Star Health And Allied Insurance — fraud in repayment of the claim

Address: Gautam Buddh Nagar, Uttar Pradesh, 201301

Website: starhealth.in

Hello

As per conversation i had with the customer care executive, my request for the claim, for policy no. P/23116/01/2017/002226

I sent the following email to them..
And they never reverted back to it...

Star health insurance
To whomsoever it may concern
This is in regards to the insurance claim which we had filed for the policy no.
Cli/2018/23116/01/2017/
Claim no: 0033343
Name : mr. Avdhesh kumar sharma
As per the communication that i had with the customer care executive, the claim has been
Rejected on the grounds that the doctor of sai hospital mentioned the disease as chronic
Kidney disorder. So, the insurance company, that is your company, is asking us to produce
Papers of previous diagnosis..
Now let me inform, :
1) to start with we are laymen in terms of the terminology that doctors use or the clauses
That the insurance company is pointing out while rejecting our claim.. But the patient,
Who is my grandfather, a retired professor, had no previous illness relating to the kidney.
And the issue was diagnosed for the first time in sai hospital itself. So it is not possible
For us to give any old papers for the diagnosis, as there aren’t any.
2) we got an enquiry letter from the insurance company, which has been duly answered
And it has been restated that the problem was diagnosed for the first time here, so there
Are no previous reports in this regard..
3) my grandfather being in the mid-70’s, and suffering from a life threatening illness, it is
Not possible for him to do the rounds of the hospital and the insurance company again
And again for a very genuine claim. And i do not stay in bareilly, i’m working in noida, so
I only get time when there are few holidays available..
4) since last 3 months we have been trying our best to match up with all the requirements
Stated by the insurance company and to our best of knowledge we have provided all the
Papers required.
5) we had an insurance claim from other company also, which had no problems in getting
Through.

As, you also know this claim is genuine and for a retired person for whom
1.30lakhs is a big sum, it is my humble request to please look into the matter and get it
Resolved positively asap. A concerned person from the local branch of start insurance
Came in person and checked on the patient too, so i don’t understand why to delay the claim.
As per now i’m sending this mail as a request to please initiate the process and get the claim to
Us, for which we have submitted all the documents.
I have been very frustrated amidst this illness to my grandfather and your company’s never
Ending paperwork..
Plus dealing with the customer care of star health insurance is another tough task..
Hope, the one concerned has some regard in their heart for a retired professor who is
Bedridden right now, in need of the money that is stuck with the company!!
I myself would like to see that this issue can be taken care of without any more fuss, as it is the
Most genuine claim, if there is any confusion why don’t you send in an authorized personnel
From your end and get it confirmed from the doctor himself, dr. Sharad agarwal, sai hospital,
Bareilly, up.
So, i hope this will be looked into soon and there will be a positive response..
Will be waiting to hear from you.
Best
Milind sharma
(Grandson of mr. A k sharma)
[protected]

Never heard from star health again..
This is such a fraud and a scam that too with an old retired professor..

I mean how disrespectful and stone hearted can man turn to be for money..

Hoping for a positive and quick response..

Best
Milind sharma
[protected]