[Resolved]  Religare Health Insurance Company Limited — regarding claim

Address:Surat, Gujarat

Respected Sir / Madam, I want to state that I have mediclaim policy going on with Religare Health Insurance in the name of govind prasad maheshwari whose policy no. is 10035625 in that I had taken a claim with respect to claim no. 90028949 in that company had rejected a claim and the reason for that is the hospitalization of patient is not justified for mentioned diagnosis and we had also provided the justification letter from doctor regarding the hospitalization to reopen file then also the company had rejected a claim giving the same reason. and I also want to state that there are no such terms and conditions are mentioned in policyIts my request to please investigate regarding this matter.
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Aug 14, 2020
Complaint marked as Resolved 
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I want to complain about mis-selling, false information and price
gouging by Max Bupa Health Insurance.

I bought Health insurance (Heartbeat EFF Gold) from Max Bupa in
December 2012. I paid Rs. 16, 641.00 in 2012 and Rs 16, 334 in 2013 for the insurance.
I was promised by the many sales executives in Max Bupathat the rate would not increase by 1-2%/year, i.e,
Rs 200-300, maximum Rs 500/year.

In 2014, when I want to renew, they inform me that the product is
changed and I have to pay Rs. 20, 655. This is an increase of 26.45%
!! When I asked customer care the reason, they said it is due to
medical inflation and product change. Max Bupa changed product unilaterally and wants customers to by 26% more!!

I want IRDA to have Max Bupa refrain from misguiding existing and
future customers. They should inform customers in advance that prices
are not in a small band but can go up over 26% as well because they
unilaterally change product without asking customers.

Also, I would request IRDA to impose a significant fine on Max Bupa so
that its customer care and sales team refrain from price gouging and lying
customers.

I have complained to IRDA and am posting here so that people see and not buy Max Bupa

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