Jain International Organisation [JIO] — Harassment from star health for cashless claim form ac, id [protected] policy no p/900000/01/2017/000007

Address:	Mumbai City, Maharashtra, 400004
Website:	www.jio.net.in

Dear sir,

My mother rekha shah is admitted at poona hospital, pune on 18/5/17. I'm her son dhaval shah. I have renewed policy under phase 1 renewal. My jac id is [protected]. Policy no is p/900000/01/2017/000007. I have jio health insurance policy since 15-16 i. E since it's inception.
After admission, hospital raised estimate of 47000/-, against it star health approved only 6000/-. Then it started raising queries on queries and hospital answer ed all queries, all relevant reports, ipd papers, documents etc. But then star denied for additional cashless approval, those letters are attached. Call center guys didn't reply properly & kept on telling that you have to go for reimbursement claim. My question is why should i go for reimbursement claim?

At admission stage my mom was suffering with vascular infarct / anemia / ra.

She was shifted to icu on 22/5/17. Then patient suffered with dengue, renal failure & pneumonia & kidney problem etc.
As per dr. Sancheti's treating her she should be treated in icu for another 4-5 days.
As demanded by star all medical reports were mailed to star in addition letter of dr sancheti's mailed today which clearly indicate patient is being treated for various illnesses which acquired / detected first time in hospital.
Hence, for treating these new illnesses her limit for cashless should be increased.

It is told by tpa executive of poona hospital that there are 6 patient of jain community having health cover of star are denied cashless facility & everyone was asked to pay treatment cost by hospital because of star raising various queries & despite all queries replied star is not ready for extending cash less rather it is told that star is in a mood to reject claim on basis of non disclosure of existing illnesses present on date of policy taken hence claim will be rejected.

If it is so, let star put their allegation on paper, we are ready to prove that star is trying to avoid claim settlement.

Let jio enquire with tpa executive of poona hospital about 6 patients admitted in poona hospital under star health cover under jio & what is their experience about cash less facility & how star is playing with them?

Already i am under tremendous pressure. My mom is struggling for life & i am struggling for money. Jio should interfere & look into matter. Many people's are harassed by star health. What is the use of trusting jio? It's initiative by maharajsaheb so we trusted scheme.

Pl. Look into matter & put pressure on star health. It is clearly seen that star's intention is not to pay money.

Regards,
Dhaval shah