Star Health And Allied Insurance — Non-provision of relevant information to customer

Address:

Kolkata, West Bengal, 700022

Dear Sir, I am a customer of Star health medical insurance where-in I had purchased a medical insurance policy by the name "Mediclassic", bearing policy number P/700002/01/2014/012120, that is invogue till 05 December 2015, (unless renewed). I had forwarded a small enquiry about the insurance policy coverage. The query is :- "Whether the surgical procedures for treatment of the ailment "OBSTRUCTIVE SLEEP APNEA", namely Uvulo pharyngo plasmo plasty or UPPP, or RF Coblation etc, are covered under the "Mediclassic" medical insurance policy of Star Health or not?' The customer care and support team of Star health medical insurance have pended the matter for more than a month, providing answers that are irrelevant to the subject query. Major contention by the StarHealth team are as follows:- (a) Personal policy number to be provided to answer the query. (Same was provided, still no satisfactory answer.) (b) One has to actually fall ill and get admitted in the hospital to get a suitable answer. (c) Relevant medical documents to be processed for cashless treatment through a networked medical hospital, then only the query, whether a particular ailment is covered under a particular medical insurance policy or not, may be answered. The above answers are irrelevant and non-contextual to the subject query, since it is generic in nature. The above described action by the Star health team is deemed as failure to disclose and provide relevant information to a paying customer with a criminal intention of fleecing money, and it amounts to deficiency in services. It is requested that the matter may please be investigated and the defaulting insurance provider, that is Star health medical insurance, may please be directed to kindly provide the correct information with respect to the query raised forthwith. An early action will be most solicited. regards, Sanjiv Basu Mallick 15/182 Turf View 249 AJC Bose Road kolkata 700022 tele - [protected]