Star Health And Allied Insurance Complaints & Reviews

. I submitted all documents city management officer Mr.Nazim ...he is very lazy and not responsible and i am suffering from month, i have all document copy i did complain of company email id they said we didn't found documents, i could not get treatment because of insufficient money sushil kundnani Costumer id[protected] mobile number --[protected] i m still waiting

Star Health Insurance — Claim is not provided in company is not responding. I submitted all documents city management officer Mr.Nazim ...he is very lazy and not responsible and i am suffering from month, i have all document zerox copy i did complain of company email id they said i didn't found documents, i could not get treatment because of insufficient money sushil kundnani Costumer id[protected] mobile number --[protected]

Dola patra konar ID Card No[protected] Tampering done in the column 4l) of Insured Person Details Where to mention any other problem whereas it was originally filled by me as 'NO' it was tampered as 'Yes', a serious offence rather can be called a crime if the credibility is concerned

Hi All, Name : Kanthaswamy D Consumer ID :[protected] Date : 13/12/2015 I was suffering from sever stomach pain, back pain and fever for quiet a long time, I thought of consult a doctor in Kims Hospital when i went to the hospital I gave my health card and consult the doctor and the doctor advised to admit in the hospital mean time I have informed the insurance company about the admission and they asked some query to filled by doctor and submit I did that in the day when i got admitted when i took the Insurance the agent told me any hospitalisation for 24 hours will be covered as cash less in the hospital listed in star health hospital list. between this one of the representative came from star and visited me in hospital and said they are processing the claim, I was in hospital for 8 days and the insurance company send me an email to hand over to me and in that it stated as denied. I was really stressed and called the customer care they keep saying i was not eligible for cashless treatment. They said i have to complete 2 yrs after joining the insurance this was informed me at the last minute I have to raise a fund of nearly 110000 for the hospitalisation bill. Those people from star helath insurance answered me in very hard tone they cannot provide any assistance in this and . I suffered a lot and cleared my bills and I have to go back to hospital after 10 days i dont know will this insurance company help me or not.and now I am planning for submit the bills for reimbursement from Insurance company but I dont have any hope they will help me in reimburse my bills. this is just my first step against Star health insurance . I an going to court fo filing a case against this Insurance company for the mental depression caused to me and not helping me in my bad situation at hospital.

Policy no: P/700001/01/2015/000298 customer ID:[protected] Claim No:0270018 Complain No: CR[protected] Name: Somenath Roy (Proposer) Reimbursement for the cost of treatment of Mr. Dharmadas Roy (Father) My father is currently suffering from cerebral attack. i)This is not a pre-existing disease. ii)I have filled-up the application form online in consultation with their executive Mrs Jaysudha (In the year 2013). iii) After paying 4 years premium as per law you are suppose to give me all claim but as I have already paid 3 premium and this is not a pre existing disease also, if you denied the claim it will be a serious contravention of insurance rules and law. iv)They have recently told me over telephone that after 24 month you give cashless pre existing disease also. Once again I mention this is not a pre existing disease. v)For getting cashless facility as well as reimbursement I have done this policy, but they used to dilly-dally in paying me cashless facility. Despite of several request they denied cashless treatment of my father So, I want to take legal resource.

Hi, I am siddharth srivastava taken policy .under this policy i have been admitted to hospital for treatment .at that time star health don't cover me under policy, after that star health decline my claim whichstar health have told me will get reimbursed. But now star health is saying that I have no need for hospitilization after having 105degree fever. Claim no:CLI/2016/700002/0140003 Kindly reply with immediate effect. Thanks Siddharth [protected]

I have paid 17, 635 from CHQ no. 000027 on 24/10/2014 (Policy no. P/191125/01/2015/001556. proposed code- 3855425 .issue office code 191125. Period of insurance- from 31/10/2014 to midnight of 30/10/2015 Total premium 8, 899.)i should have been getting 8, 736 in return which i have not got.

Policy no P/700002/01/2015/032142, recently my daughter has suffered from viral fever, 2nd time i had admitted my daughter in same hospital but first i got full claimed amount, 2nd time they have rejected my claimed, they are telling that Follicular Tonsillitis - Viral Fever diseases is does not cover in my first year policy, when i purchased this policy anywhere its not mentioned, Claimed was only Rs 4169 only

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]

Hello Team
Policy Number: P/700002/01/2016/010445
Claim number CLI/2016/700002/0103633

I took DIABETESIND policy for my mother close to 2 years ago and paid two term(paid 70, 000 Inr), 3 moths ago she met with an accident (feel down from bed) she has been hospitalized in NIMS Panjagutta with treatment of traumatic C4C5 IVDP.

