Star Health Insurance Claim Form - Summary
Star Health and Allied Insurance Company provides a reimbursement claim form for policyholders seeking payment of eligible health expenses. The current official form separates the claimant’s information from the hospital’s treatment details and includes a checklist of supporting records.
The form states that reimbursement claims must be intimated immediately, before discharge, and claim documents must be submitted within 30 days from the date of discharge. Claim decisions remain subject to policy terms; issuing the form does not mean Star Health has accepted liability.
What the claim form covers
Part A is completed by the proposer or claimant. It asks for policy and customer details, contact and identity information, the insured patient’s details, the reason for hospitalisation, and details of any other health insurance. The form provides claim-type options such as in-patient treatment, pre- and post-hospitalisation expenses, OPD treatment, day care procedures, maternity cover, health check-up, domiciliary hospitalisation, critical illness and hospital cash.
Part A also records the expenses being claimed, including hospitalisation, ambulance, pre- and post-hospitalisation costs and other listed benefits. The claimant must provide bank account details for NEFT payment and sign a declaration confirming that the information and bills submitted are correct.
Documents and hospital section
The mandatory-document checklist includes a signed claim form, hospital discharge summary, final bill and receipts, relevant prescriptions and investigation reports, and bank account proof such as a cancelled cheque leaf or passbook. Other records may apply to the case, including implant invoices, maternity sonography reports, accident reports or an FIR, and legal-heir documents. The form says this checklist is indicative and the insurer may ask for more documents.
Part B is completed by the hospital. It records the hospital’s address and registration details, treating doctor’s information, patient admission and discharge details, diagnosis, treatment and accident information where relevant. A hospital authority signature and seal are included in its declaration section.
Filing and claim support
Star Health’s official [claims guidance](https://www.starhealth.in/claims/) describes cashless and reimbursement routes. For reimbursement, the insured pays the hospital first and submits the required records for review under the policy conditions. The form lists the customer support numbers as 1800 425 2255 and 1800 102 4477, and gives [email protected] as an email contact.
Complete the sections that apply to the claim and check the policy-specific requirements before sending documents. Keep the claim number and copies of submitted records for follow-up; the insurer may request additional information while processing the claim.
