Star Health Mediclassic Individual Insurance Policy
Introduction
It covers hospitalization expenses incurred in daily life due to diseases and illness or accidental injuries thus taking care of uncertainties.
Eligibility:
- Minimum age: 5 months and maximum: 65 years at the time of entry. Children can be covered only along with parents.
- The sum insured under this insurance is per individual member covered.
Who Can Take This Insurance?
Policy Benefits:
- Hospitalisation Cover: Hospitalisation expenses are covered for a minimum of 24 hours (room rent, nursing and boarding charges, Surgeon, Anaesthetist, Medical Practitioner, Consultants, Specialist Fees, Cost of Medicines and Drugs).
- Ambulance charges for emergency transportation to hospital as per specified limits.
- Pre-Hospitalization expenses up to 30 days prior to admission in the hospital.
- Post-hospitalisation paid as lump-sum up to 60 days from the date of discharge; payment not exceeding 7% of hospitalization expenses; maximum of 5000 INR.
- 101 Day-care treatments covered.
- Non-Allopathic Treatments: Covered up-to specified limits.
- Pre-Existing Diseases / Illness: Are covered after 48 months of continuous Insurance without break with any Indian Insurance Company.
Add-on covers (subject to payment of additional premium)
- Patient Care: Available for above 60 years (attendant charges after discharge from hospital for maximum 5 days per hospitalisation and 14 days per policy period).
- Hospital Cash: Hospital cash benefit for each completed day of hospitalization.
Policy details:
Term of one year but if a premium of two years is paid in advance then a discount of 5% is allowed on total premium.
Automatic Restoration of Sum Insured( not applicable for Family Package ): In the event of a claim, during the currency of the policy, if the entire sum insured is exhausted and the policy has not expired then the automatic restoration of Sum Insured will operate and the sum insured will be restored to the original amount i.e. 200% only once. This restored sum insured can be utilized, during the remaining policy period, for any other illness / diseases unrelated to the ones for which claim/s has /have been made.
Bonus:
For every claim year bonus is equal to 5% of the basic sum subject to a maximum of 25% (only for family package plan).
Pre- Acceptance medical screening: Persons above 50 years will be required to undergo pre-acceptance medical screening at the Company nominated centres. Cost of screening is currently borne by the company.
Family Package:
- Available for persons between 5 months to 45 years. The sum insured is distributed equally among insured family members and calculated on the policy sum insured.
Optional Benefit of New Born Baby cover available under this Plan: Sum Insured : 10% of the mother's sum insured. Premium: 10% of the policy premium.
Health Check-up benefits: Cost of Health Check-up once after a block of every four claim-free years. This benefit is available for sum insured of Rs.2, 00,000/- and above only for a maximum of 5000 INR and payable on renewal.
HIV Persons Coverage: This policy can be taken by HIV positive persons. But the CD 4 count at the time of entry should be above 350 (proof to be produced). However, hospitalization for any opportunistic infections is not covered.
Premium Chart:
Zone 1 |
||||||||||
Delhi, Noida, Gurgaon, Ghaziabad, Faridabad, Mumbai, Thane, Pune and entire State of Gujarat |
||||||||||
Sum Insured |
Annual Premium (service tax extra) |
|||||||||
Age in years |
Renewal only |
|||||||||
5m-35 |
36-45 |
46-50 |
51-55 |
56-60 |
61-65 |
66-70 |
71-75 |
76-80 |
Above 80 |
|
150000 |
2510 |
2510 |
3770 |
4495 |
6200 |
7900 |
11800 |
13300 |
16800 |
21840 |
200000 |
3030 |
3260 |
5120 |
6110 |
7750 |
9850 |
14005 |
17330 |
22300 |
28990 |
300000 |
4400 |
4650 |
7665 |
11365 |
13750 |
14350 |
