Star Health Insurance Claim Settlement
Star Health Insurance Claim Settlement The Claim Settlement Ratio (CSR) shows how many claims Star Health Insurance has paid compared to the total claims received in a year. It helps customers understand how likely the company is to approve their claims.
In the financial year 2022-23, Star Health Insurance settled 85.32% of claims. The company has an in-house claim settlement team, hence no Third Party Administrator (TPA) is required, which results in quicker processing of the claim.
Documents Needed for Star Health Insurance Claims
To get your claim reimbursed, you need to submit these documents:
- Filled and signed claim form
- Medical bills, discharge certificate, and receipts
- Surgeon's bills and receipts
- Chemist bills with doctor’s prescription
- Medical test and investigation reports
- Details of surgery or operation
- FIR (for accident-related cases)
How to Claim Star Health Insurance
Star Health Insurance allows two types of claims: cashless and reimbursement. Here’s how to file each:
1Cashless Claim Process
- Inform Star Health Insurance at least 2 days before planned hospitalization or within 24 hours for emergencies.
- Show your identity proof at the insurance desk in a network hospital.
- Fill out and submit the pre-authorization form at the hospital. The hospital will send it to Star Health.
- The insurance team will review your documents and approve the claim as per the policy terms.
- After discharge, Star Health will pay the hospital directly, so you don’t have to pay upfront.
2Reimbursement Claim Process
- Inform Star Health Insurance within 24 hours for emergency hospitalization and 2 days before for planned hospitalization.
- Pay the medical bills at discharge and keep all original receipts and documents.
- Fill out the Star Health claim form and submit it with all required documents.
- The insurance team will verify your documents and process the claim as per policy terms.
FAQs
Star Health Insurance provides cashless and reimbursement claims. The process may vary based on the type of claim.
Star Health settles cashless claims within 24 hours and reimbursement claims within 15 days.
Yes, you can track your claim status on the Star Health Insurance website by following a few simple steps.
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