Max Bupa — Reimbursement Statement for Claim Number [protected] Denied without any valid reason

Address:

Delhi

Dear Sir,

Max Bupa has denied my claim ([protected]) without any valid reason. As the reason has been given that Non-disclosure-as per received medical document condition and scrutiny done by us it was found that insured has been suffering from Shortness of breath x 1 years (NYHA –III) prior to policy which he has not disclosed at time of inception of policy so claim is repudiated as per clause 5.1.27 but this mistake done by hospital and they have given us the rectified OPD letter with specified that the problem was not more than 8 months. There was no any reason for disclosure when I have opted Max Bupa health policy.

The same document has been submitted to Max Bupa but still they are not considering the prescription of Doctor given by Fortis Escort hospital Delhi.