Care Health Insurance Complaints & Reviews

I, Kushal Narang, am filing this complaint on behalf of my mother, Mrs. Poonam Narang, the insured under a health insurance policy issued by Care Health Insurance Pvt. Ltd.

Despite being assured of cashless coverage by Care Health representatives, our claim was unfairly rejected during a medical emergency. My mother was hospitalized at Fortis Escorts, New Delhi on 21st Sept 2024 for angioplasty. Prior to admission, I confirmed...

Type of Complaint: Wrongful Rejection of Claim | Lack of Transparency | Suspected Misuse of "Pre-Existing Condition" Clause

Dear Sir/Madam,

I am filing this complaint against Care Health Insurance for wrongfully denying a valid cashless hospitalization claim for Ms. Guddi Yadav, under the excuse of a "pre-existing condition" — without providing any medical evidence or proof.
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I have been a customer of Care Health Insurance since FY 2019-20. On February 8, 2025, I admitted my son to their network hospital due to pneumonia. However, when the hospital sought approval from Care Health Insurance, the approval was denied without any factual verification or review of documents.in an email, it was stated that “can be treated on an OPD basis.” Despite providing previous OPD documents and reports, the approval...

Hello Team,

Sub.: Un tag my Pan ID

Kindly remove my PAN ID from IRDAI Portal from the Company viz., Care Health Insurance. Since, i have done no business from the date of joining.

Name: Akash Manu Premani
Insurance Name: Care Health Insurance
Insurance Type: Health
Agency Code: RLH20622189
Status: Inforce

Thanks & Regards,
Akash....

Date - 15 -6-22
[protected]
(I have sent all my papers to the company and the company has asked for some more papers and I have already given them.
The employee of the company also got the form filled and took all the papers. After that the company asked for some more papers and gave them too. The company kept finding some shortcomings in the papers and in the end they started saying that your claim is not valid. isbr...

Please deactivate my code care health insurance company...

I have already resigned on 19th April 23 but still pan showing active on IRDA portal. Please help into get NOC and Pan removal from IRDA portal on urgent basis as my current employer has sent SCN.

Regards
Pushpendra Singh Gaharwar
Pan: AJZPG0588P
Agency Code: RLH20461647
Mob:[protected]

I have already resigned on 19th April 23 but still pan showing active. Kindly help to get NOC and Pan removal from IRDA portal on urgent basis as my current employer has sent a Show Cause Notice.

Regards
Pushpendra Singh Gaharwar
Mo:[protected]...

I am Abhay Kumar and my PAN is BRQPK3275D.

I have an HP code in Care Health Insurance and my code is RLH20197016.

I have submitted my resignation letter, original ID card and NOC request to Care Health Insurance company.

I have applied as an employee in other Insurance company and they demanded to remove my PAN from IRDA portal before joining.

I request you to please remove my PAN from IRDA portal as soon as possible so that my joining will done easily.

Thanks and Regards
Abhay Kumar
PAN- BRQPK3275D

Hi There,

I used to have a policy in Star health but Care people suggested me to switch to Care by porting, Care staff promised me that they consider star experience as it's ported from star.
I took policy in Star by 2019, my father fell down in 2022 June but Care people it's preexisting disease.
Care people just cheated me i could get a cashless claim if I stay in Star.
Care charged me huge amount for...

Policy no[protected] huge claim amount deducted almost Rs 45000 was deducted
1. Smart City network hospital rs 21000 was deducted
2.Rmo charges rs 5000 not paid
3. Pharmacy bill rs 4600 was not paid
4. Lab chars₹ 3000 was not paid
5. Bio hazard charges rs 2500 was not paid etc
It's been more than a month still grevience team and claims team has not even bothered to call or reply to my complaintsbr...

Claim number[protected]
I have taken policy for my dad from care health insurrance. Past 7 seven years I am using this policy. Only one time I have claimed insurance for cataract treatment. But recently My father needed to be hospitalized due to emergency. I have asked for reimbursement from company but they are rejecting claim saying no emergency case. Even after proving emergency letter they are not considering claim and just...

