Your review is Submitted Successfully. ×
1.4

Summary

Cigna TTK Health Insurance
Mohan Nellore@mohanbn
Dec 25, 2007 08:00 PM, 9402 Views
(Updated Dec 25, 2007)
The worst TPA for medical insurance - TTK

Sunday, December 23, 2007  - TTK Healthcare services


You can read more  detailed review on My Blog at https://neoinfinity.blogspot.com/search/label/ttk


Today I write about my recent interaction with m/s TTK Health care


services, a TPA(third party administrator) for the medical insurance


offered by my employer. Since my mother had to go through a surgery, we


admitted her at Garden City Hospital [near Jayanagar, Bangalore]on 19th


Dec’07. Learned that this hospital is a member of the TTK listed


hospital for cashless service.


Hospital authorities estimated


the surgery would cost around INR 50, 000/- and sent an approval request


for the same to TTK. Thats the initial point of all the trouble that


was waiting in store for me. TTK was asking for more information about


the kind of surgery even after the initial investigation report &


surgery procedure was already filled in by the doctors in the request


form. I had to take all the struggle to fax across the scanning


reports, all these resulted in nothing but delay in the process.


However, my mom got operated on 20th morning upon my nod to pay the


charges in cash if the approval doesn’t come from TTK. After repeated


calls, they approved only 20% of the estimated amount after 30 hrs from


the time of request form submission. Based on the final billing by


hospital authorities during discharge, the remaining amount will be


settled accordingly was the information provided to me by TTK’s


customer service folks.


Surgery went on fine and my mom started


recovering well and doctors agreed to discharge her on 22nd evening and


for the same, they filled up the discharge summary. Hospital


authorities then processed the same with final bill that amounted to


INR 35, 870/-. Hence they submitted the request again to TTK for


approval of remaining amount. This was done at 11 am in the morning.


Neither hospital nor me were contacted regarding progress on the


request service. I had to call up customer service again to get the


status in the evening at 6pm. Customer service agents were so rude and


unprofessional, I can’t think of talking to them again. Nobody at TTK


were aware of the status, I lost all my hopes on them servicing the


request and decided to pay the balance to hospital by myself. Time was


6:30pm and still no information on approval from TTK. I paid the


difference amount from my pocket and got my mom discharged.


This was


my terrible experience with TTK. What still makes me wonder is, why do


they have an SLA of 6 hrs time frame to service the requests when they


never deliver it on time?


I am going to call them up again on monday to understand what is going on.


Part 2:  Monday, December 24, 2007 - TTK Healthcare services


I called them up today morning, mentioned below are the events as they unfolded:


1.


TTK call center customer care representative by name Vinod picked up my


call. He was so rude and unprofessional, never listened to what I was


talking, he abruptly hung up the call




  1. Called back again, spoke to




Sunil. This person took all the necessary info from me and hung up


again acting as if he was not able to hear me.




  1. Called up once




more. A rep by name Asma spoke to me, she was kind enough to provide me


the info. She told me that the approval fax was sent to Garden City


Hospital on 22nd evening, She was not having info on at what time the


fax was sent. In the course of conversation with Asma, learned that


Vinod and Sunil were her co-workers. Asked her if she can bring her


manager on phone to complain about their behavior, she said that is not


possible and gave an email address care@ttkhealthcareservices.com to


complain.


Now that I know the approval has been sent to


hospital, called them up. They said the fax came at around 6:30 pm on


22nd evening and the admin person in the hospital suggested to visit


the hospital in another 4 working days to get my money back in the form


of a cheque! One thing is still a mystery for me, did the hospital


folks lied to me that they didn’t receive the approval fax from TTK at


the time of discharge?


All I pray god is that, never come a


situation again in life to get hospitalized and go though all the pain,


stress because of the WORST kind of service by TTK.

(2)
Please fill in a comment to justify your rating for this review.
Post
Question & Answer
×