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Max Bupa Complaints & Reviews

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Address:800014
Website:www.maxbupa.com

Company not giving approval, i have already cashless card from max bupa insurance company, demanding again and again different medical prescription and previous history which i had already submitted. patient lying in emergency condition since 1 week. doctor recommended for urgent operation o[censored]rinal trac. information of patient as given-
name- krishna singh
customer id-[protected]
D.O.B- 16/06/1950
preauth id- 103141
insurance since- 14/10/2015
insurance till- 13/10/2016
diagnosis- urethral stricture
Max Bupa customer support has been notified about the posted complaint.
i am treating my patient from paras hopital, patna (bihar)
my contact no. [protected]
pankaj kumar (s/o krishna singh)
kindly survey my complain and help me out ASAP.
Max bupa is a fraud company and nobody should get involved with this company ..i have taken this as atarget to make all my friends and family people to cancel their policy wit max bupa. Planned to do as much publicitu on social networking sites as well.
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    Address:Gautam Buddh Nagar, Uttar Pradesh, 201301
    Website:www.maxbupa.com

    I am Jointly Insured with my Mother and my wife, I have attached the file of my policy in the attachment.


    We went to DR. Ashok Rajgopal this march for consultation as my mother was suffering through pain in both her knees for past year and a half. However, since the pain had gradually increased over past 5/6 months we decided to go ahead with the operation. Subsequently, I applied for insurance since the operation charges were very high and we were relying on the insurance money completely for the operation. Hence, we decided to take a gap of 15 days in between the consultation and operation to get a smooth approval for our claim.


    As a regular procedure during the consultation she was asked for how long is she been facing the problem etc. and she gave him the same response i.e she is been going through this pain for a year and a half. I have a complete document of his first consultation which you may find in the attachment for your reference, please note the same was sent to the hospital and the insurance company


    Please find below a day by day background of what followed since the day my mother was admitted.


    Day 1s t - Before getting my mother admitted as a procedure we enquired at the admission counter for our insurance approval, to which we were infromed that yes our insurance is been approved with an initial amount of 1.5 lac (approx). We were also informed that the complete amount shall be approved to us on the day of discharge after we get the complete detailed bill from the hospital. Hospital also confirmed us after verifying our policy ( which easily cover 6 lac ) and initial approval that every thing is according to policy .

    Day 2nd -

    Day of Operation.


    Day 3rd - Regular Doctor visit


    Day 4th -

    On day four we received a mail saying that our insurance has been rejected. We immediately called the customer care to enquire fpr the reason behind the cancellation and were informed that its been rejected because (according to them) my mother was facing this problem for past 4 years. (I would like to bing into your notice here that this was neither verified by my mother or the concerned doctor) . Although it was late in the night I still decided to follow up with doctor's PA and he confirmed to us that no such thing was ever mentioned to anyone. He also informed us that they forward the same information which the concerned Doctor(In our case DR. Ashok Rajgopal) send to them after the first consultation. He was understanding and assured us since it was quiet late and he couldn't check the information at that time, he would help us out the next morning. He said that there is any mistake than he will write to the insurance company again because the information was only shared with Dr. Ashok Rajgopal and anything otherwise written by the nurse/care taker would be considered and accepted as a mistake. Following which we received a mail the very next day from the finance department stating that they did not mention anything about the no.of years in the mail.

    Day 5 - We decided to visit Medanta clinic in Delhi where we went for my mother's first consultation. Contrary to our expectation Dr. Ashok recognised us immediately and after us telling him the entire scenario he immediately recollected my mother mentioning about her suffering from this problem for about a year and a half. Even he was surprised with the whole 4 year issue, he also mentioned taht if any nurse/care taker has written as such then this will be considered baseless and he would do the required changes.
    That day evening -

    The same day evening we contacted the customer care again to inform everything that we learnt from the doctor and suddenly the customer care agent had a different story to tell. He said that they had received the document from the hospital stating that my mother is been suffering from this problem for 4 years. However, we requested the hospital to show the same file to us and found no such thing mentioned on the file. And we have verified it thrice so we are pretty much sure that there is no such thing mentioned on the file at all. The customer care agent informed us that they have received a document stating ( I am not taking guarantee of these line bcz these line were told to me by your customer care agent . )
    -patient has problem in knee 4 year