20000 |
24350 |
32270 |
41950 |
400000 |
4915 |
5550 |
8950 |
12690 |
15535 |
20000 |
26800 |
31525 |
42420 |
55140 |
500000 |
5450 |
6145 |
10700 |
14000 |
16775 |
24430 |
34680 |
38700 |
52540 |
68300 |
1000000 |
7800 |
8200 |
13600 |
18384 |
22910 |
28900 |
34755 |
41615 |
58250 |
75725 |
1500000 |
9545 |
9910 |
15310 |
22510 |
29160 |
39555 |
47125 |
52525 |
67825 |
88170 |
Optional Benefits |
||||||||||
Hospital cash |
Patient care |
|||||||||
1000 per day(max- 7 days and 14 days per policy period) |
400 per day for max 5 days per hospitalisation and 14 days per policy period |
Zone 1 |
||||||||||
Rest of India (excluding Delhi, Noida, Gurgaon, Ghaziabad, Faridabad, Mumbai, Thane, Pune and entire State of Gujarat |
||||||||||
Sum Insured |
Annual Premium (service tax extra) |
|||||||||
Age in years |
Renewal only |
|||||||||
5m-35 |
36-45 |
46-50 |
51-55 |
56-60 |
61-65 |
66-70 |
71-75 |
76-80 |
Above 80 |
|
150000 |
2510 |
2510 |
3770 |
4495 |
6200 |
7900 |
11800 |
13300 |
16800 |
21840 |
200000 |
2880 |
3175 |
4775 |
5900 |
7350 |
9550 |
13500 |
16950 |
22000 |
28600 |
300000 |
4000 |
4535 |
7200 |
11115 |
13200 |
14000 |
19600 |
23800 |
31900 |
41470 |
400000 |
4515 |
5210 |
8700 |
12335 |
15000 |
19600 |
26200 |
31000 |
41900 |
54470 |
500000 |
5080 |
5870 |
10700 |
13555 |
15875 |
24000 |
33840 |
38100 |
51900 |
67470 |
1000000 |
7465 |
7965 |
13265 |
17875 |
21440 |
28200 |
34200 |
40800 |
57600 |
74880 |
1500000 |
9165 |
9595 |
14710 |
21710 |
28810 |
38365 |
46395 |
50675 |
66700 |
86710 |
Optional Benefits |
||||||||||
Hospital cash |
Patient care |
|||||||||
1000 per day(max- 7 days and 14 days per policy period) |
400 per day for max 5 days per hospitalisation and 14 days per policy period |
*The above rates may vary. Please check the policy wordings for more details.
Free look period: To review terms and conditions by the insurer and making way for a judicious decision a period of 15 days after policy comes into effect is allowed. Within this period the insurer may also ask for cancellation.
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 |
News
- Here’s Why You Should Opt for Online Star Health Insurance!
- Benefits of Buying Star Health Insurance
- Guide to Health Insurance Plans Offered by Star Health Insurance
- Star Health Insurance to Launch Insurance Plan for Cancer Patients
- Star Health and Allied Insurance is the No.1 Company in Premium Collection
- Aditya Birla Health Insurance
- Apollo Munich Health Insurance
- Bajaj Allianz Health Insurance
- Bharti AXA Health Insurance
- Cholamandalam Health Insurance
- Digit Health Insurance
- Edelweiss Health Insurance
- Future Generali Health Insurance
- HDFC Ergo Health Insurance
- IFFCO Tokio Health Insurance
- Kotak Mahindra Health Insurance
- Liberty Health Insurance
- ManipalCigna Health Insurance
- Max Bupa Health Insurance
- National Health Insurance
- New India Health Insurance
- Oriental Health Insurance
- Raheja QBE Health Insurance
- Reliance Health Insurance
- Religare Health Insurance
- Royal Sundaram Health Insurance
- SBI Health Insurance
- Star Health Insurance
- Tata AIG Health Insurance
- United India Health Insurance
- Should You Invest in Rs. 1 Crore Health Insurance Plan?
- Do I Get Tax Benefits For Buying Health Insurance?
- Star Health Insurance Plans for Senior Citizens
- Difference Between Health Insurance and Mediclaim
- Things to Check before Buying a Second Health Insurance Plan
- Can Health Insurance Save you From Cancer Expenses?
- Savings Calculator
- Income Tax Calculator
- Human Life Value Calculator
- Pension Calculator
- Health Insurance Premium Calculator
- Car Insurance Calculator
- Bike Insurance Calculator
- SIP Calculator
- Life Insurance Calculator
- Term Insurance Calculator
- ULIP Calculator
- Premium Calculator
- FD Calculator
- Investment Calculator
- Travel Insurance Calculator