u/watchaboys

▲ 11 r/indiahealthinsurance+1 crossposts

Hi all,

I have Star health comprehensive policy for my parents. My mother (62F) was hospitalised due to flare of auto immune disease she is having and we have availed cashless option. But star health processed 90k from 1.14l claim (approx 21%). Should I mail them for a challenge and clarification on why they deducted so much amount. They have deducted under following heads : -

  1. 4.3k under Consumables

  2. 5.9k under RMO General Physician fee + Dietician charge

  3. 8.675k under Care hygiene and infection control charge + diet charge + medical history assessment

  4. 5.140k under Vitamin B12, Folate serum, blood sugar, CRP test

Total 24.027k

I feel this is very unfair of them. I have been paying premiums since last 6 years. Kindly guide me on how to contest these charges and which heads have maximum probability of reimbursement by them.

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u/watchaboys — 9 days ago