    -patient has pain in knee 4 year

    -patient has problem in climbing stair 4 year

    After enquiring with a junior doctor at the hospital about the above statements we were told that this is a casual conversation between the doctor and the patient, and no one emphasizes on the years like that.
    Please Note - Doctor also informed us that only the information shared by the doctors who all are watching my mother ( patient ) regularly will be considered and they also asked to check handwriting in that file where insurance company is saying problem for 4 years is mentioned.
    Meanwhile, the hospital had shared the actual information with the insurance company. I am also attaching that file which the hospital has sent to the Insurance Company.
    Day 6 - In the morning as a discharge procedure when we checked and were confirmed by the hospital that we had not received the approval from the insurance company, we decided to call the customer care again and were informed by the agent that they have received the documents from the hospital. We confirmed twice if he had surely received the mail and he said yes. I request you to kindly check your recordings for verification. I further decided to confirmhe finance department at the hospital who were quite supportive and shared the printout that clearly shows how MAX Bupa has changed the statement everytime. Now we have all the documents that hospital has sent to MAX BUPA and nowhere is there a mention of my mother facing the problem for 4 years. .
    We also found out at the hospital that an agent had come from the insurance company for the verification of the documents and there is a high possibility that the documents were doctored. The agent was so much in hurry the day he visited the hospital that he didnot even wait for five minutes for any attendant to come and meet him.
    Now, I have no Idea about what where why and how. All I am aware of is that we have been getting a changed statement evrytime we talk to the customer care agent at MAX BUPA. Hospital has shared the entire information with Max Bupa then why is our insurance been rejected. I believe we have made ourselves very clear and would want you to take necessary action against whatever has transpired. We have all the information documented with us in case you wish to verify everything again.
    OUR ENTIRE FAMILY IS DISTURBED. WE HAD TAKEN THIS INSURANCE FOR MENTAL PEACE AND NOT MENTAL TRAUMA. IN TODAY'S WORLD IT IS VERY DIFFICULT FOR A COMMAN MAN TO ARRANGE FOR 6 LACS IN A DAY. AFTER RECEIVING A MAIL OF SUDDEN CANCELLATION FROM THE INSURANCE COMPANY WE HAD NO WHERE TO GO TO AND WERE COMPLETELY BLANK. BUT OF COURSE WE COULD NOT LEAVE MY MOTHER AT THE HOSPITAL AND AFTER MUCH EFFORT WE BORROWED MONEY FROM PEOPLE WE KNOW AND ARRANGED FOR THE MONEY. NOW WE HAVE TO RETURN THE SAME TO THE CONCERNED PEOPLE. HENCE WE REQUEST YOU TO KINDLY REIMBURSE OUR DUE.


    I REQUEST MAX BUPA IF YOUR COMPANY REQUIRE ANY INVESTIGATION PLEASE DO THE NEEDFUL.


    It seems there is a very big scam behind this which is happening in our country where if these companies are denying atleast 100 customers of 6 Lacs on daily basis they are playing with 2190 Crore of Public Money.

    Please look into the matter if this problem is not solved I will go to the Court of Law and will to make sure any body in the future should not face similar problem what me and my family has faced in lack of money.

    I am attaching few links which general citizens like me have posted online please go through those links also.


    http://www.grahakseva.com/topic/max-bupa
    https://www.consumercomplaints.in/complaints/max-bupa-navi-mumbai-mumbai-suburba...
    https://www.consumercomplaints.in/max-bupa-b105364
    http://www.mouthshut.com/product-reviews/Max-Bupa-Health-Insurance-reviews[prote...
    http://www.consumercourt.in/medical-insurance/127836-max-bupa-health-insurance-n...
    http://www.complaintboard.in/complaints-reviews/max-bupa-health-insourance-delhi...
    https://indiankanoon.org/doc/[protected]/
    http://www.complaintsboard.com/complaints/max-bupa-c340707.html
    http://www.consumerforums.in/want-to-file-a-case-against-max-bupa
    http://www.complaintslist.com/insurance/max-bupa/
    http://www.consumerredressal.com/complaints/categoryID/1/Insurance
    Max Bupa customer support has been notified about the posted complaint.
    Vivek - Do you not know not to go ahead with the operation until confirmed documents of the policy were received in post by you? Second, do you not know that that most health insurance companies have waiting period of 2-4 years before they cover known illnesses ( in this case your mothers knee pain)??
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      Address:Chennai, Tamil Nadu, 600014

      With great disappointment and grief i write this communication of max bupa, for following up a mediclaim for my daughters hospitalisation.

      I had submitted an application of medical claim of my daughter ms. Shipra balasubramani (Student nid ahmedabad), and was acknowledged with a claim no. : 163898 on 8th january 2015.

      I was given the answer that the claim was rejected because :

      The hospitalization is for less than 24 hours.

      I have explained in detail why the patient was discharged before 24 hours in an emergency.

      The patient (A minor at the time of admission) was admitted in ahmedabad . She was flown down to chennai for continuation of treatment immediately. The bills for the doctors consultation for both the palces was submitted as claim.

      This is a case of continuation of the treatment in ahmedabad and chennai.

      The patient could not be admitted in hospital in chennai due to torrential rains and floods that lashed chennai during that time.

      The hospital did not have the electricity, the doctor attended tot he patient at home. Bills for all this is submitted.

      Hence rejection of claim for the reason of not staying in the hospital for 24 hours is not valid in this case.

      Chennai rains were declared as a national disaster.

      This is an exceptional case in chennai's history and no reference can be made or compared to the disaster that stuck us

      Max bhupa not understanding the emotions and pain of people who are suffering shows their indifference to the society.

      Through this mail i bring out the inhuman behavior of an organization which poses as a professional firm. But fundamentally fails to fulfill its duty.

      When the telecom, home loan / car loan service providers have understood the grave situation and have given waiver of payments / laons for the people of chennai its unfortunate that max bhupa is unwilling to understand the human situation.

      I hereby seek justice through this forum to my claim and thereby accept my bills for settlement.


      Padma balasubramani
      Mother of shipra balasubramani (Student)

      D1 lakshmi,
      179 / 104 lloyds road,
      Royapettah,
      Chennai 600 014
      Tamilnadu

      Phone : +[protected]
      [protected]@hotmail.com
      +1 photos
      Max Bupa customer support has been notified about the posted complaint.
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        Address:New Delhi, Delhi, 110058
        Website:www.maxbupa.com

        My parents have 16 Lac mediclaim policy with max bupa for 2 years now. My mother was diagnosed with multiple myeloma form of bone cancer and the doctors started their sessions of chemotherapy for 16 weeks. The so called insurance company rejected the claim straight away saying that we have hidden this disease prior to taking the policy. They simply are not understanding that if my mother suffers from cancer they why will we wait for 2 years to get the treatment done.

