Star Health Star Gain Health Insurance Policy

*Please note that the quotes shown will be from our partners

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 1000000 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.

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

 

Premium details:

Limit of out-patient Benefits for individuals:

Sum Insured

100000

200000

300000

400000

500000

5M-45Yrs

8700

7750

7000

6250

5750

46-55Yrs

7900

6350

5200

3000

NA

Above 56

7500

5800

3700

NA

NA

 

 

Family size

Limit of out-patient benefits for family

 

Sum Insured

100000

200000

300000

400000

500000

2A

5M-35Yrs

8400

7400

6750

5900

5250

36-45Yrs

8400

7400

6500

5500

4900

46-55Yrs

NA

5650

4000

2000

NA

Above 56

NA

5000

2250

NA

NA

1A + 1C

5M-35Yrs

8500

7700

6950

5750

5500

36-45Yrs

8500

7500

6750

5750

5250

46-55Yrs

NA

5850

4500

2400

NA

Above 56

NA

5200

2250

NA

NA

1A + 2C

5M-35Yrs

8450

7500

6900

6000

5500

36-45Yrs

8450

7250

6650

5750

5000

46-55Yrs

NA

5750

4450

2250

NA

Above 56

NA

5150

2250

NA

NA

1A + 3C

5M-35Yrs

8350

7400

6650

5750

5250

36-45Yrs

8350

7200

6450

5500

4750

46-55Yrs

NA

5500

4000

NA

NA

Above 56

NA

4750

2250

NA

NA

2A + 1C

5M-35Yrs

8250

7250

6600

5750

5000

36-45Yrs

8250

7000

6150

5450

4500

46-55Yrs

NA

5000

3500

NA

NA

Above 56

NA

4250

1500

NA

NA

2A + 2C

5M-35Yrs

8250

7000

6500

5500

4650

36-45Yrs

8250

7000

5950

5000

3750

46-55Yrs

NA

5000

3500

NA

NA

Above 56

NA

4250

1500

NA

NA

2A + 3C

5M-35Yrs

8250

7000

6250

5250

4250

36-45Yrs

825O

6700

5750

4900

3700

46-55Yrs

NA

4750

3250

NA

NA

Above 56

NA

4000

1150

NA

NA

 

*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.