STAR HEALTH INSURANCE

Star Health Insurance is a venture between Oman Insurance Company, which is one of the leading insurance companies in the Middle East and a few enterprising industrialists, industry experts and business houses in India.

One of their health insurance plans for families is the STAR FAMILY OPTIMA HEALTH INSURANCE PLAN.

The SALIENT FEATURES of this plan are:

· It is a family floater plan

· Hospitalization cover protects the insured person for in-patient hospitalization expenses for a minimum of 24 hours. These expenses include room and boarding charges as per the policy conditions

· Nursing expenses

· Surgeon’s fees, consultant’s fees, anesthetist’s fees

· Cost of medicines and drugs

· Ambulance charges up to a maximum of Rs.750 per hospitalization and overall limit of Rs.1500 per policy period

· Pre-hospitalization medical expenses up to 30 days prior to date of admission

· Post-hospitalization – a lump sum calculated at 7% of hospitalization (excluding room charges) subject to a maximum of Rs.5000 is payable

· Family includes proposer, spouse, dependent children up to the age of 25 years (those who are economically dependent on their parents)

· Any persons between the age of 5 months and 60 years residing in India can take this insurance

PREMIUM TABLE:

SUM INSURED: Rs.1 lac

	5 MONTHS-45 YEARS	46-55 YEARS	56-60 YEARS
2A	1765/-	NA	NA
1A+1C	1515/-	NA	NA
1A+2C	1640/-	NA	NA
1A+3C	1785/-	NA	NA
2A+1C	1890/-	NA	NA
2A+2C	2025/-	NA	NA
2A+3C	2165/-	NA	NA

SUM INSURED: Rs.2 lacs

	5 MONTHS-35 YEARS	36-45 YEARS	46-55 YEARS	56-60 YEARS
2A	2890/-	3140/-	5535/-	6400/-
1A+1C	2715/-	3005/-	5265/-	6120/-
1A+2C	2835/-	3075/-	5410/-	6225/-
1A+3C	3085/-	3415/-	5715/-	6645/-
2A+1C	3295/-	3555/-	5925/-	6965/-
2A+2C	3455/-	3675/-	6450/-	7360/-
2A+3C	3625/-	4060/-	6795/-	7820/-

SUM INSURED: Rs.3 lacs

	5 MONTHS-35 YEARS	36-45 YEARS	46-55 YEARS	56-60 YEARS
2A	3985/-	4360/-	7605/-	10030/-
1A+1C	3710/-	3940/-	6930/-	9185/-
1A+2C	3825/-	4110/-	7160/-	9725/-
1A+3C	4125/-	4440/-	7630/-	10095/-
2A+1C	4190/-	4830/-	7865/-	10625/-
2A+2C	4310/-	5110/-	8400/-	11090/-
2A+3C	4615/-	5320/-	8710/-	11755/-

SUM INSURED: Rs.4 lacs

	5 MONTHS-35 YEARS	36-45 YEARS	46-55 YEARS	56-60 YEARS
2A	5195/-	5565/-	10510/-	13515/-
1A+1C	4750/-	5070/-	9660/-	12730/-
1A+2C	4910/-	5250/-	10150/-	13210/-
1A+3C	5365/-	5725/-	10980/-	13755/-
2A+1C	5295/-	5775/-	11270/-	14290/-
2A+2C	5645/-	6240/-	11870/-	14890/-
2A+3C	6025/-	6540/-	12585/-	15815/-

SUM INSURED: Rs.5 lacs

	5 MONTHS-35 YEARS	36-45 YEARS	46-55 YEARS	56-60 YEARS
2A	5920/-	6525/-	12010/-	15855/-
1A+1C	5370/-	5955/-	11550/-	15225/-
1A+2C	5630/-	6285/-	11865/-	15645/-
1A+3C	6035/-	6770/-	12390/-	16275/-
2A+1C	6345/-	7045/-	12815/-	16750/-
2A+2C	6875/-	7675/-	13210/-	17450/-
2A+3C	7260/-	8195/-	13860/-	18105/-

· A Service Tax of 10.3% needs to be added to the premiums mentioned above

· Premiums paid are eligible for relief under section 80D of the Income Tax Act

EXCLUSIONS:

