Max Bupa — unjustified claim rejection 385513

Address:

Guntur, Andhra Pradesh

We are loyalty customer of max bupa from last 9 years and no claim has been made till now.

Recently, my father met with an accident, rushed to nearest hospital which is non-network and informed to max bupa customer service immediately. They asked us to submit the required documents along with medical bills and doctors prescription and we submitted the true documents. However, after 30 days of document submission, the claim was rejected specifying the reason "certain discrepancies and misrepresentation of facts". We cross checked with the hospital team to cross verify the submitted documents and hospital management confirmed that max bupa team has not visited the hospital for claim verification at all. We requested max bupa to specify the exact reason for rather than general reason. Where as max bupa rejected to disclose the reason, and still they stand on their decision.

We raised grievances with respective authorities, but no use. Simply max bupa team wants to deceive the customer by not paying the claim and stating the misrepresentation of facts.

Worst customer service and pathetic reply from the team. Dont recommend max bupa.

Best regards
Sam