[Resolved]  Star Health & Allied Insurance Co. Ltd. — Claim Rejected

Address:

Thane, Maharashtra

Dear Sir/Madam,

Myself Kapil Thakkar holding the Mediclaim Policy for my Family (Mother & Father) Star Health and Allied Insurance Co. Ltd. Policy No. P/171116/01/2011/000478 valid from 24.04.10 TO 23.04.10,

As my mother got Hospitalized for Nimunia disease. which we have admitted her at there listed hospital AIIMS Hospital (Dombivli East) Dt. 11.08.10, whereas the cashless got rejected after 3 days for which we have to pay Rs. 70000/- at a time. I was insured that I will get reimbursement for claim amount after the discharge of patient.

My mother was admitted for 10 days in Hospital till date 21.08.10, total expense approx 1 lac 21 thousand, which I have submitted all the insurance papers by 25.08.10, at Insurance office in Ghatkopar Branch to Mr. Kamath.

Later on for next 30 days there was no call no revert from there side, after which I started the follow-up from Co. that also I was assured that will get my claim money only it take time because to big amount of Money, but after 60 days there is no reply then on 1.11.10 Mr. Kamath from insurance co. called me for query for Claim asking for X-ray copies which I again submitted on 02.11.10 till 15.11.10 again no reply, thenafter on 15.11.10 I have drafted the mail to Insurance H.O. Co. (Chennai), on 22.11.10 i was replied for Claim Rejected for Doctor discharge card mentioned Pr-existing disease last 3 yrs

I am frusted for claim got rejected after 85 days saying that the preexisting disease which the discharge card is attached on 1st page of file can be seen immediately which Co. took 85 days to reject the claim. I am very badly mentally disturbed after seeing all this, I dont have money to fight legally with them.

Please if anyone can help me for this mental harassment

Thanks & Regards

Kapil Thakkar
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