        My Claim id is 159804.

        The took 3 months to give their decision on the claim and finally rejected it. In the mean time we have sent over 9 Lacs already on the treatment and the so called insurance company MAXBUPA is least bothered and have taken no action what so ever. Also we lost fair bit of time as well as they took 3 months to give this false decision and we were sure that we would get help from them.


        This in my view is utter non-sense and companies like these should be shut asap. My Claim id is 159804.
        Max Bupa customer support has been notified about the posted complaint.
        Am trying to talk to a max bupa agent at[protected]...and cant get beyond registration of application form no.
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          Address:560062

          I had applied for an online medical cover for my wife and self on 03rd Jan 2016 through Max bupa online mode. I paid Rs35945 under ref Rec: NOC/16/1311001 online. A fellow came home to collect some blood as part of their medical requirements on 09th Jan. Since then, I have been consistently following up with Max bupa by email about the policy/cover note. Absolutely no communications whatsoever from them. I then went into a live chat 15th Jan. I strongly expressed my disappointment and then wanted a full refunds of the money that the errant has been keeping unauthorizedly for the past 15 days. After all these follow ups I then got a mail for the first time from them stating that they need a confirmation of some exclusions . I wrote them back saying it would be ok if the policy /cover note is immediately received with policy/cover staring on and from 03rd Jan. I also reiterated by previous stand that I would not like to continue with such inept organizations and wanted to have full refunds settled immediately. These people have still not communicated with me. About 20 days have passed and they are still keeping the funds with them. I would like to ask your effective intervention in enforcing specific performance by this errant organization. Looking forward to getting the full refunds immediately. - Anant Krishnan Iyer
          Max Bupa customer support has been notified about the posted complaint.
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            Address:Faridabad, Haryana, 121001

            I am suffring from dengue in last week of nov 2015. Then i am in critical condition.my parents admitted me in emergency condition.after the treatment i was unable to gave amount of hospital of 48000.then max bupa decline my request two time of giving claim.my policy aslo cover 82 days at that time.
            Max Bupa customer support has been notified about the posted complaint.
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              Address:Surguja, Chhattisgarh

              Mai dt.16-12-15 ko helth insorenc 2adlt+1child ka polici liya campni ki tarf se koi dokoments lagane ke bare ma nhi bataya gaya tha aaj jab cal karake puchta hu to bataya gata hai ye docoments chahiy bo docoments chahiy aaj dt 30/12/15tak polici issu bhi nhi kar rhe hai lagatar mughko mansic or aarthik presan kiya ja rha ha
              Max Bupa customer support has been notified about the posted complaint.
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                Address:New Delhi, Delhi, 110055

                Dear Sir, I Padam Chand have taken the Health policy (Policy No.[protected]) from Max Bupa Health Insurance Co Ltd on 27/06/2015 to 26/06/2016. This policy is running in its 3rd year.This was sold me your Employee ( Dheeraj Sharma ( Mobile No. [protected] ) who was informed about each question he asked & policy was issued to me. Now a claim due to cervical occurred & the same is declined by the insurance company. I am not that qualified to understand each fine lines of the proposal but I did not conceal any fact from the person who sold me the policy. I explained my past record to the person to the best of my knowledge. My problem this time which resulted claim is also not related to the past health history. I will request you to please look into the matter & redress my grievance related to the claim. The way my claim is declined, I feel cheated by the insurance company. Your kind intervention is required to settle my claim.
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                  Address:New Delhi, Delhi, 110044

