Network hospitals
14000+
Incurred claim ratio
65%
Sum insured
Up to 2 CR
No. of Plans
24
Solvency Ratio
2.0
Pan India Presence
850+
Network hospitals
14000+
Incurred claim ratio
65%
Sum insured
Up to 2 CR
No. of Plans
24
Solvency Ratio
2.0
Pan India Presence
850+
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 1/2/3 years. Star Smart Health Pro policy offers a wide range of sum-insured options between 5 L to 1 Crore with 5 optional covers to opt from at a minimal additional premium which are
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 pro features which are discussed further in this article.
If you are wondering if you and your family members are eligible for the Star Smart Health Pro plan, refer to the entry-age eligibility criteria mentioned below
Minimum: 18 Years Children: 91 Days to 25 Years
Maximum: 50 Years
Individual/Family Floater
5 L | 10 L | 15 L | 20 L | 25 L | 50 L | 75 L | 1 Cr
1/2/3 Years
30 Days
Read more specifications in the brochure.
*The initial waiting period is the period between the issuance of the policy and the time it starts actively. During this period, a policyholder has to wait to avail of the benefits offered under a health insurance plan*
Star Smart Health Pro launched by Star Health Insurance is one of their latest launches and promises you and your family holistic healthcare benefits
As per the policy schedule, you can opt for the following sum insured along with the following coverage benefits
Room Rent
Covered, Private Single A/C Room
ICU Charges
Covered Up to SI
Pre-Hospitalization
Covered for Up to 60 days
Post-Hospitalization
Covered for Up to 180 days
Domiciliary Hospitalization
Covered
Daycare Treatment
Covered Up to SI
OPD Charges
Not Covered
COVID-19 Treatment
Not Covered
Cataract
Not Covered
No Claim Bonus
Applicable, 50% up to a maximum of 100% of SI
Automatic Restoration
Applicable
Daily Hospital Cash
Not Covered
Organ Donor
Not Covered
Maternity Cover
Not Covered
New Born Baby Cover
Covered
AYUSH Treatment
Covered Up to SI
IVF Treatment
Not Covered
Modern Treatment
Covered Up to SI
Ambulance
Covered Up to SI
Air Ambulance
Covered Up to 10% of SI
Compassionate Travel
Not Covered
Global Coverage
Not Covered
E-Consultation
Covered
Health Check-Up
Covered
Second Medical Opinion
Not Covered
Vaccination
Not Covered
Co-payment
Not Applicable
Sub-limits
Not Applicable
The room rent limit is the maximum amount of bed charge that you can claim if you are hospitalized
Common Room categories covered under room rent are:
Coverage status under Star Smart Pro Health Plan?
Under the Star Smart Pro Health Plan, the room rent is covered for Private Single A/C Room
It is a special department in the hospitals where patients with serious medical conditions are treated.
Coverage status under Star Smart Pro Health Plan?
Under the Star Smart Pro Health Plan, ICU charges are covered up to SI.
Medical expenses incurred before the hospitalization of the policyholder.
Coverage status under Star Smart Pro Health Plan?
Under the Star Smart Pro Health Plan, pre-hospitalization is covered for up to 60 days.
Medical expenses incurred after the discharge of the policyholder from the hospital.
Coverage status under Star Smart Pro Health Plan?
Star Smart Pro Health Plan covers medical expenses incurred during post-hospitalization for 180 Days.
Home hospitalization arrangements for the insured person due to the unavailability of medical amenities in hospitals. The treatment should last equal to or more than 72 hrs to get financial coverage.
Coverage status under Star Smart Pro Health Plan?
Star Smart Pro Health Plan covers domiciliary hospitalizations for medical treatments from a period exceeding three days.
Treatments that can be treated in less than 24 hours of hospitalization like blood dialysis, cataract, etc.
Coverage status under Star Smart Pro Health Plan?
Star Smart Pro Health Plan covers the expenses of all daycare procedures up to SI.
Covers the cost of doctor consultations and prescribed medical tests that may not require hospitalization.
Coverage status under Star Smart Pro Health Plan?
OPD charges are not covered under the Star Smart Pro Health Plan.
COVID-19 treatment includes the cost of treatment for COVID-19 with a confirmative diagnosis from Govt. approved Centre.
Coverage status under Star Smart Pro Health Plan?
Star Smart Pro Health Plan does not cover COVID-19.
A common eye condition in which your vision gets blurred.
Coverage status under Star Smart Pro Health Plan?
Star Smart Pro Health Plan does not cover Cataract Treatment.
