Star Smart Health Pro Plan vs Sbi Critical Illness Insurance Policy Health Insurance Plan 2026 | PolicyX

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Star Smart Health Pro policy is a newly launched digital plan by Star Health Insurance for customers who want a truly customizable health insurance plan for themselves and their families. This policy can be purchased on an individual and family floater basis and is available for 1, 2, or 3 years. Star Smart Health Pro policy offers a wide range of sum insured options between ₹5 Lakhs to ₹1 Crore with 5 optional covers available at a minimal additional premium:

  • Cumulative Bonus Booster
    Provides an additional bonus for every claim-free year, up to a maximum of 600% of the sum insured.
  • Modification of Room Category
    Allows you to enhance or reduce your room category.
  • Reduction of PED Waiting Period
    Reduces the pre-existing diseases waiting period from 48 months to 36, 24, or 12 months as per your needs.
  • Coverage for Non-medical Items
    Covers non-medical items such as gloves, syringes, and other instruments.
  • Unlimited Automatic Restoration
    Provides 100% automatic sum insured restoration for an unlimited number of times, even if partially or completely exhausted.

As a Star Smart Health Pro policyholder, you can cover family members like your spouse, live-in partner, same-sex partner, and dependent children. The plan truly reflects its name and offers advanced features, discussed further in this article.

PLAN DETAILS

Star Smart Health Pro Plan

Sbi Critical Illness Insurance Policy

Product Type Individual and Family Health Insurance Critical Illness Health Insurance
Key Features
(Key features of the plan)
  • Automatic Restoration Benefit
  • Air Ambulance Cover
  • Star Wellness Program
  • Coverage for Cancer
  • Eligibility Criteria
  • Inclusions and Exclusions
OPD Details
(In some policies, OPD (Out patient department) expenses are also covered.)
Not 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.)
Covered -
Hospital_network
(Number of Hospital Network in city)
14000 6000
Organ Donor Expenses
(Expenses incurred on organ donor in case of organ transplants)
Not Covered -
Hospital Daily Allowance
(Some plans offer daily allowance to take care of expenses like food, etc)
Not Covered -
Ambulance Charges
(Expenses incurred on ambulance charges)
Covered -
Maternity Benefits
(All Hospitalization cost covered at the time of pregnancy.)
Not Covered -
New Born Baby Covered
(Newborn babies can be covered under the insurance plan after a certain period)
Not 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)
Applicable -
Co-pay
(Mentioned %, if any is to be borne by Insured and rest will be borne by insurer)
Not Applicable -
Plan Entry Age Adults: 18 to 50 Years, Children: 91 Days to 25 Years 18 years to 65 years
Plan Premium Entry Age and S/A 6944 357
Plan Waiting Period 30 90
Plan Coverage - Individual/Family floater
Plan Sample Premium - 357
Plan Brochure Brochure URL Brochure URL
Policy Term 1/2/3 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 99.06 -
Solvency Ratio 2.21 2.03
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