Star Health Gain Insurance Policy

Introduction:

This policy has a very low premium cost, but still it covers all in-patient and out-patient hospitalisation expenses. Also it has huge tax benefits attached to it.

Eligibility:

• Minimum age - 5 months maximum - 65 years up to a maximum assured sum of 500000 INR ,

• Applicable for individuals as well as for family. If taken for individuals the sum insured is applicable for each person separately. If taken on floater basis it is for entire family (self, spouse and dependent children), (max 2 adults + 3 children).

Policy benefits:

• Flat amount of 15000 INR irrespective of sum insured or age of person or the number of persons insured.
• One policy underlines both in-patient and out-patient treatments.
• Carry forward option of amount corresponding to out-patient unutilized amount.

Policy details:

• Hospitalisation expenses (minimum period 24 hours) are covered up to a max of 2% and subject to a limit of 4000 INR per day in class A cities, 1% of sum: max-3000 INR In class B cities, 1% of sum: max-1000 per day in other locations.
• No ceiling on ICU, medicine or diagnostic tests, boarding and nursing expenses are covered, surgeons /consultants fees are covered.
• Medical equipment and devices.
• Emergency ambulance charge: up to a sum of 750 INR and overall policy limit of 1500 INR.

Out-Patient cover:

• Expenses borne for any hospital and nursing home.
• Treatment also covered for pre-existing diseases, dental expenses and prenatal/postnatal care.

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.

Premium details:

Limit of out-patient Benefits for individuals:

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

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

• Allows a grace period of 30 days 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.