                  Policy no. [protected]. Policy commencement date : 21/Jan/2015 till 20/Jan/2016 Policy Name : Family first silver 5lacs + 15 lacs I would also like to tell that : 1. The application form was filled by the agent. 2. As per agent Medical issues to be told to the doctor. 3. Medicals were carried out at residence by a normal person and not by doctor. He could not understand anything. He only knows to make the medical test. 4. Thalassemia minor was reported but there is no note of it. Incident: My father was hospital on 03/July/2015 due chest pain and was advised angioplasty after angiography. Discharged on 05/July/2015. After filing the claim form underwriter sent a doctor for verification. He asked us to show all the old medical reports and papers. He took some papers photocopy and told us it will help in claim process. Following are the conversation between me and maxbupa team. Grievance Redressal To: [protected]@yahoo.co.in Oct 30 at 2:30 PM Dear Sir, Greetings from Max Bupa Health Insurance! This is with reference to your e-mail appended below. We request you to please refer to the definition 14 and clause 3 of the policy Terms and Conditions reproduced below for your ready reference: Def 14: Disclosure to Information Norm: The Policy shall be void and all premium paid herein shall be forfeited to the Company, in the event of misrepresentation, mis-description or non-disclosure of any material facts. Clause 3: Cancellation by us: Without prejudice to the above, We may terminate this policy during the Policy Period by sending 30 days prior written notice to your Address shown in the Schedule of Insurance Certificate without refund of Premium if: · You or any Insured Person or any person acting on behalf of either has acted in a dishonest or fraudulent manner under or in relation to this Policy; and/or · You or any Insured Person has not disclosed the material facts or misrepresented in relation to the Policy; and/or · You or any Insured Persons has not co-operated with Us. Should you require any further assistance, we request you to call us on our Toll Free number[protected] or write to us at [protected]@maxbupa.com/geetanjali.[protected]@maxbupa.com . Yours sincerely, Geetanjali Sapkota Executive- Grievance Redressal Max Bupa Health Insurance Company Limited, B-1/I-2, Mohan Cooperative Industrial Estate Mathura Road, New Delhi-110044 [protected][protected][protected][protected][protected][protected]------- From: jeetu dhawde [mailto:[protected]@yahoo.co.in] Sent: Wednesday, October 28, 2015 9:36 PM To: Grievance Redressal Subject: Re: Max Bupa | Service Request 416489 ||[protected] good day... I understand that u have decided to cancel my policy as per underwriters guidelines. therefore I request to refund my premium. Jeetendra Dhawde On Thursday, 15 October 2015 12:07 PM, Grievance Redressal wrote: Dear Sir, At the outset, we regret that the services at Max Bupa have not been to your satisfaction. We value your feedback as we work relentlessly towards constant improvement of services and customer satisfaction. This is with reference to our email appended below. We would like to inform you that we have got your case reviewed by our panel of doctors and it has been observed that the patient is a known case of Lt ear CSOM on treatment and anemia since 2013 along with for cirrhosis liver, portal Hypertension, anemia and thalassemia minor prior to 7/5/2014 ( History of chronic alcoholism). This has been noted from the documents received from the hospital. We have noticed that the mentioned conditions were not disclosed to us at the time of taking the policy. Further, basis the non disclosures of the material facts, we have decided to cancel the policy as per our underwriting guidelines. Should you require any further assistance, we request you to call us on our Toll Free number[protected] or write to us at [protected]@maxbupa.com/geetanjali.[protected]@maxbupa.com. Yours sincerely, Geetanjali Sapkota Executive- Grievance Redressal Max Bupa Health Insurance Company Limited, B-1/I-2, Mohan Cooperative Industrial Estate Mathura Road, New Delhi-110044 [protected][protected][protected][protected][protected][protected][protected] From: Grievance Redressal Sent: Thursday, October 08, 2015 3:13 PM To: [protected]@yahoo.co.in Subject: Max Bupa | Service Request 416489 ||[protected] Importance: High Dear Sir, At the outset, we regret that the services at Max Bupa have not been to your satisfaction. We value your feedback as we work relentlessly towards constant improvement of services and customer satisfaction. This is with reference to your email appended below. We would like to inform you that we are working on your case and we request you to please give us 7 days for us to share our decision. Your Service request number is 485312. Should you require any further assistance, we request you to call us on our Toll Free number[protected] or write to us at [protected]@maxbupa.com/geetanjali.[protected]@maxbupa.com. Yours sincerely, Geetanjali Sapkota Executive- Grievance Redressal Max Bupa Health Insurance Company Limited, B-1/I-2, Mohan Cooperative Industrial Estate Mathura Road, New Delhi-110044 [protected][protected][protected][protected][protected][protected][protected] From: jeetu dhawde [mailto:[protected]@yahoo.co.in] Sent: Thursday, October 01, 2015 8:32 PM To: Customer Care Subject: Re: Max Bupa | Service Request 416489 ||[protected] good day all, pls note 1. My father was not suffering from hypertension and was never taking any medicine for the hypertension. 2. Prior taking policy from maxbupa the medicals were carried by maxbupa representative. 3. Medical policy was approved by maxbupa after medicals were cleared. 4. My father was hospitalised around in month of May- 2014 but no medicines were continued after that as not prescribed by doctors. 5. Left ear was treated as infected while swimming...it was in 2013. 6. Anaemia(it's hereditary and hence can never be cured) was reported to medical representative who came to conduct the medicals of my father. This was also reported to agent. therefore pls consider my claims and do the needful asap thanku. Jeetendra Dhawde [protected] [protected][protected][protected][protected][protected][protected][protected] On Wednesday, 2 September 2015 12:37 PM, Customer Care wrote: Dear Mr. Dhawde, Kindly ignore the previous email. Thank you for your email dated 26th August 2015 regarding Policy number [protected]. With reference to the mail below, we would like to inform you that during processing of your claim request, we have detected the following medical conditions which were not disclosed to us at proposal stage i.e. at the time of applying for policy number [protected]. 1) Since 2013 insured is a Known case of, Lt earChronic suppurative otitis media on treatment and anaemia. 2) On treatment for cirrhosis liver, anaemia and thalassemia minor as per prescription dated 7/5/2014 ( H/o chronic alcoholism ) 3) Admitted for obstructive airway disease between 17/5/2014 to 21/5/2015 with cirrhosis liver, anaemia and thalassemia minor It is our endeavour to be fair and equitable with all our customers and this commitment can only be honoured if our customers ensure that they disclose their medical condition in the proposal form submitted to us. We regret to inform you that we would have to cancel the policy number [protected] as it would have impacted our underwriting decision at the time of proposal and we are unable to refund the premium. We request you to please refer to the definition 14 and clause 3 of the policy Terms and Conditions reproduced below for your ready reference: Def 14: Disclosure to Information Norm: The Policy shall be void and all premium paid herein shall be forfeited to the Company, in the event of misrepresentation, mis-description or non-disclosure of any material facts. Clause 3: Cancellation by us: Without prejudice to the above, We may terminate this policy during the Policy Period by sending 30 days prior written notice to your Address shown in the Schedule of Insurance Certificate without refund of Premium if: I. You or any Insured Person or any person acting on behalf of either has acted in a dishonest or fraudulent manner under or in relation to this Policy; and/or II. You or any Insured Person has not disclosed the material facts or misrepresented in relation to the Policy; and/or III. You or any Insured Persons has not co-operated with Us. For avoidance of doubt, it is clarified that no claims shall be admitted and/or paid by Us during the Notice Period. We request you to please provide us with valid justification letter along with supporting document in case you want us to review the cancellation induced by company within 30 days of receipt of the email at [protected]@maxbupa.com from registered email ID. In case you need further assistance, please do call us on our toll free number[protected] or write to us at [protected]@maxbupa.com. We will do our best to help you. Yours Sincerely, Customer Services Team Max Bupa Health Insurance Company Limited, B-1/I-2, Mohan Cooperative Industrial Estate Mathura Road, New Delhi-110044 [protected] Original Message[protected] From: JEETENDRA DHAWDE Received: 26/Aug/15 11:14 AM To: ; ; Customer Care Subject: POLICY NO.[protected] Dear all, As my claim no. 143788 is denied, kindly advice me the further steps to be taken by me, to avoid reoccurrence of denial. Let me also express the reason given of denial is a simple excuse from your side. This claim denial had disappointed me. policy holder Jeetendra Dhawde
                  Max Bupa customer support has been notified about the posted complaint.
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                    Address:New Delhi, Delhi, 110078
                    Website:max bhupa

