Max Bupa Complaints & Reviews

Your application for Health Insurance with Niva Bupa Health Insurance Company Ltd. Reference: [protected];

We have submitted a proposal to you for health insurance.

We have received a mail from you after 10 days of my premium payment that the premium is increased due to a " pre existing disease" I and my wife have. We are surprised and shocked to get this mail.

Kindly explain on what basis you have alleged this pre existing disease.

We look forward for an immediate response. We will be initiating serious action against the company in view of baseless statement.

Krishnaraj K

Totally a false promise making company at time of selling they will call you 100 times to buy product and make totally a wrong promises and gives a wrong guidance and at time of renewal they start you calling 45 days before and making you afraid that policy renewal amount will increase by[protected] so pay 2 years amount together, how middle class person will arrange all and they know everything but to achieve their selling target they will give you incomplete information and sell you product just to take reward from company and make fool to people is this a way you make customer a fool this company is not at all a trustworthy

Hi,

since i admitted in Yashoda hospital, I applied for cashless claim and it got rejected. I tried to contact customer care and raised a request (Service request No 8710808 - to know why my claim is rejected). After six days i received a message saying it is automatically closed but i didn't received a call from doctors or anyone else. I tried to reopen the service request on 08-June-2022 again but after customer care person attending the call and knowing the request number they are disconnecting the call and Not reopening it. This is repeated 3 to 4 times. (Timing from 9 pm to 10.30 PM).

So my issue is not resolved and they are torturing me by not addressing my issue and not trying to log a complaint.

I have to pay 70 thousand rupees for my hospitalization and also need to discontinue from the hospital because of lack of money

Sujay
[protected]

Hi,

I had a completely bad experience with Niva Bupa company. I asked for a portability option from my existing insurance to Niva bupa. They said we will cover all the disease from day one and when they came to know about hernia repair the employee calls me and says we cannot port your policy since you will pay less premium and you will claim more from us. You can do the repair from your previous insurance company and then come back to us.

Why are they cheating people with the portability terms. If you want to play safe game then why using portability terms.

I am writing this letter to bring attention to the unprofessional behaviour that i have faced from your Customer care.
Name: Juhi,
Mob: [protected] & [protected]
She is very rude and using unprofessional sound. You can check recorded line, if you having.
I am using Max healthcare policy since 2015 to till date. and i had recommend to all my relatives to take Max Health policies. i think i had mistake.
Name Praveen Kumar Guupta
My Policy no. is [protected]
Mob : [protected]

Regards,
Praveen

I have paid for Policy premium on 10th of February 2022 and amount debited but my policy is not renewed. After 24th of Feb 2022 which is due date an auto debit transaction trigger too which cost me 590.00 Rs due to insufficient balance.
I have e-mailed Niva Bupa several times and called several time but no satisfactory response from their side.
Till date there is no update from their side
following details about my policy-Policy number [protected]
Cirtificate number[protected]

Hi Sir,

This is to bring into your notice on the challenge that I am facing with Niva Bupa in getting the refund done for the health insurance policy (Niva Bupa Health Insurance Certificate No. )which I had closed on 1 Dec 2021.
Despite sending multiple follow ups I am not getting any response nor proper resolution.
Could you kindly look into this issue on priority and help in taking this to closure.

I am not getting promt response form Niva Bupa officials to the multiple emails, follow ups and grievance channels where I raised this complaint.
I am told on 20th March that refund is credited and to check my account.I am not sure if I am being cheated since I have not got my refund amount credited to my bank account
I had submitted all my account details along with cancelled checque and 3 months bank statement to an official, renjith.[protected]@nivabupa.com.
I have sent multiple mails to him asking to confirm if the documents have been shared with concerned officials of Niva Bupa but he has not bothered to respond.
Can someone please look into this at priority.
I have interacted with multiple health insurance providers and this is the worst experience I ever had where I dont get response to my emails or calls or the online complaints raised via grievance channels.

Gagana V M

I purchased the health insurance policy from niva bupa and renewed the policy for the last 3 years ahead of time. In Jan 2022 when my wife was suffering from COVID fever(102.8F+) and cough and she lossed all energy so as per doctor's instructions she admitted in hospital. In the first time when I tried to have the cashless claim they denied, Niva Bupa gave the region that COVID Fever is cured at home isolation no need hopitalization. I also tried in eimbursement mode but return same thing and rejected my Claim ID- 841907 again.

Niva bupa Please do not to make fool of people in the name of health insurance policy and stop doing this fraud. I will not recommend this health insurance to any one.
#nivabupa, #compalaint, #cheating

I have a policy of Niva Bupa formerly known as Max Bupa. I cancelled the auto debit for which I received confirmation that it has been canceled . Now even the auto debit took place inspite of it being cancelled after 14 days and now they are not refunding. Earlier they said refund is processed then are continuously asking for more time. I am fed up of chasing them daily multiple issue has been raised and the same reply I get the has been resolved but I haven’t received my refund yet. Niva Bupa | Resolution of Service request 8147780.

The exevutive has misselled. the policy and got the claim rejected..and there is no one to hear about my complaint...staff is always ignoring calls

Hi Team,

I am having Health Companion Variant 2 policy with Niva Bupa formally known as Max Bupa from past 3 years for my parents.

Policy number: [protected]

There is one minor surgery is going to happen on 03/03/2022 for my father in his hand in Manipal Hospital, Whitefield, I have contacted Niva Bupa for cashless claim but from morning to till evening I am struggling to get an approval in spite of providing all the required documents form my end & from Hospital. I have called Niva Bupa more than 7 time but always they are saying wait for 30 min you will get approval.

If I won't get approval I have to pay more than 2 Lacs from my pocket even I have insurance & Manipal Hospital is failing under cashless network for Niva Bupa.

