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Sekar & Family
Sekar & Family
> available withthe group administrator / proposer. Claim Procedure In the event of any claim, intimation should be given to Star Health immediately, through toll fre no: 1800 425 2255 or 41800 102 4477, or email: support@starhealth.in or fax - 1800 425 5522. For Cashless Treatment ‘Call the 24 hour lol tee no. for assistance - 1800 425 2256 / 1800 102.4877 bnform the ID number for easy reference £.0n admission in the hospital, produce the ID Card issued by Star Health atthe Hospital Helpdesk 4 Obtain the Pre-authorisation Form from the Hospital Help Desk, complete the Patient Information and resubmit to the Hospital Help Desk The Treating Docior will complete the hospitalisation treatment information and the hospital wil fl up expected cost of treatment f.This form should be submitted to Star Health g Star Health will process the request and cal for additonal dacuments/ clarifications if the information furnished is inadequate. Once all the details are furnished, Star Health wil process the request as par the terme and concitions as well as the ‘exclusions therein and either approve or reject the request based on the ments, Lin ease of emergency hospitalization information to be given within 24 hours after hospitalization |.Cashless facility can be availed only in Networked Hospitals. Please visit www. starheath in for information on Networked Heocpitals, kin nonsnetwork hospitals payment must te made up-tront and then reimbursement willbe effected on submission of documents Please note that denial of cashless is inno way to be construed as denial af treatment or denial of coverage. The Insured Person can go ahead with the treatment, site the hospital bills and submit the claim for a possibie reimbursement, Documents to be submitted for Reimbursement claim: ‘aDuly completed ciaim form, and .Pre Admission investigations and treatment papers. {Discharge Summary from the hospital in orignal |.Cash receipts from hospital, chemists 1@.Cash receipts and reports for tosts done F.Receipts from doctors, surgeons, anesthetist 9.Certifcate from the attending docior regarding the diagnosis A.Gopy of PAN Card Issue Oice Address: For Star Health and Allied Insurance Co., Lis ‘st Floor, OBMS Complex.41-46, 7th Siroat, Tatabae, (Above Bank of india) a Gandhipuram ,Coimbatore - 641012 Que Date: 14107/2021 ATOTSaY, Regd 8 Corporate Oe , New Tank Steet, ValuverKotar High Road, Nungerbakkam, Channal- 600 O34. Phana | O44-28300000) ERODED el ce Fax No. 1000-426.5522 Tell Free No: 1800-426-2285 100-102-4477, CIN UG60'0TN005PLCOSGE49 Emal : upportatamealn in Website: wwm.strhoatn in ROA! Rag. No: 12Royd & Corporate es: HPANAcalE ae daMle LeMBANGS fappePanY Limited Regd. & Corporale Office: 1, New Tank Street, Valuvar Kottam High Road, Nungambakkam, Chennai - 600034, Phone : O44 - 26268800 Telefax : 044 - 26260062 Website; www’starhealth.in IRDA Registration No: 129 ; Corporate identty Number : U86010TNZ005PL.CO56649 Note: Star Health reserves the righ to call for additional documents wherever required. Permanent Exclusion Details Of insured Person Insured Name 10 cara Permanent Exclusion Disease Permanent Exclusion Detals Of Dependent Insured Name 0 cars Permanent Exclusion Disease Star Health and ied sR ‘Company Limited ‘Customer Identity Card Policy No. = vaun9.n42022.un096s Valid From: 120072001 Certtente Nos /12111201 2022005880, SNe. Name ‘AgeiVes) Relationship Sum tnsared__1D Card No en ‘Self 0 22339311006882197, i Emergency HelpLine No, 1800425 2255 01800 102 4477 ‘emai supparastareath in Website wi staat Please quote the Customer 18 Na, fo 1» This ID Cardinal she insurance covers tin fre. > meine nneton to Sta hough above Tel Nos isa must incase of Mospiatsation Ashe tine of hoxpliaton kin submit sny Government approved photo ID Card. [amnesty Issue Office Address: 181 Foor, DBMS Complex, 41-46, 7th Street, Talabad, (Above Bank of india) ( Mbe Gandhipuram Coimbatore - 641012 Cev Date: 14/07/2021 New Tak Soe Valvar Kata High Roa, Nungambaiern, Chenna- 600 G24 Phone 04 2600ESDPT REGAN Ae rox No 1000-425 6522 Tone No.100.125. 