· All expenses incurred in connection with treatment of any illness/disease/condition that is pre-existing at the time of commencement of the policy

· Treatment of any illness/disease/condition contracted by the insured within the first 30 days from the commencement of the policy

· Expenses incurred in the first 2 years of continuous operation of the policy cover on treatment of:

Ø Cataract

Ø Hysterectomy

Ø Menorrhagia or Fibromioma

Ø Knee replacement surgery (other than caused by an accident)

Ø Joint replacement surgery (other than caused by an accident)

Ø Prolapsed Inter-vertebral disc (other than caused by an accident)

Ø Varicose veins/ulcers

· Expenses incurred in the first 1 year of continuous operation of the policy cover on treatment of:

Ø Benign prostate

Ø Hypertrophy

Ø Hernia

Ø Hydrocele

Ø Fistula in anus

Ø Piles

Ø Sinusitis and related disorders

Ø Gall stone/renal stone removal

· Naturopathy treatment

· Expenses purely diagnostic in nature with no positive existence of any disease

· Expenses incurred for treatment of disease/illness/accidental injuries by medicines other than allopathic

· Expenses that are cosmetic in nature

· Expenses incurred on treatment of congenital diseases/defect/anomalies

An insurance product from Star Health Insurance can be bought by calling their toll free number 1800-425-2255 or one can also visit their website www.starhealth.in

ADDITIONAL BENEFITS of taking a health insurance plan from Star Health are:

· Cashless service without TPA intervention

· Direct tie up with all major hospitals in India

· 24 hours general practitioner’s advice and medical counseling

· 24×7 in-house call center

· Toll free telephone assistance

· First stand alone health insurance company

· A discount of 10% on premium is allowed on renewal of the policy is given if there is no claim in the immediately preceding year of the policy. But this discount is not cumulative

STAR HEALTH INSURANCE

Apart from health insurance options for individuals, families and senior citizens,

Star Health Insurance also has a policy for accident cases.

It is called the STAR ACCIDENT CARE POLICY.

The SALIENT FEATURES of this plan are:

• It takes care of accidental death
• It also takes care of Permanent disability – total or partial – following an accident
• The insured is eligible for a weekly benefit at 1% of Capital Sum insured subject to a maximum of Rs.5000 per week for 100 weeks if there is temporary total disablement due to an accident
• There is also an Education Grant to children for Rs.5000 for one child and Rs.10000 for two children
• Transportation expenses to carry mortal remains are reimbursed subject to a maximum of Rs.3000
• Travel expenses of one relative are given up to Rs.1000
• A Service Tax of 10.3% needs to be added to the premiums
• Premiums paid by cheque or credit card are eligible for relief under section 80D of the Income Tax Act

RISK FEATURES:

• For purpose of rating, persons proposed for this insurance are classified under 3 risk groups:
• Risk Group I – persons engaged primarily in administrative functions
• Risk Group II – persons engaged in manual work other than what is specifically provided for under Group III
• Risk Group III – persons working in explosives industry, mine workers, high tension electric supply, horse racing including jockeys, athletes and occupations of similar hazards

EXCLUSIONS:

• All expenses incurred in connection with treatment of any illness/disease/condition that is pre-existing at the time of commencement of the policy
• Any claim in respect of pre-existing condition
• Any claim if the insured acts against the advice of a physician
• Any claim arising out of accidents that the insured has caused intentionally or by committing a crime or as a result of drunkenness or addiction
• Any claim arising out of mental disorder, suicide or attempted suicide self inflicted injuries or sexually transmitted disease, anxiety, etc
• Participation in hazardous sports/activities
• Persons who are physically and mentally challenged unless specifically agreed and endorsed in the policy

An insurance product from Star Health Insurance can be bought by calling their toll free number 1800-425-2255 or one can also visit their website www.starhealth.in

ADDITIONAL BENEFITS of taking a health insurance plan from Star Health are:

• Cashless service without TPA intervention
• Direct tie up with all major hospitals in India
• 24 hours general practitioner’s advice and medical counseling
• 24×7 in-house call center
• Toll free telephone assistance
• First stand alone health insurance company
• Cumulative bonus ranging from 5% for every claim free year of insurance subject to a maximum of 50%
• There is also an optional benefit with this plan that the policy can be extended to cover medical expenses also on payment of additional premium