For every claim-free year, insurance companies reward policyholders with an increase in the Sum Insured amount as a no-claim bonus on policy renewal. However, in the case of a claim, this bonus amount either lapses or is reduced by a certain percentage that varies from plan to plan.
Coverage status under Star Smart Pro Health Plan?
Star Smart Pro Health Plan offers a 50% no-claim bonus on a claim-free policy year for each policy year, subject to a maximum of 100% or up to 600% of the Sum Insured if opting for cumulative bonus booster optional cover.
Automatic restoration is a benefit in which an insurance company restores the sum insured amount completely or up to a certain percentage after it gets fully exhausted in treatments. This restoration amount may vary from plan to plan.
Coverage status under Star Smart Pro Health Plan?
Star Smart Pro Health Plan does offer automatic restoration each time up to 100% of the Sum Insured (an unlimited number of times in a policy year) as an optional cover.
It is a cash amount that you receive each day during the time of hospitalization..
Coverage status under Star Smart Pro Health Plan?
Daily hospital cash is not available under the Star Smart Pro Health Plan.
It is a cover that includes the cost of the procedure for removing the damaged or malfunctioning organs from the body.
Coverage status under Star Smart Pro Health Plan?
Under the Star Smart Pro Health Plan, organ donor expenses are not covered.
It refers to the cover that includes expenses for normal and c-section procedure deliveries.
Coverage status under Star Smart Pro Health Plan?
Under the Star Smart Pro Health Plan, maternity coverage is not available.
It takes care of the medical expenses that arise due to the hospitalization of the newborn baby in case of unforeseen circumstances. Some of the common treatments that are covered under the newborn cover and these common treatments can vary from plan to plan:
Coverage status under Star Smart Pro Health Plan?
Under the Star Smart Pro Health Plan, a newborn baby cover is available
For SI 5 L - up to INR 50,000
For SI 10 L - up to INR 1,00,000
For SI 15 L - up to INR 1,50,000
For SI 20 L to 1 Crore - INR 2,00,000
Refers to the cost of medicines and procedures used under AYUSH (Ayurveda, Yoga & Naturopathy, Unani, Siddha, and Homeopathy) treatment.
Coverage status under Star Smart Pro Health Plan?
Under the Star Smart Pro Health Plan, AYUSH treatments are covered up to SI.
In Vitro Fertilization (IVF) is a method of assisted reproductive technology. The common expenses incurred under IVF and infertility treatments are for:
Coverage status under Star Smart Pro Health Plan?
Under the Star Smart Pro Health Plan, IVF coverage is not available.
Medical treatments that demand the use of modern technology such as robotic surgeries, stem cell therapy, etc.
Coverage status under Star Smart Pro Health Plan?
Under the Star Smart Pro Health Plan, modern treatments are covered up to SI.
An ambulance is used to move the patient from home to the hospital, transfer to another hospital, and take them for different tests outside the hospital.
Coverage status under Star Smart Pro Health Plan?
Under the Star Smart Pro Health Plan, ambulance cover is covered up to SI
Air ambulances are specially prepared planes that transfer the patient from one place to another in case of a health emergency.
Coverage status under Star Smart Pro Health Plan?
Under the Star Smart Pro Health Plan, the air ambulance is covered up to 10% of the Sum Insured.
Refers to the traveling expenses of a family member of the insured person in case the policyholder gets admitted to a hospital outside his/her residential city.
Coverage status under Star Smart Pro Health Plan?
Under the Star Smart Pro Health Plan, compassionate travel is not covered.
Any kind of medical/health emergency when you are outside of India.
Coverage status under Star Smart Pro Health Plan?
Under the Star Smart Pro Health Plan, global coverage is not covered.
If a policy offers E-consultation it allows policyholders to connect with a doctor for medical consultation through video chat, audio call, or chatbot.
Coverage status under Star Smart Pro Health Plan?
Under the Star Smart Pro Health Plan, E-consultation is covered.
A facility where the policyholder can avail of free health check-ups after fulfilling the company's policies.
Coverage status under Star Smart Pro Health Plan?
Under the Star Smart Pro Health Plan, a health check-up is covered
If the policyholder wants, they may opt for a second medical opinion wherein the policyholder can consult another doctor within the company’s network of medical practitioners.
Coverage status under Star Smart Pro Health Plan?
Star Smart Pro Health Plan does not cover the expenses for a second medical opinion.
Coverage against the expenses incurred on vaccinations is provided by the insurance companies.
