Star Health And Allied Insurance Complaints & Reviews

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.

[protected]
[protected]
[protected]
[protected]
[protected]
[protected]
[protected]
[protected]
[protected]
[protected]br...

To
The Branch Manger,
Star Health Insurance,
Vijayawada.

Dear sir,

Sub: Request for deactivating my license (BA[protected]) from IRDAI portal.


I Pabbisetty Subhash working as a star health insurance agent bearing license number BA[protected], Hereby requesting you to please deactivate my license from IDRAI portal. As I am going head with my career in other organisation, I need to submit my NOC to join the company.

Therefore I request you to kindly accept my resignation as an agent and help me with the NOC for my license code BA[protected].

Thanking you

Yours sincerely,
Pabbisetty Subhash
License code- BA[protected]

I am an existing Star Health And Allied Insurance customer. I have an active health insurance policy that is about to expire on 25/8/2022. I reached out to Star Health support via email on 09/08/2022 to help with the renewal process and also provided the signed letter required for sum insured enhancement to INR 25 Lakhs. Until today, there is no progress on the renewal request and the insurance company is just ignoring all my follow up emails and delaying the process for some reason. In parallel, I am also getting verbal denials from Star Health employees (Kolkata, Salt Lake office) that I cannot extend the sum insured amount as I made a claim in May-2022. However, there is no such clause anywhere in the policy document and also the Star Health agents are not willing to provide the denial reason in email. I also have submitted a complaint with IRDA but only received a token number[protected] as an acknowledgment and no other solution.

I need help in renewing this policy to a higher insured sum amount before the expiry date. If there is a clause that says I am not eligible for sum enhancement as I made a claim then Star Health should send that in writing and also highlight that clause in the policy document.

I Vijay Shankar Mishra Assistant Territory Manager of Star Health and Allied Insurance Co. Ltd Employee Code: SH33514. If anyone need any help to resolve any rejected, decline or pending claim please contact me 24 X 7. I am always ready to help the needy people I am sharing my contact no and email id for further communication Mob: [protected] and Email Id vijay.[protected]@starhealth.in

Chitra Sarma
M-5/1, Ganesh Krupa CHS
Kashish Park, L B S Marg
Thane West 400604.
14 Aug. 22

Star Health Insurance: P/171134/01/2023/004674

I have bought/renewed the above policy around 7 July 2022.
They sent me a message saying Policy is despatched etc. and I should contact them if I did not receive it after a week.

I did not receive any policy document even after 18-20 days. So I contacted them on their customer care number. You know how irritating this is! Every CC no. says : Dear Customer, our IVR options have changed. Please listen to them carefully. Blah Blah Blah Blah Blah. Press 1 for this, 2 for that, 3 for this, 4 for that etc. Finally you are connected to a CCE and again the automated message says: “All our CCE are busy at the moment. Your Call is important to us. Please stay on while while we connect you to the next CCE. (Who does not know that all these are FAKES!)
Finally CCE talks to you and for all security purposes makes so many verifications, which I feel earnestly are unnecessary!
Then they told me to send e-mail for which they sent me a SMS.

When I sent e-mail I am getting unwanted replies like how to lodge a claim and where to get a claim form etc.

I had to send e-mail again when I got a reply stating the document is sent by SpeedPost with Ref. no.

This makes me think that the first claim was FAKE! In other words they were LYING!

Like Insurance Hard copy is required to overcome any eventuality.

Thanks
Yours truly,

Chitra Sarma
+[protected] 

आदरणीय सर/मैडम, निवेदन है मेरे द्वारा दिनांक 09/12/2016 को स्‍टॉर हेल्‍थ पॉलिसी ली गई एवं लगभग 5 वर्षो से मेरे स्टार हेल्थ में सतत पॉलिसी प्रीमियम भरा जा रहा था, इस साल मेरे द्वारा पॉलिसी ऑप्शन में ई एम आई से भरना चाहा, जिसमे मेरी पहली इंस्टालमेंट जमा हो गई, एवं इससे वर्तमान पॉलिसी नं. P/201129/01/2022/001597 जिसकी अवधि 31 जुलाई 2022एवं P/201129/01/2022/003878 इसकी अवधि 17 दिसंबर 2022 का कार्ड मेरी आई.डी. में जुडा हुआ था, दूसरी इंस्टालमेंट के लिए मेरे द्वारा कई बार कोशिश की परंतु स्टार की लिंक फेल रही, कस्‍टम केयर पर बात करने पर बताया मेरी पॉलिसी बंद कर दी है, मेरे द्वारा ई मेल पर इस बात का विरोध करने पर स्टार द्वारा ई मेल कर सहायता करने के नाम पर 7 दिन के लिए ऑप्शन दिया गया, साथ में श्री जय सुराना सर का नंबर दिया गया, पुनः पेमेंट ना होने पर सुराना सर से संपर्क करने पर उन्होंने 10 दिन रुकने का बोलकर गुमराह किया और इसी अंतराल में मेरी पॉलिसी को बंद करने का ई मेल कंपनी के द्वारा कर दिया। श्री सुराना सर से बात करने पर कहा गया की अब कुछ नही हो सकता। कृपया मेरी पॉलिसी को रिनिवल करवाने का कष्ट करे, जिससे मेरी 5 वर्ष की अवधि बर्बाद ना हो।

