Max Bupa — max bupa fraud & injustice

Address:	Gurgaon, Haryana, 122001
Website:	www.maxbupa.com

Claim no: 334343
Policy number – 30437797

Brief – my wife (Patient) during a routine blood test was shocked to see count of 24000 (Where in it should be minimum 150000 to 400000 in a normal condition. We immediately rushed to emergency (Fortis gurgaon hospital) for treatment & it was diagnosed itp (Idiopathic thrombocytopenic purpura) & later it was paid by max bupa.

After a day or two, the count dropped to the same level, again some treatment for itp & paid for second time too!

A week later she again started feeling a low count therefore looking at the urge of emergency, admitted to sir ganga ram hospital & she was given the same treatment to boost the count but this time for the same diagnosis same treatment we were said no!

I have been in discussion with the max bupa team related to my rejected claim which has now been denied twice (Cashless & reimbursement), wherein for the same diagnosis (Itp) it was paid twice in past 1 or 2 months, how come? No one answered why, just denied? They are challenging the diagnosis?

Dr. Nitin gupta have clearly mentioned on the diagnosis about the disorder.in our case itp is idiopathic’ it’s not ‘immune’ (Stamped) both in fortis & sir ganga ram the diagnosis was same than how come it is rejected by their doctors (Who have not even seen the patient) made a declaration that it’s an ‘immune disorder’?

Reason of rejection 'immune disorder'. Please see attached diagnosis & let me know if you are challenging the doctor’s statement that it's immune but not idiopathic?

How come my two previous claims were approved when the reason was same itp?

I am extremely disappointed with max bupa giving me false justification & torturing me for that matter. They have started playing with words & clauses. My only say is how come you say no to what you have already paid for? It’s just that they don’t want pay for what are committed for, simple!

Nitin k. Dhureja
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