Niva Bupa calls Cashless Health Coverage Claim refusal ‘unfounded’

Niva Bupa calls Cashless Health Coverage Claim refusal ‘unfounded’

The issue blew up after a health insurance and investment adviser called Niva Bupa in a post LinkedIn a few days ago. | Photocredit: Getty images

A few days after a post on social media about an alleged denial of a claim without cashless £ 61-lakh from a patient with a health insurance policy of £ 2.40 crore, viral went viral and attracted widespread criticism, Niva Bupa Sickness Insurance on Tuesday called the accusation “Unsupped”.

In a statement, the health insurance supplier said that labeling the sector as a “scam” “is very irresponsible and misleading”.

According to the position on LinkedIn, Niva Bupa Health Insurance has a £ 61-Lakh Cashless claim from Chandra Kumar Jain, who is fighting myeloid leukemia, for the life-saving procedure, even though he had a substantial health insurance policy of £ 2.40 crore.

“Je betaalt jarenlang premium, bouwt een enorme dekking van £ 2,40 crore ziekteverzekering, en wanneer het moment van de waarheid komt, loopt je verzekeraar gewoon weg. Dat is precies wat er is gebeurd met Chandra Kumar Jain, opgenomen in Sir HN Reliance Foundation Hospital, Mumbai, vechten tegen myeloïde leukemie en dringend een beengroef, zei Avigyan Mitra, een gezondheidsverzekering en Investment advice, a post.

Escalating treatment costs

In response, Niva Bupa rejected the allegations as “unfounded” and shouted the “fear -making stories about the case”.

“Mr Jain has been our policyholder since November 18, 2021. In the current year this is his third claim instance. In the last two cases, an amount of £ 22.72 Lakh was already paid. In the current case, the patient was admitted on June 27, 2025, on June 27 in the course of 27 days. An additional costs of £ 77,000 had to be received, but the same part was the same part, but I was idealiteriterarter, but idealiteraliteraliter had it idealiteriteriter Nevertheless, it was also approved, “said Niva Bupa.

“Tijdens de lopende behandeling vroeg het ziekenhuis om een ​​​​toename van de pre-autorisatie van de aanvankelijk goedgekeurde £ 25 lakh tot £ 61 lakh-basis een interim-rekening en verklaarde dat de behandelingskosten escaleren, wat op 1 september heeft gezwollen tot £ 80 lakh. Sinds dit aanvullende bedrag aanzienlijk hoger is dan de oorspronkelijke schatting, en het zijn van de oorspronkelijke schatting, en het is niet meer het ziekenhuis, ‘zei het.

The insurance company said it is important to emphasize that this does not mean that the customer’s claim has been refused. “The originally approved £ 25 lakh pre-authorization is still valid and the final claim amount can only be decided at the time of dismissal when the hospital shares the final dismissal overview. Furthermore, we remain regularly in contact with the patient’s family to extend all possible support and the hospital has requested not to pay extra costs.”

Published on 2 September 2025

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