                    Blood and urine samples taken on 20th Nov .Rejected case on 21Nov.I wrote a letter on 24thNov to reverse immediately Re 16000. They take the money in advance earn interest by parking for long. they should have the tests and approval/rejection prior to taking the money. Moreover after so much of scrutiny (Hue and Cry) which other companies never do they rejected with lame excuses like my father is diabetic just by overlooking the positive point i.e.he is living happily at the age of 90. Second lame excuse is their requirement of cataract operation which ridiculous that you are searching negativity in cataract also. Hats off to their panel of Doctors. But to conclude I want the reversal all at once without any delay of 4 days as now-a-days the electronic transactions have made it possible within one day. Kindly revers the amount immediately to avoid legal allegation of parking the money for monetary benefits. Thanks and Best Regards Shiv Prasad Chatterjee On Tue, 24 Nov 2015 14:39:21 +0530 Customer Care wrote
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                      Address:412412

                      My self vijay belhekar. my policy no is [protected]. last month i was suffering from dengue tretement. that time i have call to maxbupa and tell i goning to admit in aditya hosppital. after submition all paper for policy claim. maxbupa raise the quetion that your dr is not regisrator and hospital is unregcongised. ihave provide dr registration certificate and this hospiatl is under list o[censored]nrecognised hospital list which available in max bupa websie. so Im very upsate. i was have lat two year customer of mabbupa. so i requested you please dont puchase any policy from maxbupa. regards, vijay belhekar [protected]
                      Max Bupa customer support has been notified about the posted complaint.
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                        Resolved
                        The complaint is marked as resolved when a company has responded to the complainant, addressed his or her dissatisfaction, and came to an agreement where both parties agreed that the complaint is indeed resolved. However, a complaint can be automatically marked as resolved if a complainant isn't responding or updating a complaint for 30 days after the company has tried to reach the complainant.
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                        The complaint is marked as resolved when a company has responded to the complainant, addressed his or her dissatisfaction, and came to an agreement where both parties agreed that the complaint is indeed resolved. However, a complaint can be automatically marked as resolved if a complainant isn't responding or updating a complaint for 30 days after the company has tried to reach the complainant.

                        Address:New Delhi, Delhi, 110044
                        Website:www.maxbupa.com

                        Guys never ever go for any insurance with MAX BUPA this company is fraud and full of complaints, they always lie to their customers and once the customer pay for their insurance they never get their claim but giving such a pathetic excuse.. if you are paying them you are wasting your money, It happened with me and it has happened with lot of consumers i have already filed a case in consumer court against them and also have involved IRDA Grievance department along. my name is ajay and my number is +91-[protected]
                        +1 photos
                        Aug 8, 2021
                        Complaint marked as Resolved 
                        Max Bupa customer support has been notified about the posted complaint.
                        Dear Mr. Ajay,

                        At the outset we regret that the services at Max Bupa have not been to your satisfaction. We would like to inform you that your case has been reviewed by our team of doctors and as mentioned earlier we still maintain our stand of not being able to honor the mentioned claim.

                        We cannot pass your claim due to non-disclosure of material facts at the time of sourcing the policy.

                        We once again apologize for the inconvenience caused.

                        All our endeavors is towards high customer satisfaction and we work relentlessly to achieve the same.

                        Thank you for writing to us.

