Star Health Insurance has a defined claim settlement procedure involving both cashless and reimbursement options for the insured. Here is an overview:
Cashless Claims:
Network Hospital: Star Health bears all the cost of claims at network hospitals, where you can avail of cashless treatment.
Pre-Authorization: The insured should collect a pre-authorization from the hospital by filling out the necessary form, which is then forwarded to Star Health for acceptance.
Approval Process: Upon receiving the pre-authorization, Star Health will review and approve it, covering the medical expenses without any further hassles.
Reimbursement Claims:
Claim Form Submission: The insured must fill in the details of the claim in a claim form and include original medical bills, discharge summaries, prescriptions, and any other relevant documents.
Document Verification and Approval: The documents are scanned, approved, and verified, after which the amount is credited in a policyholder savings account.
Settlement Time Frame:
Star Health wants to clear claims as fast as possible, in a few weeks. Cashless claims are settled faster (within a few hours to a few days) in comparison to reimbursements.
The company is known for having an efficient settlement rate and processing time compared to the industry average.