Star Medi Premier 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 PREMIER HEALTH INSURANCE PLAN.

The SALIENT FEATURES of this plan are:

• It provides additional lump sum payment in case of diagnosis of certain illnesses during the policy term
• Any person between the age of 26 years and 75 years can take this insurance
• The policy has two sections. Section I offers protection against unexpected health care requirements
• Section II ensures a lump sum payment of 50% of sum insured when certain health disorders are diagnosed
• Covers under Section I:
• Hospitalization cover – in-patient hospitalization expenses including room rent at 2% of sum insured subject to a maximum of Rs.4000
• Boarding and nursing expenses
• Surgeon’s fees, consultant’s fees, anesthetist’s fees
• Cost of medicines and drugs
• Cost of blood, oxygen, diagnostic expenses, cost of pace makers, artificial limbs, etc
• 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
• Lump sum calculated at 7% of the specified hospitalization expenses payable towards post-hospitalization, subject to a maximum of Rs.5000
• Covers under Section II:
• 50% lump sum compensation of the sum insured in addition to payment of hospitalization under Section I
• Such hospitalization expenses would be paid only till the date of diagnosis of the major illness
• On entitlement for payment of lump sum under this section, all further benefits shall cease and the policy will get terminated
• Only one lump sum payment will be made during the insured person’s lifetime
• To become eligible for lump sum compensation, the diagnosis should be 90 days from the commencement date of the policy
• In case of detection of major illness, the insured person must survive beyond 30 successive days from such date of detection
• Specified major illnesses are stroke, renal failure, cancer

PREMIUM TABLE:

• 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

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
• Joint replacement surgery (other than caused by an accident)
• Prolapsed Inter-vertebral disc (other than caused by an accident)
• Varicose veins/ulcers
• Expenses incurred in the first 1 year of continuous operation of the policy cover on treatment of:
• Hernia
• Hydrocele
• Piles
• Sinusitis and related disorders
• Congenital internal disease/defect
• 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 shall be limited to 25% of sum insured, subject to a maximum of Rs.25000 in the entire policy period
• Expenses that are cosmetic in nature

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%