Star Health Health Insurance

About Star Health

Star Health & Allied Insurance Co. Ltd. is India's first standalone health insurance company. The company started its operations in 2006 and is in joint collaboration with Allied Insurance. It specializes in providing health insurance at low-cost rates to its customers.

Star Health Insurance offers excellent plans that give extended coverage to you and your family. All the expenses of hospitalization, health check-ups, medical tests, ambulance, a second opinion from an expert, critical illness treatment, ayurvedic treatment, etc. are duly covered in Star Health Insurance plans. Recently, Star has introduced a new pilot product to provide coverage for COVID-19 (Novel Coronavirus) patients.

Highlights of Star Health Insurance

Incurred Claim Ratio	63%
Renewability	Lifetime
Network Hospitals	9,900+
Waiting Period	4 years
Grievances Solved	98.96%

Table Data updated on 28-05-2020

Types of Star Health Insurance

1. Star Comprehensive Insurance Policy

Star Comprehensive plan is the topmost choice of customers due to its wider coverage with affordable premium rates. The plan offers complete security against medical expenses arising out of any disease.

Features & Benefits

• Maximum coverage of Rs. 5,000 per day is provided as a daily allowance for room charges, boarding and nursing expenses.
• Single private A/C room facility for sum insured of more than Rs. 5 lakhs.
• Cost coming through availing services by a surgeon, anaesthetist, medical practitioner, consultants, medical facilities such as anaesthesia, blood, oxygen, operation theatre charges, pacemaker, medicine, and drugs etc. are all covered under the plan.
• Ambulance service charges up to Rs. 750 per hospitalization in case the insured needs immediate transportation to a nearby hospital.
• Air Ambulance facility available on the chosen sum insured and can be used up to 10% of the sum insured amount.
• Choice of 'Second Medical Opinion' for those policyholders who are uncertain about the diagnosis results of a particular disease and desire to get another professional advice before starting treatment for the same.

Eligibility Criteria

2. Senior Citizens Red Carpet Health Insurance Policy

Star Health Senior Citizens Red Carpet policy caters to fulfil healthcare expenditure and provide a secure future to the senior citizens above 60 years of age.

Features & Benefits

• Covers in-patient hospitalization expenses for treatment of specific ailments which last for more than 24 hours.
• A discount of 10% is allowed on the premium on submission of the following medical test reports of the policyholder like Stress Thallium Report, Sugar (blood and urine), creatinine, Blood, Urea and Blood Pressure Report.
• 50% of the sum insured is granted for the payment of expenses such as cost of pacemaker, blood, oxygen, operation theatre charges, anaesthesia etc.
• 25% of the sum insured is provided towards the payment of specialist's fees, anaesthetist, medical practitioner, consultants, and surgeon.
• Out-patient consultation for any minor illness in any network hospital, where a sum of Rs. 200 is given for each consultation. The consultation limit per person per policy year will depend upon the coverage amount opted.

Eligibility Criteria

3. Star Super Surplus (Floater) Insurance Policy

Star Super Surplus insurance is a health Top Up Plan available on a floater basis that provides safety to the policyholder by covering all daily medical costs that can slowly drain your savings. It also offers higher sum insured options with varied plans at nominal prices.

Variants

• Silver Plan: The plan provides limited cover for pre and post-hospitalization, boarding and nursing expenses, consultant's fee, surgeon's fee and room charges.
• Gold Plan: Covers all medical costs mentioned under the silver plan plus single standard A/C room, maternity expenses, organ donor expenses, emergency ambulance charges, air ambulance, recharge benefit, medical second opinion, etc.

