Star Health And Allied Insurance Complaints & Reviews

P/161130/01/2020/003087
Edwin zachariah
I got admitted my father in rabindrathan hospital ambattur on 26 june 2019 due to breathing issue. We have not received any messages or mail from insurance company even the insurance company was not ready to pay our claim amount. Has a genuine customer this is first time my father got admitted in the hospital however they are making delay to give the claim amount to us. We are not happy with the service. Please help us.

My self pankaj nagpal and i have star health policy buy on p/161130/01/2019/015681 and i am addmitted in hospital on 27 june for breathing issue and inform as well starhealth for addmitted now star health reject my claim for preexiting desases first of that mnd is dangerous deases and no can hide my deases dignosed after emg and emg conduct on december in gangaram hospital dr. Anshu rohtangi also crossed check no piror histroy mnd after that my claim reject for said already exist dont treat be a like this ita s seviour issue i am buying this policy for my further help but i feel this my life bigger mistake i will byu this policy from star health because already some person told me byu applo munich dont byu star health but i am trust on star health but today relaize my life blundder mistak

I will file compalint on prime minister portal and as well court because this is life related concern and i am very much disappointed for that because god forbid someone's motor neuron disease is it is the world's worst disease. And stra health reject my claim for reason already known. Not accepteble i will take seviour action against on stra health

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InsuranceStar Health And Allied Insurance spam phone calls
Star Health And Allied Insurance — spam phone calls

2 Reviews
Chennai, Chennai District, Tamil Nadu, India
Dony Paul on Jan 22, 2018
Submit a Complaint
I receive phone calls from star health insurance on regular basis on my phone.
I has become a headache now, even during driving, during meetings and many such occasions. I do not have any idea how they have accessed my number.
I have tried a solution for this in their website and other portals, none of those helped to sort this issue out.
Kindly help to block this call from star health insurance
The following are the numbers which they
[protected]
[protected]
[protected]
[protected]
[protected]
[protected]

I was submitted claim for bill no.0672232 in the name of Suja Sarath, near about RS.10000/=(O.P. Patient) in the name of April 2019. Out of this I have received an amount of Rs. 1528/= only. Till date, I have not received the balance claim amount. . Please take immediate action in this regard and let me know the status either through mail Id suja.[protected]@gmail.com or contact [protected]

I have submitted my blood test report with bill on 24th of November 2018 for RS. 3000/- but till date I have not received any response nor payment. This is not at all accepted from star health like company. I am maintaning your policy since long time ago and this is my first claim. Very much unfortunate.
Regards,
Malay Chakravorty
Policy no.- P/191211/01/2019/009693

I purchased a policy (star health optima) vide policy no 191119/01/2019/002714 in the month of july 2017 of worth 10340. On 06 june Madhury halder feel severe appendix pain and doctor of SNR carnival Hospital decided to operate appendectomy on immediate measure and released on 09-06-18. Incurred expenses was 15000 aprox, all the bills and documents submitted but no payment done by star health cheat fund.Whereas an organ appendix is removed from her body there star health send a advisory note to us that, the problem was a minor problem and could be solved as a opd patient case and payment is not possible from their side.

Ladies and gentlemen at star health and irda,

I have held this family policy p/171131/01/2019/00145 with starhealth for more than a decade, even before my daughters were born. I got the shock of my life now, there is a 31% hike (From rs. 18520 to rs. 24300) for the same cover??? At this rate, very soon, the premium will be more than the cover!!!

When i called up your contact number today, the ‘senior officer’ (To whom the call was transferred) said the few things. Please listen to the recording that you claim to have:
A) hiked because i am now 46 and last year i was 45, and this is done every 5 years
B) he said they do not look at the medical history while doing this, but only the age
C) so i asked him, whether the health of a baby is riskier or a 20 year old; he said that of a baby. So i have 2 young daughters in the same policy, whose risk is reducing by that logic. Why should you determine the premium on the basis of my age only, when you are charging for 4 including two children. What about the fact that their risk profile is improving?
D) he said this is the rule. What? A 31% rule? Can i see the rule? Wha is the logic behind such a rule? If there is such a rule for a 31% hike, it needs to be relooked at

Kindly be rational and logical and not be arbitrary in your judgement. I request you to relook at this 31% so called rule, as with this rule, customers like me who have been with you for one and a half decade get penalized for being with you for so long.

