Max Bupa — mediclaim policy cancelled by max bapa

Address:	Vadodara, Gujarat, 390007
Website:	CONSUMER COMPLAINSTS

From :

Sanjay Madhusudan Shah,
4, Gangotri Soc. Near Tagornagar, Old Padra Road,
Vadodara – 390 007
Gujarat

Date : August’17

To
Shri Ashish Mehrotra, Managing Director & CEO,
Max Bupa Health Insurance Co. Ltd., Corporate Office, Block B1/1-2,
Mohan Co-operative Industrial Estate, Mathura Road,
New Delhi – 110 044

Sub:- Notice of cancellation of Policy No.[protected] v ide your letter dtd.14.08.2017.

Sir,

In above matter I had chosen Max Bupa Health Insurance for myself and my spouse as I was given a picture wherein the health insurance facility provided by the company was of best quality and accordingly I & my spouse got insured for a sum of Rs.5, 00, 000/ -. The premium towards the said insured amount is Rs. 18, 552/- at the relevant time. At no point of time during filling of the form, was asked to get medical check up of self and spouse.

It is with regret to note that my claim of Rs.29, 444/- has been straight away repudiated by you on the basis that I had not disclosed of having past history o[censored]lcerative colitis since last
4 months at the time of taking policy. This is absolutely incorrect. If it all you have iota of doubt about my illness you could have asked the treating doctor directly before repudiating
my claim. Further, I have not acted dishonestly or fraudulently nor have I hidden material facts or misrepresented with regards to the policy and as such you cannot terminate the on
going policy during the policy period.

In view of above, you are requested to either reimburse me claim of Rs.29, 444/- at the earliest OR refund me my premium of Rs.18, 522/- and terminate the policy or else I will be compelled to lodge complaint in Consumer Grievance Forum OR take up the issue with Insurance Regulatory and Development Authority of India (IRDA) who resolve disputes and complaints of the aggrieved insured u/s 114(1) of Insurance Act, 1938 fr amed “Redressalof Public Grievances Rules, 1998”.

Hoping for an amicable early solution from your end. Thanking you,
Yours faithfully,

( SANJAY M. SHAH )