Star Health And Allied Insurance Complaints & Reviews

I have not been informed before the Claim Intimation/Financial-Settlement raised vide Claim Intimation No: CLI/2020/191117/0429740 against Policy No. P/191117/01/2020/001956 moreover there was no due payment as after Mediclaim Policy (Star Health) Payment I paid the rest amount from my end which was accepted by the hospital and afterthat Discharge Paper handed over to me then how is that possible to raise a Claim Intimation/Financial-Settlement in the year of 2021 while the claim was fully settled in the year of 2019 so as early as possible please inform me clearly the full details of all parts/sections about the said Claim Intimation/Financial-Settlement raised also let me know the exact reason by sending me all documents why Rs. 9113/_ was paid and I want all clear clarification with all documents/attachments as early as possible please.

N.B- I have sent mail to claims.[protected]@starhealth.biz and [protected]@starhealth.in from my Email ID- [protected]@hotmail.com two times dated 25/05/2021 & 31/05/2021 but no reply received till date so I request to reply my mail also solve my query as early as possible please.

Patient -Bharat Rathod was admitted in hospital on
22/3/2021 till date even we don't know the discharge date its almost
12 days in hospital .

Billing amount is increasing day by day now the amount is around 5.60lakh we cant afford that to pay

claim no :- 0614875

As old star policy amount is exhausted and it got expired on
31/3/2021 and new policy has been renewed from 1st April 2021

As spoke with customer care on 1April 2020 he told that we can
approve further deduction from new claim even i have the call
recording

But today i got a call from kinjal customer care she was denying that
it can't be approved from new policy

Request you to please help and approve claims from the new policy

As we can't afford to pay further amount by ourself
even
if some minimal charges need to be paid to approve the above
request let me know I'M ok with it .

No help from star claim at this tough situation

they are telling following term and condition, we are customer from 11 year of star health but still no help from them

my mobile no:-[protected]

please help on this

Dear Sir/Madam,

I am AMIT Kr GHOSH is requesting you to cancel the agent code of Star Health and Allied Insurance Co.Ltd. Please cancel my Star Health Code as I am working in FUTURE GENERALI INDIA Insurance Company Limited and cannot work in any insurance company working here.

I have mention the details given below.

Name : AMIT KR GHOSH
Agent code : BA[protected]
Company : Star Health...

Star health representatives are irritating with repeated calls every day. It does not stops even I explained many times not to call. Below are some numbers I got from them today
[protected]
[protected]
[protected]
[protected]
[protected]
[protected]
[protected]
[protected]

I have raised a health insurance claim for my brother, Claim No. 2204068. It was under my my father's policy. Company gave me advice to give in writing that my brother is working, and then they rejected claim saying that Child is not dependent.

My name is Urvish Patel. I bought a Mediclaim on 6th June, 2015. My Customer ID in Max Bupa Health insurance is [protected]. I continued renew it till June, 2019, So My and my family member’s health was completely insured since June, 2020. In this policy Maternity benefit was included.
I got a call from Mr. Siddharth, Employee of Star health insurance from Mobile number [protected] on my mobile number [protected]. This call received on 25th May, 2020 at 11:49AM. He offered me to portable my health policy from Max Bupa health Insurance to Star health insurance and also offered me that If you are more than three year old customer of Max Bupa than you will also be more than three year old customer of Star Health. I talked to him for 5 minutes 10 seconds. I told him about the pregnancy of my wife. My words were “ My wife is pregnant and fourth month is running. “ I told him clearly I want this policy for Maternity benefits and my new born baby which would be also include in the policy.
In the call when I was telling him about my wife’s pregnancy, he didn’t speak any word that this year your maternity benefits were not included and all. When I called him on 2nd Nov, 2020 for asking the procedure for claim but didn’t get any satisfactory answer So I called Star Health customer care number [protected] on the same day at 01:18 PM. From Customer care I got the news that Maternity benefits would not include in my plan So I called Mr. Siddharth and he told me to check and revert back. I was manipulated by company.
After this I mailed Company and grievience department of company and also converse with Mr. Binoy Tiwari ( Whose name is on my policy). But I didn’t get any solution from Grievance. After this I complained all the things to IRDA. All the details of IRDA Complaint number and Grievance is as below. All the time Company grievance department mailed me that Maternity benefit is not included in policy till 2 years but they were failed to answer me my 2 questions and repeat recorded tape. I want answer below 2 questions.
1. Why shouldn’t company employee denied me to portable my policy from Max Bupa to Star health when I informed him that my wife was pregnant and 4th month was running?
2. Company mailed me that if you are more than 3 year old customer of Max Bupa than after portable you in Star Health you would be 3 year old customer of Star health also. If Star health provides maternity benefits to its 3 year old customer then why should it deny me to give maternity benefits?