Features & Benefits

• Room rent, boarding, nursing expenses subject to a maximum of Rs. 4,000 per day for in-patient hospitalization.
• Expenses like the cost of pacemakers, blood, oxygen, operation theatre charges, anaesthesia, drugs and other related expenses are covered.
• Pre-hospitalization up to 30 days and post-hospitalization are covered up to 60 days.
• Treatment of cataract and diseases related to replacement of bones, cysts, thyroid diseases, diseases of ent, biliary diseases, hernia, diseases related to female sexual organs, eyes chambers, etc. are covered.
• Emergency ambulance charges up to Rs. 3,000 per hospitalization.
• Delivery expenses including Caesarean section Delivery (including prenatal, post-natal expenses and lawful medical termination of pregnancy) up to Rs. 50,000 is given per policy period. The maximum number of 2 deliveries are covered.
• Organ donor expenses for organ transplantation of the policyholder are also covered under the policy.

Eligibility Criteria

4. Family Health Optima Insurance Plan

Star Family Health Optima Plan satisfies the healthcare needs of the individuals and family through compensation of the medical expenses arising out of hospitalisation, surgeries/treatments/diagnosis tests, health check-ups, etc.

Features & Benefits

• The automatic refill of the sum insured if the insured has consumed the whole amount of sum insured through continuous claims. The refill can be raised up to 3 times by 100% (every time).
• Additional Sum Insured for Road Traffic Accident (RTA) that caused wreckage to body parts and made the insured admitted to a hospital. A maximum of Rs. 5 lakhs is allowed from the sum insured.
• In-patient hospitalization and air ambulance cover are also covered by the plan.
• Newborn baby expenses like daily nutrition, vaccinations, medication, etc. are covered up to Rs. 50,000 or 10% of the sum insured, and the coverage will start from the 16th day after the birth.
• Return of mortal remains where Rs. 5,000 is given towards compensating the cost of return concerning the insured and delivery of same to the home of the insured. The cost will include the cost of embalming, coffin charges, etc.
• Shared accommodation for any kind of treatment during in-patient hospitalization.
• Donor Expenses for Organ Transplantation as advice to the insured person by a medical expert.
• Annual health check-up cost is covered up to a maximum of Rs. 3,500.

Eligibility Criteria

5. Medi Classic Insurance Policy (Individuals)

Medi Classic Insurance Policy offers safety against health-related expenses of individuals and family members under affordable premium rates. The motive behind this plan is to keep your savings untouched by delivering on-time coverage during emergencies such as treatment of any illness or accidents.

Features & Benefits

• All the expenses covered under the in-patient hospitalization are duly paid such as pharmacy bills, consultation fee, surgeon fee, doctor's fees, blood, rooms service charges, nursing, operation theatre cost, etc. up to 1% of the sum insured.
• Emergency ambulance facility for each hospitalization up to Rs. 1500 per policy term.
• Non-allopathic treatment where the insured is subject to receive 25% of the sum insured chosen.
• A gradual restoration of the sum insured by 200%, if all the benefits plus the sum insured have been utilized towards the claim settlement.
• A cumulative bonus equal to 25% of the sum insured is credited to the benefit pool of this plan. The bonus is given only when no claim is exercised by the insured in a policy year.

Eligibility Criteria

6. Star Health Gain Insurance Policy

Star Health Gain policy is a kind of health insurance plan that fulfils the healthcare demands of both individuals and families of different ages with different medical necessities.

Features & Benefits

• Ambulance charges up to Rs. 750 per hospitalization and Rs. 1500 air ambulance charges per policy year are provided under the plan.
• Cover for pre-hospitalization expenses up to 30 days and post-hospitalization expenses up to 60 days are offered by the policy.
• The plan covers 101 daycare procedures for certain diseases like eye problems, gynaecology operations, neurology related illness, oncology-related problems, etc. that do not require more than 24 hours of doctor's supervision.
• Special coverage for treatment of Cataract where the maximum limit of coverage amount is according to the sum insured chosen, e.g. Rs. 60,000 is provided for Rs. 5 lakhs sum insured chosen.

