Star Health Diabetes Safe Insurance Policy

Introduction:

This is a specialised policy that covers diabetes and related ailments specially and also takes care of regular hospitalisation

Eligibility:

• Minimum age:  18years and Maximum-65years, person already under the effect Diabetes Mellitus can take this insurance. There is no exit age and lifelong renewal beyond 65 years is also guaranteed.
• Policy is available on Individual and as well as Floater basis. (Family of 2: Self and Spouse) both have to be diabetic.

Policy Benefits:

• Covering any complications of Diabetes from day one and hospitalisation cover for all ailments including accidents.
• Also provide regular hospitalization cover for all other ailments/injuries.
• Pre Hospitalization expenses up to 30 days prior to the date of hospitalization.
• Post Hospitalization expenses up to 60 days after discharge from the hospital not exceeding 7% of the hospitalization expenses or Rs 5000/- per hospitalization whichever is less.
• Surgeons/Consultants, medical equipment and procedural fees are also covered.
• Room rent-

                   Section 1: Standard Single AC room

                   Section 2: 1.5% of sum insured up to a maximum of 8500 INR.

• Donor expenses are covered under kidney transplant.
• Dialysis expenses of 1000 INR per sitting are covered up to 24 months.

Additional Features:

• Automatic restoration of sum.
• Cost of artificial imputation of limbs up to 10% of sum insured.
• 400 day care procedures.

Policy Details:

• Plan A:
  • Pre-acceptance medical screening is required
  • No waiting period for hospitalisation against diabetes.
  • Plan B: No Pre-acceptance medical screening is required
    • Waiting period of 30 days for all other hospitalisation except diabetes.
    • Waiting period of 15 months for Cardio Vascular/Renal eye/related to eye and foot ulcer diseases.
    • 24 months for transplant and related surgeries.
    • No change of plans after receipt of policy.
    • 100% cost of Pre-acceptance medical screening is borne by company.

Sum Insured: 300000, 400000, 500000, 1000000

Sub limits:

• For Cataract:
  • (Sum Insured: 300000-500000 INR), a payment of 20000 INR per eye per person up to a limit of 30000 INR.
  • (Sum Insured: 1000000 INR), a payment of 30000 INR per eye per person up to a limit of 40000 INR.
  • No Sub limits for Cardio Vascular Diseases.     

Plan B:

Sum Insured (INR)	Maximum Liability of the company (INR)
300000	200000
400000	250000
500000	300000
1000000	400000

 

Premium Details:

Individual:

Individual
Age in Yrs./Sum Insured	PLAN A				PLAN B
	300000	400000	500000	1000000	300000	400000	500000	1000000
18-30	8270	10340	11895	15465	10195	12745	14660	19060
31-35	8910	11140	12815	16660	11315	14145	16270	21155
36-40	9765	12210	14045	18260	13190	16490	18965	24655
41-45	11590	14490	16665	21665	15790	19740	22705	29520
46-50	15385	19235	22125	28765	18905	23635	27185	35345
51-55	19415	24270	27915	36290	24050	30065	34575	44950
56-60	24155	30195	34725	45145	30250	37815	43490	56540
61-65	31365	39210	45095	58625	42345	52935	60880	79145
66-70	41960	52450	60320	78420	55955	69945	80440	104575
71-75	53935	67420	77535	100800	68055	85070	97835	127190
76-80	67375	84220	96855	125915	87715	109645	126095	163925
Above 80	82335	102920	118360	153870	105860	132325	152175	197830

 

Floater:

Floater
Age in Yrs./Sum Insured	PLAN A				PLAN B
	300000	400000	500000	1000000	300000	400000	500000	1000000
18-30	12070	15090	17355	22565	14565	18210	20945	27230
31-35	12985	16235	18675	24280	16160	20200	23230	30200
36-40	14200	17750	20415	26540	18840	23550	27085	35215
41-45	16810	21015	24170	31425	22555	28195	32425	42155
46-50	22230	27790	31960	41550	27005	33760	38825	50475
51-55	27985	34985	40235	52310	34355	42945	49390	64210
56-60	34760	43450	49970	64965	43210	54015	62120	80760
61-65	45055	56320	64770	84205	60495	75620	86965	113055
66-70	60195	75245	86535	112500	79935	99920	114910	149385
71-75	77300	96625	111120	144460	97220	121525	139755	181685
76-80	96505	120635	138735	180360	125305	156635	180135	234180
Above 80	117875	147345	169450	220285	151230	189040	217400	282620

 

Tax Benefit: Payment of premium by any mode other than cash is subject to rebate under section 80D.

Exclusions:

• Pre Existing diseases as mentioned.
• Disease that creeps into the insured during the first 30 days of the policy period. Also expenses of defined and related diseases as mentioned would not be borne during the first two years of continuous operation of insurance.
• Dental treatment or surgery (excluding accidental damages).
• Injury due to nuclear weapons and war or breach of law on an intentional basis.
• Expenses on Vitamins and tonics not part of the treatment schedule.
• Hospital registration and admission charges, record and telephone charges.

Cancellation Policy:

Misrepresentation, fraud, moral hazard or non-cooperation on behalf of the insured might lead to cancellation of policy making way for appropriate refund.

Period on risk	Rate of Premium to be retained by the insurer
Up to 1 month	1/3rd of annual premium
Up to 3 month	1/2 of annual premium
Up to 6 month	3/4th of annual premium
Exceeding 6 months	Full annual premium

 

*The above rates may change. Please check the policy wordings for more details.

Free Look Period: A period of 15 days after date of receipt of policy to review terms and conditions during which insured can cancel it with due refunds.

Portability:

If the insured wishes to migrate to another Insurer towards renewal, he can draft an application at least 45 days before the date of renewal.

Renewal Policy:

• A grace period of 30 days to renew the policy from the date of expiry.
•  Permitting an enhancement after renewal during this process.