[Resolved]  Star Health Insurance — Partial Refund of Claim

Address: Ernakulam, Kerala

I had taken a Family Floater Medical Insurance Policy from Star Health Insurance.


Named Insured: Kala Nair, Sunil Nair and Varsha Nair
Policy Type: Family Health Optima Insurance Policy
Policy No.: P/181211/01/2012/000595
Sum Insured: Rs.3,00,000/- (Floater)
Policy Period: 13.5.2011 to 12.5.2012

Unfortunately all of my family had to undergo treatment for Jaundice and was admitted to Ernakulam Medical Center hospital on 13th Oct 2011 . I contacted Star health when we were hospitalized and the hospital was in the Network hospital list of Star health providing cashless facility. When we were discharged on 27th Oct 2011 I was asked to pay Rs 37299 towards the hospital expenses even though the hospital was providing cashless facility. I had no other option but to pay the amount as the hospital won't discharge us without the payment. This was very painful for me to arrange the amount at such short notice. I contacted Star office and they had given me different opinion about what had happened. I was assured that the money will be refunded to me as this was deducted in error. I had reminded them so many times by calling them and writing letters to them. I have copy of the letters with me which were submitted to them on 11 Nov 2011 & 15th Mar 2012 by hand (Copy with Star Health Insurance Seal stating they have received a copy of the same). Also I have emails from them mentioning they will get back to me within 7 to 10 working days which was on Mar 17th 2012 with Service request number SRV[protected]. I had further tried to chase this mail request and on April 6th I received a mail from them stating that

"We will look into this details and get back to you at the earliest."

So far they have not come back to me.

Kindly look into this matter & do the necessary at the earliest

Thank you
Kala Nair, Sunil Nair