This is a discussion on Health claim in star health & allied insurance within the Medical Insurance forums, part of the Insurance category; Dear Sir/Madam, CLAIM NO-CLI/2012/161200/00095427 POLICY NO-P/161200/01/2012/002493 I took Senior Family Health Policy (Coverage: 5 Lac; P/161200/01/2012/002493) from Star Health. In ...
I took Senior Family Health Policy
(Coverage: 5 Lac; P/161200/01/2012/002493) from Star Health. In 2009, when i took policy, Company Said that your Room Limit is Rs.4000 Per Day maximum I agree but this tme.In Nov,2011 befor renewal company executive said me your room limit increased by 1000 that is Rs.5000/- Per day and after that when i received the policy documents company clearly mention that your Revised Room limit is Rs.5000/- Per Day, On 17th Nov 2011 Suddenly my husband got sugar attacked & he was admitted in Fortis Hospital Shalimar Bagh,New Delhi and accordingly Immediately informed to company & i conformed as per terms & conditions we adopted Rs.5000/- per day Room Rent
When we received Bill Assessment Sheet of the company we are shocked that company calculate as per Rs.4000/- per day.I submitted all the papers to Star Health. Today,
I felt cheated now I really need it. It looks like Start health is only interested in collecting the insurance (May be, this is the reason for selling it Cheap)?
As Per Company Bill Assessment Sheet:-
1.Room Rent:-as per my Policy Maximum Room Rent Limit is Rs.5000/- Per Day But company calculate as Rs.4000/- Per Day
2.The Investigation Charges is made Rs.2440/- But Received Only Rs.300/-
3. The Professional Charges is Rs.23250/-But Pay Rs.18250/-
4.The Post Hospitalization Bill Provided By me RS.7389/- & My policy Says that The Post Hospitalization Expenses Limit is Rs.5000/- But company pay only Rs.3523/-.
Kindly Provide Me your Kind Support & What is the legal way to handle this issue ?