STAR
Specific Health Plans
Specific Health Insurance Plans

Star Health Gain Insurance Policy

Maximum benefits at affordable premiums, available for individuals and family.

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Highlights

Outpatient and inpatient cover
Health insurance policy that covers both Outpatient expenses & inpatient expenses

Flexible policy basis
Option to choose premium to be paid with Individual and Floater Sum Insured required

Flexible premium options
Premium options: Rs.15000/-; Rs.20,000/-; Rs.25,000/-; and Rs.30,000/-( applicable GST extra)

Flexible sum insured options
Sum Insured options(for inpatient hospitalization): Rs.1 lakh, Rs.2 lakhs, Rs.3 lakhs, Rs.4 lakhs and Rs.5 lakhs

Day-care procedures
All day care procedures are covered

Ambulance charges
Ambulance charges up to Rs.750/- per hospitalization and Rs.1500/- per policy period.

Section I:

Hospitalization Cover: Room, Boarding, Nursing Expenses up to 1% of sum insured per day. A proportionate deduction shall happen in hospitalization expenses if room rent limit is exceeded.

Surgeon, Anesthetist, Medical Practitioner, Consultants, Specialist Fees, Cost of Medicines and Drugs.

Ambulance charges up to Rs.750/- per hospitalization and Rs.1500/- per policy period.

Pre-Hospitalization expenses up to 30 days prior to admission in the hospital.

Post-hospitalization expenses up to 60 days from the date of discharge.

Expenses incurred for all day-care procedures.

Treatment for Cataract is subject to limits mentioned in the policy

Co-Payment: Co-payment of 20% of each and every claim amount for fresh as well as renewal policies for insured persons whose age at the time of entry is above 60 years.

Waiting periods:
30 days (Not applicable for Accidents)
24 months for specified illness/ diseases.
48 months for treatment of Pre existing diseases

Section II:

Out Patient Benefits:
Premium option and Sum Insured Option shall be deciding outpatient benefit level.

Medical expenses incurred in networked facility shall be reimbursed. There is no waiting period or co-pay applicable Unutilized benefit in a policy year can be carried forward to immediately succeeding renewal year. No further carry over is permitted.

Eligibility
Age at entry 91 days to 65 years
Family means Self, Spouse, Dependent children up to 25 years of age

General Terms

Tax Benefits:
Amount paid by any mode other than by cash for this insurance is eligible for relief under Section 80D of the Income Tax Act.

Free Look Period:
A free look period of 15 days from the date of receipt of the policy by the insured is available to the insured to review the terms and conditions of the policy. In case the insured is not satisfied with the terms and conditions, the insured may seek cancellation of the policy and in such an event the Company may allow refund of premium paid after adjusting the cost of pre-medical screening, stamp duty charges and proportionate risk premium for the period concerned provided no claim has been made until such cancellation.

Free look Period is not applicable at the time of renewal of the policy

Renewal: Lifelong renewal
Grace Period for renewal: 30 days from date of expiry of policy.

Star Advantages
No Third Party Administrator, direct in-house claim settlement.
Faster and hassle-free claim settlement.
Cashless hospitalization.
Network of more than 9900+ hospitals across India.

Product Features

Day Care Treatments

Covered all day care treatment

Expenses incurred for all day-care procedures

Post-Hospitalization

Up to 60 days

Post-hospitalization expenses up to 60 days from the date of discharge

Pre-Hospitalization

Up to 30 days

Pre-Hospitalization expenses up to 30 days prior to admission in the hospital

Ambulance Charge

Up to Rs.750/- per hospitalization

Ambulance charges up to Rs.750/- per hospitalization and Rs.1500/- per policy period

Doctor-on-call-Service

Not Covered

No complimentary access to doctors in company network through a call

Network Hospital Covered

10200+ hospitals to serve you

Largest Network of 10200+ hospitals to serve you

Domestic Evacuation

Not Covered

No cover for emergency evacuation services

Eye & Dental Covers

Subject to limits Covered

Treatment for Cataract is subject to limits mentioned in the policy

Worldwide Emergency

Not Covered

No cover for Worldwide emergency services

Family Floater Option

Covered

Family Covered in this Policy

Existing Illness Waiting Period

48 months

48 months for treatment of Pre existing diseases

Hospital Room Eligibility

Upto 1% of sum insured per day

Room, Boarding, Nursing Expenses upto 1% of sum insured per day

Co-Payment

20% of each and every claim

Co-payment of 20% of each and every claim amount for fresh as well as renewal policies for insured persons whose age at the time of entry is above 60 years

Maternity

Not Covered

This plan doesn't provide coverage for maternity & related claims

Wellness Factors

Not Covered

No wellness factors are included

Health Assessment

Not Covered

This plan doesn't provide any complimentary access to a Health Assessment Report

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