Star Health And Allied Insurance Complaints & Reviews

My name is Ashim Das i have joined Star Health insurance company limited as an agent 2 years back. I haven't doing any business for that company. My license validity also expired. But my pan number looked up in irda portal.
PAN No -BNEPD2530A.
Applicant name- Ashim Das
Father name- Kartick Das.
Date of birth- 05 April 1985.
Type individual
Business information
Insurer name Star Health insurance...

On 24. Jan.2023; sent a mail to Star health team requesting that self would like to remove my mother from the Senior Citizen red carpet floater policy P/171112/01/2022/015203 of which Renewal due on 12. Mar.2023. The floater policy included my father and mother.
I observed during claim settlement for my father's treatment in 2022 that although the policy mentions 70% of medical expense will be borne by the Insurance company; I had...

My mother has been having chronic vomit issues because of some gastrointestinal issues and after multiple consultations, we decided to consult her at JP Hospital at Noida, where doctor has advised us to admit her after looking her condition.

We've Senior Citizen health insurance policy since 2017 and never claimed anything so this was our first experience, where it was very clear from the moment we requested pre auth that Star Health is not interested to approve the claim and finding reasons to reject. Below were the documents, which were requested -

We require the following documents / details also :
1.Submit duly filled pre-auth form with exact diagnosis ., estimation for further processing
2. As per submitted documents, patient has h/o RFA in 2015 - submit its first consultation papers, discharge summary, prior treatment
records (MANDATORY FOR FURTHER PROCESSING )

I didn't understand why some condition which was diagnosed in 2014 can be important in 2023 and basis of rejecting the claim.

Not only denial, Star has cancelled our policy saying that we didn't intimate her condition of 2014 so cancelling the policy -

"As per the documents received by us, it is observed that the insured patient has been suffering from PSVT which is prior to inception of
the first policy. Hence it is a pre existing disease. But the insured has failed to disclose this in the proposal form at the time of inception of
the first policy. This amounts to concealment of material facts."

My brother had faced the same challenge and his claim was rejected and decided to move away from Star health insurnace.

My recommendation to everyone who is looking for Health insurance not to subscribe any policies from this company as they are never going to approve your claim since they don't care about patients and family.

This is regarding Claim Intimation Number : CIR/2023/151132/1366074, Name of the insured-Patient : TEJAS BHAVNANI,
i have submitted all the necessary documents required to process the claim, still my claim is rejected, pls do needful & give me the amount of claim, please tell me the specific document if required from my side, thks

We had hospitalized our son for treatment of Dengue from period 23/08/22 to 26/08/22. After discharge we filed claim with the required documents. After doing many document requirements and providing those documents Star health company rejected claim no CIR/2023/151119/0717692 saying admission not required.
Can you please help me we are having challenging financial situation and depression in family as we had paid for insurance premium as well as bill amount 35459 (hospital bill) and policy amount of Rs 10389.

policy no: P/151119/01/2022/022363
This is really a big loss for us 35459+10389=45848.

It's more than enough now, please help me to get out of this chaos and fraudulent insurance company.

Dear sir,
I am SANTOSH MEHARE i want to deactivate my agent code from irda portal. Agent code is STAR HEALTH AND ALLIED INSURANCE - BA[protected] and my pan no is AJKPN1974A. Because i got LIFE INSURANCE FULL FOCUS
Please do the needful as earliest. Its urgent.

Thanks and regards
SANTOSH MEHARE
PAN NO. AJKPN1974A

I have paid the renewed policy money on 23 December but havent received the policy yet. Instead of multiple remiders and escalations, STAR fails to provide the policy. Request your help.

POLICY: P/231115/01/2022/023367

My wife was admitted in Positran hospital for Stone Surgery. She suffered from Post-surgery complications and Hospitalised again. The hospital bill was Rs. 31077/- out which Star Health approved only Rs. 25726/- against my claim no. CID/2023/700004/1303758. This is hrassment of General Public. Kindly resolve my matter and approve balance payment to hospital.

My mobile no. is [protected]

I, mrs. veena amin purchased a policy no : p/161130/01/2023/061279 in the month of july 2022, at the time of new policy start health didnt arrange any medical of mine, and before this policy i was having national insurance policy.
after 2 month, an problem arise in my breast ( blood discharge) i went to dr. sushil mandhaniya on 17/08/2022 after that it been 1st time seen that am suffering with carcinoma in situ breast cancer, for which i applied for cashless that time also my case been rejected.
on 6th sept2022 i been operated and on 8th evening i got discharge .
after that i applied for reimbursement, after many conversation star health replied that " my diseases is pre medical disease and i hide it while taking new policy " on this i ask to doctor to give me a medical certificate in which they must mentioned that when my first cancer been confirmed after biopsy . i sent all the document whatever star health needed but still after that they rejected my claim. and the final letter they send that my policy they will cancel which may occur from 3rd jan 2023. so now finally i am launching the complain against star health and allied insurance to consumer forum and court too for doing fraud with me . star health did fraud with me while purchasing of policy they didnt ask nor arrange for medical..

I had purchased a star health India cancer policy on Dec 09 2021 for rs 26845 . I left india on Dec 16 2021. The agent Mr. Gulshan prajapati told me that the policy would reach in soft and hard copy . I waited till Jan 02 2022, i had not recd any policy documents, so i contacted the agent and he told him that their doctors are asking for pet scan report, i told the agent that when we had discussed i had submitted all relevant documents to...

Dear Sir,
I have been using Star Health Insurance for past 7 years now and have been paying my premiums on time.

I am 72 years old dependent person with zero income.

My policy number with Star Health Insurance is P/231117/01/2022/008824 and ID card number is[protected]. My policy is registered under the product Senior Citizens Red Carpet Health Insurance Policy.

