Star Health Insurance Claim Form

Star Health Insurance Claim Form

Star health insurance claim form is provided by Star Health & Allied Insurance Company Limited through which the insured can officially raise a claim. It is an important part of the health insurance claim process, failing which the claim can be rejected. To file a claim for a Star health insurance plan, the policyholder must submit the duly filled and signed claim form along with other mandatory documents.

What is the Star Health Insurance Claim Form?

The Star health insurance claim form is an official document that includes information, such as patient details, policy information, treatment details and incurred expenses. The insured can raise a reimbursement claim for medical expenses or benefits covered under the policy. A health insurance claim for a cashless treatment can be filed through a pre-authorization form.

How to Download the Star Health Insurance Claim Form?

You can download the Star health insurance claim form directly from the insurer's website.

• Visit the official website of Star Health and Allied Insurance Company Limited.
• Click 'Claims' on the main menu bar.
• Select 'Claim Process' or 'Claim Helpdesk'.
• Scroll down, and you will find the option 'Download Health Claims Form'.
• The Reimbursement Claim Form will be displayed on the screen. You can download or print it.

The policyholder can also download the claim form via the Star Health app. They can also obtain a physical copy of the Star health insurance claim form by visiting the nearest branch office.

How to Fill the Star Health Insurance Claim Form?

The Star health insurance claim form comprises two parts – Part A and Part B, that must be duly filled out.

1. Part A

   • Claim number and claim type
   • Details of the proposer - policy number, policy period, proposer name, address, ID proof type, PAN Card number
   • Details of hospitalized insured person - name, gender, age, occupation, address, relationship to primary insured, ABHA ID number, ID proof type, Star Health/TPA ID card number, etc.
   • Details of hospitalization - name of the hospital where admitted, hospitalization reason, date of admission (in case of accident), etc.
   • Details of insurance history - other health insurance policies' date of commencement, company name, policy period, policy number, sum insured, etc.
   • Claim details - details of the expenses claimed
   • Details of enclosed bills - bill number, date, issued by, details of expenses claimed and amount
   • Checklist for mandatory documents to be submitted
   • Details of the proposer's bank account
   • Declaration by the proposer/ claimant
   • Date and Signature of the proposer/ claimant

   Disclaimer: The above-mentioned claim form details are indicative only. The policyholder must fill out all required details in the claim form provided by Star Health & Allied Insurance Company Limited.

2. Part B

   This part of the Star health insurance claim document has to be filled out by the hospital.

Common Mistakes to Avoid when Submitting Star Health Insurance Claim Form

Minor errors or slips in the form can lead to claim rejections in health insurance, requiring the policyholder to raise the claim request again. Here are some common mistakes that one must avoid when filling out the Star health insurance claim form:

• Providing incorrect policy details
• Mismatch in personal information
• Leaving mandatory fields blank
• Submitting unsigned claim forms or putting the wrong signature
• Incorrect bank details (incorrect account number/ IFSC code or missed cancellation cheque)
• Not attaching all the required documents
• Submitting the claim after the specified time limit

Pro Tip: Double-check the filled claim form before submitting to ensure faster claim settlement.

Types of Star Health Insurance Claim Forms

Whether raising a claim for an individual plan or a Star health insurance family plan, the policyholder has the option to file it in two ways – cashless or reimbursement claims.

Reimbursement Claims

Reimbursement claims are the ones where the policyholder is required to pay the medical bills upfront and later claim a refund from the insurer.

To raise a claim, the policyholder can download the reimbursement claim form for the expenses they have incurred on medical treatment or benefits included in the policy. Reimbursement claims can be raised through the insurer's website, app, or WhatsApp number.

Cashless Claims

Cashless claims are those in which the insurer settles the medical expenses directly with the hospital. The policyholder is not required to pay anything from their pocket before the treatment, but must pay the non-medical expenses in the final settlement.

To raise a cashless health insurance claim, the insured must submit the claim form known as the pre-authorization form before the treatment begins.

Documents Required with the Star Health Insurance Claim Form

Other documents required to be submitted along with the Star health insurance claim form include the following:

• Original hospital bills and receipts
• Discharge summary
• Pharmacy bills
• Policy Document
• Proof of identity
• Cancelled cheque or bank statement

FAQs on Star Health Insurance Claim Form