Star Health a comprehensive Health insurance
Star Health a comprehensive Health insurance, This insurance is a fully loaded top and floater policy for the entire family the unique features of the policy include a very high some insured option with exclusive extended benefits without any supplements also there is a provision of no capping on room rent and Restoration of the sum insured up to 101 Day Care procedures.
Disclaimer
Dr Nasir Physiotherapy and Rehabilitation or Dr Nasir or any other member of the team isn’t liable for any claims.
The sum insured options include
- 5 lacs
- 7.5 0 lacs
- 10 lacs
- 15 lacs
- 20 lacs
- 25 lacs.
Eligibility
- The age eligibility is for 18 years to 65 years for entry in the 61 years to 65 years group the sum insured is restricted to a maximum of 7.5 0 lacs which cannot be enhanced at any point in time.
- Children above the age of 5 months can be covered if and only if the parent is covered.
- For people beyond the age of 65 years renewals of the policy are only accepted.
- Also, there is guaranteed renewal for your entire life
- Except for age eligibility, there are other eligibility criteria as well which include coverage of HIV-positive patients, such patients are covered only if CD 4 count is not less than 350 at any point.
- There is no provision for any claim for opportunistic infections.
- There is no claim for treatment for AIDS.
Coverage
Star Health a comprehensive Health insurance
The coverage of the policy is under 5 sections namely
- Section 1:-Where hospitalization is included
- Section 2:- The delivery charges for newborn baby coverage and vaccination benefits are included
- Section 3:-Outpatient treatment for dental or ophthalmic coverage
- Section 4:-Hospital cash
- Section 5:- Cost of health checkup
Section 1 Hospitalization
- The room rent, boarding ,nursing ,expenses ,ICU ,operation theatre expenses, surgeon ,anaesthetic, medical practitioner ,Consultants ,specialist fees ,anaesthesia ,blood ,oxygen ,operation theatre charges ,surgical appliances ,medicines and drugs. Diagnostic materials X-rays, dialysis, chemotherapy, radiotherapy, cost of a pacemaker, and similar expenses are included under no capping.
- Pre-hospitalization 30 days and post-hospitalization 60 days are covered
- To use these benefits prescriptions, bills, receipts and the copy of reports have to be submitted
- Also, ambulance charges are also covered which are ranging from 2000 to 5000 depending upon the sum ensured.
Section 2 Delivery and Newborn baby care - Under this section, there is a waiting period of 36 months and maximum2 deliveries are covered with a gap of 24 months between the two
- The sum ensured benefits for normal delivery ranges between 10000 to 25000 and for cesarean delivery ranges between 15000 to 40000
- There is no provision of pre and post-hospitalization benefits also both the insured and spouse should be covered in the same policy throughout.
- The limits are inclusive of prenatal and postnatal expensive
- For newborn baby coverage, 50000 to 100000 are covered in the policy period
- The vaccination expenses up to 1000 are incurred on the newborn baby
- The policy covers congenital defects both internal and external
- Also, the claims made under this section will not reduce the sum ensured, affect the health checkup benefit or be taken into account for loading claim
Section 3 Dental and Ophthalmic Treatment
- The treatment is covered for awaiting period of 36 months and can be taken as an outpatient.
- All the claim is payable under section 1 in the 3-year period and root canal treatment can also be claimed the amount varies from 5000 to 10000 making sure that the claimant is ensured continuously.
- The claims made under this section will not reduce the sum ensured, affect the health checkup benefit or taken into account for loading claims.
Section 4 Hospital cash
- A cash benefit maximum of 7 days per hospitalization is provided with an admissible claim under section 1 the limits per day range from 500 to 1500
- The cost of a health checkup to the limits specified after a block of 3 claim-free years of continuous coverage range from 5000 to 12000 the benefits are payable for insured people who have been continuously ensured under the policy.
Star Health a comprehensive Health insurance
Exclusions
- First, 30 days of exclusion except for accidents
- No first-year exclusions only for the first two years exclusion
- The PED waiting period is 48 months
- Allopathic treatments are not covered
- Enhanced external counterpulsation therapy and related therapies and rotational field Quantum Magnetic resonance therapy are excluded
The data and references have been taken from Google and must be co-related before investing.
For information about Star Health Insurance, Visit their website.
Also At DNPR our associated hospitals provide almost 49+ Health Insurance Panels.
Disclaimer
Dr Nasir Physiotherapy and Rehabilitation or Dr Nasir or any other member of the team isn’t liable for any claims.