Star Family Optima 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 for families is the STAR FAMILY OPTIMA HEALTH INSURANCE PLAN.

The SALIENT FEATURES of this plan are:

· It is a family floater plan

· Hospitalization cover protects the insured person for in-patient hospitalization expenses for a minimum of 24 hours. These expenses include room and boarding charges as per the policy conditions

· 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

· Family includes proposer, spouse, dependent children up to the age of 25 years (those who are economically dependent on their parents)

· Any persons between the age of 5 months and 60 years residing in India can take this insurance

PREMIUM TABLE:

SUM INSURED: Rs.1 lac

	5 MONTHS-45 YEARS	46-55 YEARS	56-60 YEARS
2A	1765/-	NA	NA
1A+1C	1515/-	NA	NA
1A+2C	1640/-	NA	NA
1A+3C	1785/-	NA	NA
2A+1C	1890/-	NA	NA
2A+2C	2025/-	NA	NA
2A+3C	2165/-	NA	NA

SUM INSURED: Rs.2 lacs

	5 MONTHS-35 YEARS	36-45 YEARS	46-55 YEARS	56-60 YEARS
2A	2890/-	3140/-	5535/-	6400/-
1A+1C	2715/-	3005/-	5265/-	6120/-
1A+2C	2835/-	3075/-	5410/-	6225/-
1A+3C	3085/-	3415/-	5715/-	6645/-
2A+1C	3295/-	3555/-	5925/-	6965/-
2A+2C	3455/-	3675/-	6450/-	7360/-
2A+3C	3625/-	4060/-	6795/-	7820/-

SUM INSURED: Rs.3 lacs

	5 MONTHS-35 YEARS	36-45 YEARS	46-55 YEARS	56-60 YEARS
2A	3985/-	4360/-	7605/-	10030/-
1A+1C	3710/-	3940/-	6930/-	9185/-
1A+2C	3825/-	4110/-	7160/-	9725/-
1A+3C	4125/-	4440/-	7630/-	10095/-
2A+1C	4190/-	4830/-	7865/-	10625/-
2A+2C	4310/-	5110/-	8400/-	11090/-
2A+3C	4615/-	5320/-	8710/-	11755/-

SUM INSURED: Rs.4 lacs

	5 MONTHS-35 YEARS	36-45 YEARS	46-55 YEARS	56-60 YEARS
2A	5195/-	5565/-	10510/-	13515/-
1A+1C	4750/-	5070/-	9660/-	12730/-
1A+2C	4910/-	5250/-	10150/-	13210/-
1A+3C	5365/-	5725/-	10980/-	13755/-
2A+1C	5295/-	5775/-	11270/-	14290/-
2A+2C	5645/-	6240/-	11870/-	14890/-
2A+3C	6025/-	6540/-	12585/-	15815/-

SUM INSURED: Rs.5 lacs

	5 MONTHS-35 YEARS	36-45 YEARS	46-55 YEARS	56-60 YEARS
2A	5920/-	6525/-	12010/-	15855/-
1A+1C	5370/-	5955/-	11550/-	15225/-
1A+2C	5630/-	6285/-	11865/-	15645/-
1A+3C	6035/-	6770/-	12390/-	16275/-
2A+1C	6345/-	7045/-	12815/-	16750/-
2A+2C	6875/-	7675/-	13210/-	17450/-
2A+3C	7260/-	8195/-	13860/-	18105/-

· A Service Tax of 10.3% needs to be added to the premiums mentioned above

· Premiums paid are eligible for relief under section 80D of the Income Tax Act

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:

Ø Cataract

Ø Hysterectomy

Ø Menorrhagia or Fibromioma

Ø Knee replacement surgery (other than caused by an accident)

Ø Joint replacement surgery (other than caused by an accident)

Ø Prolapsed Inter-vertebral disc (other than caused by an accident)

Ø Varicose veins/ulcers

· Expenses incurred in the first 1 year of continuous operation of the policy cover on treatment of:

Ø Benign prostate

Ø Hypertrophy

Ø Hernia

Ø Hydrocele

Ø Fistula in anus

Ø Piles

Ø Sinusitis and related disorders

Ø 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

· A discount of 10% on premium is allowed on renewal of the policy is given if there is no claim in the immediately preceding year of the policy. But this discount is not cumulative