I had purchased a Health Insurance Policy (No.[protected] by way of porting the same from HDFC Ergo to Care Health Insurance on 29.06.2022 well before the expiry of the previous policy, which was to expire on 21.09.2022. On receipt of the policy document, it has come to my notice that the policy commenced from the date of purchase i.e. 29.06.2022 instead of from the date of expiry of the previous policy i.e. 21.09.2022.

The...

I had purchased a Health Insurance Policy (No.[protected] by way of porting the same from HDFC Ergo to Care Health Insurance on 29.06.2022 well before the expiry of the previous policy, which was to expire on 21.09.2022. On receipt of the policy document, it has come to my notice that the policy commenced from the date of purchase i.e. 29.06.2022 instead of from the date of expiry of the previous policy i.e. 21.09.2022.

The issue regarding the commencement date of the policy was taken up with the Agent, who explained that an endorsement will be issued to the effect that the period of insurance would be from 22.09.2022 to 21.09.2024 after the expiry of the current policy. However, when no such endorsement was received, I had taken up the matter with Customer Care on 28.10.2022. I was again requested to send a copy of the previous policy from HDFC Ergo, which was forwarded by me. After a lapse of more than one month, it was informed that the "details are correct basis on the previous policy".

As I challenged the submission of the Customer Care Executive of Care Health Insurance, a copy of the HDFC Ergo policy was sent to me on 19.12.2022 which is said to be the basis of the issuance of policy by Care Health Insurance from 29.06.2022. The actual state of affairs has then become clear to me and it was a shocking revelation that some fraudulent alterations relating to the issuance date and period of policy have been carried out by the Agent or Care Insurance personnel in the original policy document from HDFC Ergo held by me.

It is evident that some mischief/forgery has been committed. I had taken up the matter with the Grievance Redressal Officer (GRO) of Care Health Insurance and requested them to carry out a probe into the matter and issue a revised policy. It has been informed that within 24 hours, O/o GRO will revert back to me. However, even after 9 days of my communication, I haven't heard anything from them. It seems that the matter is being hushed up with the intention to cover up the malpractices prevalent in the Company. Apparently, the grievance redressal mechanism of Care Insurance has no regard for the customers' concerns which is tantamount to unfair and unethical trade practices.

It is requested that a probe into the incident may please be carried out and:

(i) A revised policy may please be issued to me, which should commence after the expiry of the previous policy from HDFC Ergo.

(ii) Responsibility may be fixed on the person(s) responsible for mischief/forgery and the action taken may also be intimated to me.

Dear Sir
This is to bring to your notice that i was working in care health insurance company as an agent. Now I got a job offer in another insurance company as an on roll employee.
I have given a request letter for the issuance of NOC. But its nearing a month no action has been taken so far. I kindly request you to take immediate action for removing my pan no. From irda portal.
I cant get offer letter without issuing NOC. Kindly do the needful.

Our patient condition is very bad and she needs hospitilisation but the company denied that they did not need hospitilisation how they know that patient need or not .
Jagdeesh chaudhary
Policy no. 16500445

Dear Team,

I have resigned in the company for my agent role before 3 months but still its reflecting as inforce only kindly help me in getting it cancelled on priority.

Name: Nayana Holehonnura Mathada
Pancard: CIVPM8233L
AGENT CODE:RLH20181408
ISSUANCE DATE:26/09/2019

Regards,
Nayana HM...

Had a health insurance but am not satisfied with the service and not received a reimbursement as well unable to reach them

I have already given request in Care health insurance on 15 June 22 and that was accepted by Branch head on 20th June 22. However till now it is reflecting in IRDA portal due to which I am facing issues in my new job.

Please remove my PAN number from IRDA portal

Pan number :- AMXPT2631H

PLEASE DO THE NEEDFUL.

They are doing Fraud with Peoples.

We have Ported Our Policy in Care Health Insurance & Shared Old Policy Documents with them, After 6 Months of Policy Taken, My Father Got ill & We Apply for Claim & They Reject it with Showing Reason of Non Disclosure of Disease but We have attached Old Policy Details & That are also mentioned in Care Policy Too as well Policy was 8 Yrs Old Almost.
But They Are Denying for Claims &...

