Star Health And Allied Insurance — Claim rejected by company on wrong grounds | |
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 Was this information helpful? | |
Star Health And Allied Insurance customer support has been notified about the posted complaint. | |
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