Star Cardiac Care Health Insurance Policy

Introduction:

The Star cardiac care policy has two options which takes care of regular health care and also a specific cover to take care of cardiac related problems.

Eligibility:

• Minimum age- 10 years and maximum -65 years and has undergone for the first time PTCA (Stenting) or CABG (By-pass) within 4 years prior to the date of policy purchase.
• The sum insured is given as per the individual member covered.

Policy benefits:

Section 1:

• Hospitalisation Cover: Covers in-patient hospitalisation expenses for a minimum of 24 hrs.(Roomrent, nursing and boarding charges, Surgeon, Anaesthetist, Medical Practitioner, Consultants, Specialist Fees, Cost of Medicines and Drugs).
• Pre-existing diseases are covered after 48 months of continuous insurance

Section 2:

• Hospitalisation cover: Cardiac ailments are covered for in-patient with a minimum of 24 hours.
• Pre-existing ailments are covered from the 91^st day of commencement of policy.

Other benefits:

• Ambulance charges for emergency transportation to hospital
• Pre-Hospitalization expenses up to 30 days prior to admission in the hospital.
• Post-hospitalisation paid as lump-sum up to the limit specified.
• 101 day-care treatments covered

Coverage:

Gold Plan	Silver Plan
Hospitalisation Expenses incurred as an in-patient for:	Hospitalisation Expenses incurred as an in-patient for:
Sec 1: Illness / Sickness / Diseases / Accidental Injuries   Sec 2 : Any Cardiac related complications which necessitate surgery / intervention and Cardiac Medical Arrangement	Sec 1: Illness / Sickness / Diseases / Accidental Injuries   Sec 2 : Any Cardiac related complications which necessitate surgery / intervention

 

Premium Details:

Gold Plan			Silver Plan
Sum Insured	400000	300000	Sum Insured	400000	300000
Age	Premium		Age	Premium
10-60	30000	26000	10-60	22000	18000
61-65	34000	28000	61-65	25000	19000
For Renewals only
66-70	37000	30000	66-70	27000	21000
71-80	41000	32000	71-80	30000	23000
Above 80	57400	44800	Above 80	39000	29900

 

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

Co-payment: 10% of each claim for insured beyond 60 years at time of entry and renewals after that.

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

 

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.

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 is allowed from the date of expiry.
•  Permitting an enhancement after renewal during this process.

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.