I have purchased max bax health Insurance policy in June/2011 for 2 lac added name of my wife in June/2014 renewed on time always,
Now my wife suffering from Typhod/Entric fever was admitted to hospital in 22/dec/2015 claim no# 169850 the same was intimated to insurance company for approval to make claim since it was a not tie up hospital,
Now my claim has been denied by the company e mail below
"we feel sorry in informing you that your claim # submitted on 15/01/2016 has been denied as per policy terms & conditions. During the verification done by us, gross discrepancies & misrepresentation of facts were noted in hospital documents & Insured statement, hence as per policy clause 5(e), claim merits repudiation.
We apologize for our incapacity to admit the claim and regret the inconvenience caused to you."
My claim is 100% Genuine & True with all documents, Max bupa have failed to provide any single details where they found gross discrepancies & misrepresentation of facts this seems a regular practice by Insurance companies to make false alligations and deny claims on one pretext or another. I m ready to fight for Justice for future course of action against company if claim not resolved