                        Many Thanks
                        Team Max Bupa
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                          Address:Chennai, Tamil Nadu
                          Website:www.maxbupa.com

                          I am a heart beat policy customer with max bupa for the past 3 years policy no [protected] and was due for renewal on Sept 19th 2015. While renewal i was trying to add my spouse to the coverage and i got the first shocker to know that i cannot add her to my existing policy and that i need to take a fresh policy for her. I was given the commitment from the sales team when i enrolled that i can add my wife in my existing policy any time want. I got my 2nd shocker when they told me that if i take a fresh policy for my spouse i again need to wait for 2 years for maternity to be covered, the reason i enrolled with max bupa was for the maternity benefit, now the 3 years premium that i paid was for a bluff. I got my 3rd shocker when i got to know that i had enrolled for a sum insured increase benefit (Renewal benefit, not sure of the exact name), where as i had asked for the loyalty points benefit, there was an e-mail sent by the renewal agent to me confirming the loyalty points benefit along with the payment link to make my payment last yer, This e-mail was shared to the customer care team aswell. Now i'm trying to get this issue resolved and i have no one from max bupa taking interest in have this resolved, I have called the customer care more than 10 times trying to sort this out but all i get to hear is that "this is the problem of the renewal team and they will get back to you." I paid max bupa and dont care which team's problem it is. I have an open Service Request 436903 raised on the 8th of sept 2015 and none of them from the renewal team has checked it instead they keep giving me reminder calls to pay my premium. I have spoken to number of ppl in the customer care team including the customer care manager Mr. Alam, who has given big commitments in solving my problem but all is in vein. he was not even able to honor his call back commitment. I'm fine will all the false commitments and bull s**t that i have received so far from MAX bupa and i'm still ready to pay my insurance premium as soon as my loyalty benefit issue is solved and fail to understand why it is taking more than 20 days to get this resolved. My policy is now in its grace period and i do not want to loose the money that i have paid so far, Incase my policy expires for it not being my fault, Max bupa will have tobear up for any of my medical expenses and revive my existing policy without any break in insurance.
                          Max Bupa customer support has been notified about the posted complaint.
                          Oct 25, 2015
                          Updated by anzil l
                          This issue is not yet resolved! Their poor systems and false commitments still continue.. Even after escalating to the griviences team still there is no resolution.. They fooled me again and made me pay the premium and I get the policy documents with the same old stuff.. Where do I get a solution, I have all proof that they have been playing around with my money and time..
                          Dear Mr.Anzil,

                          We regret the inconvenience caused to you. Thank you for sending in your contact details. Someone from our concerned team will get back to you at the earliest.

                          Many Thanks,
                          Team Max Bupa.
                          Dear Mr. Anzil Lawrence,

                          At the outset, we regret that the services at Max Bupa have not been to your satisfaction. We truly value your feedback as we work relentlessly towards constant improvement of services.

                          We believe that our team got in touch with you to address to your concern. Hope you are satisfied with the resolution. Looking forward to your continued support and long standing association with us.

                          Should you require any further assistance, we request you to call us at our Toll Free number[protected] or write to us at [protected]@maxbupa.com.

                          Assuring you of our best services.

                          Thank you for writing to us.

                          Many Thanks,
                          Team Max Bupa
                          This issue is not yet resolved! Their poor systems and false commitments still continue.. Even after escalating to the griviences team still there is no resolution.. They fooled me again and made me pay the premium and I get the policy documents with the same old stuff.. Where do I get a solution, I have all proof that they have been playing around with my money and time..
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                            The complaint is marked as resolved when a company has responded to the complainant, addressed his or her dissatisfaction, and came to an agreement where both parties agreed that the complaint is indeed resolved. However, a complaint can be automatically marked as resolved if a complainant isn't responding or updating a complaint for 30 days after the company has tried to reach the complainant.

                            Claim Rejected on filmy reason claim id 136726

                            Address:Anand, Gujarat

                            Myself Suchit B Shah had taken Max Bupa Health Heart Beat Silver plan for Rs. 3 lac vide Policy No [protected] dated 05/01/2015. I was admitted to hospital at Anand (Gujarat) for treatment of Malaria for a period of 12.05.2015 to 20.5.2015. Intimation of hospitalization was given to Max Bupa Toll Free No & Claim intimation No 1289343 & claim ID 136726 was generated.. I had submitted claim for Rs. 37773 alongwith required supporting...
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                            Resolved
                            The complaint is marked as resolved when a company has responded to the complainant, addressed his or her dissatisfaction, and came to an agreement where both parties agreed that the complaint is indeed resolved. However, a complaint can be automatically marked as resolved if a complainant isn't responding or updating a complaint for 30 days after the company has tried to reach the complainant.
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                            The complaint is marked as resolved when a company has responded to the complainant, addressed his or her dissatisfaction, and came to an agreement where both parties agreed that the complaint is indeed resolved. However, a complaint can be automatically marked as resolved if a complainant isn't responding or updating a complaint for 30 days after the company has tried to reach the complainant.

                            Address:Surat, Gujarat

                            My self Dharmesh Gotawala.i claim for my mother amount 32919. but it has been rejected by maxbupa company. reason is that my mother went out from the hospital but it is not true.i am already send doctor certificate but again it has been rejectded for same reason ... so i am going consumer court for case to maxbupa company...
                            Aug 7, 2021
                            Complaint marked as Resolved 
                            Max Bupa customer support has been notified about the posted complaint.
                            Dear Mr. Dharmesh Gotawala,

                            We regret the inconvenience caused to you. We request you to send in your contact details and our customer care team will get in touch with you at the earliest.

