[Resolved]  Star Health And Allied Insurance Company Limited — Non Remb of Medical Expenses stated in the policy

Address: Pune, Maharashtra

Dear Sir,

I have taken Senior Citizens Red Carpet Insurance Policy from Star Health and allied Insurance Company Limited.

Policy No. - P/151111/01/2012/003560 renewed on 11/01/2012 to 10/01/2013 Total Coverage is Of Rs. 2,00,000.00 (Rupees Two Lac Only).

Claim No - 0121178

1st Policy date is 11/01/2010

I have undergone both knee replacement surgery in Jan 2012. This comes under major surgery.

The brochures published by the Company states that they will pay 60% of the Sum assured which comes about Rs. 1,20,000.00 (Rupees One Lac Twenty Thousand)

As remb company has paid only Rs. 81,000.00 (Rupees Eighty One Thousand Only) and stating that they have made all necessary payments and unable to pay further amount.

I don't have any preexisting disease and had never gone any major medical treatment before this surgery.

How can Company reject my claim? This is case of cheating. I have send emails to Insurance Company, Grievances dept and even to Insurance ombudsman to Mumbai office.

I am not getting any reply from any concern person.

Pl guide what I am supposed to do.

Regards,


Mangal Kulkarni,
Pune