Star Medi Classic Health Insurance

STAR HEALTH INSURANCE

Star Health Insurance is a venture between Oman Insurance Company, which is one of the leading insurance companies in the Middle East and a few enterprising industrialists, industry experts and business houses in India.

One of their health insurance plans is STAR MEDI CLASSIC HEALTH INSURANCE PLAN.

The SALIENT FEATURES of this plan are:

• It aims at providing reimbursement of hospitalization expenses incurred as a result of illness/disease/sickness and accidental injuries
• Any persons between the age of 5 months and 80 years residing in India can take this insurance
• In-patient hospitalization expenses for a minimum of 24 hours includes:
• Room rent and boarding at 2% of sum insured subject to a maximum of Rs.4000 per day
• Nursing expenses
• Surgeon’s fees, consultant’s fees, anesthetist’s fees
• Cost of medicines and drugs
• Ambulance charges up to a maximum of Rs.750 per hospitalization and overall limit of Rs.1500 per policy period
• Pre-hospitalization medical expenses up to 30 days prior to date of admission
• Post-hospitalization – a lump sum calculated at 7% of hospitalization (excluding room charges) subject to a maximum of Rs.5000 is payable
• Non-allopathic treatments up to Rs.25000 per occurrence are payable subject to a maximum of 25% of sum insured per policy period

PREMIUM TABLE:

FOR INDIVIDUALS:

FOR FAMILIES:

• A Service Tax of 10.3% needs to be added to the premiums mentioned above
• Premiums paid by cheque or credit card are eligible for relief under section 80D of the Income Tax Act

OPTIONAL BENEFITS ON PAYMENT OF ADDITIONAL PREMIUM:

• Hospital Cash – provides for payment of Rs.500 for each completed day of hospitalization. Premium ranging from Rs.200 to Rs.350 per person depending upon the age
• Patient Care – available for persons above 65 years of age. It pays for the attendant charges after discharge from the hospital at Rs.400 per day to a maximum of 5 days per hospitalization. Premium Rs.300 per person
• New Born baby cover – available with family package plan and provides for a new born from birth up to the expiry of the policy period. The sum insured is restricted to 10% of sum insured in respect of the mother. Premium 10% of policy premium

EXCLUSIONS:

• All expenses incurred in connection with treatment of any illness/disease/condition that is pre-existing at the time of commencement of the policy
• Treatment of any illness/disease/condition contracted by the insured within the first 30 days from the commencement of the policy
• Expenses incurred in the first 2 years of continuous operation of the policy cover on treatment of:
• Cataract
• Hysterectomy
• Menorrhagia or Fibromioma
• Knee replacement surgery (other than caused by an accident)
• Joint replacement surgery (other than caused by an accident)
• Prolapsed Inter-vertebral disc (other than caused by an accident)
• Varicose veings/ulcers
• Expenses incurred in the first 1 year of continuous operation of the policy cover on treatment of:
• Benign prostate
• Hypertrophy
• Hernia
• Hydrocele
• Fistula in anus
• Piles
• Sinusitis and related disorders
• Gall stone/renal stone removal
• Naturopathy treatment
• Expenses purely diagnostic in nature with no positive existence of any disease
• Expenses incurred for treatment of disease/illness/accidental injuries by medicines other than allopathic
• Expenses that are cosmetic in nature
• Expenses incurred on treatment of congenital diseases/defect/anomalies

An insurance product from Star Health Insurance can be bought by calling their toll free number 1800-425-2255 or one can also visit their website www.starhealth.in

ADDITIONAL BENEFITS of taking a health insurance plan from Star Health are:

• Cashless service without TPA intervention
• Direct tie up with all major hospitals in India
• 24 hours general practitioner’s advice and medical counseling
• 24×7 in-house call center
• Toll free telephone assistance
• First stand alone health insurance company
• Cumulative bonus ranging from 5% for every claim free year of insurance (except for the Family Package Plan) subject to a maximum of 25%