Star Health Insurance Claim Settlement Ratio (CSR) & Claim Process

Star Claim Settlement Ratio

99.06%

Star

94.21%

Industry Average

Health claim settlement ratio is the percentage of claims settled against the total claims received by the insurance company in a given fiscal year. Star has a claim settlement ratio of 99.06%, as compared to the industry average of 94.21%.

Star Claim Process

Star supports both cashless claims and reimbursement claims. This section covers the information on how to check Star health insurance claim status, fill Star health insurance claim form, and the claim settlement process.

Visit the insurance desk of the network hospital
Display the ID card for the purpose of identification
The Network hospital will verify the identity post which the pre-authorization form is submitted to the insurance company
A doctor will evaluate the required documents and process the claim as per the terms and conditions of the health insurance plan
A nominated field doctor to make the hospitalisation simple
The claim will be settled post completing the required procedures and as per the terms and conditions of the insurance policy

A nominated field doctor to make the hospitalisation simple
All hospital bills to be paid after discharge and all original documents of treatment and costs incurred to be collected
The Star Health Insurance Claim form needs to be filled and submitted together with all the original documents to the nearby Star Health branch office
The claim will be settled as per the terms and conditions of the policy

Star Premium Calculator

Use the Star health insurance premium calculator to estimate your health insurance premiums.

Premium Calculator

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Know More About Star Health Insurance

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FAQs

There is no such limit on the number of Star Health Insurance Claims which an insured can take in a year, however, the limit is on the Sum Insured which is the maximum permissible amount in any policy which one can avail of.

A Health Card is similar to the identity card which helps one to get the cashless facility at the network hospitals.

Yes, you can, however, the coverage will only be applicable in India.

Yes, the premium paid under the health insurance plan is exempt under the Income Tax Act, 1961.

The following factors need to be considered which are:

Need to check for the waiting period
Need to check for the pre-existing disease coverage
Need to check the exclusions
Need to check the room rent

eIA means an Electronic Insurance Account wherein all your insurance policies can be stored in a centralized manner. You can opt to open an eIA account with Star Health Insurance by filling up and submitting the account opening form available with the company. once your eIA account is opened, all your policies would be electronically stored in the account. Star Health would allot you a number for the eIA account which would be your eIA number. You can quote this number when buying insurance from other companies and the policies issued would be digitally stored in the eIA account.

To make premium payments of your Star Health Insurance policy online you can use credit cards, debit cards, net banking facility, NEFT or RTGS, mobile wallets and UPI platforms.

To make a valid claim in your Star Health Insurance policy you should contact the insurance company immediately and follow the stipulated claim process. The process has been described above which you can follow and get your claims settled. You can also make a claim through Turtlemint and Turtlemint would follow the claim process on your behalf and get your claims settled at the earliest.

Star Health is a reputed health insurance provider in the Indian insurance market which offers a range of comprehensive health insurance plans. The plans offered by the company have inclusive coverage benefits at affordable premiums. Moreover, the company has a network of more than 9900 hospitals for easy cashless claims and approves 90% of such claims within 2 hours. In-house claim settlement also ensures that your claim process is smooth and hassle-free. Given these reasons, you should buy Star health insurance plans.

The requirement of pre-entrance medical check-up depends on your age, the sum insured that you choose and the type of policy that you buy. Under many plans, medical check-ups are not needed up to 45 years of age. Some plans do not need check-ups even up to 55 years of age and in senior citizen policies, there is no need for medical check-ups. However, if you opt for high sum insured and/or have an adverse medical condition, medical check-ups might be needed. So, the requirement of medical check-ups varies across plans and the underwriting principles followed by the company.