                            Many Thanks,
                            Team Max Bupa
                            Dear Mr. Dharmesh Gotawala,

                            We are keen to resolve your issue; we have not yet received your contact details and are awaiting your reply at the earliest.

                            Many Thanks,
                            Team Max Bupa
                            Dear Mr. Dharmesh Gotawala,

                            As we still haven’t received your contact details we shall not be able to take the conversation forward on this platform. However if you require any further assistance we request you to call us on our Toll Free number[protected] or write to us at [protected]@maxbupa.com.

                            Many Thanks
                            Team Max Bupa
                            MY CONTACT NO IS [protected]

                            POLICY NO:[protected]

                            CLAIM NO:136056
                            Mr. Dharmesh Gotawala,

                            At the outset, we regret that the services at Max Bupa have not been to your satisfaction.

                            As per your telephonic conversation with our customer team, we would like to inform you that your claim had been reviewed by our team of doctors. As mentioned earlier, we still maintain our stand of not being able to honor the mentioned claim basis the verification report and patient statement.

                            Do let us know in case of any further queries on our Toll-Free number[protected] or write us at [protected]@maxbupa.com.

                            All our endeavors is towards high customer satisfaction and we work relentlessly to achieve the same.

                            Thank you for writing to us.

                            Many Thanks,

                            Team Max Bupa.
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                              Address:Gurgaon, Haryana

                              I have a mediclaim of max bupa from last 2 yrs. Day before yesterday i felt problem in my chest and went to paras hospital in gurgaon. After all check ups hospital discharged me yesterday and filed the bill to max bupa at 4 p.m. Now its been a whole new day i am spending in hospital and claim is not settled yet. I has to spend an extra night in hospital only because the people of max bupa who are carrying out my process left the process immediately when it reached 9 p.m knowing that somebody is waiting for discharge in hospital. Today in morning i asked my hospital tpa deppt. That why it getting that much late is discharge. Thay said that from last 1 day max bupa is negotiating on the bill amount with the hospital. This is very shameful of max bupa that knowing there customer is spending an extra night in hospital they are still hungry for the discount. I am still in hospital waiting for the approval and may be call polish in an hour to settle with max bupa. Its my 1st and worst experience with max bupa and will never suggest anybody to buy there services.
                              +2 photos
                              Aug 8, 2021
                              Complaint marked as Resolved 
                              Max Bupa customer support has been notified about the posted complaint.
                              Dear Mr. Naveesh Sharma,

                              At the outset, we regret that the services at Max Bupa have not been to your satisfaction.

                              As per your telephonic conversation with our customer team, we would like to inform you that your pre-auth request has been approved.

                              Also, we request you to kindly submit the required documents so that we can process your claim request at the earliest.

                              We believe your issue has been resolved successfully and we once again apologize for the inconvenience caused.

                              Do let us know in case of any further queries on our Toll-Free number[protected] or write us at [protected]@maxbupa.com.

                              All our endeavors is towards high customer satisfaction and we work relentlessly to achieve the same.

                              Thank you for writing to us.

                              Many Thanks,

                              Team Max Bupa.
                              True...even i was unable to claim my amount
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                                Address:New Delhi, Delhi

                                hello sir I Am varun.today i m receved a call from max bupa.the ageant his name is vinay mishra.he told me some insurance policy and an all.at last they given me a acount no of hsbc bank and told me sumbit 52000 rs deposit by eft only or rgts only.than i m trying verify this call so its totly froud cal.. so dear sir plz find this company and agents details.. agent name.vinay mishra ifsc code hsbc0110002 ac no...maxbupap[protected] barakhamba road branch.main branch. thanx and regards varun contact no... [protected] mail id.[protected]@gmail.com kindaly revert me as soon as possibal. and msg they will send me i m also atteched. dear sir plz verify.
                                +1 photos
                                Aug 6, 2021
                                Complaint marked as Resolved 
                                Max Bupa customer support has been notified about the posted complaint.
                                Dear Mr. Varun,

                                We regret the inconvenience caused to you. Thank you for sending in your Contact details. We will get back to you at the earliest.

                                Many Thanks,
                                Team Max Bupa
                                Dear Mr. Varun,

                                We have been trying to reach you on the mobile number that you have shared with us but could not get through your number. Request you to please share the same so that our customer care team can get in touch with you at the earliest.

                                Many Thanks,
                                Team Max Bupa
                                Dear Mr. Varun,

                                We are keen to resolve your issue; we have not yet received your contact details and are awaiting your reply at the earliest.

                                Many Thanks,
                                Team Max Bupa
                                Dear Mr. Varun,

                                As we still haven’t received your contact details we shall not be able to take the conversation forward on this platform. However if you require any further assistance we request you to call us on our Toll Free number[protected] or write to us at [protected]@maxbupa.com.

                                Many Thanks
                                Team Max Bupa
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                                  Address:New Delhi, Delhi

                                  Never go for maxbupa health insurance ...i requests them to add my new born baby but they say I have to pay short subscription fee however my policy is silver heart and covers 4 members .. After talking to their customer service they says I should have declared before renewal.. Now the fact is will delivery happen according to renewal how illogical. Suddenly they increased the renewal fee from 9500 to 10600 which i paid already. and now they are asking fee for adding new baby. While I signed it up that have not said about this but now they are asking to read terms and condition which is 100 pages long .. I have cancelled it if your policy is not too old get it canceled or transfer to other company under portability. Policy Number-[protected] Amir khan email address -amir.[protected]@gmail.com New delhi
                                  Aug 8, 2021
                                  Complaint marked as Resolved 
                                  Max Bupa customer support has been notified about the posted complaint.
                                  Dear Mr. Amir Khan,

                                  At the outset, we regret that the services at Max Bupa have not been to your satisfaction.

