Health Premia Plan vs Star Top Up Plan Health Insurance Plan 2026 | PolicyX

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Health Premia is a health insurance plan that covers hospitalization expenses along with key medical needs like pre and post-treatment costs, daycare procedures, and emergency care. It also offers higher sum insured options and added benefits like restoration of coverage and global treatment support, making it suitable for both individual and family protection.

PLAN DETAILS

Health Premia Plan

Star Top Up Plan

Product Type Individual and Family Health Insurance Top Up and Super Top Up
Key Features
(Key features of the plan)
  • Global medical coverage
  • Unlimited sum restoration
  • Comprehensive family protection
  • High Sum Insured
  • Recharge Benefit
  • Wellness Benefit
OPD Details
(In some policies, OPD (Out patient department) expenses are also covered.)
Covered -
Room Rent
(A limit of room rent cover during hospitalization if any)
Covered -
Domicillary Hospitalization
(It is the expenses incurred on treatment of the patient at home)
Covered -
Pre-hospitalization
(Expenses before the insured is hospitalized)
Covered -
Post-hospitalization
(Expenses after discharge from the hospital)
Covered -
Day Care Treatment Covered
(Day care treatments refers to the treatments that do not necessarily require 24hrs of hospitalization like MRI.)
Not Covered -
Hospital_network
(Number of Hospital Network in city)
10000 14000
Organ Donor Expenses
(Expenses incurred on organ donor in case of organ transplants)
Covered -
Hospital Daily Allowance
(Some plans offer daily allowance to take care of expenses like food, etc)
Covered -
Ambulance Charges
(Expenses incurred on ambulance charges)
Covered -
Maternity Benefits
(All Hospitalization cost covered at the time of pregnancy.)
Covered -
New Born Baby Covered
(Newborn babies can be covered under the insurance plan after a certain period)
Covered -
Health Checkup
(An added benefit of one time full health checkup of policy holder.)
Covered -
Sub Limit
(Sub-limit is a monetary capping that applies on specific diseases like cataract)
Covered -
Co-pay
(Mentioned %, if any is to be borne by Insured and rest will be borne by insurer)
Not Covered -
Plan Entry Age 18 - 65 Years Minimum: 91 Days to Maximum: 65 Years
Plan Premium Entry Age and S/A 16436 -
Plan Waiting Period 30 30
Plan Coverage Inpatient hospitalization expenses, pre and post-hospitalization cover, daycare treatments, ambulance charges, AYUSH treatment cover, organ donor expenses, maternity and newborn cover, and optional global emergency treatment coverage. -
Plan Sample Premium 16436 -
Plan Brochure Brochure URL Brochure URL
Policy Term 1 & 2 years 1/2/3 Years
ICU Charges Covered -
Covid-19 Treatment Covered -
Cataract Covered -
Automatic Restoration Covered -
Ayush Treatment Covered -
Modern Treatment Covered -
E Consultation Covered -
Air Ambulance Covered -
Global Coverage Not Covered -
Claim Ratio 94.4 99.06
Solvency Ratio 3.03 2.21
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