Star Health Corporate Solutions

Corporate Solutions

Star Health & Allied Insurance Company is India's first & only exclusive health insurance company. We offer customized solutions to meet your Company's requirements.

Why should you choose Star Health Insurance to manage your employee health insurance portfolio?

Large Hospital Network

• STAR Health has a large number of network hospitals across the country offering CASHLESS treatment to its members. We have negotiated discounted tariff for healthcare services at the identified network of Hospitals and Nursing Homes wherever possible. Additions to the network are done on a regular basis by our dedicated networking team.

Experienced Personnel

• All our Managers have prior experience in implementing and servicing large Health insurance schemes. They are very well versed with the claim processes. This will ensure a smooth & effortless transition.

In-house Claims Processing

• STAR Health has its own medical officers and technical staff to handle the network provider claims as well as the reimbursement claims. Our experienced staff will adjudicate the claims in a speedy manner and reduce turn around time. This also means that your employees will have a single point of contact - No more depending on any Third Party for claims related issues or ID cards.

Cost Containment through Case Management and Medical Audit

• At Star Health we understand that inflated & fraudulent hospitals bills are a major cause of concern for corporates. To prevent these, expert case managers monitor the health status of the member and control any unnecessary tests and investigations, medicines or malpractices on part of the hospitals. The medical audit conducted periodically on hospitals will help in ascertaining the quality and cost of care provided by the network hospitals.

Medical services offered by in-house doctors

• Medical Authorization
• Medical Case Management
• Medical Outcome Audit
• Medical Scrutiny
• Random Inspection at Network Hospital
• Record Verification at Network Hospitals
• Rationalization of Tariffs at Network Hospitals

24x7 Doctor on Call

STAR Health offers round the clock General Practitioner advice and medical counseling to its insured members. All that your employees have to do is call our toll free helpline number.

24x7 Call Centre

STAR Health's 24x7 in-house call centre is accessible through a nation wide toll free number - 1800 425 2255. Your employees can call the call centre for assistance in information on:

• Network hospitals
• Support services in an Emergency
• Coverage eligibility
• Claims- documentation support, query handling
• Claims settlement status
• General information on health insurance plan

Help Desk

STAR Health can place a dedicated, 5 days a week, client-service executive for conducting Help Desk services inside the premises of your company. The client service executive at the help desk will provide seamless and prompt delivery of the following services:

• Attending to the queries of the employees and HR Dept.
• Assist HR in endorsement follow-up of any addition, deletion.
• Attending to the queries of your employees at the network hospitals at the time of hospitalization
• Attending to the members during emergency cases like providing Ambulance services etc.
• Hastening the process of pre-authorization during emergencies.
• Follow up with the enrolment and claims management team, to provide responses in record time
• Conducting employee orientation and induction programs on the health policy. Periodicity to be decided upon mutual discussion.
• Information on network of diagnostic centers, hospitals and nursing homes
• Protocols of reimbursement in case of in-patient services availed outside the network hospital.
• Collection of the claim documents from the members for non-network claims
• Generation of documentation checklist, recording the deficiencies in the checklist, communicating deficiencies to the members and recovery of the deficient documents from the members.

Comprehensive Report on Utilization

The following reports will be generated location wise and will be forwarded to the Corporate on a periodic basis.

• Claim intimation received report
• Authorization issued
• Actual claim received with breakup of network hospital claims (CASHLESS) and member reimbursement claims
• Settlement status of the claims
• Medical statistics
• Utilizations report: Employee Vs Dependant, Age ,Hospitalization bill break-up (under service heads)
• Details of claim rejections
• Report on grievances if any
• Periodic updating on the network hospitals

Other Value Added Services

Health Camps:

We can arrange for annual health camp for employees only, conducted by our in house doctors, at your Premises as per the convenience of the employees and HR Dept

The scope of the Health camp can be:

1. One General Medical Examination per location
2. One Eye Camp per location
3. One Dental check-up per location