Star insurance Doctors were keep on asking the documents again and again for 2 months, now after 3 months they are refusing to pay stating that its an old disease and claim is not possible within 2 years, even after providing all documents from reputed hospital confirming that its an accident, but they are not accepting.
Even NIMS NERO Surgeon given the case summary with full details, but even then they are not accepting that
My brother had visited mulitiple times to ZONAL Office of Star Insurance and no one is responding to him with right reason.

Its a kind of cheating the people with there doctors for genuine claims

Now I dont understand how to handle this kind of scandals, dont we have any legal insititutions to track this cheating and support the citizens

I am having a health insurance policy with customer id no. 2025963 in the name of Sanjay Gulati s/o Late Shri Ved Prakash Gulati r/o 915, Indra Nagar Dehra Dun, mob: [protected] I am never been informed about the the renewal or premium due about my policy even today itself I called your office in Dehradun to the contact person Mr Sanjay with mobile no.[protected] in the afternoon asking about the renewal details to which I was replied by Mr Sanjay that he will revert to me in half an hour but still no response from him. Kindly make it a practice of your company to inform the client atleast 15 days prior to the renewal date which none of your sales executives takes the pain for. Last time also after continuing my policy for 3 years it was been lapsed which seemed to be intentional and the same case is been now because my third year is been completed and the renewal is to be done for the fourth consecutive year. Hope I get the reply for my query prior to the lapsation date of my policy so that it dose't gets lapsed. Thanks Sanjay Gulati

I have taken policy online from star health & allied insurance in 9th sept. & Paid Amount Rs.11879 Policy no- P/700002/01/2016/023872 Policy holder Nitin Kumar Jain Plan star comprehensive insurance policy. i was applying online for policy cancelllation under thlook in preiod Date was 21/09/2015. But company taken 1 month time process my request & refund me 10743. is this differance amount Rs.1136 . i have follup so many time through mail & customer care no but company not give proper responce.

We are having FAMILY HEALTH OPTIMA INSURANCE POLICY from Star health insurance company since Nov 2011.
We were blessed with a daughter in 2014 and wanted to get the child also included in the said policy on renewal in 2014. We contact Mr. SHAILENDER SINGH (A employee of Star health, Lucknow) for same.
He got my daughter name included in the policy at the time of renewal and gave me the policy with P/161119/01/2015/001962.
In year 2015, when I went for online renewal, I saw the Date Of Birth of my child wrongly entered as 26 May 2014 in system (STAR HEALTH Website) so I again contact Mr. SHAILENDER SINGH, who gave me the renewal policy with willfully modifying the date of birth of my daughter with pen.
This gave me an indication that probably in Nov 2014, my child my not eligible to be enrolled for insurance but for own vested interest, Mr. SHAILENDER SINGH purposely entered wrong date of birth of my child to get the policy renewed with my child covered.
The fraud was not yet over, he then gave me the policy with correct date so that I don’t come to know of the fraud.
Now at the time of renewal as well, he purposely changed the date of birth of my daughter by hand.
I made a complaint in star health insurance Company about it. They generated a service request number CR[protected] on 11 Oct 2015.
Now even after repeated reminders, they are doing nothing.
This gives me an impression that star health is trying to shield his employee and get away with my complaint.
Just imagine, if I would have required a mediclaim for my daughter in an emergency and star health would have refused at last minute due to wrong date of birth.

This is regarding medical claim denial by Star Health and Allied Insurance Company Ltd.

I have taken their star FAMILY HEALTH OPTIMA INSURANCE POLICY (medical) from star health insurance for my parents in the month of Jun-2015 after doing all the Medical checkups confirmed by the Star Health at their assigned Laboratory at Punjabi Bagh new delhi-110063.

As per Star Health and Allied Insurance Company Ltd hierarchy medical tests are required after age of 50 for all and I admitted also their requirements just to confirm that my Parents are well or not, but once all the required tests get done by their procedure and Star Health intimated me that after doing scrutiny of the medical reports all the reports are normal and they will be in position to provide me the medical policy for my parents and I opted the same.


But accidently my father got admitted in Maharaja Agrasen Hospital (New Delhi).

