Star Health And Allied Insurance Complaints & Reviews

Dear sir,
my name is Kisan Gunjal, My claim no 2617936, I have been asking him every day for two month now When he will collect the effort, These Company try to extort customers

Hi Team,
Star Health And Allied Insurance, This is inform to you on 4th july 2021 my brother was fell down the stairs. He is admitted Apollo hospital gwalior. he is having star health policy number - P/161123/01/2021/026356 we have file the claim but claim has been rejected by insurance company due to alkohal linkup. and my brother did not take any alkohal at the time of incident. I am surprised in all medical reports and investigation not anywhere written for alkohal linkup. so i need your clarification why claim was rejected. kindly re investigate this case and approve the claim. if my concern is not resolve i will take legal help regarding my claim settlement. if need any clarification call me at - [protected] or mail me at - [protected]@gmail.com

PFA of Customer identity Card

To inform the company that the claim has been delayed due to Covid 1 to, the answers are as follows. There were too many local hospitals for another 04 to 05 months...

Dear sir
in case the executive do not give proper answers while calling the company and asking for opinion, the customer will be credited for another 02 month...

Dear sir/Madam,

Im S.Uday kiran resident of india.And im from Hyderabad.
I accidentally fell at my home on 26/7/21 i felt severe pain in my left shoulder and a little dislocation in my left shoulder which i relocated my self in pain . Since the pain was severe i got to consult a near by hospital (ARCHANA HOSPITAL) at Madhinaguda. Doctor asked me for MRI reports and after further evaluation of MRI he found there is bankarts injury and ligament tear and need to undergo “Shoulder Aurthoscopic Surgery”
Which is my i need to go for my insurance(STAR HEALTH INSURANCE) claim.when the hospital billing department sent all the required documents for claim they intitially approved the claim due to which doctors proceeded further for surgery.

And the surgery was done successfully and i was about to discharge that immediate next day after surgery.And suddenly hospital billing department says that i “your claim has been rejected due to long standing injury” which is not a long standing injury .Even doctors also certified that he has no past dislocation history as per Reports.

I tried to call the customer care and my insurence agent aswell but there i got no proper response from them . I even asked for a call back from concern personal or doctors team who evaluated my condition to be a long-standing.i even wrote main to the grievance department and still I didn’t get any response.They are not even showing any proof that my condition is long standing

I have been stuck here since 4days without getting discharged .And hospital management is asking me to pay all the bill and go for reimbursement for which i have no funds .

This insurence company is worst in responding to customer and insulted me, and they are torchering me without responding and approving.
My agent was also said that your documents are all clear to be approved, i dont know why did they reject your claim .He said that he also raised complaint from his end .And after that even he is not responding my calls and messages .

I am holder of star health insurance vide policy no P/211212/01/2022/001312, My wife is suffering from urine fibroids and admitted in patel hospital Jalandhar on dated 19.7.21. lapro scope done by the concerned doctor and i have paid amounting to rs 96000 near about, but company refuse to pay the cash less treatment, i m your regular custmor from last three year, i m very disappointed due to your non cooperate behaviorKinldy satisfied my self by the company refused the claim.otherwise other option is open for me. Jai Hind Jai Bharat.

Hello,

I have claimed 60k for corona home quarantine treatment on covid kavach policy... But they have approved only 10k, and they said as per policy only 10k is allowed for home treatment...

I don't understand, no one response properly from customer care side...
No information about 10k settled amount for home quarantine in terms and conditions

Thanks

I have submitted my claim documents to Star Health on May 27th 2021. After 30 days, they rejected my claim mentioning 'RTPCR report is missing'. I have provided HR CT film with the report which says Patient is Covid +ve with an infection of 52%. The treating Doctor suggested us to admit the patient into Hospital. My father had undergone a full week of COVID treatment for the dates[protected] to[protected] from the Dreamland Hope Hospital Nizamabad. Patient had given 6 doses of Remdesivir (COVIFOR from Hetero) injections as well during the treatment.
I have submitted all the documents such as Lab Tests, Medical bills and HR CT films to the Insurance Company. But they rejected the complete claim of 2.3 lakhs for not having RTPCR report. During the peak Covid time in April, In Nizamabad, all the Labs said that, it takes 3 days to get the RTPCR report as they need to send the samples to Hyderabad and get the report from Hyderabad. So, to avoid delay we consulted the Pulmonologist and where the Doctor confirmed that the patient is infected with COVID by the blood test and CT scan reports.

Even after clearly stating everything, they Insurance claim team had rejected it.

Star Health And Allied Insurance rejected the claim due to pre-existing disease but patient was not found having pre-existing diseases until he was admitted in hospital. The disease hypertension was assumed to be having since 2 years but there is no proof of having the disease since 2 years.

Dear Sir/Madam,
I am Mohan Salunke Policy no. : P/151118/01/2021/029393, Claim No: CIR/2022/151118/2584205, I was covid positive from 28 Apr 2021, I was quarantine from 28 Apr to 8 May 2021 but yet suffering to fever, cough and loss of appetite, then i was hospitalized to 8 May as per doctor suggestion.
I was submit my file for claim reimbursement on 24 May 2021, company rejected my claim with reason not quarantined (I was quarantine from 28 Apr to 8 May 2021) and normal oxygen level.

As per telephonic discussion with customer care I have sent the Hospital letter on 5 jul 2021 in Pimpri Pune office and mail on 7 jul 2021 on support @starhealth.in

Please settle my claim as early as possible.

