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4.0

Summary

STAR Health Insurance
Raju Oza@raju687
Aug 13, 2024 01:08 PM, 345 Views

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(Updated Sep 24, 2024)
Biggest fraud

This company has maximum appeal pending in ombudsman & courts as they do not pass claim on flimsy grounds. They are hand in glove with network hospitals. TPA are also well trained. The doctor gave a discharge at 10 am. Till 6 pm we were waiting for the claim settlement as our cashless sanction was in part.As cashless was sanctioned we were quite sure that after some deduction our claim. Surprisingly they rejected the claim entirely at 6.30pm. I had to arrange a huge amount as doctor Reshma Rao had also billed 15% above prescribed limit set by the hospital.ultimately I filled a case with ombudsman (lokpal), got the award of almost 90% amount claimed after 10 months.Advice every one to start forcing TPA & panel of doctors in the morning itself. If they say doctors are reviewing, you should start arguing as to how long it takes? We are leaving the hospital, you settle, patient can’t be taken for a ride etc. if they deny don’t move, tell them you have been paying premiums not for this day etc. New rules also have come up. Study them, they are in favour of consumer.

Issue Resolved
(0)
Dear Raju Oza,We regret for any inconvenience caused. Request you to provide the policy details and contact number via any of the below links. So that we can investigate this and get back to you.Thank youTeam Star Healthhttps://bit.ly/SHormhttps://m.me/StarHealthSupport
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