Eligibility Criteria

7. Star Diabetes Safe Insurance Policy

Star Diabetes Safe Insurance policy is a diabetes centric health insurance plan that gives financial support to the person who is suffering from Type I or Type II Diabetes Mellitus, which can cause dangerous effects on the body of a policyholder.

Variants:

• Plan A: The insured will get coverage for diabetes from the first day of the policy without a long waiting period. Also, there is no need to appear for a medical examination to become eligible to purchase the plan.
• Plan B: This plan involves a waiting period of 12 months provided the insured infected with diabetes has to take the treatment in a Star Health network hospital. This plan mandates the requirement for a pre-policy check-up before buying the policy.

Features & Benefits

• In-patient hospitalization costs for diabetes, non-diabetic diseases, and accidents of the policyholder that cover:
  1. Room (single standard A/C room), boarding and nursing charge during the stay in hospital.
  2. Surgeon's fees, consultant's fees, or anaesthetist's fee.
  3. Oxygen, diagnostic expense, blood and all other treatment materials.
  4. Drugs, pharmacy bills and diagnostic tests.
• An amount equal to 100% of the sum insured is restored on exhaustion of the basic sum assured.
• The policy offers 101 day care procedures and there are no limitations on the number of day care treatments that can be availed during the policy term.
• Emergency Ambulance charges equivalent to Rs. 2000 each policy period to help the insured person at the time of immediate hospitalization.
• Donor expenses for kidney transplantation surgery where expenses associated in-patient treatment of organ donors are included.
• Dialysis expenses of Rs. 1000 per sitting payable up to 24 months, commencing from the month in which the need for dialysis is recommended, provided the policy is in force.

Eligibility Criteria

8. Star Cardiac Care Insurance Policy

Star Health Cardiac Care offers multiple benefits in a single policy especially made for the patients suffering from heart ailments.

Variants:

• Gold Plan: Covers cardiac ailments, accidental injuries, and non-cardiac ailments. The cover is available for surgical intervention only.
• Silver Plan: In addition to all the above-mentioned benefits, this plan also covers medical management along with surgical intervention and offers a higher sum insured option than the silver plan.

Features & Benefits

• A person who has undergone any of the below-illustrated surgeries/treatment are eligible to avail the policy:
  • Percutaneous Transluminal Coronary Angioplasty (PTCA)/Coronary Artery.
  • Bypass Graft (CABG) within 7 years period prior to the proposal.
  • Atrial Septal Defect (ASD) or Ventricular Septal Defect (VSD) which has been fixed by a treatment.
  • Treatment of Patent Ductus Arteriosus (PDA).
  • RF ablation practised for correction of prevailing cardiac condition.
  • Went for an angiogram where no intervention has been medically suggested after the whole process of treatment.
• Room, boarding, and nursing expenses as a part of in-patient hospitalization are covered. The maximum coverage is Rs 5,000 per day.
• A waiting period of 90 days is imposed to get the coverage and benefits of the policy.
• Provision of expenses for pre-hospitalization up to 30 days and post-hospitalization up to 60 days.
• Out-patient expenses availed at any hospital, daycare centre, clinic, a diagnostic centre that are in connection to Star Health Insurance. A maximum of Rs. 1500 is paid per event per policy period.
• Expenses for treatment of Cataract are payable up to Rs. 20,000 per hospitalization.

Eligibility Criteria

9. Star Cancer Care Gold (Pilot Product)

Star has designed a Cancer Care Gold plan to provide adequate cover to cancer patients and its related complications.

Features & Benefits

• Room rent (Single standard A/C), boarding, nursing expenses including consultants, anaesthetist, medical practitioner, surgeon's fee for taking consultation/advice due to cancer.
• A lump sum amount equal to Rs. 1.5 lakhs for sum insured Rs. 3 lakhs and Rs. 2.5 lakhs for sum insured Rs. 5 lakhs is paid as indemnity for recurrence/metastasis at second stage cancer.
• Covers surgical and interventional therapy where Rs. 1 lakh is provided under the plan.
• Indemnity cover of Rs. 50,000 to Rs. 1 lakh will be given for non-surgical and non-interventional therapy of cancer.

