Star Health And Allied Insurance — Claim rejected policy no p/151121/01/2016/003762

Address:	Chennai, Tamil Nadu, 422003
Website:	www.starhealth.in

Sir/ madam,
This is in reference to the above subject matter, i would like to inform you that we have mediclaim policy since 2011.
We have converted our existing mediclaim policy of national insurance company ltd last year based on your company advisor’s confirmation that all the existing benefits will be converted and continue in star health policy and no break will be considered.
Recently one of my family member operated in ear included in above policy but your company has not accepted claim without any concrete valid reason.
As per your rejection reason - first consultation dated 30-06-14 patient has complains of hearing loss.
I would like to draw your kind attention that my national insurance mediclaim policy was continue from oct’ 2012 to oct’ 2015. Also, your family health optima insurance plan policy mentioned as previous policy no. 270701/48/14/[protected] which is national insurance policy number.
Your company advisor has confirmed that “star health policy has mentioned your national insurance policy number means all the benefits are converted and continued in star health policy”.
If, your company not considering above clause means your company advisors are misleading the policy holders.
This is the 5th year of policy continuation and your company is simply blaming that we had health problem in the year 2014 and we enrolled the policy in the year 2011. What is the logic behind rejection? Just to find the reason for rejection. Once your company approves the claim (Approval sms with us) and send the rejection letter.
We have operated ear surgery in the year 2016 based on doctor’s advice and not for enjoyment or process the claim. You can check with the doctor from your reliable sources.
As per the procedure, intimation has been done and your re-presentative was visited at hospital during hospitalization.
We’re not at all wrong from our side and we deserve the claim benefits as per explained by your company advisor.
Expecting favorable reply from your company in 10 days otherwise we’ll have to compel to take legal
Actions.
Regards,
Sunil gajanan ratnaparkhi