Coverage status under Star Smart Pro Health Plan?
Star Smart Pro Health Plan does not cover vaccination expenses.
In the co-payment clause, policyholders have to pay a portion of the hospitalization expense on their own and the insurer will pay the rest of the amount.
What is the status of co-payment under the Star Smart Pro Health Plan?
A co-pay is not applicable under the Star Smart Pro Health Plan.
Sub-limits are the specific limits set in an insurance policy for its various features. For example, there are usually sub-limits set on room rent, OPD, doctor’s fees, ambulance charges, family visits, etc. Small amounts of the total sum insured are allotted to different features that the policy comes with and exceeding these amounts leads to out-of-pocket expenses from the policyholder.
What is the status of sub-limit under the Star Smart Pro Health Plan?
Sub-limits are not applicable under the Star Smart Pro Health Plan
Star Health Insurance Network Hospitals are present in 31 states nationwide. With a wide network of hospitals, Star Health Insurance ensures that you are medically secured, irrespective of the city you reside in.
Premiums calculated in the table below are based on individual and family floater basis excluding GST for 1-year policy term of the Star Smart Health Pro Plan. For further premium details contact our team of experts at PolicyX
Sum Insured (In Rs.) | 5 L | 25 L | 50 L | 75 L | 1 Cr |
Premium (In Rs.) | 5,634 | 10,398 | 11,836 | 13,621 | 14,609 |
Sum Insured (In Rs.) | 5 L | 25 L | 50 L | 75 L | 1 Cr |
Premium (In Rs.) | 2,310 | 4,130 | 4,749 | 5,319 | 5,745 |
Sum Insured (In Rs.) | 5 L | 25 L | 50 L | 75 L | 1 Cr |
Premium (In Rs.) | 2,236 | 3,999 | 4,598 | 5,150 | 5,562 |
Permanent diseases or health conditions that are not included under the Star Smart Pro Health plan are mentioned below
Injury or diseases caused due to involvement in illegal activities
Hospitalization caused due to adventure sports
Change of gender treatments
Plastic surgeries or cosmetic treatments
Treatment for obesity
Certain diseases and treatments are covered under this plan after a specific period which is mentioned below
Pre-existing diseases 48 Months
Specific Ailments 24 Months
Star Smart Health Pro is a new digital health insurance plan designed for individuals and families who want a truly customizable experience when purchasing a health insurance plan. The plan not only takes care of your medical needs during hospitalization but also encourages you to keep fit and maintain your lifestyle by including various wellness and value-added services. If you are looking for a high range of sum insured for your family along with a plethora of benefits this is your ideal health plan.
To cater to the different medical needs of an individual & their family, Star Health offers several Health Plans ranging from senior citizen plans to specialized plans for autistic children, to health insurance for cardiac patients, and many more.Take a look below to explore more:
Comprehensive
This policy is designed to provide complete protection against all health care eventualities to you and your family.
Unique Features
Comprehensive
The plan is ideal for the families who want to get covered under single sum insured.
Unique Features
Youth-specific
Created for young individuals under 40 years of age. It also offers various benefits such as discounts on renewals, incentive-led wellness programs, lowest waiting periods.
Unique Features
Protection Plan
This plan is designed to enhance your base health policy’s sum insured to provide maximum coverage for room rent, modern treatment, etc.
Unique Features
Standard
A standard health plan mandated by IRDAI that covers all essential healthcare benefits including Ayush treatment, day care procedures, etc. for individuals and families.
Unique Features
Comprehensive
A uniquely designed insurance policy that covers organ donor expenses up to sum insured, AYUSH treatments, modern treatments, and many more.
Unique Features
Flexible
Provides flexibility in terms of choosing the Sum Insured amount, premium amount, family size. It can be a perfect tax saver for you.
Unique Features
Individual Plan
A unique health plan for individuals above the age of 50 years with no upper age entry limit. The plan comes with a high SI.
Unique Features
Women Care
A special plan designed for women, wherein women can avail multifold benefits along with the coverage to the whole family.
Unique Features
Senior Citizen
The plan is specially designed for those individuals who are willing to secure their old-age medical needs after their retirement.
Unique Features
Top-up
The plan offers additional coverage to the policyholder in case their existing coverage is exhausted.
Unique Features
Critical Illness
Provides reimbursement of hospitalization expenses and also provides a total amount of sum insured if the insured person is diagnosed with a major illness.