He was not feeling well due to cough, Cold, Temperature issue, headache and breathing issue from last 6 days from the date he hospitalized but after investigation of doctor found that my father is having LRTI with COPD diagnose and after getting reports doctors found that patient has symptoms of COPD but not the exact diagnose, in the meanwhile patient blood platelets was going down and it was symptoms of dengue but all the reports were Negative and after doing CT Scan doctor stated that my father had tuberculosis in past and he stated that it was the diagnosed that happened in the body and recovered by itself and patient would not have been taken any medicine for this cause.

Final Diagnose at the time of discharge by the doctors was “Viral fever with Thrombocytopenia with chest infection respiratory distress”.

We requested for a cashless claim from the company, but it was refused as the policy tenure was not more than 4 years.
As per company policy diagnose can only be covered after the policy holder has completed four years with the company because it is Pre Existing Disease as per their policy.

Now, I am wondering about this Pre Existing Disease because when all the medical tests has been done by the medical company and reports were quite normal then why they are stating that this is Pre Existing Disease in the body and why they did not identify all these diagnose earlier at time of tests occurred and Star Health assured me to buy a policy for my parents.

I called to the customer care and Agreeing to which we were informed by the STAR insurance customer care and the agent that,
we can opt for reimbursement for various tests, doctor fees, hospitalization charges etc. We submitted all the documents and claim amount is 65704 (Sixty Five Thousands Seven Hundred Four rupees) in Indian rupees.

Would request you to please clear this issue as soon as possible and do not give any unnecessary problem to their customer when they want a happy relationship with the company.

Following are the details of the policy & claim : Policy No. (attached for reference in the mail) - P/700002/01/2016/013784 Claim No. - 0166242
Insured Name - Nand Kishore

Regards
Satish Kumar ([protected])

DEAR,
SIR/MADAM
I Am All Document Submitted in ratlam Branch but some paper atteched and some paper is not atteched in my polecy .
i am clamp for Star Health And Allied Insurance 22/07/[protected]one lakes ninteny thousand ) but my cash is denial

This is to raise voice against the injustice done by Star Health and Allied Insurance Company Ltd. My father had taken their star family health optima insurance plan (medical) from star health insurance last year in the month of June, which he got renewed on time this year.Recently my father got a semi paralytic attack & food poisoning and he got admitted in Fortis (Faridabad) hospital. He was admitted in ICU for 1& half day and various MRI, CT Scans & other tests were performed. Finally doctors concluded that his spinal cord nerve had got compressed drastically and he needed a neurosurgery, We requested for a cashless claim from the company, but it was refused as the policy tenure was not more than 2 years.As per company policy surgery can only be covered after the policy holder has completed two years with the company. Agreeing to which we were informed by the STAR insurance customer care and the agent that we can opt for reimbursement for various tests, doctor fees, hospitalization charges etc (except surgery).We submitted all the documents but now the company is not paying us even a single penny out of the total amount of 2 lac 70 thousand. Following are the details of the policy & claim : Policy No. (attached for reference in the mail) - P/161200/01/2016/001413 Claim No. - 0105413 Insured Name - Rabinder Nath Rekhi Regards Divya Rekhi [protected]

Dear Sir / Mam, Myself, the patient, Bhavna Shah have two medical policies of Star health. The details of the Start health policies are per below: Product name and Policy numbers: 1) Star unique health insurance policy (Policy no. P/171116/01/2015/001181 for Rs. 2, 00, 000) and 2) Mediclassic (Policy no. P/171116/01/2015/021440 for Rs. 5, 00, 000) Policy period: 1) 30 Apr 2014 to 29 Apr 2016 for Policy no. P/171116/01/2015/001181 2) 25 Feb 2015 to 24 Feb 2016 for Policy no. P/171116/01/2015/021440 I was hospitalized for the below periods, details are per below: Period of hospitalization: 26 Mar 2015 to 31 Mar 2015 at Mata Lachmi hospital, Sion, Mumbai and 31 Mar 2015 to 15 Apr 2015 at Lilavati hospital, Bandra, Mumbai In lieu of the above, I had applied for a claim to Star health. The claim number generated is CL1/2015/171116/0002625 and 0298817. This was acknowledged and received by Star health on June 17 2015 (Attached is the documented evidence for the same.) The details are per below: Claim intimation no. CLI/2015/171116/0298117 and 0002625 Name of insured patient: Mrs. Bhavna Shah Age and Sex: 58 years and female Background of my problem: Star health made a payment to us for Rs. 1, 40, 000 after applying 30% co-pay n the sum insured. The payment is made towards policy no. P/171116/01/2015/001181. Star health has NOT yet made a payment towards policy no. P/171116/01/2015/021440. Despite having completed the submission of all the required documents, evidences towards my illness, Star health has settled my claim only towards Policy no. P/171116/01/2015/001181. They are not settling the amount towards policy no. P/171116/01/2015/021440. I have done multiple round of follow-ups, emails, personal visits made by my husband to Star health office for getting the matter resolved, but in vain. I sincerely urge / request you to look into this on top priority regarding the passing of my claim towards the policy no. P/171116/01/2015/021440. Attachments in this email: 1. Copy of policy no. P/171116/01/2015/021440 I being a woman senior citizen and not at the best of my health gives me tremendous inconvenience and agony to continuously followup with Star health for passing my claim towards policy no. P/171116/01/2015/021440. Appreciate your kind intervention at the soonest. Regards, Bhavna Shah +91 [protected]

