Star Health Gain Plan

Star Health Gain Plan

Overview

Commencing operations in 2006 as Indias first Standalone Health Insurance provider, Star Health and Allied Insurance Co Ltd is providing sterling services in Health, Personal Accident and Overseas Travel Insurance etc. Awarded for “Best Health Insurance provider of the year 2018” – Business Today, Money Today financial awards 2018 – 2019 and Awarded as “India’s leading Insurance Company of the year – Dun & Bradstreet BFSI Summit & Awards 2019. Star health offers a wide range of products from floater schemes, senior citizen coverage plans and products for Diabetes/Heart/HIV patients also. It has a Pan India presence with 550+branch offices, Cashless treatment at 9900+ hospitals across India, Star health also provides 24 X 7 FREE medical advice and expert Doctor consultation. You also get Hassle-free in-house claim settlement without intervention of TPA. Star Health efforts have always been on service excellence and product innovation with a focus on delivering the best to the customers

Highlights For

Health Gain

Wide Cover

Flexible Policy

Sum Insured

Policy Type

Entry Age

Flexible Premium Options

Income Tax Benefit

product highlights for Health Gain

Features

Sub-limits

Pre-Hospitalisation : 30 days

The amount of expenses incurred during this period prior to hospitalisation such as diagnostic tests, doctor fees, medicines, etc. for investigiation purpose are also payable by the insurer

Post Hospitalisation : 60 days

The amount of expenses incurred during this period after discharge from hospitalisation for the purpose of recovery such as follow-up tests, doctor fees, medicines, etc. are also payable by the insurer

Pre existing Disease cover : Covered upto Sum Sum Insured

Coverage for all Pre-Existing Diseases covered after a certain specified waiting period with continuous renewal.

Waiting Period- Initial : 30 days

No claims are accepted within this period except due to accidents/ injury.

Waiting Period- Specific : 24 months

Listed specific illness

Waiting Period- PED : 48 months

No pre-existing ailment related claims are accepted within this period.

Room Rent : Room, Boarding, Nursing Expenses all inclusive as provided by the Hospital / Nursing Home upto 1% of the sum insured per day

Room rent for in-patient hospitalisation

Co pay : This policy is subject to 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 61 years and above.

% of the claim that the policyholder needs to pay out-of-pocket

Restore Benefit/ Recharge/ Refill : Not available

If the sum insured is exhausted due to hospitalisation expenses of one or more members, there is an automatic restoration of the sum insured for related or unrelated ailments.

Health Check up : Not available

Free annual health check-up for all insured members according to the list of tests specfied in the policy document.

No Claim Bonus : Yes,upto sum insured

% of the sum insured that rises every claim free year.

Video/telephone consultation : Not available

E-consultation with expert doctors empanelled with the insurer for a second opinion.

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

Transportation of the patient to the hospital and back home

Convalescence benefit : Not available

A specific fixed amount of money paid as a recovery benefit for extended hospitalisation.

Organ Donor : Not available

The costs for a surgical procedure of removal or damaged organ from the patient's body which could otherwise be fatal.

Bariatric cover : Not available

Expenses related to obesity-related conditions such as high BP, sleep apnea, arthiritis asthma, etc.

Daycare : Available

Covers in-patient hospitalisation expenses where the stay is <24 hours under a specified list of treatments

AYUSH : Not available

Alternative treatment coverage such as ayurvedic, unani, sidha and homeopathy which leads to hospitalisation.

Congenital Coverage : Available

Covers medical expenses related to diagnosis and treatment of heriditary and internal congenital ailments/ conditions/ traits that exist from birth.

Modern Treatments : Available

All advanced treatment with upgrade in technology.

Health Management/ Wellness : Not available

Benefits provided for staying fit and managing health

Maternity Benefit : 1.Medical treatment expenses traceable to childbirth 2. Expenses towards miscarriage

All expenses related to childbirth or legal medical termination of pregnancy, usually upto a specified limit.

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