STAR
Specific Health Plans
Specific Health Insurance Plans

Star Special Care

Star Special Care is health insurance designed to cover children aged between 3 years and 25 years who are diagnosed with Autism Spectrum Disorder.

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Highlights

Autism cover
This policy specially designed to provide medical insurance cover for children diagnosed with Autism disorder

Entry age
Entry Age between 3 and 25 years

Indemnity cover
Regular indemnity health cover

No pre acceptance medical screening
No pre acceptance medical test

Day-care procedures cover
All day care procedures are covered

Specialized covers
Behavioral Therapy, Physiotherapy, Occupational Therapy and Speech Therapy covered under OPD

Benefits

Sum Insured Type:
Individual

Sum Insured Options :
Rs.3,00,000/-

Policy Tenure :
One year

Copay :
This policy is subject to copayment of 20% for each and every claim.

Pre-acceptance Medical Screening :
No pre-acceptance medical screening.

Waiting period:
30 days waiting period
24 months waiting period for specified disease/procedure
48 months waiting period for treatment of pre existing disease

What does the policy cover?

Room, boarding, nursing expenses (all inclusive) as provided by the
Hospital / Nursing Home up to Rs.5,000/- per day.

However if the insured opts to occupy a Shared Accommodation, the insured person shall be paid an amount of Rs..500/- per day subject to a maximum of Rs.2000/- per hospitalization and Rs.10,000/- per policy period.

Surgeon, Anesthetist, Medical Practitioner, Consultants, Specialist Fees.

Anesthesia, Blood, Oxygen, Operation Theatre Charges, Surgical appliances, Medicines and Drugs etc.

Emergency Ambulance up-to a sum of Rs. 750/- per hospitalization and overall limit of Rs. 1,500/- per policy period.

Post Hospitalization: A sum equivalent to 7% of hospitalization expenses or actual incurred up to 60 days after discharge from the hospital.

The expenses incurred on treatment of certain procedure and/or treatments are payable up-to the limits mentioned hereunder:


Eligibility
Any child aged between 3 years and 25 years diagnosed with Autism Spectrum Disorder can be covered.

General Terms

Renewal:
Renewal up to the age of 25 years. Beyond 25 years of age the insured person/s will be offered any other suitable Individual Indemnity based Health Insurance Product with continuity benefits for applicable waiting period

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

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 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

Star Advantages
No third Party Administrator, direct in-house claim settlement.
Faster & hassle-free claim settlement.
Cashless hospitalization wherever possible.
Network of more than 10200+ hospitals across India.
Information on health through free health magazine.

Product Features

Day Care Treatments

Covered all day care treatment

All day care procedures are covered

Post-Hospitalization

Up to 60 days

Post Hospitalization:A sum equivalent to 7% of hospitalization expenses or actual incurred up to 60 days after discharge from the hospital

Ambulance Charge

Up-to a sum of Rs. 750/- per hospitalization

Emergency Ambulance up-to a sum of Rs. 750/- per hospitalization and overall limit of Rs. 1,500/- per policy period

Network Hospital Covered

10200+ hospitals to serve you

Largest Network of 10200+ hospitals to serve you

Family Floater Option

Not Covered

This Policy Not Covered Floater Option

Existing Illness Waiting Period

48 months

48 months waiting period for treatment of pre existing disease

Hospital Room Eligibility

Up to Rs.5,000/- per day

Room, boarding, nursing expenses (all inclusive) as provided by the Hospital / Nursing Home up to Rs.5,000/- per day

Co-Payment

20% for each and every claim

This policy is subject to copayment of 20% for each and every claim

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