Senior Citizen Red Carpet Plan

Star Health And Allied Insurance

Star Health's Senior Citizen Red Carpet Insurance Plan is a complete health insurance policy for the senior citizen that covers medical costs due to any ailment, disease, sickness, injury or accidents. Senior Citizens require sufficient coverage at all times, and thus it becomes essential for them to have an appropriate health insurance policy. This plan is very successful because it covers pre-existing conditions from the second policy year.

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Highlights of Star Health Senior Citizen Red Carpet Plan

Tailor-made for Senior Citizens between the ages of 60 to 75 years.
No pre-policy medical check-up required
Offers coverage for pre-existing conditions after one year of waiting period
Covers for any medical consultations as an Out Patient in a Network Hospital
Available with greater Sum Insured coverage up to Rs.10 Lakhs
Lifetime Renewability
Tax benefits on the premium paid as per the prevailing Income Tax rules

Scope of cover

Indivdual Plan

Entry Age

For children : NA

Adults : 5 Years

Minimum : 60 years

Maximum : 75 years

Number of Members Covered

Maximum Members : 3

Maximum Adults : 3

Maximum Children : NA

Sum Insured

1 Lakh to 10 Lakh

discount

. 10% of premium if proposer produces certain documents
. For longer policy term
. 5% Discount for Online Purchases

Policy Periods Available

1, 2 years

Pre-Policy Medical Check-up

Not Required Unless Underwriting Decision

Important Features

Day Care Treatments

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Definition

Day Care Treatments

Includes surgical processes conducted using local or general anaesthesia which requires less than 24 hours of hospitalization because of technological advancement in healthcare. Each company has a specific list of processes which are covered under this category.

The plan covers the expenses towards certain day-care procedures that would otherwise require hospitalization of a minimum of 24 hours.

Post Hospitalization

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Definition

Post Hospitalization

Medical expenses incurred immediately after the hospitalization are covered under this benefit.The coverage under this benefit would be available only for approved in-patient hospitalization claim is accepted by the insurance company. Usually, expenses up to 30 to 180 days post discharge are covered under the policy.

You will be well covered for expenditures related to your hospitalization up to 60 days post discharge.

Note: This policy does not cover the pre-hospitalization expense. In the case of packaged treatment, the post-hospitalization cost would be calculated considering room rent limit of Rs.4,000.

Good to Have Benefits

PORTABILITY

Definition

If you want to transfer the policy to another insurer, the plan allows you to do so without losing your accrued benefits after the waiting periods.

TAX BENEFITS

Definition

TAX BENEFITS

You can avail tax benefits for the premium amount paid towards this plan under Section 80D of the Income Tax Act,1961.

SUM ASSURED ENHANCEMENT

Definition

SUM ASSURED ENHANCEMENT

Sum assured or coverage is the minimum amount payable to the insured by the insurance company. Deductible: The partial amount of expenses that has to be paid by the insured before the insurer pays the remaining expenses.

You can apply for the sum increase at the time of renewal. However, there should not be any claim made on the policy for considering the request.

DAILY HOSPITALIZATION ALLOWANCE

Definition

Daily Hospitalization Allowance

Includes lump sum compensation offered in some plans on a daily basis after every 24 hours of hospitalization. The amount offered under this benefit could be used to cover expenses additional to hospitalization expenses.

You can get a daily cash allowance for up to Rs. 1,000 up to a maximum of 14 days.

Emergency Ambulance

Definition

Emergency Ambulance

Includes coverage for expenses on ambulance for hospitalization of the insured.

Compensates you up to Rs.600 for each hospitalization towards the emergency ambulance services up to a maximum of Rs.1,200 per policy period.

Value Adds

FREE LOOK PERIOD

Definition

FREE LOOK PERIOD

For any reason, should you decide not to proceed with the policy, you can return the same and request for a refund within 15 days from the date of receipt of the policy document.

Terms & Conditions

Room Rent / Room Category

Definition

Room Rent / Room Category

Hospitals have a fixed tariff or rate chart for all rooms. Mediclaim depends on the amount of room rent limit specified in the policy document. The amount varies depending on the type of room category chosen.

This plan has a room-rent limit of up to 1 % of sum insured up to a maximum of Rs.4,000 per day in case of normal hospitalization. 2 % of the sum insured towards ICU charges.

Co-Payment

Definition

Co-Payment

The fixed amount the policyholder has to pay for covered services when they get the service. When both insured and insurer pay part of the medical expenses, it is called as cost sharing. This is applicable based on the policy you choose.

This plan has two co-pay clauses. 50% of claimable expenses in case of pre-existing diseases. 30% of any claimable expense.