My health deteriorated in the month of August when all of a sudden blood in my stool was detected. My health deteriorated in such a way that I was unable to eat, sleep and pass stool. The doctors in Varanasi suggested I to show in a Metro city like Delhi, Mumbai or Gurgaon to get a proper treatment.

In a rush my family took me overnight to Delhi but my health further deteriorated in the train and had to be taken to CK Birla Hospital in an Ambulance as I was unable to breathe properly and was admitted in an emergency. As my condition wasn't stable my son took me to the hospital where his physician consultant is located.

In a wary of things we couldn't check that the hospital is not empanelled for Cashless but for a after reimbursement.

After getting discharged I submitted all the bills in a proper format but my claim is rejected. Can you please help in this grievance as I am a no income 74 year old person.

I got admitted to CK birla on 23rd August and got discharged on 26th August 2022. My Claim Intimation number is CIR/2023/231117/0724399

Request you to kindly help .

Dear sir, What is the advantage of giving intimation of any hospitalisation, insurance companies are being intimated for having flawless mediclaim procedural.
Even after giving information, respective medical personnel do not visit and check about the need and status of any patient's hospitalisation, then after how can be the mediclaim of that patient is being rejected and quary is raised about the claim.
Why we, as a CUSTOMER have to suffer if companies are unable to check and ### during hospitalisation. !!!
We as a CUSTOMER also suffer financial crises when the claim is being rejected and our money is on the toss. Also, the ICP documents are being judged by non degree personal and asking unnecessary questions to the doctors, this is how we are supposed get harrasment.

Sir, i would request you to solve this permanent problem on ASAP bases, because these companies are not treating patients very well.

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.

Respected sir,

i am your very esteem customer, whenever i used to go sat heatlh tie up chandan phythology lab dehradun for health check up they used say that this policy no is invalid p/7000001/01/2022/016343 as renew by 07/07/2022 valid upt 6.7.2023 same issue also occur in april 2022 that your policy not valid in both case i have provided policy bond and both cases was too hearted why i am renewing policy your are making fool to us. .
So finally compelling me to switch over another health insurance as well as your customer heath team was also not supporting .
So reimburse my health check up amount as per your norms.
account details
a/c [protected]
name om prakash panwar
bank punjab national bank nathanpur dehradun
Ifsc code PUNB 0 995800

With Regards
om prakash panwar
f 502 mdda colony opposite doon express park dehradun
mob.[protected]
mail :[protected]@gmail.com

Shaba[protected] my star health allied insurance co ltd agent code

my name is vallam vijayudu please remove my agent code from irdai portal so that i can join my new company which is icici lombard plz remove and coporate sir

Even after repeated requests not to contact my number there are multiple calls. This is such a pain & this company should be banned from calling people....

I want to put your kind attention on the scam the star health insurance company is doing with us as a customer. They are denying to provide any valid claim according to their own policy documents as well.
I am in big trouble. Please help me to get out of this,

I am Nitin Mittal having a star health young star policy number :- P/211128/01/2021/002156 for me and my family, which starts from 14-JAN-2021. My wife Mamta Rani was admitted into Artemis Hospital, Gurgaon on 10th Sept 2022 due to "Ectopic Pregnancy" which is a life threatening condition and needs immediate treatment. Immediately i admitted her into hospital on 10th sept for treatment.
On 11th september i submitted a request to Star health for pre authorise her treatment. On 12 they rejected the claim stating "We note that the insured patient has been admitted for pregnancy and related complications. Expenses for this treatment are not admissible in accordance with exclusion no. Excl 18 of the policy."

But in mine policy document exclusion 18 is saying that "Medical treatment expenses traceable to childbirth including complicated deliveries and caesarean sections incurred during hospitalization except ectopic pregnancy"

I am not able to understand why they are rejecting mine claim even if it is clearly mentioned that ectopic pregnancy is covered and not excluded.

Their are multiple IRDA and supreme court orders saying that ectopic pregnancy should be covered in BASE PLAN on in/ternet as well.

On calling their helpline they are saying that "you have to send whether She is having ectopic pregnancy on doctor letterhead".

I arranged that from the doctor on request and sent that along with reconsideration on the same day 12 September.They again rejected mine claim stating the same reason again "We note that the insured patient has been admitted for pregnancy and related complications. Expenses for this treatment are not admissible in accordance with exclusion no. Excl 18 of the policy."

I want to raise this to you with humble folded hands that please help me to get my valid and true claim as mine policy documents. I am feeling like a victim of fraud as I submitted the full premium amount and now when I need a claim from star health they are denying on the basis of false clauses.

Please help me to get me out of this situation. As My wife is still admitted into hospital and needs further treatment from this life threatening disease.

Nitin Mittal

Dear sir,

I got new job in ICICI life. But due to my IRDA licance I'm not able to join my new company.
My Agency details are as under . So please remove my agency details from IRDA portal.
My company wants the status of cancel on IRDA portal, so please do needful, my porsonal details are as under.

Name - omkar Arun kulthe
Mob - [protected]
Email ID - [protected]@gmail.com
PAN Card no - EASPK8740K
Agency code - SHABA[protected]

Kindly Remove my Agency Code and Pan card number from IRDA portal.

Regards,
Omkar kulthe

Star health has denied the claim of my mother.. we have admitted her on 26th August in hospital.. she is on ventilator til date.we don't have money to clear the bills ..please help us out for the same..we have financial issue in my family.
Claim no#CIR/2023/161211/0676282 in the name of Deepa...

On daily basis i get around 4 to 5 annoying calls claiming to be start health insurance policy. Though i say them not to call me as iam not interested, representatives keep calling from different numbers.
Adding the numbers from where i get frequent calls.

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