Policy no : P/171121/01/2016/001149 Policy holder name: anil n chawla Address: b k a-21 near budhkrupa apt ulhasnagar-421001 Dist-thane State-maharashtra Mobile no: [protected] Email: [protected]@yahoo.com Respected sir My name is rajesh prakash arya and I am the editor o[censored]lhas crime newspaper and my father in law is a policy holder of star health insurance from last four years my father In law renew his policy time to time and my father in law had got admitted two times in hospital firstly he was admitted in fortis hospital mulund from 04th may 2015 to 12th may 2015 ( claim no 0032598) then he got admitted second time in Sai criti care hospital in ulhasnagar from 4th June 2015 to 9th June 2015 ( claim no 0062868) and we have submitted all the original documents to your agent name tikam somaya mobile no [protected] and he also submitted all original document at your ulhasnagar branch after that we received Query by side you that the document submitted by you are not original then again we had a withdrawan original documents from hospital and submitted at star health insurance office. And then our agent received a message from your company that a our both claim is rejected by assuming that the treatment of this disease is going on currently they are assuming that the policy holder has having this disease from before taking this policy But I am informing you that this is false thing by you we came to know about this disease on 4th may 2015 when he got admitted fortis hospital mulund the first treatment was given to him in fortis hospital you can confirm this from fortis hospital. Sir My father in law belongs from middle class family why a person taking insurance policy just for a bad time so that they can get full support from there insurance company and this is a very bad and disgusting experience from your company So I request you to please pass the claim immediately and go through this matter personally and reward me as soon as possible. Thanking you

I bought the above policy on 25th mar, 2015 from online.the CO.elmployee has not asked about past deseases and issued the policy.when I received the policy I found that policy contains No against past deseases of heart and cancer which was wrong.i e mailed them on 7th Aptil about the matter and told them that i sufferered from the above two deseases but now alright.they did not reply till 8th June when i made a claim of Rs.700000/- for my surgery of bladder in J.P?Hospital, Noida.they declined the claim that your policy was already cancelled.I got shocked as they did not inform me about the cancellation for two months.they fid not reply my representation through e mails nor refund my premium of rs14700/-.i tried to talk with the help line but they didn't listen me and put down the phone call. I requested the co.yo restore me the policy and pay my claime of medical expenses incurred in my surgery.No response is forthcoming.Please help me.from Prem Rautela, Lotus Boulevard, flate no.4/1102 sector 100 Noida, 201301.mob.[protected]

hi i had headace once in two to three months, i use to take tablet and it was going. I want to know why it is coming I went to doctor, he sugessted to do M R I . With my own cost, Report can no problem in head, I went to columbia asian hebbal, there doctor suggested to to some blood tests and other tests. i want to admited in the hopatail and do the tests, there was no rooms avaliable, I went to ASTER CMI hospital, got admited at about 9pm on 13/7/15 . I called star health, they gave me claim intimation no 0098186, and told to join by submiting the no. Next day on 14/7/15 by 12 pm Rs 5000 Authorisation for the hospital has been sent, i got an message. On 15/7/15 Doctor told told to discharge at 8.30 am the bill was sent to insurance company in the morning, they Raised some query in the bill at 1.35 pm, calrifications was sent by 2.00pm . They REplayed at 3.44 pm YOUR CASHLESS APPROVED HAS BEEN WITHDRAWN INSURED MAY SUBMIT FOR REIMBURSEMENT. I went cash counter they give me a copy of e-mail from star health say that PSHYCOSOMATIC DISORDERS ARE NOT ADMISSILE UNDER THE GIVEN POLICY, HENCE we have cancelled, . I Paid full amount of Rs 9974 and got discharged. The amount was within my reach it is ok, if it was big and this people to like this what to do. Now what i should do, Suchendra [protected] [protected]@yahoo.com