Star Health And Allied Insurance — Complaint for dispute towards Star health Policy no. P/171116/01/2015/021440 for Rs. 5,00,000

Address: Mumbai City, Maharashtra

Dear Sir / Mam, Myself, the patient, Bhavna Shah have two medical policies of Star health. The details of the Start health policies are per below: Product name and Policy numbers: 1) Star unique health insurance policy (Policy no. P/171116/01/2015/001181 for Rs. 2, 00, 000) and 2) Mediclassic (Policy no. P/171116/01/2015/021440 for Rs. 5, 00, 000) Policy period: 1) 30 Apr 2014 to 29 Apr 2016 for Policy no. P/171116/01/2015/001181 2) 25 Feb 2015 to 24 Feb 2016 for Policy no. P/171116/01/2015/021440 I was hospitalized for the below periods, details are per below: Period of hospitalization: 26 Mar 2015 to 31 Mar 2015 at Mata Lachmi hospital, Sion, Mumbai and 31 Mar 2015 to 15 Apr 2015 at Lilavati hospital, Bandra, Mumbai In lieu of the above, I had applied for a claim to Star health. The claim number generated is CL1/2015/171116/0002625 and 0298817. This was acknowledged and received by Star health on June 17 2015 (Attached is the documented evidence for the same.) The details are per below: Claim intimation no. CLI/2015/171116/0298117 and 0002625 Name of insured patient: Mrs. Bhavna Shah Age and Sex: 58 years and female Background of my problem: Star health made a payment to us for Rs. 1, 40, 000 after applying 30% co-pay n the sum insured. The payment is made towards policy no. P/171116/01/2015/001181. Star health has NOT yet made a payment towards policy no. P/171116/01/2015/021440. Despite having completed the submission of all the required documents, evidences towards my illness, Star health has settled my claim only towards Policy no. P/171116/01/2015/001181. They are not settling the amount towards policy no. P/171116/01/2015/021440. I have done multiple round of follow-ups, emails, personal visits made by my husband to Star health office for getting the matter resolved, but in vain. I sincerely urge / request you to look into this on top priority regarding the passing of my claim towards the policy no. P/171116/01/2015/021440. Attachments in this email: 1. Copy of policy no. P/171116/01/2015/021440 I being a woman senior citizen and not at the best of my health gives me tremendous inconvenience and agony to continuously followup with Star health for passing my claim towards policy no. P/171116/01/2015/021440. Appreciate your kind intervention at the soonest. Regards, Bhavna Shah +91 [protected]
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As on Sep 14th, there is still no response at all from Star.

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