Mar 25, 2014 02:51 PM
18780 Views
Hi,
RAKSHA tpa, I believe is the worst insurance company I have ever come across.
There is a mismanagement and lack of coordination at every level. At the time of selling the policy, they will tell you that you just need to show your card at the hospital and rest we will take care.
But the reality is way too different. I submitted a cashless request through hospital, but Raksha TPA didn't even bother to read it. After much calling on the clueless call center employees they finally read it.
After reading it, we thought they will approve or let us know if there is any lack documentation in out claim. However, they simply reject the claim without even informing the hospital/claimee the reason of rejection. They try their best to avoid claims.
I had to personally fight for hours with Raksha TPA people to get my claim approved/acknowledged etc.
If you have a lot of money and time to spend in a medical emergency situation then you can opt for it else better leave it.