Unique Features
Care Policy
A unique plan designed for cardiac care with a wide range of sum-insured options and flexible payment options
Unique Features
Affordable Plan
It is designed to care for your incidental expenses such as travel, food, etc. that are not covered under your Health Insurance Policy in the event of Hospitalization.
Unique Features
Cardiac
Star Cardiac Care is ideal for those individuals who want to cover the expenses of cardiac & non-cardiac ailments.
Unique Features
Cancer care
Covers the risk of spreading/recurrence of first cancer (metastasis) & second cancer (second malignancy)
Unique Features
Autism Spectrum Disorder
Star Special Care provides coverage to children (3 years to 25 years) who are diagnosed with Autism Spectrum Disorder.
Unique Features
Individual Plan
An individual and floater basis rural plan with SI of 1 lakh and 2 lakh respectively. Comes with installment on premiums and lifelong renewal.
Unique Features
Individual Plan
An OPD coverage policy with an individual and family floater option and 4 SI variants. Comes with 3 plan variants: Silver, Gold and Platinum.
Unique Features
Individual Plan
An accidental coverage policy for individuals and families and comes with high sum insured. The policy gives cumulative bonus and multiple discounts.
Unique Features
Individual Plan
Special Care Gold is a special product tailored specifically for individuals with disabilities and those who are HIV/AIDS positive.
Unique Features
COVID-19
This plan is for individuals who want to protect themselves and their families against the deadliest virus of Covid-19.
Unique Features
COVID-19
It covers the cost of hospitalization if the policyholder tested positive for COVID-19.
Unique Features
COVID-19
This policy offers 100% sum insured to the policyholder if he/she tested positive for COVID-19.
Unique Features
Accident Plan
A new-age plan with loaded benefits covering hospitalization expenses arising due to illness or accident.
Unique Features
Individual Plan
A specified plan for Type 1 or Type 2 Diabetes with flexible plan options. Offers automatic sum restoration with accident cover.
Unique Features
Platinum Plan
A cancer oriented policy which offers all-round protection and covers the high medical bills of the disease.
Unique Features
Critical Plan
A critical illness policy providing lump sum benefit on diagnosis of Critical illnesses related to Cancer, Heart, Brain & Nervous System, and Major Organs.
Unique Features
Protection Plan
Star Extra Protect is an add-on Cover that enhances the limits of existing covers in addition to offering new features to the base policy
Unique Features
Individuals can purchase the Star Smart Health Pro policy between the ages of 18 to 50 years. Dependent children can also be covered under the plan from the 91st day till 25 years of age.
The Star Smart Health Pro policy offers varied sum insured options. You and your family can opt from the following sum-insured options
You can cover up to 2 adults and 3 dependent children under the Star Smart Health Pro plan.
You can opt for any one of the following optional covers to enhance the overall coverage of your plan along with the base features
Yes, on opting Reduction of the PED Waiting Period optional cover, you can reduce the waiting period of pre-existing disease coverage from 48 months to 36/24/12 months.
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Simran
Jamshedpur
April 8, 2024
I am impressed by Star Health reward features and want to be associated with the insurer for a long time
Dinesh
Belgaum
April 8, 2024
I required emergency hospitalization on my family trip to a remote city and PolicyX helped me find the nearest network hospital of Star health insurance
Nitika
Jalandhar
April 8, 2024
My grandparents are over 60 years old and I wanted to look for the best senior citizen health plan for them when PolicyX introduced me to Star Red Carper Health policy
Ashima
Amritsar
April 8, 2024
I was skeptical about investing in a family health plan thinking the coverage features will not be enough but Star comprehensive health plan proved me wrong, thank you policyX for finding the b...
Shikha Bajaj
Gurgaon
April 8, 2024
I have been associated with Star Health Insurance for over 3 years now and have had a smooth insurance experience
Kanupriya
Rajkot
April 8, 2024
I liked how my Star health insurance provides health check-ups, hospitalization, accidental cover, and so on at an affordable rate. Thank you PolicyX for encouraging me to buy it.
Neha Sukheja
Indore
April 8, 2024
I got treated with Angioplasty surgery and I’m thankful that the Star Comprehensive plan covered my treatment expenses and saved my hard-earned money.
Vaidehi Kanaujia
Indore
April 8, 2024
I have been insured with a Star Health Assure policy that I bought at the suggestion of PolicyX’s agent. I got my claims settled two times in a year and I highly recommend this policy.
Simran is an insurance expert with more than 3 years of experience in the industry. She may have all the answers to your insurance queries. With a background in Banking, she proactively helps her readers to stay on par with all the latest Insurance industry developments.
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