Star Health Insurance

Claims Settlement Process for Star Health Insurance

• Step 1 - Approach the insurance desk at a network hospital. Intimation can be given either through contacting us at 1800 425 2255 / 1800 102 4477 or e-mail us at support@starhealth.in
• Step 2 - Show your Star Health ID card for identification purpose at the hospital reception.
• Step 3 - Submit to the hospital Pre admission investigations and Doctor’s consultation papers.
• Step 4 - Network hospitals will verify your identity and submit duly filled pre - authorization form with Star Health.
• Step 5 - Our doctors verifies all the submitted documents before processing the claim as per terms and conditions. An assigned field doctor may visit the patient at the hospital if required.
• Step 6 - After discharge, the hospital will send the claim documents to the company and the authorized amount will be settled directly to the hospital.

• Please contact the toll-free help line: 1800 425 2255 / 1800 102 4477
• The hospital will send the duly filled pre-authorization from through hospital portal (or) at the below number (or) Email ID
  • Call : Toll-free FAX: 1800 425 5522 (or)
  • Call : Non Toll-free FAX: 044 -28302200
  • Email : cashless.network@starhealth.in
• Please carry your ID card.

• Upon receiving intimation from the insured/insured’s attender, they are contacted by the network hospital
• Customer Care will verify the validity and coverage of the policy
• A field visit doctor is deputed to visit the patient at the hospital if required.
• Our medical team will process the cashless request for the insured person subject to policy terms and conditions.

• Upon receiving intimation from the insured/insured’s attender, they are contacted by the network hospital.
• Customer Care will verify the validity and coverage of the policy
• A field visit doctor is deputed to visit the patient at the hospital if required
• Our medical team will process the cashless request for the insured person subject to policy terms and conditions.

• Health card
• Doctor's consultation papers
• Discharge summary
• Investigation reports (e.g. X-ray, scans, blood report, etc.)
• Pharmacy invoices supported by respective prescriptions
• In cases of accidents, Medico Legal Certificate (MLC) and / or FIR
• KYC documents of the insured if claimed amount exceed Rs.1, 00,000/-

Reimbursement Claims Procedure following hospitalization

• All claims need to be intimated within 24 hours of hospitalization. Reimbursement facility is available at network hospitals as well as at non-network hospitals
• Avail treatment, settle all bills and file a claim for reimbursement.
• Submit the claim documents to the company within 15 days from the date of discharge.
• To receive the claim form, cite your policy number and intimate Star Health about hospitalization.

• Upon discharge, pay all hospital bills and collect all original documents of treatment undergone and expenses incurred.
• Claim form has to be filled in and along with, all the relevant original documents have to be submitted at the nearest Star Office
• We settle the claim in subject to policy terms and conditions.
• Non-Payable items would be at the insured's own cost.

• Copy of Health card
• Duly filled claim form
• Pre admission investigations and Doctor's consultation papers
• Discharge summary from hospital in Original.
• Investigation reports (e.g. X-ray, scans, blood report, etc.)
• Pharmacy invoices supported by respective prescriptions
• Case receipts from hospital, chemist
• In cases of accidents, Medico Legal Certificate (MLC) and / or FIR
• Copy of the KYC documents - NEFT details, Contact number and E-mail ID