I sent these all the things to Ombudsman of Insurance. They replied me that this is not include in the rulebook of them. Means I think that every insurance company can make fool customer and Ombudsman take their rule book. I attached the answer of Ombudsman also.
Complaint registration numbers :-

Star Grievance :- GR[protected] P/700016/01/2021/003861
IRDA :[protected]

Dear Team,

I had taken helath insurance from Star. My wife fall down at the time of refiling water at home and admitted in hospital for treatment. We had taken treatment and submitted all original documents to Star, But after taking 03 months to observe the documents they had rejected the claim and saying that you have old disease and this is not due to fall down.

Respected Sir,

Please find below the full history of mail communication of nine months.

Sir please looking into the matter as star health insurance is now not responding to any of my mail.

Thank you and kind regards.

"Quote"

Good day to all,
FULL HISTORY OF MAIL COMMUNICATION TILL DATE – 14/01/2021.
With reference to the CLAIM INTIMATION NUMBER CLI/2021/181122/0004224...

I have been waiting for my Claims submitted to Claims department of star health and allied insurance company .Firstly they wrongly guided that Dialysis is not covered in my policy and after 2 years they said it is covered and i can claim my amount through reimbursement process now the claims are submitted with them and inspite of accepting the claims they are giving vague answers that they have not recd the claim documents and they are just...

Policy no. P/700016/01/2021/017994 was issued upon renewal on 12/11/2020 but policy documents and insurance card has not been supplied/delivered to me till now

suresh chandra gupta

They didnt reply at all from the beginning, when we submitted them all our original details in the month of june, they suddenly started to reply us from the end of september wanting again original papers which we already have submitted, they continously harassed us until 18th of november, but when i asked them why it took so long to approved the same, they didnt reply, they told we don't have adequate balance in our insurance policy claim, but we already renewed our policy on 10/03/2020, and the policy holder and my husband also expired on 27/03/2020. Still they also turned a deaf ear towards us, and finally they settle the claim of 1, 18, 340 by giving us a meagre sum of 1446 inr, against the claim, we also mailed them this issue they didn't reply any of them positively. I am just a widow how will i stand against them and that's why we demand justice and compensation from them for harassing us continously for 5 months.

Anindita sarkar
w/o-late atanu sarkar

Hi Team,
I am surpised to see a mail from start health insurance team stating my claim is rejected. stating that insured patient's vital signs are stable throughout the period of hospitalization. I request the team to check the discharge summary clearly which states Patient presented with temperature since 6 days & vomiting, weakness since 2 days, cough since a day. we were in home quarantine for a week and the symptoms are getting increased due to which the doctor suggest to get admitted.

Hi Team,

Please help me to get this address as I have paid my insurance regularly and while claiming the Health insurance for my medical expense I received denial of Insurance and no process been done from the STAR Health Company.
Please take this as a priority as I am aged person and unable to follow with the STAR Team on regular basis.

My Mail Id to reach : [protected]@yahoo.co.in
My Contact : [protected]

Very very poor health insurance company
Because i admitted in hospital for 7 days first day doctor asked me to do operation, so i have this insurance then i applied i got approval on 2 days later, when i take insurance they told me, on day we will approve but very delay. Also 2 days i spent nearly 10 thousand, finally at the at the time of discharge they told you can get back, at that time total amount is Rs42000 thousand they only approve for me is 32000. The 10000 i spent is all calculated inside and the hospital told us they approve only 32000. I think the insurance company and hospital are doing some wrong understanding for them. It is one of the worst insurance company

Sir my policy no
P/151120/01/221/002818
Gagan Manihar, Nagpur.
Instead of
several calls on customer care they are not respond ing and calling back to address our registration process

Dear sir, my health insurance policy claim number is0331385
I send my all hospital bills and medical bills and query document I send Ur office in ramnad. Date of17 .10 .2020. But no responsible in Ur side. What can
I do.. Medical claim policy is urgent policy.. That is no same or vehicle.accedent And other policy.
Extfa policy. Dear Sir please send my claim money..