Dear Sirs,

This is to bring to your notice the misconduct by your verification officer Mr. Santosh Chand, (Emp. Code: SH34634, ID card enclosed) in April 2022 during his visits to my hospital.
He came for verification of one of the insured patient’s claims, but without any documents of the patient’s treatment in our hospital, any letter of verification from your company, or a consent letter from the patient...

Regarding Claim :CIR/2023/170000/0529302
Hi,

This is regarding claim which is rejected .
Here policy holder Vimala is my mother who has been hospitalised.

She was hospitalised as she had feaver, cold and oxygen levels was low . Where doctor here in hospital suggested to admit here for observations and treatment. But how come some one can decide whether patient can be treated as out patient.
Iam not understanding. And we have purchased health insurance policy for our emergency treatment when it is hospitalised.But the feedback what star health is giving is not acceptable. So need resolution for this .

Regards,

My Father was feeling breathless on 11th July 2022 and Family physician refered to Cardiac Specialist for further investigation and after investigation (Angiography) he dignosed with Three Vessel Disease. So we have admitted him for Angioplasty to Insurance Company Network Hospital. While we inform in prior that we are admitting Patient for Angioplasty and Hospital requested for Cashless claim but after 11 hours Insurance company declined stating " we can't find ascertain of disease". While taking Policy they already done with Health Checkup that time they don't get any PED and now declined for Cashless Claim. Now I'm in hospital as we was having discharge on yesterday but we were unable to pay hug amount so stucked here. Please help us to get justice and discharge from hospital as soon as possible.

Hi Team,
I am a corporate user for star health insurance
My wife faced the urgent RUPTURED ECTOPIC PREGNANCY process (Faced urgent surgery), and the star health team put this under sub-limit and only approve the 50% amount of my total bill and mentioned that it’s a maternity issue when I check in my co-operate policy details their not any mentioned this kind of information than I have check-in Star health portal as well...

Dear Concern,
Referring to mentioned subject it is to state that have opted for a policy from your company in the name of my mother PUSPHA ARORA ( Policy No. P/221116/01/2022/00/1230).
On dated 11/9/2021 a bill of Rs. 390731 was sent by the Eternal Hospital to Star Health and Allied Insurance co ltd for a claim, in which the amount of Rs. 24210 was deducted. The hospital has told you by his counseling letter( copy attached)...

This is to invite your keen attention that, my self RARISH T M my policy no is P/181228/01/2022/003241 and my parents policy no is P/181228/01/2022/000668 these both policy under mohanachandran m and branch is mg road valanjabalam branch so now i would like to change this two policy to another branch and another agent because i face some issues from yours side.. so kindly note it and do procedure to next steps as i want to change
thankyou
[protected]

Hi,

First thing: Don't trust Star Health, totally a fraud company, and provides false statements by the agent. I have taken 2L plan and I have paid 3 years, till now I didn't claim, but i have paid lakhs and lakhs, this is my first claim and also for a small amount about 7-10K only. My agent (Ravi.S and phone number: [protected]) NOT PICKING UP MY CALL NOW. TOTALLY FRAUD AGENT AND COMPANY - DON'T TRUST

SUMMARY:

- I have admitted my father due to fever for 1 week.
- First thing I asked for a cashless and they rejected (Reson said: Star health and my agent (Ravi.S) have doubt about this claim) My question is: If you have any doubt why don't you come to the hospital and check.
- Secondly: Star health and my agent Ravi.S asked me to apply for reimbursement, i follow the procedure and submitted all necessary documents, even from the hospital they have called and explained.
- Then after a long time of following the agent, they asked me to submit some other document that was not relevant to my claim, I checked with the hospital and they said we provided all documents including the doctor's written certificate. Simply one thing in their mind, amount i will not pay only i will get the amount from you.