Star Criticare Plus Insurance Policy

Introduction:

• Provides regular reimbursement in cases of hospitalization against diseases or illness or accidental injuries. Along with this a lump sum amount is also provided in case of some major illness.

Eligibility:

• Minimum age – 5 months maximum – 65 years up to a maximum assured sum of 1000000 INR.
• Above 65 years only renewals are allowed. There is no exit age.

Policy Benefits:

• Offers much larger benefits at a comparatively lesser cost and covers the entire family.
• Hospitalisation expenses (minimum period 24 hours) are covered up to a max of 2% and subject to a limit of 4000 INR.
• No ceiling on ICU, medicine or diagnostic tests, boarding and nursing expenses are covered, surgeons /consultants fees are covered.
• Medical equipment and devices.
• A deductible is applicable for each and every hospitalisation.
• Emergency ambulance charge: up to a sum of 750 INR and overall policy limit of 1500 INR.
• Non allopathic treatment is covered to 25% of the sum insured up to a max of 25000INR per policy period.
• Lump sum illness cover

Policy details:

• A single lump sum payment is made to the insured in a lifetime regardless of the number of major illness suffered by him.
• No survival period while only a waiting period of 90 days from the date of inception.
• Pre-existing illness/disease is covered after 48 months of continuous insurance with any company of India.
• Pre- Acceptance medical screening: Above 50 year’s person will be required to undergo pre-acceptance medical screening at specified centres, however cost is borne by the company.

Premium Details:

Other details:

Discount: A discount of 5% for up to 2 members and 10% for more than two.

When entry is between 60-65 Years: Maximum sum Insured is 200000 INR and following limits are applied.

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 given to renew the policy 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.

Cancellation Policy:

• Misrepresentation, fraud, moral hazard or non-cooperation on behalf of the insured might lead to cancellation of policy.