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Objective | A health policy which will take care of medical needs of a young couple. It will cover maternity expenses too. |
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Suited for | This policy is suitable for youngsters. |
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What does it do? | One can opt for either the 3-lakh or 5-lakh policy. It covers hospitalisation bills, pre and post hospitalisation expenses, maternity expenses and newborn baby. It pays a lump sum amount if the baby is born with Down's syndrome or Cerebral Palsy. It also provides for emergency ambulance and non-allopathic treatment except Naturopathy. The expenses are capped up to stated in the plan. |
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Pros | Waiting period for maternity cover reduces to two years if one opts for a 4-year policy term. |
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Cons | Policy offers a maximum cover of Rs 5 lakh, which may not be sufficient for a family of three. |
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Our View | Though it offers decent benefits and features, the policy is little expensive as compared to other products in the market. Cover for non-allopathic treatment may be a cause for higher price. Coverage upto maximum of 45 years of age is another drawback. If you are looking for such a policy, consider substitutes from other insurers that are available at cheaper rates. |
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Eligibility | |||||||
Entry Age (years) | |||||||
Minimum | 18; 5 months for children | ||||||
Maximum | 40 | ||||||
Maximum Policy Renewal Age (years) | 45 | ||||||
Coverage Type | 2 adults/ 2 adults and one child | ||||||
Policy Term (years) | 1 or 2 or 4 | ||||||
Sum Insured (Rs) | |||||||
Maximum | 5 lakh | ||||||
Minimum | 3 lakh | ||||||
Tax Benefit | Premium paid is eligible for tax benefit under section 80D of the Income Tax Act | ||||||
Pre Policy Medical Check Up | Not required | ||||||
Free look Period | 15 days; available under 4 year policy only; In case of policy cancellation, premium paid would be refunded after deduction of 5% of premium provided no claim has been made | ||||||
Grace Period for Policy Renewal | 15 days | ||||||
Customer Service | |||||||
Address | Star Health and Allied Insurance Company Limited | ||||||
Mail to | |||||||
Call to | 1800 425 2255/ / 044 2826 3300 | ||||||
SMS | STAR to 56677 | ||||||
Scope Of Cover | |||||
Option I (Sum insured Rs 3 lakh) | Option II (Sum insured Rs 5 lakh) | ||||
Cashless facility | Available at empanelled hospitals in India. | ||||
Re-imbursement | Available | ||||
In-patient Hospitalisation | Covered | ||||
Room rent, boarding and nursing expenses | upto Rs 4000 per day | ||||
Surgeon, Anesthetist, Medical practitioner, Consultants, Specialist Fees | Covered | ||||
Emergency Ambulance | Upto Rs 1000 per hospitalisation ; maximum Rs 1500 per policy period | ||||
Pre Hospitalisation expenses | Medical expenses upto 30 days prior to hospitalisation are covered | ||||
Post Hospitalisation expenses | lumpsum payment equal to 7% of hospitalisation expenses(excluding room rent); Maximum Rs 5000 | ||||
Delivery (normal or caesarean) | Rs 15000 for normal delivery and Rs 20000 for caesarean delivery ;one delivery only | Rs 20000 for normal delivery and Rs 25000 for caesarean delivery ;one delivery only | |||
Pre and post natal expenses (part of delivery expenses) | Pre Natal: Rs 1500; Post Natal: Rs 2000 | Pre Natal: Rs 2000; Post Natal: Rs 4000 | |||
Post delivery complications for mother | Covered | Covered | |||
Test for detecting any foetus disorders | Covered upto Rs 1000 after waiting period of 27 months or 15 months in case of 4 year policy term | Covered upto Rs 1000 after waiting period of 27 months or 15 months in case of 4 year policy term | |||
New born baby (including congenital disorders) | Covered ; Rs 30000 | Covered ; Rs 50000 | |||
New born baby with Down's Syndrome and Cerebral Palsy | Lumpsum payment of Rs 60000 | Lumpsum payment of Rs 1 lakh | |||
Non allopathic treatments | 25% of sum insured per occurrence; maximum Rs 25000 per policy period | ||||
Exclusions and Waiting Period | |||
Pre-existing disease | covered after a waitng period of 4 years | ||
No claim period | Any disease contracted during the first 30 days of commencement of the policy | ||
Waiting Period | test for detecting any disorders in foetus will be covered after 27 months (14 months in case of a 4 year policy term).Delivery expenses would be covered after 36 months period or 24 months in case of a four year policy.certain diseases such as cataract, varicose veins etc. will be covered after 2 years.Certain diseases such as hernia, sinusitis etc. will be covered after 1 year. | ||
Pre & Post hospitalisation expenses | Not available for child delivery claims | ||
General Exclusions | Naturopathy treatmentCosmetic, slimming and any beauty treatmentUse of alcohol etc.Involvement in any criminal or unlawful acts | ||
Happy Investing!!
We can help. Call 0 94 8300 8300 (India)
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OR
You can write back to us at PrajnaCapital [at] Gmail [dot] Com
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