With warm regards,

Parthajeet sarma

Hi,

We have obtained this policy two year back also we have not claim any amount till date with the policy. We have submitted the application for incorporating my child name who was born with rare complications and we were told by our agent today the name of master kanisk mishra could not be incorporated

Reason stated as “hidden information ”

Just like to bring to your notice details of discharge paper were submitted where the complications are mentioned. Also same was communicated to one of the calls that was received by your agent team.

Since i am an nri i have already got my son treated in japan and i want to continue the insurance because i frequently travel to india.

When i raised a complaint we were said that amount has been refunded and we have not received the same till date

Thanks and regards
Surendra mishra

Dear sir/madam, i had taken a licence from star health and allied insurance co. Ltd on 23.06.2017. I am applied for professional jobs, my pan is tagged with this company. Do please terminate pan number from star health insurance company.
Name: chennakeshavulu palsua,
Pan no.: blmpp6266r
Phone number:[protected]
Agent code:shaba[protected]
Branch: tarnaka, hyderabad
Emailid:[protected]@gmail.com...

My claim number 074436

I take policy form star health and in policy terms is eligible for 1 knee replacement and maximum amount is rs. 1 lakh after i operate to my mother & all document submit for reimbursement and they reject without any proper reason after i complain in grievance department ans they also not revert proper.

Request to all pls do not take policy from star health,

Our claim number 0054558

Policy number p/700001/01/2019/020499

Policy date : 29.08.2018

First found disease fibrocystic disease on 5.10.2018 with same day doctor prescription and lab report, it’s a disease common for elderly ladies india has more than 1 crore people having, they told to take tablet this will get cure automatically

Date feb 2019 we took mammogram

We found that small lump to reconfirm we did fnac birads some 2 came they told no risk

Again we did thermogram one more time fnac

It’s confirmed carcinoma

For this carcinoma for my mother in law got a small lump in chest doctor told us to do biopsy to confirm

It’s day care procedure

This people denied cash less claim because of fibrocystic disease

I asked that is different disease this biology for cancer finding why link both

They told we are like that

Total insurance paid 30000 rupees

Claim amount 12000 rupees

You can just imagine how these people cheating everyone

Also this claim we applied nearly after 7 months

So beware of any insurance simply they say they cover cancer or heart attack

They will reject it

For heart attack they will tell he had some low bp or sugar so rejected

Don’t waste your money on this

Just tell your parents to apply government insurance at least they approve

My neighbors very poor they did free cashless treatment in private hospital

Company refused to give claim nd said u r not mentioning any pre disease in form then i said pls send app form scannned copy
Butreality is i said everything to his sales manager and mentioned it on app form but that form i recieved from cmpny thats a wrong form nd sign is totly mis match on form
Company do fraud with us kindley do needful. I also paid 2 premium of 72000 rs

Hi
I am dilip kumar prajapati we have paid two policy amount 0n the 08/12/2018. But not generated policy lot of time call for refund amount but not responding your agent immam saik.
So we request to you please inform agent immam saik refund amount early otherwise we are going new channel/ media or police complain and what action from taken from star health company on agent any time suffering customer.

Thank you.
Your faithfully
Dilip kumar prajapati

Hi,
I am dilip kumar prajapati we are not received policy we have paid amount 4 month back your agent immam saik very very very very frad man phone call not reply plz send immam saik house address or address proof we have to must wait we are going police complain plz help email i'd [protected]@gmail.com
Thank you

Regards
Dilip kumar prajapati
Hyderabad

Hi,
I am dilip kumar prajapati we are not received policy we have paid amount 4 month back your agent immam saik very very very very frad man phone call not reply plz send immam saik house address or address proof we have to must wait we are going police complain plz help email i'd [protected]@gmail.com
Thank you

Regards
Dilip kumar prajapati
Hyderabad
Phone. [protected]/[protected]

It is really disappointing to know that your company (M/s. Star health and allied insurance company limited) have approved an amount of mere rs. 7, 792/- against the total bill amount of rs. 21, 398/-.

