Max Bupa — claim rejection with foolish explanation

Manoj guruanna

from Rajahmundry, Andhra Pradesh

Address:

4-11/A, NARSINGI, Hyderabad, Andhra Pradesh, 500075

I have been paying the premium from last 5 years and on 18th march 2019 due to kidney failure and insurance agency assume that it should be pre existing issue o this bases the have rejected my cash less claim and asking me to pay first and get back to them for reassessment, at the point when i don't have the money to pay.

I now decide not to continue with max bupa for the next year and suggest the people who are planing to take new policy in "max bupa" better to take government options than such a company who does not understand the situation of the customer and take decision on assumptions

Please find the attachments for information

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Comments

1953

from Bengaluru, Karnataka

Hi, Any insurer when cash less request is received for approval, if the cost of treatment is more i.e in lakhs, they may ask the insured go for reimbursement though cashless is assured in policy document, after submitting all the documents with claim form, insurer will review the same & accept or reject the same, but they cannot simply reject the claim on just assumption of pre existing w/o any proof or document. As far as cash less refusal insured cannot question though there is an assurance in the policy document.

Rain merry

from Mumbai, Maharashtra

Hello there...
I have applied for personal loan and have not confirmed for any insurance policy in addition to this .
Now I want to get it resolved as I have not requested for it at all.
I am not intrested maxbupa id6900041.