Star Health And Allied Insurance — Valid claim rejected

I want to put your kind attention on the scam the star health insurance company is doing with us as a customer. They are denying to provide any valid claim according to their own policy documents as well.
I am in big trouble. Please help me to get out of this,

I am Nitin Mittal having a star health young star policy number :- P/211128/01/2021/002156 for me and my family, which starts from 14-JAN-2021. My wife Mamta Rani was admitted into Artemis Hospital, Gurgaon on 10th Sept 2022 due to "Ectopic Pregnancy" which is a life threatening condition and needs immediate treatment. Immediately i admitted her into hospital on 10th sept for treatment.
On 11th september i submitted a request to Star health for pre authorise her treatment. On 12 they rejected the claim stating "We note that the insured patient has been admitted for pregnancy and related complications. Expenses for this treatment are not admissible in accordance with exclusion no. Excl 18 of the policy."

But in mine policy document exclusion 18 is saying that "Medical treatment expenses traceable to childbirth including complicated deliveries and caesarean sections incurred during hospitalization except ectopic pregnancy"

I am not able to understand why they are rejecting mine claim even if it is clearly mentioned that ectopic pregnancy is covered and not excluded.

Their are multiple IRDA and supreme court orders saying that ectopic pregnancy should be covered in BASE PLAN on in/ternet as well.

On calling their helpline they are saying that "you have to send whether She is having ectopic pregnancy on doctor letterhead".

I arranged that from the doctor on request and sent that along with reconsideration on the same day 12 September.They again rejected mine claim stating the same reason again "We note that the insured patient has been admitted for pregnancy and related complications. Expenses for this treatment are not admissible in accordance with exclusion no. Excl 18 of the policy."

I want to raise this to you with humble folded hands that please help me to get my valid and true claim as mine policy documents. I am feeling like a victim of fraud as I submitted the full premium amount and now when I need a claim from star health they are denying on the basis of false clauses.

Please help me to get me out of this situation. As My wife is still admitted into hospital and needs further treatment from this life threatening disease.

Nitin Mittal
Was this information helpful?
No (0)
Yes (1)
Star Health And Allied Insurance customer support has been notified about the posted complaint.
Complaint comments 

Post your Comment

    I want to submit Complaint Positive Review Neutral Comment
    code
    By clicking Submit you agree to our Terms of Use
    Submit
    Star Health And Allied Insurance
    customer care contact
    Customer satisfaction rating Customer satisfaction rating is a complex algorithm that helps our users determine how good a company is at responding and resolving complaints by granting from 1 to 5 stars for each complaint and then ultimately combining them all for an overall score.
    Read more
    21%
    Complaints
    564
    Pending
    0
    Resolved
    118
    Star Health And Allied Insurance Phone
    1-800-1024477
    1-800-4252255
    +91 44 2828 8800
    Star Health And Allied Insurance Address
    No.1, New Tank Street, Valluvar Kottam High Road, Chennai, Tamil Nadu, India - 600034
    View all Star Health And Allied Insurance contact information