- Persons between 18 years and 40 years of age at the time of entry can take this Insurance. Dependent children can be covered from 91 days and up to 25 years of age.
- This policy is both on Individual basis and on Family Floater basis. Family for the purpose of this policy means self, spouse and dependent children, not exceeding 3.
- Lifelong Renewal.
Applicable for both Silver and Gold Plan
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Room (Single Private A/C room), Boarding and Nursing Expenses as provided by the Hospital.
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Surgeon, Anesthetist, Medical Practitioner, Consultants, Specialist Fees.
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Anesthesia, Blood, Oxygen, Operation Theatre charges, ICU charges,etc
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Emergency Road Ambulance charges for emergency transportation to hospital
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Pre hospitalization expenses up to 60 days prior to admission in the hospital
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Post hospitalization expenses up to 90 days after discharge from the hospital
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All Day Care Procedures are covered.
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E-Medical Opinion
Cost of Health Check up: Expenses incurred towards Cost of Health check-up up to the limits mentioned on completion of each policy year (irrespective of claim)
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Automatic Restoration of Sum Insured : Upon Partial/full utilization of the limit
- Such restored basic sum insured can be utilized for all claims during the policy period.The
maximum liability of Company in a Single claim under a policy year shall not exceed the limit of coverage. The unutilized restored sum insured cannot be carried forward.
Cumulative Bonus: The insured person will be eligible for Cumulative bonus calculated at 20% of
basic sum insured for each claim free year subject to a maximum of 100% of the basic sum insured
Additional Basic Sum Insured for Road Traffic Accident (RTA): If the insured person meets with
a Road Traffic Accident resulting in in-patient hospitalization, then the Basic Sum Insured shall be increased by 25% subject to a maximum of Rs.10,00,000/-.This benefit is payable if the insured person was wearing a helmet and travelling in a
two wheeler either as a rider or as a pillion rider
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Star Wellness Program: Discount in the Renewal premium for healthy life style through wellness activities.
Benefits Available only under Gold Plan
Delivery Expenses: Expenses for a Delivery including Delivery by Caesarean section (including pre-natal and post natal expenses) up-to Rs.30,000/- per delivery is payable
Hospital Cash Benefit: The Company will pay a Cash Benefit of Rs 1000/-for each completed day of hospitalization subject to a maximum of 7 days per hospitalization and 14 days per policy period
Special Features (Applicable for both Silver and Gold Plan)
If the Insured person enter this policy before the age of 36 years and he renewed continuously without any break, on completion of 40 years of age the insured person will get a discount of 10% on the premium applicable at renewal at the age of 40 years for the sum insured opted at the inception of this policy
Midterm Inclusion:
Permissible on payment of proportionate premium subject to the following;
Newly Married / Wedded spouse and/or legally adopted child: Intimation about the marriage/adoption should be given within 45 days from the date of marriage or date of adoption.
New born baby: Intimation about the new born baby should be given within 90 days from the date of birth. The cover for new born commences from 91st day of its birth.
Special conditions:
a. Waiting periods as stated in the policy will be applicable from the date of inclusion of such newly married/wedded spouse, new born baby, legally adopted child.
b. Such midterm inclusion will be subject to underwriter’s approval.
Waiting Period:
The Company shall not be liable under this policy directly or indirectly for
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First 30 days for illness/disease (other than accidents)
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12 months for specified illness/disease/treatments
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12 months for pre-existing diseases
Pre-Acceptance Medical Screening:
No Pre-Acceptance Medical Screening
Pre-Existing Diseases/Illness:
Are covered after 12 months of continuous Insurance without break.
Instalment Facility:
Premium can be paid Quarterly and Half Yearly. Premium can also be paid Annually, Biennial (once in 2 years) and Triennial (once in 3 years). Instalment facility will be available only for the sum insured Rs.5 lacs and above.
Tax Benefit:
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:
At the time of inception of the policy, the Insured will be allowed a period of 15 days from the date of receipt of the policy to review the terms and conditions of the policy and to return the policy if not acceptable. In such a case, the premium refund shall be as follows :
If the Insured has not made any claim during the free look period, the Insured shall be entitled to –
a refund of the premium paid less any expenses incurred by the Insurer on medical examination of the insured persons and the stamp duty charges
or
where the risk has already commenced and the option of return of the policy is exercised by the policy holder, a deduction towards the proportionate risk premium for period on cover
or
where only a part of the insurance coverage has commenced , such proportionate premium commensurate with the insurance coverage during such period.
Free look period shall not be applicable at the time of renewal
- No third Party Administrator, direct in-house claim settlement.
- Faster & hassle-free claim settlement.
- Cashless hospitalization wherever possible
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