The total approved amount for the surgery by M/s StarHealth was Rs. 2 lacs. However, the total bill from the hospital was Rs. 1.5 lakhs only, which is significantly less than the approved amount.
Despite this, M/s. Star Health has deducted Rs. 49, 294( approx. 33%) without providing any reasons or justification for these deductions. They have not provided any references to the terms and conditions of the Policy, under which these deductions were made. This is completely arbitrary and completely unfair.
For over a month, now and after multiple follow-ups with Star Health, there has been no clear response. They have not provided any reasons as to why this was disallowed. I have repeatedly told them via email, that the policy document has no mention of such deductions. I have requested them to provide the relevant sections of the policy document under which such deductions were made. However, they have chosen not to reply to this point at all.
I want this claim to be honoured at the earliest. Was this information helpful? |
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