288 18001024877, IN U8IOTNZCOSPLCOSE640 mat suppottareath in Webi wnsaheath in ROA Regn, No 129 For Star Health and Allied insurance Co, LiFHPAMASAELS AME LRMBRNGE GIPEBPANY Limited Regd. & Corporate Office: 1, New Tank Street, Valluvar Kottam High Road, Nungambakkam, Chennai - 600034 Phone : 044 - 26288800 Telefax : 044 - 28260062 Website: wwwstarhealth.in IRDA Registration No 129 ; Corporate Identity Number : U66010TN2005PLCO56640 ‘lar Health and Allied Inserance ‘Company Limited Dependent Identity Card 9900001 2022.00006s alld From: 12072021 11211 1201/2022006880 Se Name Agu(V's)—Relalonship W Card No 1 KAUSALYA 89 SPOUSE 22539911006882198 nee Emerge HelpLine No, 1800425 2255 or 1800 1024477 eam: soporte in Website: wunastarbeh Please quote the Customer 1d No fr assistance > This 1D Cordis inate insurance cover imo nore, > Immediate inition Sa toh above Tel Nox sa mst ince oF ospialstion| Atahe tine of hospalztionkinly soba ary Government approved photo ID Card. Pees Issue Offoe Address: For Star Heath and Aled Insurance Co., Le, ‘st Floor, DBMS Complex 41-46, 7h Stree, Talabad, (Above Bank of Inco) Paty Gandhipuram Coimbatore 641012 Ov Date: 1410772021 (poral Ofice: 1, New Tank Steet, ValvarKottsm High Road, Nungambekkam, Chennei-600 038, Phone 044 26dADTSRALIAO RAP Pl Fax No. 1800-425-8522 Tol Fee Note00.425.255 100-102-477, CIN: UBEDIOTNZDUSPL.COSBEAS Ema: sppevistamean in ble: wu treatin DAL Reg No: 128Regd Insurance Company Limi Farldealthan A sila COMPANY LGOUP y ted Regd. & Corporate Office: 1, New Tank Street, Valluvar Kottam High Road. Nungambakkam, Chennai - 600034, Phone : 044 - 26268800 Telefax : 044 - 28260062 Website ; wwwstarhealth.in IRDA Registration No: 129 ; Corporate Igentty Number : U66010TN2005PLCOS6G49 Hospitalisation Benefit Policy Premium Certificate for the purpose of deduction under Section 80 D of Income Tax (Amendment) Act, 1986 Policy No: P/1211 12/01/2022/0068e0 ‘Type of Policy : Star Group Healt Insurance tstue Office Branch Office -Gandhipuram Paley For Bank Customers - Address 1st Foor, DEMS Complex.41-46, 7h Sire, Talabad, (Above Bank of Indah ™"°3® Ganahipuram Coimbatore - 641012 TeliFox + oazzazizso1/ Email = coimbalore 100nroad@staheatih in ‘This is to cerlly that G. SEKAR has paid Rs.24614 / Rupees: Twenty-Four Thousand Six Hundred Fourteen Only ) towards Premium for Hospitalization Insurance vide Policy No: /121112/01/20221006880 for the Period 12/07/2021 To 11/07/2022 issued on 14-JUL-21 Payment received by Cheque/CreditDebit Card vide Receipt No: 1012008135 Receipt Date: 14/07/2021 Note :- This Certficate must be surrendered tothe Insurance Company for issuance of fresh Certtiate in case of Cancellation ‘of the Pokcy or any alteration in the Insurance affecting the Premium, Issue Offoe Address: For Star Heath and Aled Insurance Co., Lid {st Floor, DBMS Complex 41-46, 7th Sirt / Tatabad, (Above Bank of Inca) a Gandhipuram ,Coimbatore - 641012 DY o— Date: 14/07/2021 Corporate Offce 1, New Tank Sree, Vallwar Kem High Rasa, Nungambakkam, Chennai -600 024, Phone 044.2000 MOYRBA AN AIPAVGe Fax No. 1800-425.5502 Tall Free No. 1800-425 255 | 200-102-4477, CIN U66OIOTN2005PLCDS0549 Emal sucoorestarheah in Wek: wa stameath ny IRDA! Rego, No: 129