Jul 20, 2017 08:05 PM
95824 Views
Claim Number: 0189803
Patient Name: Mani Prasad
THESE GUYS ARE ONE FRAUD COMPANY.I WILL MAKE SURE THESE GUYS ARE RUN OUT OF BUSINESS IF MY ISSUE WAS NOT RESOLVED TODAY.
I would like to highlight the biggest fraud this insurance company is doing with me and I am sure many customers might be facing the same issue after the kind of conversation I had with your customer care. These guys are just taking money from customers and when it comes to making payment then these guys search for excuses.
My mom was admitted to Paramount hospital, Siliguri after she had brain hemorrhage again please note primary reason for her hospitalization is a brain hemorrhage. The hospital submitted paper work for cash less facility because my mom has insurance with Star Health and I have been making payment for this policy for past 2 years.
Cashless hospitalization was denied due to one the most nonsense reason I have even seen. As per this FRAUD insurance company because she has chronic kidney problem which was not mentioned when I bought the insurance so the claim is denied.
Are these guys really running the company? What kind of response is it? How can I tell about kidney issue at the time of buying a policy in the year 2015 when her kidney issue was diagnosed in 2016? I am not sure if these guys use their brain or they are brainless? This is "brain hemorrhage" case and these guys need to understand this in plain English and not unnecessary make excuses to run away with money which I have been paying every year for this policy. Why the hell this company takes money from me every year when they know they will deny each and every claim for kidney issue?
I would like to highlight that I clearly mentioned diabetes as the existing problem of the patient when I bought the policy and it is completely known in this whole world that diabetes impacts patient kidney then why the hell these guys gave me policy when they had to deny every claim due to kidney problem?
I spoke to associate for 1 hour and the only thing she could tell me that because she has kidney problem so this claim will not be approved?
Which medical book this company has read that brain hemorrhage and kidney issue is related? I will be fine if they reject a claim when I claim anything which is related to Kidney but how in this world they can deny brain hemorrhage claim for kidney issue?
I am not going to leave this company so easily and will destroy this insurance company to make sure you all run out of a job and this company is closed.
Thanks
Prabhat
