[Resolved]  Star Health And Allied Insurance Co. Ltd — Claim rejection on wrong grounds

Hi, I had taken Diabetic safe policy for my mother Mrs. Meena Sharma age 46 yrs in Nov 2008. Her Policy number is P/161113/01/2009/000536. At the time of taking this policy, my mother was diagonosed as diabetic (She was not on Insulin) and she was taking treatment for frequent swelling of foot because of malfunctioning of one of the kidneys. All medical reports, medicines and other treatment related records and details were furnished at the time of taking this policy. My adviser ( Mrs. Vermani) has a copy of all records with her and same was confirmed by the brach head of Chandigarh Mr. Amit Julka as well.After reviewing all documents, Star health Insurance issued the policy.
I July'09, acute renal failure was detected as both the kidneys stopped working. In july end, doctors advised for either dialysis or kidney transplant. On 1st Aug'09, first dialysis was done and on 16 Sep'09, Kidney Transplant was done. My cashless claim was rejected on grounds of pre existing desease. Its strange that both Surveyor and my insurance adviser were shocked to know this. As per the surveyor, he had mentioned all details correctly and he was willing to reverify the details if contacted again by Star Insurance. My adviser and Brach head agreed to the fat that policy was issued after reviewing her health condition and Star Insurance should honour the policy by approving the claim.
I again filed for reimbursement wherein the treating doctor has very clearly mentioned that disease was not pre existing. After much followup from 17th Nov to 2nd Jan, i finally got a letter from the company that claim was rejected as disease was pre existing.
STAR INSURANCE HAS IGNORED SURVEYOR'S REMARKS, SR. SURGEON'S COMMENTS , ON TOP OF EVERYTHING, THEY'RE CLAIMING THAT FACTS WERE NOT DISCLOSED AT THE TIME OF POLICY WHEREIN MY ADVISOR AND BRACH HEAD HAS COPY OF ALL DOCUMENTS WITH THEM.

I would strongly urge to every one reading this , not to take policy from star insurance as there are frauds sitting in the company with an aim of makig money and cheating others.
Was this information helpful?
No (0)
Yes (0)
Aug 14, 2020
Complaint marked as Resolved 
 
2 Comments

Comments

Star Allied And Health Insurance Co. Ltd. — Claim Rejection

The Insurer has rejested my wife's Mediclaim Insurance claim stating that Obstructive Slppe Apnoea is a pre-existing disease and it was not disclosed at the time of taking the policy.

Please note that I came to knew about this disease only when the first time she was hospitalised and as per the medical Doctors it is a problem which is faced by 55% of Indian.

I have sent repeated mail to the insurer to give me a clarification for the same, but they have not yet replied me.

request you to please help me.
The same incident happend to my friend...they should be straight in their policies.It is not fair to refuse claims withiut any genuine reason

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 contacts
    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
    567
    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