Regards,
Mohan Salunke,
[protected]
[protected]@gmail.com

Actually I am a lactare mother Soo I should get good health products from the government.but I registered my name in village Nurse she has taken all details and confirmed my pregnancy but I didn't get any information about the products which they are giving I delivered now Soo... I went and meet that Anganiwadi thecher.now she's responding but she's not giving proper things what the govt providing. Even she's not lifting the call also always Anganiwadi in closed..how can I take my healthy things in Anganiwadi.

Hi
Iam T Rajendra prasad I submit the documents on 10 th June in head office in Chennai location my claim number 2506871.i am calling star health regarding on the information about the status they told it is in still process. I received a verification call on 1 at july. I am in office i am not lift the call after that I call so many times to the number there is no response.Next I call to star health insurance regarding on status for every week they told it is in still process then I told about verification call they told no problem you will receive repayment on 14 July they told me I call on 18 th July about the status now they told me a query had been raised you want to send letter from treating doctor stating when allvitals are not normal and use of randsilver 2 complete set of indoor case papers with vital chart.previous in head office I submitted all the documents .now they told you want to submit the documents .this is the situation i am facing from 40 days there is no response from star health insurance about customer.still they told it is in processing

Dear Sir / Madam,
Policy No: P/171113/01/2022/001025 premium paid on 24th April 2021. I am the existing customer in ICICI Lambord Insurance, but due to your continuous follow up I shifted from ICICI Lambord to Star Health Insurance and premium paid as per the above mentioned.
As of now I have not received any Policy document to my address. I have given remainder through whats app to your team. But nobody is responding.

Please pursue the matter at the earliest.

Regards,

PVV Satyanarayana

I have made several complaints to Star Health insurance through phone and Emails but even after almost 40 days. I have not received my reimbursement of hospital expenses.
I had taken a Cashless Health policy P/700002/01/2021/053310 with Star Health in Oct 2020 to cover any sudden medical expenses !
But I am highly disappointed with the services of the claim support team of Star Health, First they have rejected my cashless request...

R/sir,
I, Sanjay Shankarlal Agrawal, am the agent in Star health and Allied insurance.my code is BA[protected].sir I had made a Covid claim for my customer Nanda Vinod Agrawal having Policy no.P/151116/01/2021/011976.and claim no.CIR/2022/151116/2411491.sir the claim is rejected by the company on the grounds that the patient doesn't need hospitalization. I had submitted all the documents and also the letter from doctors stating that the patient need hospitalization.
Sir, no one on the earth want to get admitted in the hospital unless it is required or advised by Doctors.sir the patient condition is well known by the Doctor who is treating the patient and in my case Doctor suggested hospitalization so she get admitted. She had been given regular injections and sallien.and company is saying she doesn't need hospitalization, how can company be so sure only on the basis of reports of patient as they had not seen the patient face to face. Sir our company condition is that for getting claim 24 hour hospitalization is necessary.and the patient is admitted for more than that then why company is rejecting the claim. In other diseases we are not go so deep that whether patient need hospitalization or not then in covid cases why we do so even after Doctor suggestion to admit the patient.it means that we are neither trusting the treating Doctor nor the customer.if company think that Doctor has made a wrong call to admit the patient then company has to bear it with that Doctor not with my customer as she had told to admit by the Doctor and so she get admitted.
So I request you to please lookafter the matter and give justice to my customer.
Regards
Sanjay Agrawal
Mob no.[protected], email: [protected]@gmail.com

I wanted to renew my membership for 2 policies, individual and parent's policies.

I dialed TOLL FREE NUMBER[protected] number asked for help to renew my both policies, in one hour call star health executive unable to help me to renew both policies, unfortunately I got answers like,

1. " I can't tell you the difference between revised policy and current policy"

2. "You can cancel your parent's policy and add your parents in your individual policies, but don't know how/benefits/policy amount".

I am unable to renew both policies as there is difference between requested amounts and actual amount and customer executive unable to provide explanation.

Submitted a claim reimbursement original document through DTDC courier which were received by Nungambakkam branch on 15th Jun. However post receiving there was no update on claim nor the details were updated on the website .

POLICY NO - P/171123/01/2021/000184
i had submitted my hospitalization claim in the month of March-21, wherein the company had repudiated my claim on 19/05/2021 saying diagnosis is post-COVID vaccine effect. Thus there is a discrepancy in the records which amounts to a misrepresentation of facts. I don't understand when I was hospitalized for hypertension and the company arrives at the wrong decision.
I wrote to them on 21/05/2021 asking to reconsider my claim but till today no reply from the company. The facility of consumer care is ridiculous, most of the phones are out of order. even if you get a chance to talk to their officers they will say we don't have access to the claim settlement department. as they are all at the Chennai office. In that case, where will i go and ask for my claim status. You are requested to kindly intervien and solve my problem at the earliest.

Family health policy purchased from STAR in year 2019 . Policy details- P/151115/01/2021/019334.
Hospitalisation claim for my daughter of INR 89000/- applied in the month of Jan 2021 and STAR ha rejected the same by stating pre-existing disease and cancelled my policy.
Actually, my daughter's hospitalisation was not a pre-existing disease. Several times communicated to star through email but no use. Raised the concern to MD of STAR but invain.

Very poor response from STAR team during this claim settlement process. They are not having financial capability for claim settlement so they are rejecting the claim. They shall be heavily penalsied for such practices.

I have opted for senior citizen Red Carpet policy for my father recently. In that newly issued policy a category called Permanent Exclusion Disease has been included which was not even available under any clause in the policy statement nor the representative informed during any of the previous discussion happened. Now they are sending a letter and asking for our consent to agree for the same which is unfair on any grounds. Please see that how the permanent exclusion category can be removed from the policy.
Policy Number : P/700001/01/2022/005319.