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Insurance claim from Max Bupa not cleared till date what action


11-Aug-2023 (In Consumer Court Law)
I have a health insurance from Max Bupa since 2014 since i have taken a personal loan from Bajaj. Now I have a critical illness for which i have submitted the claim on 09 JUN 16 and the TAT is 45 days and after 45 days they said my Max Bupa Insurance form is not duly signed , so they again called me to the office and mentioned it will take another 15 days after the TAT is over , now I am continuously writing to them but there is no response. Can I take any legal action
Answers (3)

Answer #1
974 votes
Yes sir,
You may engage a lawyer in this who will certainly help you to deal in better way ,or else you will keep writing and they won't response at all and will take advantage of limitations period ,saying that they never received any information/reply from your side.in case any difficulty you may contact our office ,: Adv pankaj Kumar
Answer #2
544 votes
You can approach the consumer court for harassment, mental agony and unfair trade practices by the company in your case the insurance company. Arrange the papers/documents in chronological orders and meet any good lawyer near you. You can definitely take legal action but appropriate legal opinion can only be given by further looking into the papers.
Answer #3
857 votes
Hi Querist,

Yes you can take action against them by filing a Consumer case. However, prior to that u shud give a legal notice narrating the facts of the case and how they are delaying to pay for u r critical illness and ask them to pay the claim amount giving them 7 days time, if they still dont pay for u claims then file a consumer compliant for deficiency of services, unfair trade practices and for mental agony.
Pratap, Adv

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