Star Health Insurance for Autism

Star Special Care is an affordable indemnity based medical insurance policy for children diagnosed with Autism Spectrum Disorder. Star Health and Allied Insurance offers tailor-made plans to cater to the different and specific needs of its customers. With this special health insurance plan for autistic children, parents can provide the best medical treatment available without any financial constraints.

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Star Health Insurance for Autism

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    Highlights

    Star Health Network Hospitals

    9900+

    Autism Cover

    Children up to 25 years

    Premium

    Rs. 4800- Rs 6.075

    Claim Settlement Ratio

    90%

    Eligibility Criteria

    • Entry age: Any child with autism spectrum disorder within the age group of 3 years and 25 years can get medical insurance cover under this plan
    • Coverage Type: Individual
    • Sum Insured Amount: Rs 3 Lakh
    • Co-pay: 20% co-payment is applicable to all the claims

    Premium Table

    Age ( in years)

    Premium (excluding tax in Rs.)

    3-10 years

    Rs 4800

    11-20 years

    Rs 5325

    21-25 years

    Rs 6075

    Key Features of Star Special Care Health Insurance for Autism

    • Indemnity cover: Star Health Insurance for Autism is a regular indemnity health plan
    • No pre-acceptance medical screening: No pre acceptance medical test
    • Renewal: up to the age of 25 years
    • Grace-period: 30 days from the policy expiry date
    • Free-look period- 15 days from policy purchase date

    Inclusions of Star Special Care Health Insurance for Autism

    • Autism cover: This is a special health insurance plan that offers medical cover to children diagnosed with Autism disorder
    • Day-care procedures cover: All the day-care procedures are claimable
    • Specialized covers: The insured gets compensation for treatment taken for Occupational Therapy, Behavioral Therapy, Physiotherapy, and Speech Therapy covered under OPD
    • Hospitalization expenses: Room charges, nursing & boarding expenses as provided by the Hospital / Nursing Home up to Rs 5,000 on daily basis. It also pays for the total hospital bill including the fees charged by the Surgeon, Doctor, Anesthetist, Specialist, and also the cost of blood, oxygen, anaesthesia, surgical appliances, operation theatre charges, medicines and drugs
    • Emergency ambulance cover: It is provided up to Rs 750 for each hospitalization and up to Rs 1500 for each policy term
    • Post-hospitalization: The insures pays post-hospitalization expenses equivalent to 7% of hospitalisation cost or actual charges up to 60 days after getting discharged
    • Expenses incurred on treatment of certain procedures-
    • Adeno Tonsillectomy up to Rs 25,000
    • Seizures treatment up to Rs 30,000
    • Hospitalization for fractures requiring surgery up to 20% of the coverage amount
    • Botox injection as per the policy terms and conditions
    • Physiotherapy, Behavioral Therapy, Speech Therapy, and Occupational Therapy up to Rs 1500

    Exclusions of Star Special Care Health Insurance for Autism

    Exclusions for which the claim can get rejected are given below:

    • The insured does not get any compensation for unproven treatments and therapies and Naturopathy Treatment
    • Stem cell Therapy, Psychological, Psychiatric, Bone marrow transplantation, Implantation, Chondrocyte, and Immunotherapy without proper indication
    • Hospital registration charges, record charges, admission charges, telephone charges and the likewise
    • Non-allopathic treatments
    • Change of sex or aesthetic or cosmetic treatment, plastic surgery, erectile dysfunctions, etc. are not eligible for a claim

    If you have any insurance-related queries regarding this product or any other health plans you can speak to our experts at 1800-419-7715 or 1800-258-5970.

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