Sub-Limits

Definition

Sub-Limits

Includes the limits up to which specific conditions are covered under your policy. These limits are applicable for packaged treatments or some specific ailments listed in the policy.

Certain treatment has an upper limit. Some of them are listed below for a ready reference. However, the comprehensive list is available in the policy document.

Cardiovascular Diseases and Cerebrovascular Accident/Cancer and breakage of Bones: Upto Rs.75,000 for sum insured of Rs.1,00,000 and up to Rs.1,50,000 for sum insured of Rs.2,00,000
Both eyes Cataract surgery is covered between Rs.15,000 & Rs.25,000 depending on the sum insured
Renal Complications up to Rs.75,000 for sum insured of Rs.1,00,000 and up to Rs.3,50,000 for sum insured of Rs.10,00,000
Other Major Surgeries are covered up to Rs.60,000 for sum insured of Rs.1,00,000 and up to Rs.2,75,000 for sum insured of Rs.10,00,000
Costs of Drugs & Diagnostic Tests: Up to a maximum of 50% of sum insured per hospitalization
Fees for Doctor / Surgeon / Consultant / Anesthetist per Illness: Up to a maximum of 25% of sum insured per illness

Cardiovascular Diseases and Cerebrovascular Accident/Cancer and breakage of Bones: Upto Rs.75,000 for sum insured of Rs.1,00,000 and up to Rs.1,50,000 for sum insured of Rs.2,00,000
Both eyes Cataract surgery is covered between Rs.15,000 & Rs.25,000 depending on the sum insured
Renal Complications up to Rs.75,000 for sum insured of Rs.1,00,000 and up to Rs.3,50,000 for sum insured of Rs.10,00,000
Other Major Surgeries are covered up to Rs.60,000 for sum insured of Rs.1,00,000 and up to Rs.2,75,000 for sum insured of Rs.10,00,000
Costs of Drugs & Diagnostic Tests: Up to a maximum of 50% of sum insured per hospitalization
Fees for Doctor / Surgeon / Consultant / Anesthetist per Illness: Up to a maximum of 25% of sum insured per illness

Waiting Period

Cooling Off Period

Definition

Cooling Off Period

The period begins right after commencement of the policy within which you cannot claim for any illness except claims related to accident. This period is not applicable for subsequent renewals.

A 30 days cooling off period for all claims except any arising out of accidental injuries.

Specific Illnesses

Definition

Specific Illness

The ailments of specific severity listed in the policy document are included under this category.

The policy covers some specific diseases/treatments only after 24 months. These include Cataract, Glaucoma, Gall Bladder & Pancreatic Diseases and treatments, and so forth.

Pre-Existing Illnesses

Definition

Pre-Existing Illnesses

The ailments that the insured was already diagnosed with before taking the policy.

You can claim for any pre-existing conditions after 12 months from the policy start date.

Permanent Exclusions

The Plan will not cover any liabilities towards the treatments of following conditions-

Attempted suicide
Use of alcohol or drug
AIDS
Congenital disease
Naturopathy treatment
Infertility and in vitro fertilization.
Hospitalization out of war, riot, strike and nuclear weapons

The detailed list of what the policy does not cover is available in the policy wording.

Review of Star Health Senior Citizen Red Carpet Plan

Star Health's Red Carper for Senior Citizens Plan is a wholesome coverage for the elderly community. With valuable benefits like a minimum waiting period of 12 months, no pre-policy medical checkup along with cashless treatment in more than 6000 network hospitals, the plan is an ideal choice. The premiums are also quite pocket-friendly considering the benefits on offer. Thus, if you are looking for a unique plan for your aging parents, you should consider Star Health's Red Carpet Policy.

**Reviews and ratings are based only on Benefits and Conditions. Things like Claim Settlement Ratio, Hospital Network have not been covered under product ratings. These are covered under Company ratings.

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Senior Citizen Red Carpet Plan

Highlights of Star Health Senior Citizen Red Carpet Plan

Scope of cover

Indivdual Plan

Important Features

Day Care Treatments

Post Hospitalization

Good to Have Benefits

If you want to transfer the policy to another insurer, the plan allows you to do so without losing your accrued benefits after the waiting periods.

TAX BENEFITS

SUM ASSURED ENHANCEMENT

Daily Hospitalization Allowance

Emergency Ambulance

Value Adds

FREE LOOK PERIOD

Terms & Conditions

Room Rent / Room Category

Co-Payment

Sub-Limits

Waiting Period

Cooling Off Period

Specific Illness

Pre-Existing Illnesses

Permanent Exclusions

Review of Star Health Senior Citizen Red Carpet Plan

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