Pregnancy cover Claim - UTI post pregnancy Claim denied
I have medical insurance from MAX BUPA for more than 8 years now.
We took a pregnancy delivery claim - which had a cap of 40k this year on 1st Jan'21.
A couple of days later my wife had to be admitted in emergency due to severe fever/shivering to Max hospital GGN.
she had severe sepsis attack during her stay at hospital and was moved to ICU, problem was later diagnosed as UTI and later discharged after 5 days of hospital stay away from the new born.
we were denied any claim saying this is linked to pregnancy - so your limit on that is only 40k.
The hospital for these 5 days charges me almost 2.35 Lacs.
When we raised this issue to the senior's in Delhi - they have reverted that we stand by our decision.
SEEK SOME EXPERT HELP IN THIS as it is a huge cost and the medical insurance should have covered this cost - whilst we have been paying premium for over 9 years now.
This will require a closer look into all claims papers including hospital discharge summary, indoor case papers, claim rejection letter, etc. Please e-mail your documents to Anuj Jindal at firstname.lastname@example.org. Anuj is a fellow contributor to this forum & he also runs a claims consultancy firm by the name SURE CLAIM. He could be helpful to you.