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About Niva Bupa Health Insurance

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Unjustified Claim Rejection
Jan 29, 2019 12:22 AM 6651 Views

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We are loyalty customer of Max bupa from last 9 years and no claim has been made till now.


Recently, my father met with an accident, rushed to nearest hospital which is non-network and informed to Max Bupa customer service immediately. They asked us to submit the required documents along with medical bills and Doctors Prescription and we submitted the true documents. However, after 30 days of document submission, the claim was rejected specifying the reason "Certain discrepancies and misrepresentation of facts". We cross checked with the hospital team to cross verify the submitted documents and hospital management confirmed that Max Bupa team has not visited the hospital for Claim verification at all. We requested Max Bupa to specify the exact reason for rather than general reason. Where as Max Bupa rejected to disclose the reason, and still they stand on their decision.


We raised grievances with respective authorities, but no use. Simply Max Bupa team wants to deceive the customer by not paying the claim and stating the misrepresentation of facts.


Worst Customer service and pathetic reply from the team. Dont recommend Max Bupa.


Best Regards


Sam

Brand Response

Hi bssrca, kindly share your policy number and contact details with us. Our team will reach out to you regarding your complaint. Regards, Max Bupa Team

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By: maxbupa Deactivated | Jan 30, 2019  09:45 AM imageComments 0

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