[Resolved]  Star Health & Allied Insurance Co. Ltd — Rejection of claim by the company on baseless ground

Address: Ghaziabad, Uttar Pradesh

I am Vineet and i have a madiclaim policy no.- P/161121/01/2011/000357 with star health.. In the month of march 2011 i went to Shroff Eye Center, New Delhi after having some problem in my right eye. They detected it as Retinal Detachment with a giant retinal tear & an emergancy surgery was done the same day. It was a major surgery & i was discharged next day from the nursing home after my post operative checkup, bendage,instructions & with prescribed medicines. I didn't carry my cashless mediclaim card with me so i paid my operation fee & room rent(discharge fees) by the help of my relatives which was around rs. 75000 & medicines extra. After reaching home i informed my agent & he at once informed the company's office at Noida & got the claim no. that is CLI/2011/161121/0107357. After some days the company send some quary to me to be filled by the Dr. & my Dr. quenched their thrust by every knowledge & information about the surgery which they asked in their questionaire. Afterward, the company did not respond even after giving several reminders by me at Noida office on phone for 3 months. Now, in the first week of july, i received their claim rejection letter on my e-mail that they have treated me as an OUT PATIENT as there is no active line of management done.I even didn't understand their point of rejection of claim of my surgery.This is a complete herassment of a patient by the medical company. Even,the company have charged about 4000/- more then the previous year's as policy renew fee,or can say, as a panelty of demanding the claim & even then they are not interested in settling the claim.But i will not leave them so easily. Just tell me,when i was admitted for a major surgery in the renouned nursing home for a night in the dr's observation then how can they treat me as out patient. My experience with Star Health is not good.I think, that all the health insurance company only allouring the people by their tempting fake promises.They want to collect the money by the people but dont want to give back as a claim to their client even after getting all the documentry proof they want.
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Aug 13, 2020
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