Eligibility Criteria

10. Star Novel Coronavirus (nCoV) (COVID-19) Insurance Policy (Pilot Product)

Star Novel Coronavirus plan is a newly launched health product in the insurance market to provide affordable cover for healthcare costs to fight against the recent COVID-19 (novel coronavirus).

Features & Benefits

• A waiting period of 16 days is applicable to get the coverage of this plan.
• No pre-policy medical check-ups are required prior to policy purchase.
• The policyholder if diagnosed and reports positive with coronavirus and requires hospitalisation will receive a lump sum benefit of Rs. 21,000 and a maximum of Rs. 42,000.
• The plan shall cease after the payment of lump sum benefit.
• No in-patient hospitalisation expenses will be paid regardless of the fact that the patient is quarantined or not.

Eligibility Criteria

How To Renew Star Health Insurance Plans With PolicyX.com?

Step 1: Just click on this 'link' to renew your existing Star health insurance policy.

Step 2: Select the 'Health' category; enter the basic details like name, email, phone, city, etc. and submit'.

Step 3: Choose the plan for renewal from the list along with the company name and tap on 'Renew Now'.

Step 4: You will see the website of Star Health. Choose 'Renewals' given at the top of the page.

Step 5: Enter the policy number and date of birth then tap on the 'Renew Now' option.

Step 6: Make the payment. The renewal confirmation with the soft copy will be shared with you in your registered email id.

What Is the Claim Process of Star Health Insurance Plans?

Cashless Claim Settlement Process

1. The cashless facility is only available at network hospitals of Star Health.
2. Reach the insurance desk of the hospital and show your health identity card.
3. They will assist you to download the pre-authorization form from Star health website. Fill the details and submit the form.
4. The form will be processed further for verification.
5. On successful verification and acceptance of the claim, the insured can easily enjoy a cashless treatment facility. All the bills will be looked after by the company.

Reimbursement Claim Settlement Process

1. The reimbursement claim is applicable if the treatment is taken from a non-network hospital or for other medical expenses.
2. Contact the company and download the claim form from its website.
3. Submit the documents like hospital bills, pharmacy bills, etc. together with all the original documents of treatment and the claim form to the company.
4. The company will verify all the information and process the claim.
5. The confirmation of the same will be communicated to you over call or email.
6. After this, the claim settlement process is done and you will receive the reimbursement amount in your registered bank account within 7 working days.

What Are the Documents Required for Claim Settlement of Star Health Insurance Plans?

• Completely filled Claim Settlement Form.
• Original receipts, bills and discharge certificate.
• Receipt and investigation test reports from a pathologist/medical practitioner/surgeon prescribing the test.
• KYC documents like Aadhaar Card, Voter Id, Pan Card, etc.
• Details of your account for successful payment of claim settlement.

What Are the Exclusions of Star Health Insurance Plans?

• Any injury illness arising due to involvement in wars, radioactivities, nuclear bombing are not covered under the plan.
• Terrorist attacks, accidents or illness under the influence of harmful drugs, medicines, alcohol are also not covered.
• Expenses related to spectacles and contact lenses, hearing aids, crutches, wheelchairs, and such other aids are not covered.
• Circumcision/cosmetic/plastic surgery/aesthetic treatment are not covered.
• Surgical processes for the treatment of obesity, weight control, and endocrine disorders.
• Suicide cases and hernia are some of the permanent exclusions of Star health policies.

How To Contact Star Health & Allied Insurance Company?

Contact Address:

Star Health & Allied Insurance Co. Ltd, No.1, New Tank Street, Valluvarkottam High Road, Nungambakkam, Chennai - 600034

Customer Support:

Phone: 1800-103-5499
Toll-free Number: 1800-425-2255/1800-102-4477
E-mail: support@starhealth.in