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Get Lowest Rates for Star Unique Health Insurance Policy

Mediclaim Plans starting @ Rs 250* / month

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Star Unique Health Insurance Policy

Star Unique Health Insurance Policy includes in-patient hospitalization with pre and post hospitalization costs. It has a 2-year tenure, and you can pay the premium in two installments. You can pay the first installment at the time of buying the policy and the second one after a year. One unique feature of the plan is it covers HIV-infected patients with a minimum CD4 count of 350 at the time of entry, non-allopathic treatment, and ambulance charges.

Highlights of Star Unique Health Insurance Policy

  • 11 months waiting period for pre-existing diseases/conditions up to the defined limits
  • Compensation for the ambulance charges for emergency transportation to the hospital
  • Coverage for pre-hospitalization expenses up to 30 days before the actual hospitalization
  • Likewise, post-hospitalization paid as lump-sum up to the defined limits
  • No pre-acceptance medical screening needed
  • Convenient policy term of two years where you can pay the premium in 2 installments
  • Tax benefits on the premium paid as per the prevailing Income Tax rules

Scope of cover

Indivdual Plan

Entry Age

For children : NA

Adults :

Minimum : 18 yrs

Maximum : 65 yrs

Number of Members Covered

Maximum Members : NA

Maximum Adults : NA

Maximum Children : NA

Sum Insured

1 Lakh/ 2 Lakh/ 3 Lakh


discount

NA

Policy Periods Available

Two years


Pre-Policy Medical Check-up

Not Required

Important Features

Day Care Treatments
Definition
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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.

Organ Donor Cover
Definition
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Organ Donor Cover

Includes coverage for in-patient hospitalization expenses, offered to an organ donor for his/her treatment on harvesting an organ for the insured.

This plan does not cover expenses related to organ donor in case of organ transplant.

Pre Hospitalization
Definition
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Pre Hospitalization

Medical expenses incurred immediately before the insured individual is hospitalized are covered under this benefit. Usually, expenses up to 30 to 90 days before hospitalization are covered under the policy only after the in-patient hospitalization claim is accepted by the insurance company.

Compensates for the Pre-Hospitalisation expenses for consultations, investigations and medicines incurred up to 30 days before Hospitalisation

Post Hospitalization
Definition
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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.

Covers for the post-hospitalization expense equal to 7% of hospitalization costs (excluding room charges) up to a maximum of Rs.5,000 per occurrence. In the case of packaged treatments, the post-hospitalization expense is covered within the specified limit after calculating the room rent and boarding charges.

Good to Have Benefits

PORTABILITY
Definition
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PORTABILITY

If you want to transfer the policy to another insurer or get switched to this plan from another plan, you can do so without losing your accrued benefits after the waiting periods.

TAX BENEFITS
Definition
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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
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SUM ASSURED ENHANCEMENT

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.

Non- Allopathic Treatment Expense Cover
Definition
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Non- Allopathic Treatment Expense Cover

Includes coverage for expenses on treatment which do not use allopathic methods like Aurveda, Homeopathy, etc. The terms and conditions are different for different policies. This benefit is also refered to as Ayush benefit or Alternative treatment by some the insurers.

This plan covers alternative practices up to 25% of the Sum Insured to a maximum of Rs.25,000 per year for HIV-positive individuals with CD4 count 350 at the time of entry. This coverage does not include opportunistic infections and AIDS treatment.

Emergency Ambulance
Definition
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Emergency Ambulance

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

Compensates you up to Rs.750 for each hospitalization towards the emergency ambulance services up to a maximum of Rs.1,500 per policy period.

Value Adds

FREE LOOK PERIOD
Definition
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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
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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 room rent capping of up to 1% of Sum Insured up to a maximum of Rs.3,000 per day in case of normal hospitalization.

Co-Payment
Definition
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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 a co-pay of 30% on all claimable hospital expense including those with specified sub-limits.

Sub-Limits
Definition
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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 Treatments like Lithotripsy, Tonsillectomy, Incision and drainage of abscess, Sclerotherapy, etc. have a defined liability limit that varies between Rs.1,200 to Rs.20,000.

Waiting Period

Cooling Off Period
Definition
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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
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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 for non-defined ailments
Definition
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Pre-existing for non-defined ailments

You can claim for any pre-existing conditions (that are not listed in the policy for which a specific waiting period has been defined) after 11 months from the policy start date.

Pre-existing for defined ailments
Definition
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Pre-existing for defined ailments

Certain conditions/ailments are defined in the policy document such as Bone Marrow Transplant, Stapedectomy, Hepatitis, and so on have a waiting period of 48 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 Unique Health Insurance Policy

Star Health Unique Insurance policy stands right to its name as it provides the unique feature of covering any medical costs related to certain pre-existing conditions within 11 months of policy start as compared to many other health insurance plans that cover pre-existing diseases only after 24-48 months. Along with this, it also offers other essential benefits like the cover for pre & post hospitalization expenses, ambulance charges, non-allopathic treatment costs up to a defined limit, and so on. The room rent capping and the 30% co-pay on every admissible claim is something you can overlook if budget is not a constraint.

**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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