I am reaching out your team to get a justification for this issue. I have attached my policy copy & medical prescription for your reference. Hope I will get positive response from your end.

Details are provided below.

Hospital name: Manipal Hospital, Whitefield, Varthur Road, Bangalore, Karnataka
Date of Operation: 03/03/2022
Claim ID: 446100
Policy number: [protected]
Policy Holder Name: Bimbadhar Panda
Name: Manoj Kumar Panda
Contact Number: [protected]

I had opted for Niva Bupa Health Insurance on 22nd January 2022.

In spite of knowing all the health conditions health insurance was granted only to be cancelled after taking the entire amount (loan).

The refund took 20 days to be initiated for transfer back to ICICI loan account. It will take additional 20 days for loan account closure.

Who will bear the cost of EMI and Bank charges?

Niva Bupa (formerly known as Max Bupa) needs to close the loan account at the earliest and any additional Bank charges.

I happen to purchase Niva Bupa Insurance personally last year. This year I was admitted to a hospital for Covid. I usually visit only 2 hospitals and I made sure that Niva Bupa had time up with both the hospital but ended up as a surprise that their association with the hospital has come to a pause.

I had to start my refund process the moment I was out. I was tormented by their process. Now, I have no clue as to why my claim has been rejected; I called to follow up with customer care and I get this info. No official mail as well so far.

Bank pressure on me it take account will open after 1 months we will close it they are closing insurance

1st Email -

Good Evening Niva Bupa Family,

I am really shocked that a well known firm like Niva Bupa doesn't know how to handle their customers. Guys at least have the courtesy to make a call and discuss the case with a customer. I just got an email from your end stating that it will be resolved by 9 feb. there is no call from the senior citizen redressal team. Where are senior management who are silent on this matter?

One thing is confirmed, that I made the biggest mistake of choosing you over other insurance companies. Hope to hear from you soon and request the senior authorities to look into this matter as you are the backbone and all depends on you.

Pratiksha Rajput
[protected], [protected]

2nd Email-
Hello Team,

I would like to reply to the response which I got on the reimbursement claim. This is the first time in my whole life I am experiencing this sort of situation. We do have insurance coverages from different companies but yours is exceptional seriously. I took this policy for my parents 3 years ago keeping in mind that you people will serve the best, but I don't think that you are in a mood to settle my claim. Kindly go through the below-mentioned concerned that are hitting my mind and revert accordingly-

Kindly provide Copy of Indoor case papers including the initial assessment sheet, doctors notes, nursing notes, daily Vital/ TPR/Spo2 chart duly certified by hospital authorities.
This is what I have been asked to submit

First of all, I made a call to the customer care to confirm which procedure is to be followed for the reimbursement, she simply told me that you need to submit a discharge summary, hospital bills, medical bills, prescription and lab report. I confirmed this twice and she said the same thing.
I fulfilled all the requirements for online claim submission, attached all the documents which I got from the hospital. Then also you people are requesting the documents which are only meant for hospital records. This is not the first time I am filing for reimbursement.
You people forgot to have a look at the Proposer's details, Let me remind you that my parents live in Delhi and I am from Uttar Pradesh. So, for your baseless requests I wouldn't be able to come to Delhi in this Covid scenario. You people didn't even think of the senior citizens how they will be able to settle their claim, do the needful for seniors citizens. Creating a specific department for them wont help them out. As the hospital won't provide these documents.
Just have a look at the list which you demanded, do we have any authority to get these kinds of hospital records?
At least, make a sensible request to the customer which can be fulfilled.

Previously also I faced so many issues, is it mandatory every time to raise a complaint to make life easier for my parents. Have some dignity to provide services to the customers who are genuinely paying you. Kindly do let me know how to get these documents as I am not at all aware about how to get the same from them.

If you people are not in a mood to settle the claim, do let me know I will surely find my way.

Regards,
Pratiksha Rajput
[protected]
[protected]

They have mentioned and I am quoting them "member did not disclose the medical history related to hepatomegaly in USG report hence the policy was issued basis the information was shared by policy holder at policy inception".

1. USG Report which they are talking about was done, funded, coordinated by Niva Bupa itself. (I have attached the email where I received this report from Niva Bupa Only and you can see it's page number 4)
2. My Policy Document shows this history as part of Pre-Existing Disease. ( I have attached my policies so that you can verify that Niva Bupa response is malafide and factually incorrect)

MaxBupa(Niva Bupa) is a big big fraud health insurance company.
Never ever go for it. I have been struggling for more than 2 months for refund of premium amount. My case is pretty simple. It takes just 1-2 days for refund of premium for any insurance company, while MaxBupa has taken 2.5 months, but still has not yet paid.
Trust me, more than financially you will be mentally harassed.
Forget about money, you will not even get any reply or response from this company.

Last year i ported my fathers 20 yr. old policy national insurance policy to max bupa. bt this year when i applied for cashless claim. firsst they rejected the claim and cancelled my policy.

I applied for a Health Insurance (ReAssure) in MaxBupa(Niva Bupa) on 19th Nov 2021. I did the payment. However, due to some reason I applied for cancellation on the same day.
I sent multiple mails to support team, there was no response. I sent multiple mails to Grievance team, they are useless. They did not resolve the issue.
Then I raised complain in IRDAI, after 14 days they said they would provide me refund. It has been more than two months, still I am struggling for my money.

My IRDAI Token number:[protected]
MaxBupa follow up token: 7595032

There are other multiple tickets raised: 7377025 , 7348636, 7357456, 7379894, 7379896, 7407262 , 7379894
But there was no support, no response, no resolution from MaxBupa (Niva Bupa) Team.

No 1 fraud and cheater company in the world Max Bupa no 1 fraud