I WAS TAKE STAR HEALTH POLICY FOR MY DAUGHTER ON 05/01/2019 P/700001/01/2019/039746
AFTER 10 MONTHS MY DAUGHTER ADMITTED HOSPITAL
WE APTLY FOR CASHLESS BUT THEY REJECTED
THEN WE SUBMITTED FULL DOCUMENT FOR REIMBURSEMENT
THEY SAYING THE DISEASE ONE YEAR BEFORE AND WE REJECTED YOUR CLAIM ALSO CANCELLING YOUR POLICY
We have processed the claim records relating to the above insured-patient seeking reimbursement of hospitalization expenses for treatment of disseminated tuberculosis. Although the present admission of the insured patient is for treatment of disseminated tuberculosis, it is observed from the indoor case record dated 15.10.2019 of the above hospital that the insured patient has history of Behcet?s disease 1 year back and is in remission. This significant medical history is prior to inception of the first medical insurance policy. At the time of inception of your first year policy which is from 06.01.2019 to 05.01.2020, you have not disclosed the above mentioned medical history/health details of the insured-person in the proposal form which amounts to misrepresentation / non-disclosure of material facts. As per Condition No.9 of the policy issued to you, if there is any misrepresentation/non-disclosure of material facts whether by the insured person or any other person acting on his behalf, the Company is not liable to make any payment in respect of any claim. We are therefore unable to settle your claim under the above policy and we hereby repudiate your claim. As per Condition No.14, the policy is also liable to be cancelled and necessary action will be taken by our Corporate Office. The above decisions are taken as per the terms and conditions of the policy and based on the claim details/documents submitted. We are always at your service. Yours faithfully, Authorized Signatory rd
DON’T TAKE STARHEALTH INSURANCE
IF YOU NEED ANY PROOF WILL GIVE YOU