Few of the points which were observed in claim sanction document were (Attached):
1. Though the room rent charge was within a limit of rs. 3, 000/- the amount (Actual rate being 2, 800) - please refer to document named "kamala interim bill" your company has disallowed the same to the tune of rs. 1, 100/-
2.in connection with professional fees (Surgeon, anastheist, consultation charges etc.,) & investigation and diagnostics it is observed that a proportional rate is only granted whereas the amount paid towards the same is within the limit. Due to which rs. 928 is further reduced from the claim amount.
3. Under the medicine column a sum of rs. 2, 971/- is denied against the actual claim of rs. 3, 419/-. On our followup with one of your executives (On [protected]) we were informed that accu chck, gloves, venflon and disposables are not claimable. Does it mean that apollo have used this products/medicines for no reasons, there was no need for using such medicine? & if the same was required there is no need to disallow the amount.
In other words, if there is a reason for usage this definitely falls under a valid claim and denial of the same is not accepted.
4. The most important claim under the "others" tab the whole amount of rs. 6, 000/- has been completely denied and there has been no proper justification for the same. On our followup with executive (On the same call on your toll free no. [protected]) we were informed that charges for "equipment, medical records. Hospital service and monitoring, other charges" are not payable. On further questioning on the breakup of the amounts and other basic information, we were informed to put a formal mail on the same for addressing this issue.

Considering the above facts of the case we want the following queries to be addressed specifically from your side:
1. Does it mean that apollo hospitals have used the equipment without any reason i. E., there were no need for the equipements and the treatment would be taken up without any real time observation or may be the patients are expected to have a knowledge of the same and carry the required equipments from their place while getting admitted to the hospital?
2. Does it mean that medical records were of no use and were generated for no reason i. E., the records are generated mere to create a big file and not to observe the patient's health condition?
3. Does it mean that hospital service is not at all required for the patients i. E., the patients can manage the affiars themselves?
4. We need to know the breakup of other charges which are not approved as a claim and the reason for the denial.

Ps: this might sound a little informal, however would like to inform that we are not fools here to pay you around rs. 40, 000 per annum (For the whole family) as insurance premium to star health and when it comes to delivery the company shall grant us mere 20%-25% of the claim amount.

This is in regards to the claim number cli/2019/700016/0733522 raised for a knee repair surgery done at dr mahajan hospital nagpur which is a tied up with star health.
The policy is on 3rd year running and is a senior citizen red carpet policy.
I was repeatedly told by the customer care officer that maximum 70% amount will be considered as the claim amount as it is a not existing disease, however, i was only provided with 50%...

This is regarding the cancellation of the policy p/161130/2019/036105 which we had bought for the period 27th december 2018 to 26th december 2019.

I would like to highlight the experience we have encountered with star health because of which we have made a prudent call of proceeding with the policy cancellation. Star heath has agreed to refund rs 19, 103/- on pro-rata basis but we are looking at 100% refund.

To provide you more details:

1. During the purchase of the policy in december from star health’s intermediary – policy bazaar no details about the policy was provided. The emphasis was more driven into selling the policy to us rather than providing us more details about the same.

2. When we did raise a claim in february 2019, our claim was rejected citing that the disease is ‘pre-existing’. I do understand that ckd is chronic by nature, but we also provided a supporting document (Doctor’s letter) during refilling for the claim citing that the patient wasn’t aware about the same and hence it cannot be termed as pre-existing, but the claim was rejected the claim stating, “falsification of information”.

3. We did receive a letter from star health stating that the dependent of the policy (Gopal m) was removed without our permission from the policy due to “falsification of information”. (If the patient wasn’t aware of the ckd and the same information was not provided to the insurance company does that mean “falsification of information”??)

