Star Health and Allied Insurance is one of the leading health insurance providers in India. It started its operations in 2006 as India’s first standalone health insurance provider. It has over 14,000+ network hospitals and 850+ branches across India. Being the largest health insurance provider it offers innovative and tailored products that are aligned with the needs of its customers. With a claim settlement ratio of 99.10%, they settle claims in-house with the intervention of TPA.
Types of Health Insurance Claims in Star Health Insurance
There are two types of claims available, one is a cashless claim and another is a reimbursement claim. There are different processes to file both these claims.The cashless claim will be settled at the hospital by the insurer and in reimbursement, you have to pay for the treatment and then you will get the bill amount in your account.
Steps To Make Star Health Insurance Claim
Star Health Insurance take care of its customers in different ways and that's why they have designed a smooth claim process. It helps its customers file claims easily in times of emergency. The steps to make a Star Health Insurance claim for both cashless and reimbursement are as follows:
Cashless Claim Process
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Whatsapp
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Website
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Application
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- Say 'Hi' on their WhatsApp Number - 95976 52225
- Select Claims
- Select File a Claim
- Select Health Claim
- Select Yes
- Select Health
- Select Policy Number
- Enter the Policy Number
- Enter the Intimator's Contact Number
- Enter the OTP sent to your mobile number
- Enter your Email ID
- Enter the Attender's Mobile Number
- Select the Insured Person's Name
- Enter the Reason for Admission
- Enter the Hospital Admission Date
- Select Medical Treatment (or For Surgery)
- Select hospital type Network
- Enter the Pincode
- Click Hospital List
- Select your Hospital from the list
- Select Confirm
- Your Claim Intimation Number will appear now
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- Visit www.starhealth.in
- Select Claims > Click Claim Intimation
- Select Health Claim
- Select Policy Type Health from the drop-down list
- Enter the required details in the Basic Info page
- Select Claim Type Cashless from the drop-down list
- Click Authorize
- Enter the OTP > Click Verify
- Enter the required details on the Admission Info page
- Click Select Hospital
- Enter the Pincode > Click Search
- Select the Network Hospital from the hospital search list > Click Submit
- Click Review & Submit
- Click Submit to get your Claim Intimation Number (or Edit to modify your details)
- A Success message will appear with your Claim Intimation Number
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- Download the Star Health App from the Google Play Store or App Store
- Login with your registered email ID and Password
- Click My Claims
- Click Register Claim against your policy
- Enter the required details > Select Claim Type Cashless from the drop-down list
- Click Select Hospital
- Enter the Pincode > Select Network > Click Search
- Select the Network Hospital from the hospital search list > click Submit
- Click Submit to get your Claim Intimation Number
- A Success message will appear with your Claim Intimation Number
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Reimbursement Claim Process
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Whatsapp
|
Website
|
Application
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- Say 'Hi' on their WhatsApp Number - 95976 52225
- Select Claims
- Select File a Claim
- Select Health Claim
- Select Yes
- Select Health
- Select Policy Number
- Enter the Policy Number
- Enter the Intimator's Contact Number
- Enter the OTP sent to your mobile number
- Enter your Email ID
- Enter the Attender's Mobile Number
- Select the Insured Person's Name
- Enter the Reason for Admission
- Enter the Hospital Admission Date
- Select Medical Treatment (or For Surgery)
- Select All
- Enter the Pincode
- Click Hospital List
- Select your Hospital from the list
- Select Confirm
- Your Claim Intimation Number will appear now
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- Visit www.starhealth.in
- Click Claims> Select Claims from the drop-down list
- Select Claims Intimation
- Select Health Claim
- Select Policy Type Health from the drop-down list
- Enter the required details in the Basic Info page
- Select Claim Type Reimbursement from the drop-down list
- Click Authorize
- Enter the OTP > click Verify
- Enter the required details on the Admission Info page
- Click Select Hospital
- Enter the Pincode > select All > click Search
- Select the Hospital from the hospital search list > click Submit
- Click Review & Submit
- Click Submit to get your Claim Intimation Number (or Edit to modify your details)
- A Success message will appear with your Claim Intimation Number
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- Download the Star Health App from the Google Play Store or App Store
- Login with your registered email ID and Password
- Click My Claims
- Click Register to Claim against your policy
- Enter the required details > Select Claim Type Reimbursement from the drop-down list
- Click Select Hospital
- Enter the Pincode > Select All > Click Search
- Select the Hospital from the hospital search list > click Submit
- Click Submit to get your Claim Intimation Number
- A Success message will appear with your Claim Intimation Number
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Documents Required for Making Claim in Star Health Insurance
- Bills, Receipts, Prescriptions
- All reports related to hospitalisation
- Reports & Bills of expenses incurred right from the onset of illness
- Invoice/sticker of Implants used in surgery
- Discharge summary of the patient
- Aadhar card
- PAN Card
- Cancelled Cheque leaf
FAQs
Ques 1. How to make an intimation in the case of an emergency admission?
Ans. In case of emergency admission you have to intimate the claim and inform your insurer within 24 hours of hospitalisation.
Ques 2. What to do if a health card is lost?
Ans. In case of loss or theft of card, contact Star Health toll free helpline number 1800 425 2255 / 1800 102 4477 or e-mail them at support@starhealth.in immediately.
Ques 3. What is a network hospital?
Ans. Network hospitals are the hospitals from which insurance company have tie-up and there you can avail the benefit of cashless hospitalisation.
Ques 4. What is the time frame for submitting a reimbursement claim?
Ans. The time frame to submit a reimbursement claim according to the policy guideline is within 15-30 days after the date of discharge.
Ques 5. How does cashless claim settlement work?
Ans. Cashless claim settlement works when you will take a treatment at the network hospital. You have to inform your insurer about hospitalisation and when treatment will get over insurer will settle the bill of the hospital directly.