Dear Sir

While opting for a Health Insurance Policy via PNB Branch, I did a NEFT transfer of Rs. 17995 from my SBI account number #######6322 to United bank of India corporate Bank account Number #########4395 on 06th of July 2020. It was not the correct way of fund transfer as the amount was supposed to be transferred from PNB to PNB or PNB to UBI for availing the Group Health Insurance policy-PNB Gold. It was later brought to my knowledge and I have been requesting again and again for refund of the amount as that fund has not been used to avail the Policy however there has been no progress or initiative for refund. I am losing my patience now as I am not only having my funds locked but also losing interest on that. Kindly take proper initiative and refund the amount mentioned. My Mobile Number is [protected] and will be awaiting a response from the company.

Dear Sir,
As per my insurance policy I can claim the day-care bills. For that before submitting I have confirmed. But since 1 month over nothing has come in hand . Every time new person mail or call .They are sending me the form which usually submit by the person who admitted as in patient.
I have clearly asked ..but nobody giving proper information.
I am fed up with this policy. when they cannot settle a small bill. How can one expect other big thing.
Please somebody listen. Also please tell me how to migrate from existing company to new company Just took a snapshot showing the no. of mails exchange for no use.

I am writing this regarding our Mediclaim policy namely "Family Health Optima Insurance-2017", the reference number of which is P/191138/2021/000968. We are associated with the company since February 2016. However, we never raised a claim against our policy until the month of July 2020 when my dad was hospitalized due to viral fever. I admitted him to a local Non-COVID hospital which is one of their network hospital on 5th July 2020 and the same was duly intimated to the insurance company within 24hrs of admission on 6th July 2020 vide intimation number CLI/2021/191138/0144711.We had requested for his cashless treatment because as per the policy, it was eligible for complete cashless treatment with claim number CLMG/2021/191138/0144534. Please note that there was an error on the part of the hospital to mention the admission the admission date as 04th July 2020 which actually was 5th July 2020. But the papers clearly mentioned the admission date as 5th. Hence we understand that the same be overlooked. In order to get the claim processed, the hospital authorities duly submitted all the required papers to the company on 07/07/2020 but the claim was rejected by Star on account of a baseless and stupid reason that the eligibility claim needs to be further analysed by them and requested us to file a reimbursement claim. Later on, we got to know that my dad was Covid positive and that he required immediate treatment as his health was deteriorating and he was facing difficulty in breathing. Hence, we were as suggested by the hospital authorities to transfer him to a COVID hospital where he would get proper treatment and medications. However we were not getting beds anywhere. Hence, after continuous efforts of around 2-3 days we got one and immediately transferred him to a renowned COVID hospital from the earlier hospital on 11th July 2020 regarding which the insurance company was intimated vide number CLI/2021/191138/0159796. Now, he got the discharge from this hospital on 28th July'2020 after he was declared stable by the doctors. We thereafter filed a reimbursement claim for the hospital expenses with all the original reports and hospital documents nad bills. Later, after 1 month, we were queried for the Internal case papers of my dad which were submitted online within time. But we kept on receiving email reminders for submission of query documents despite being already submitted online. Further, we even submitted the hard copies of the ICP requested to the office on 16th September 2020. Thereafter, to our surprise, we received the claim rejection email on 16th October for non submission of documents despite submitting all the proper documents. On contacting the customer care we have been informed that the claim has not been rejected an the mail was a system generated mail. So my question is..is this the way the company treats its genuine customers and deal with insured? You have always been paid the premiums on time and now it is your duty to complete your promises.

And a suggestion: Please stop making false claims to the people and fool them. They is not going to help you in anyway. You wont be able to reach heights cheating us..and stealing hard earned money of citizens.

I undergone knee replacement surgery of total package 500000/- from max hospital. I had two policy one from United India insurance co, they paid 300000/- cashless to the hospital asper my policy amount was 300000/-.second policy was from star insurance company.i filed claim for balance amount of 200000/-.But I received rs 100000/- from star while 100000/- was denied on flimsy ground.for balance 100000/- amount I filed complaint with consumer redressal forum. The star taken a plea that once I receive the amount in my account .I can not file complaint for revival.please let me know if any ruling is there.