4. Its been almost a month since the beginning of february that we are arguing with star health and talking about the cancellation of the policy, but we receive a notification from star health on the 25th february 2018 which says based on pro-rata basis the refund is 19, 103/- (25th february 2019 – 26th december 2019) which we are not agreeable on.

Please do assist on this on-going matter since we are looking for a refund of 100%.

To,
Star health & allied insurance co. Ltd.,
India
Sub:as per received information from your customer advice balance ammount reimburse for claim no.”cli/2019/171200/0703094” of mr. Dharmeshkumar t. Bhatt & cust. Id:[protected]
Respected sir,
I named mr. Dharmeshkumar t. Bhatt, admitted in thunga hospital in boisar as per doctor advice on date:07/03/19 in nearly 21:20, they checked me then they shifted me in icu dept. Immidiately on that day & they given me treatment accordingly & after 24 hour they shifted me in general ward on next day & given me treatment accordingly & third day they are advice me to be visit & get check through any expert cardiologist for regarding further treatment and they given discharge me on third day evening &
So, my question is that i have cashless card in spite of that i had made deposit rs:3000/- in hospital by my relative & during dicharge i had paid additional amount (Aprx) rs: 4826/- so rs 7826/- total seven thousand eight hundred twenty six rupess i had been paid to hospital of the part of bill among it. Still my diposit 3000/- rs not refunded from hospital & not adjusted in my full bill
I had been called to starr health customer repeatedly please settled claim properly but there is no any proper response from customer cell & even they did not call back. Strange thing is that before discharge i talked to customer cell that hospital admitted me in icu in first day but he ignored all things this is totall negligence from your services & even repeatedly i called
On that day i call your customer centre that you are wrongly consider room rent & proportionate amount because as per policy details icu is 2% of sum insured (My sa value is 200000/-) how can you deducted those & other proportionate amount,
Right now being a patient i am mentally harrashed through out your whole your fraudulent money sucking services
So, please stopped this type harrashment to patient & pay remaining ammount to the below given account number immidiately with mental harrashment compansate amt.
Nam e of a/c holder: mr. Dharmeshkumar trambaklal bhatt
A/c no.:[protected] (Andhra bank, unn, surat)
Even there is no any apolize from you for your mistake so i m going to complain in irda & consumer court forum & other relevant dept. To expose of your fraudulent services in name of health insurance policy with help of my lawyer.
Dharmeshkumar bhatt

Sir,

This is to intimate you that, i had health insurance policy with national insurance since last 15 years rs. 1.5 lakhs each (Myself and my husband - without any claim)

Agent of star health insurance convinced me to port my policy, by highlighting that now a days if required national insurance is creating problem in getting claim on the other hand star health insurance is porting the old policies with full coverage and effective from day one of taking the policy (No waiting period and no hazard in getting the claim).

I also told them that my policy is very old, and we are now aged we may face problem any time, he asked me that are we having any problem now. At that point of time we did not understand of any health problem.

Without any further investigation or query i ported the policy. During porting they took copy of my old 4 years policy and got the star policy in the month of october 2018 (Rs. 5 lakhs floater policy).

But in december 2018 suddenly my husband realized that he is having some vision problem.in the month of september 2018 he has taken new power reading from the optician available at shop and using the spec but not clear.

We went to doctor, and doctor said he is having cataract in both the eyes and recommended to do the operation of the good eye as soon as possible being having some vision problem in other eye.

We operated (Cataract) the 1st eye in 28.12.18, expenses incurd rs. 40000/- against which star gave me rs. 12000/- on the ground that i am applicable for this only as per their terms and condition for ported policy (For cataract in a year). For second eye if done this year they will not repay any amount.

This is how star is cheating persons in the name of porting the policies of other company keeping in dark.

And the agents are doing so as they will be getting good commission.

If you all feel that, this is a cheat, help me and guide others to get rid of this type of cheat.

Thanks