Star Health Insurance Covered Diseases List in 2026
Star Health and Allied Insurance Company Limited is a prominent player in the Indian health insurance landscape, known for its wide array of policies designed to cater to diverse needs. It offers comprehensive medical coverage, including hospitalisation, daycare treatment, OPD charges, and more.
One of Star Health & Allied Insurance’s most significant strengths lies in its in-house claim settlement team. This dedicated team plays a crucial role in ensuring fast and efficient claim processing, with a remarkable track record of settling a high number of cashless claims in less than 2 hours. This rapid turnaround provides immense relief and peace of mind to policyholders during medical emergencies.
Star Health Insurance at a Glance
| Feature | Details |
|---|---|
| Hospitalisation Cover | Yes |
| Day Care Procedures | Covered as per the policy terms |
| Critical Illness Cover | Available under selected plans |
| Pre-existing Disease Cover | Covered after the applicable waiting period |
| Mental Illness Cover | Yes, as per IRDAI guidelines and policy terms |
| AYUSH Treatment Cover | Yes, for eligible in-patient AYUSH treatment |
| Cashless Network Hospitals | 14,000+ across India |
| Restoration Benefit | Available in selected plans |
| Sum Insured Options | Varies by plan, ranging from ₹5 lakh to ₹1 crore or more |
| Ambulance Cover | Covered up to the policy limits |
| Pre & Post-Hospitalisation | Covered as per the policy terms |
| Annual Health Check-up | Available under selected plans |
Diseases Covered by Star Health
This article provides an overview of the major diseases covered by Star Health Insurance. A diagnosis of any major illness can cause emotional and financial distress for you and your family. To protect your health and savings in such situations, it’s crucial to have the best health insurance plan from a reputable health insurance company that offers much-needed coverage for various illnesses.
Here’s a comprehensive overview of what you can expect to be covered:
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COVID-19
The COVID-19 pandemic has had devastating effects globally. Star Health and Allied Insurance Company covers hospitalisation costs incurred due to a positive COVID-19 diagnosis.
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Diabetes
Diabetes is a chronic lifestyle disease characterised by elevated blood sugar levels. Uncontrolled diabetes can lead to several other health risks, such as stroke, kidney failure, and heart attack. Star Health offers dedicated health insurance plans that cover hospitalisation costs related to Type 1 and Type 2 diabetes.
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Cancer
Cancer is a dreadful disease, and its treatment can be extremely expensive. The Cancer Care Gold Plan from Star Health & Allied Insurance covers expenses incurred during treatment following a positive cancer diagnosis.
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Cataract
A cataract is an ocular condition that can be corrected through a daycare procedure. Most Star Health Insurance plans cover this surgery.
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Autism
Autism Spectrum Disorder is a neurodevelopmental condition that impacts a person’s verbal, non-verbal, and social interactions. Star Health Insurance offers a dedicated plan, the Star Special Care Policy, to cover children diagnosed with Autism Spectrum Disorder.
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Kidney Disease
The Star Criticare Plus Insurance policy offers coverage for medical expenses incurred during the treatment of chronic kidney disease.
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Cardiac Disorders
Cardiovascular diseases are conditions that result from abnormal heart and blood vessel function, including stroke, high blood pressure, and heart attack. Star Health Insurance offers two health insurance plans, Star Criticare Plus and Star Cardiac Care Insurance Policy, which cover certain cardiac disorders.
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Brain Tumour
A brain tumour is a disorder characterised by abnormal brain cell growth. Coverage for this disease is available with Star Health & Allied Insurance’s Criticare health insurance policy.
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Lung Failure
Factors like excessive air pollution can impair lung function. Common lung diseases include asthma, pneumonia, and pulmonary oedema. Health insurance plans such as Star CritiCare cover the treatment of lung-related diseases.
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Psychiatric Disorder
Mental illness is as serious as physical illness. Recognising this, Star Health Insurance offers mental health treatment benefits in its Star Medi Classic plan.
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Hypertension
Hypertension is a common problem, particularly among youth. While it is considered a pre-existing condition, individuals diagnosed with hypertension can still purchase a health insurance policy.
In addition to the ailments listed above, Star Health & Allied Insurance’s health insurance plans also cover several other diseases such as irreversible paraplegia and cerebrovascular stroke.
What is Not Covered Under Star Health Insurance?
While Star Health Insurance covers a wide range of diseases and treatments, certain medical conditions and expenses are generally excluded from coverage. These may include:
- Cosmetic or aesthetic procedures that are not medically necessary.
- Infertility and assisted reproductive treatments, unless specifically covered under the policy.
- Self-inflicted injuries or treatment related to attempted suicide.
- Illnesses or injuries caused by alcohol, drug, or substance abuse.
- Experimental, investigational, or unproven treatments that are not medically accepted.
- Non-medical expenses, such as registration charges, admission kits, and other items not covered by the policy.
- Treatment during applicable waiting periods for specified diseases or pre-existing conditions.
- Expenses exceeding the policy’s sum insured, limits, or sub-limits, wherever applicable.
Conclusion
When buying a health insurance policy, it’s crucial to ensure the plan covers a wide range of illnesses for comprehensive protection. Evaluate various factors such as your specific needs, add-on coverage, policy premium, and family medical history to identify potential susceptibilities. Before purchasing, review both the covered illnesses and the Star Health Insurance not covered diseases list to be fully informed. Refer to the Star Health Insurance Covered Diseases List and choose the most suitable plan for your healthcare needs.
To know more about individual, family floater, and group health insurance plans, schedule your appointment with PolicyX advisors today!
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