[Resolved]  Star Health And Allied Insurance Company — Cheating

Address:

Ghaziabad, Uttar Pradesh

Dear Sir/Ma’am,

I would like to register my complaint against Star Health & Allied Insurance Company Limited. I have taken the Mediclaim policy for all my family members from Star Health as per below mentioned details.

Family floater – 3 Lac – Me, My Wife and my daughter
Senior Citizen Red Carpet – 2 Lac – for my DAD and 1 Lac for my MOM.

We have received the card for cashless claim in any of the hospital where star health is on panel. My Cards validity is from 27.07.10 to 26.07.11

First time I have to get hospitalised due to dengue fever on 03.09.2010 – After my admission It was came to my notice that star health has denied my cashless claim and I will have to submit the cash payment to the hospital which will be reimburse as per the star health guys. We were shocked with this news coz we had paid for a Mediclaim policy and expecting the cashless claim. We have to go through that harassment because o[censored]navailability of funds but somehow we have managed the funds and submitted the same with the hospital and I got discharged on 08.09.2010. Then We contacted Star Health and they sent us the reimbursement form which we have filled up and submitted with all the formalities to star health office. We were assured that the cheque will reach us within 15 days. The Claim form was submitted with Star Health on 21.09.2010 but the claim amount has not been received yet. So Many times I have spoken to star health guys and they are saying that your cheque is ready and you will receive the same soon.

Few days back I again got hospitalised to Yashoda Hospital due to Virul fever and again the same story happened. At the time of discharge star health again came up with the story that my claim cannot be cashless and will be reimbursed only. And again I will have to go through all the pain of arranging the money at the last moment.

Previous Claim amount was 33000 Rs. And this time Claim amount was 15378 for which I’ll have to submit the claim again.

Sir, I want my claim amount reimbursed and all my policies returned because I am not getting the cashless benefit for which I have taken the policies. Also I want to file a case against star health for all the harassment I have gone through. Please suggest how can we proceed with the same.