 029.
e-mail ids: [protected]@irda.gov.in

Mr. T Venkateswara Rao, Deputy Director
Insurance Regulatory and Development Authority
Consumer Affairs Department
United India Tower, 9th floor, 3-5-817/818,
Basheerbagh, Hyderabad – 500 029.
CALL CENTER : TOLL FREE NO:155255Thank you in advance for your prompt attention to this matter.
Sincerely,
Bipin Kumar Singh
220, Kamakhaya, Niti Khand – I,
Indira Puram, Ghaziabad
Uttar Pradesh 201012
[protected]@gmail.com
contact number : [protected] Ph.[protected]

+91 124 458 4333

www.apollomunichinsurance.com

Apollo Hospitals Complex,Jubilee Hills, Hyderabad, Andhra Pradesh, India – 500033

i mr pravin saremal solanki took health insurance from apollo munich health insurance policy nos [protected] and [protected] (in the name sandeep saremal solanki) i am customer for health insurance for last 4-5 years i was a customer for cholamandalam health insurance for 4 years and the i shifted to star health insurance for 1 year and in star all my waiting period was waived this year i shifted from star to apollo munich health insurance and i was told there will be no waiting period since i am a customer for health insurance for such a long period without breaking anytime for any year i normally renew my policy before 15-20 days before it expires during every year this year also my policy was getting expired on 12th april i renewed on 26th march 2011 20days before it expires and inspite of there comitment i got waiting period for 1 year and 2 year respectively

i have called apollo health insurance several times but i have not got any proper response from them i m expecting resolutions for the same from u
pravin solanki
[protected]