                                  As discussed with our customer service team, we would like to inform you that to add your baby in the existing policy, you may pay the additional premium amount.

                                  Also, we would like to inform you that as per the terms and conditions, the cancellation of your policy comes under “Customer Induced Cancellation” and accordingly your refund amount will be your last premium amount. Post your confirmation we would proceed further with the cancellation and refund.

                                  We once again apologize for the inconvenience caused.

                                  Do let us know in case of any further queries on our Toll Free number[protected] or write us at [protected]@maxbupa.com.

                                  All our endeavors is towards high customer satisfaction and we work relentlessly to achieve the same.

                                  Thank you for writing to us.

                                  Many Thanks,
                                  Team Max Bupa.
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                                    Address:Hyderabad, Andhra Pradesh

                                    Respected Sir, I have taken Health Insurance policy in MaxBupa for my Father and Mother on November 24, 2013. Total i have paid approxmately 60000 + rupees for 2 years. My father has taken eye operation 1st year after 6 months in chennai hospital. I said to MaxBupa Executive same thing, His name is Srinivas Gadde, he said to me, we can claim that amount. you can submit total bills. So accordingly, i gave him total bills and he submitted those. after 1 month total policy is terminated. When i asked him, your father has diabetes since 25 years long, But when i'm taking policy i told him, my father and mother has diabetes patient. At that time he said no problem, any one can take the policy. The Problem is Insurance policy is terminated because of my father having diabetes, I intimated him when i'm taking that policy. Now he is saying "your not intimated me" and some time "i forgot now", its done since a long time. He is saying like that. My doubt is Is company doesn't check policy holders body?. when i'm taking policy, at that time must and should MaxBupa company need to do some tests? and that policy holder is eligible person or not they are checked at that time only. Here my doubt is with doing any tests how they accepting this policy? Like this they are cheating more people in society. Please take action on this. I've lost my money, time. we are middle class people, i know the value of that money. The Health Insurence Executives are cheating some many people for their commission purpose. we are saving that money since 2 years onwards. But because of wrong information form the Executives, we lossing my total money, time and health also. If they tell proper information at the time Opening the policy and if they do all the tests at the time of opening the policy then no problem. Please take action on this and i have lost money, time and health, Like me so many people are suffering in society. some documents are with me (Policy documents) now, but unable to convert those documents, if you need that for further discussion i can drop mail now. Here accepting only image documents, But that document is in pdf format. Thanks Vinod Kumar T cell:[protected]
                                    +4 photos
                                    Jan 1, 2023
                                    Complaint marked as Resolved 
                                    I haven't received any resolution on my complaint...I have attached MaxBupa policy details
                                    Max Bupa customer support has been notified about the posted complaint.
                                    May 19, 2015
                                    Updated by tvino35
                                    Here my doubt is without doing any tests how they accepting this policy?

                                    Dear Vinod Kumar,

                                    We regret the inconvenience caused to you. Thank you for sending in your contact number. We will get back to you at the earliest.

                                    Many Thanks,
                                    Team Max Bupa.
                                    Dear Mr. Vinod Kumar,

                                    We deeply regret that we cannot pass your claim due to non-disclosure of material facts at the time of sourcing the policy. Also we would like to inform you that your case has been reviewed by our team of doctors and we will not be able to honor the mentioned claim.

                                    We once again apologize for the inconvenience caused.

                                    All our endeavors is towards high customer satisfaction and we work relentlessly to achieve the same.

                                    Thank you for writing to us.

                                    Many Thanks,
                                    Team Max Bupa
                                    Till now no action on my complaint
                                    Without solution, how can you marked as resolved?
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                                      Address:Pune, Maharashtra

                                      I had taken a health insurance policy and after the medical check up, I got a cal that the policy cannot be processed further due to medical reasons. The company denies to refund the complete premium paid and charges for medical check up. I should be eligible to get the complete refund of premium paid as the health check up was mandatory and also such terms in the policy were not intimated prior to taking the policy.
                                      +1 photos
                                      Aug 8, 2021
                                      Complaint marked as Resolved 
                                      Max Bupa customer support has been notified about the posted complaint.
                                      Dear Mr. Ravhee Sathe,

                                      We regret the inconvenience caused to you. We request you to send in your contact details and our customer care team will get in touch with you at the earliest.

                                      Many Thanks,
                                      Team Max Bupa
                                      Dear Customer,

                                      We deeply regret that we are unable to offer health insurance cover to the proposed insured(s) as per the details stated in the e-mail. Also we would like to inform you that your case has been reviewed by our team of doctors and we will not be able to honor the mentioned policy.

                                      However, we would like to advise you that we have done necessary verifications at our end and the counter offer has been accepted by your father Mr. Ravhee Sathe and we have issued the policy post receiving the confirmation.

                                      We once again apologize for the inconvenience caused.

                                      All our endeavors is towards high customer satisfaction and we work relentlessly to achieve the same.

                                      Thank you for writing to us.

                                      Many Thanks,
                                      Team Max Bupa
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