Star Senior Citizen Red Carpet Health Plan

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 exclusively for senior citizens called the STAR SENIOR CITIZEN RED CARPET HEALTH PLAN.

The SALIENT FEATURES of this plan are:

  • This health insurance plans covers anyone who is above the age of 60 years and permits entry up to the age of 69 years
  • There are guaranteed renewals beyond the age of 69 years also
  • There is no need for a pre-insurance medical test
  • Treatment will be given only at network hospitals
  • All pre-existing diseases are covered from the first year itself except those for which treatment or advice was recommended during the immediately preceding 12 months from the date of the proposal
  • Disease for which treatment or advice was recommended during the immediately preceding 12 months from the date of the proposal will be covered from the second year onwards
  • In-patient hospitalization expenses for a minimum of 24 hours includes:
  • Room rent and boarding at 1% of sum insured
  • ICU expenses per day at 2% of sum insured
  • Nursing expenses
  • Surgeon’s fees, consultant’s fees, anesthetist’s fees and specialist’s fee per illness at 25% of sum insured
  • Cost of blood, oxygen, pacemaker
  • Cost of medicines/drugs and diagnostic tests at 50% of sum insured per hospitalization
  • Treatment for Cardiovascular Diseases/Cerebrovascular Accident/Cancer and breakage of bones – up to Rs.75000 where sum insured is Rs.1 lac and up to Rs.1.5 lacs where sum insured is Rs.2 lacs
  • Cataract (both eyes included) up to Rs.15000
  • Renal complications – up to Rs.75000 where sum insured is Rs.1 lac and up to Rs.1.5 lacs where sum insured is Rs.2 lacs
  • All other major surgeries – up to Rs.60000 where sum insured is Rs.1 lac and up to Rs.1.2lacs where sum insured is Rs.2 lacs
  • Ambulance charges up to a maximum of Rs.600 per hospitalization and overall limit of Rs.1200 per policy period
  • Post-hospitalization – a lump sum calculated at 7% of hospitalization (excluding room charges) subject to a maximum of Rs.5000 is payable

PREMIUM:

For Rs.1 lac sum insured the premium is Rs.4908/- and for Rs.2 lacs sum insured the premium is Rs.9326/-

  • 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:

  • Treatments currently availed or availed during the previous 12 months from date of proposal
  • Treatment of any illness/disease/condition contracted by the insured within the first 30 days from the commencement of the policy
  • First 2 years exclusions:
  • 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
  • First year exclusions:
  • Benign prostate
  • Hypertrophy
  • Hernia
  • Hydrocele
  • Fistula in anus
  • Piles
  • Congenital diseases/defect/anomalies
  • Sinusitis and related disorders
  • Gall stone/renal stone removal
  • Naturopathy treatment
  • Expenses purely diagnostic in nature with no positive existence of any disease
  • Expenses that are cosmetic in nature
  • 50% co-payment applicable for pre-existing diseases/conditions
  • 30% co-payment applicable for all other claims

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

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