Health Insurance claim rejection by Star Health Insurance Company

POSTED BY Atin ON March 19, 2014 5:24 pm COMMENTS (2)

My wife have a few lumps on her back and she had been advised by doctor to get these removed.

we hold a Star Health policy – family floater for four years. Since it would be a day care procedure the hospital people have applied for a pre authorization from STAR.

The same has been disapproved and they have said they shall not be paying us money even for reimbursement.

Are they correct in refusing the money.

Then which insurance companies would cover such OPD/Day care procedures?

Please advise

2 replies on this article “Health Insurance claim rejection by Star Health Insurance Company”

  1. Nikhil Verma says:

    Dear Atin,

    In addition to what Ashal has mentioned please refer to the Policy Wordings and see if its mentioned in the list of day care procedures.

    Regards,
    Nikhil

  2. ashalanshu says:

    Dear Atin, please try to understand/discuss the issue with your insurer as well as doctor – why insurer is not offering cover for such expenses? there should be some reason for refusal.

    Thanks

    Ashal

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