I was having the policy with Star Health Policy - P/161130/01/2020/057024 and one of Person Miss Pooja Tiwari called me and told me she is calling from Care Health. I have shared my existing policy to port from the Star Health Insurance. But today I came to know they have issued a fresh policy. Also I came to know that Bfsi Insurance Broking Pvt Ltd is the agent and they also changed the mail id and not mentioned my mail id on the policy document.
Received a call from Miss Priti Saxena (Employee I'd 0059) regarding porting of my previous policy. As she told me she is working on the Care Health Insurance and forwarded the mail for porting of policy with all existing facility without co-payment charge including renewal bonus of additional 500000/- in addition no claim bonus facilities with same policy. If the same benefits will be with the policy, then there is no issue to continue with the policy.
As discussed with Mr. Aryan and Miss Priti, the portability request is under verification.
I have requested to port my policy but issued a fresh policy and not ported the policy and as I told to customer executive Mr. Himanshu and Miss Priti to port my policy, but still not ported my policy.

This was not my fault, this is the fault from the company as I have shared all the previous policy documents with them.
I have raised the complain then I received call from Miss Priti and Mr. Mahesh Gandhi, for satisfactory mail. they told if you want refund then send a satisfactory mail so that they can process my refund and to close the matter.
As requested by Mr. Mahesh Gandhi and as discussed with Miss Priti, to close the matter on the issue of refund. I have written the mail but after that they are not picking the call and not responding to the message. Again I am requesting Miss Priti and Mr. Gandhi to resolve the issue and refund as discussed with them.
I spoke to Care Health Customer Care on 19th March 2022 and 22nd March 2022, as they told the refund has been processed with Transaction ID "P60MV8A4536WL90000001I" on 13th March 2022, but again informed them no refund amount has been received.

Dear Sir/Madam,

i was hospitalized in nanavati hospital, Mumbai on 28th February, 2022 and discharged on 05th March, 2022. as reqd by company, all documents for reimbursement were duly submitted in chembur office on 25th of march for claim of 24, 542/-. it was assured that everything is okay and claim would soon be settled. however, company has only released 2, 000/- on 12.04.2022 and said that claim has been successfully...

सर मैंने अब से 3 साल पहले रिलायंस रिलीगेयर हेल्थ इंश्योरेंस की पॉलिसी अपने पापा के लिए दी थी जिसका नाम आप बदलकर केयर हेल्थ इंश्योरेंस पॉलिसी हो गया है सर कल मेरे पापा को अचानक हार्ट अटैक आया जिस वजह से मेरे सभी परिवार जन घबरा गए और उनको तुरंत देव नंदिनी हॉस्पिटल हापुर में एडमिट कर दिया आज सुबह हॉस्पिटल ने कहा कि इनको हायर सेंटर रेफर करना पड़ेगा हम इनको रेफर कर रहे हैं जैसे ही कंपनी ने अपना क्लेम लगाया कंपनी कलीम पास नहीं कर रही है सुबह से 8 घंटे हो गए हैं इंतजार करते-करते पापा की तबीयत बहुत खराब है कृपया मेरी हेल्प करें और इस इंश्योरेंस कंपनी को उचित दंड दे

Hello
I am complain against (care health insurance) because i was port my policy from care health insurance to star health insurance. Today I received a message from my bank be deduct 9996 Rs by care health insurance yearly instalment but I cleared informed to care health insurance be i port my policy to another company or care health insurance avoid my refund so you see on my request. Policy No. : 19305526
Thanks

Regarding the above matter, I have to say that on 8th of March, 2021 I resigned from your company and requested you to Release my PAN from IRDA site.
Please be noted that My was engaged by the company Care Health Insurance without my concern or without taking any examination conducted by IRDA for becoming an agent in Insurance sector.
The Resignation was also accepted by your RM ( Relationship Manger/ Regional Manger) on the same day and a return mail was also sent to me regarding acceptance of Resignation.
After that day despite several telephonic requests and email request to RM and other my PAN has not been released.
Please also be noted that my name was sponsored by MAX BUPA Health Insurance and I passed my IRDA Exam for becoming an Advisor on 17-March- 2021.
Now I am facing a lot of problems to work with that Max BUPA Health Insurance because my code is not being generated and my PAN Showing is engaged with Care Health Insurance.
Therefore I am facing Financial and Mental Harassment.
Therefore once again I request you to release my PAN from IRDA Site which has been engaged illegally by the company and let me be free from your side.
I shall be much obliged to you for this kind deed.