Star Health Family Delite Insurance Policy

Introduction:

This policy offers protection to the entire family at a single affordable amount.

Eligibility:

• Maximum: 5 months and Minimum: 65 years of age at the time of entry.
• Also for family on floater basis(self, spouse and dependent children). Children covered only with parents.
• No exit age, renewal after 65 years of age.

Policy Benefits:

• Offers much larger benefits at a comparatively lesser cost and covers the entire family.
• Hospitalisation expenses up to 1% of sum insured.
• ICU expenses are borne up to a maximum of 1.5% of sum insured.
• Medical equipment and devices, boarding and nursing expenses are covered, surgeons /consultants fees are covered.
• Emergency ambulance charge: up to a sum of 750 INR and overall policy limit of 1500 INR.
• Pre-hospitalisation medical expenses are borne up to 30 days prior to date of admission,
• Post-hospitalisation expenses up to 7% sum insured and maximum limit of 5000 INR till 60 days from the date of discharge.
• Pre-existing diseases are covered after 48 months of continuous insurance.
• Medical screening: This is borne by the company.

Premium details:

Sum Insured 200000 INR:

Family size/ Age	5m-35 years	36-45 years	46-50 years	51-55 years	56-60 years	61-65 years	66-70 years	71-75 years	More than 75 years
1A+1C	2800	3250	5100	5600	6400	9000	11300	14700	19200
1A+2C	3100	3750	5600	6200	7000	9800	12300	16000	20800
1A+3C	3650	4500	6300	7000	7800	11000	13800	18000	23400
2A	3000	3600	5550	6200	7200	10100	12700	16600	21600
2A+1C	3700	4200	6100	7000	8100	11400	14300	18600	24200
2A+2C	4500	5000	6900	7900	9100	12800	16000	20800	27100

Sum Insured 200000 INR:

Family size/ Age	5m-35 years	36-45 years	46-50 years	51-55 years	56-60 years	61-65 years	66-70 years	71-75 years	More than 75 years
1A+1C	3710	3940	5900	6930	8500	11900	14900	19400	25300
1A+2C	3825	4300	6400	7160	9000	12600	15800	20600	26800
1A+3C	4400	5200	7100	7900	10095	14200	17800	23200	30200
2A	3985	4360	6300	7605	10030	14100	17700	23100	30100
2A+1C	4300	4830	6900	7900	10625	14900	18700	24400	31800
2A+2C	4800	5600	7700	9100	11090	15600	19500	25400	33100

 

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

• If 2A+2C have an additional child under sum insured option of 300000 INR an extra premium of 1000 INR is levied on them.

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 from the date of expiry is given to renew the policy.
•  Permitting an enhancement after renewal during this process.
• Where claims for the preceding 2 consecutive years exceed 100%, premium is loaded as below.

Average claims ratio for the preceding 2 years	Loading on premium
>100-125%	30%
126-150%	50%
>150%	80%

 

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