Star Health Arogya Sanjeevani Policy

People often ignore the significance of health insurance when they are young and healthy, and hence health insurance doesn’t make it to their priority list. But considering the cost of medical treatments, it is essential to purchasing health insurance to mitigate emergency medical expenses. Also, buying health insurance at a young age helps save money on premiums.

Arogya Sanjeevani Policy is a standard product introduced by IRDAI across the health insurance industry to address the need for complete coverage at pocket-friendly rates. Star Heath Arogya Sanjeevani Policy is a basic health insurance plan that covers expenses for hospitalization, daycare procedures, pre and post-hospitalizations and AYUSH treatment. The policy includes a list of 12 modern treatments, which are covered up to 50% of the sum assured.

Let us have a look at the list of specific features of the Star Health Arogya Sanjeevani Policy:

• Sum Insured - The sum insured under this policy is available on an individual and floater basis ranging from Rs. 50,000 to Rs. 10 lakhs in multiple of Rs. 50,000.

• Coverage - The policy covers hospitalization expenses upto the sum insured, day care treatments, ambulance expenses, AYUSH treatments, pre and post-hospitalization expenses, 12 specialized medical procedures upto 50% of the sum insured, cataract treatment upto 25% of the sum insured, and telemedicine service.

• Protects family - The policy provides financial protection against medical emergencies for the entire family. It covers self, spouse, children, parents and parents-in-law. A child above 18 years who is financially independent is not eligible for coverage.

• Policy Term - The policy is valid for a period of 1 year with a lifetime renewal facility.

• Eligibility - If you are 18 to 65 years, you are eligible to avail of this policy for yourself and your family. Dependent children upto 25 years are eligible for coverage.

• Premium Payment Options - There are premiums payment options you can choose from like monthly, quarterly, half-yearly or yearly instalments as per the policy schedule.

• Pre-policy medical check-up - Any person more than 50 years of age would have to go through a mandatory medical check-up.

• Cumulative Bonus - A policyholder gets a cumulative bonus of 5% for a claim-free policy year, subject to a maximum of 50% sum insured, provided the policy is renewed without any break for 4 years.

• Waiting Period - The waiting period applicable is as follows

  • The policy does not cover for treatment of any illness except accidental hospitalizations within 30 days of policy inception.

  • Specified illnesses or procedures are covered after 24/48 months.

  • Pre-existing diseases are covered after 48 months.

• Portability - The policy can be ported to other insurers as per IRDAI guidelines, provided it is done at least 45 days before the renewal but not earlier than 60 days.

• Co-payment - The policy has a minimal co-payment of 5% of the claim amount.

Star Health Arogya Sanjeevani policy is beneficial in many ways as follows:

• The policy is inexpensive and can fulfil all our basic medical requirements.

• Star Health has a wide network of 12000+ hospitals that offer cashless treatment for all health insurance policies by Star Health.

• 90% of the cashless claims are settled in less than 2 hours.

• The policy is flexible, and you can choose a sum insured on an individual or floater basis.

• It has a lower co-payment of 5% only.

• It attracts first-time buyers offering wide coverage at a low cost.

• The policy is lifetime renewable if renewed on time, so you can have Star Health insurance for as long as you live.

• Star Health insurance offers a rural discount of 20% under the Arogya Sanjeevani Policy.

Star Health offers hassle-free and customer-friendly claim services with direct in-house claim settlement, and no third-party administrator is involved.

Cashless Claim:

• Call the 24-hour helpline to intimate the claim.
• Contact the insurance desk at the network hospital and show your health card. The network hospitals will verify your identity and medical details.
• The hospital will send a pre-authorization form duly signed by the insured with all other medical details to the star health insurance company.
• The company’s doctor will verify all the submitted documents before processing the claim.
• If required, an assigned doctor will visit the patient at the hospital.
• On discharge, the insured verifies and signs the discharge paper, which is sent to the insurer, and the insurance company settles the claim.
• If the request is rejected, the policyholder can send a request for reimbursement later.

• Claim Notification: Notify the insurance company at least 48 hrs in advance with details of the hospital and treatment in case of planned hospitalisation.
• For emergency hospitalization, inform the company within 24 hrs of the hospitalization.

Reimbursement claim:

An intimation to the insurer should be sent in writing by the insured within the time limit, and all the necessary documents should be submitted within 15 days of discharge. After verification, the company settles the claim subject to policy terms and conditions.

Documents required for the claim:

The following list of documents is to be provided in original form at the time of intimation of claim:

• Health Card

• Duly filled claim form

• Patient’s photo id.

• Original medical bills

• Payment receipts

• Medical prescription advising hospitalization.

• Discharge summary with a medical history of the patient

• Diagnostic test reports as per the prescription

• KYC details of the proposer

• NEFT details and cancelled cheque

• Any other relevant document required by the insurer

Star Health Arogya Sanjeevani Policy is a highly beneficial health insurance plan that solves the problem of too many choices for young first-time buyers. The policy is designed to cover all the basic medical requirements of any individual or family at a very affordable cost.