Star Family Health Optima Plan vs Criticare Plan Health Insurance Plan 2026 | PolicyX

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A supersaver policy covering every family member.

Star Family Health Optima is a strategically priced family health insurance plan. It offers comprehensive medical coverage to fulfill different healthcare needs of customers at affordable premiums. This plan by Star Health Insurance provides wide coverage including in-patient hospitalization, pre and post-hospitalization, daycare procedures, and ambulance charges.

The Family Health Optima Insurance plan also allows customers to maintain personal health records in an electronic format. Additionally, it extends to several benefits such as annual health check-ups, auto recharge, no-claim bonus, and coverage for modern treatments. All these features and benefits make this plan an excellent health insurance option for families.

PLAN DETAILS

Star Family Health Optima Plan

Criticare Plan

Product Type Individual and Family Health Insurance Critical Illness Health Insurance
Key Features
(Key features of the plan)
  • Get coverage for the whole family
  • Additional SI for Road Traffic Accident
  • Coverage for Compassionate Travel
  • Enhanced Coverage
  • Eligibility
  • Sample Premium
OPD Details
(In some policies, OPD (Out patient department) expenses are also covered.)
Covered Covered
Room Rent
(A limit of room rent cover during hospitalization if any)
Covered Covered
Domicillary Hospitalization
(It is the expenses incurred on treatment of the patient at home)
Covered Covered
Pre-hospitalization
(Expenses before the insured is hospitalized)
Covered Covered
Post-hospitalization
(Expenses after discharge from the hospital)
Covered Covered
Day Care Treatment Covered
(Day care treatments refers to the treatments that do not necessarily require 24hrs of hospitalization like MRI.)
Covered Covered
Hospital_network
(Number of Hospital Network in city)
14000 10000
Organ Donor Expenses
(Expenses incurred on organ donor in case of organ transplants)
Covered Not Covered
Hospital Daily Allowance
(Some plans offer daily allowance to take care of expenses like food, etc)
Not Covered Covered
Ambulance Charges
(Expenses incurred on ambulance charges)
Covered Covered
Maternity Benefits
(All Hospitalization cost covered at the time of pregnancy.)
Not Covered Not Covered
New Born Baby Covered
(Newborn babies can be covered under the insurance plan after a certain period)
Not Covered Not Covered
Health Checkup
(An added benefit of one time full health checkup of policy holder.)
Covered Covered
Sub Limit
(Sub-limit is a monetary capping that applies on specific diseases like cataract)
Applicable Not Covered
Co-pay
(Mentioned %, if any is to be borne by Insured and rest will be borne by insurer)
Applicable Not Covered
Plan Entry Age 18 to 65 Years Adults - 18 -65 years
Plan Premium Entry Age and S/A 25318 17,765
Plan Waiting Period 30 90 days to 4 years
Plan Coverage - AccidentCare cover, CritiCare cover, HospiCash cover
Plan Sample Premium - 17,765
Plan Brochure Brochure URL Brochure URL
Policy Term upto 3 years 1 year, 2 year, 3 years
ICU Charges Covered Covered
Covid-19 Treatment Covered Not Covered
Cataract Covered Covered
Automatic Restoration Covered Not Covered
Ayush Treatment Covered Not Covered
Modern Treatment Covered Not Covered
E Consultation Not Covered Not Covered
Air Ambulance Covered Not Covered
Global Coverage Not Covered Not Covered
Claim Ratio 99.06 94.4
Solvency Ratio 2.21 3.03
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