Star Health Insurance - It is India's stand-alone Health Insurance Company in India and Star Health Insurance deals in Health, Personal Accident, Mediclaim and Travel Insurance.
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Star Health Insurance Coimbatore | Family Health Optima Policy Premium
1. IRDA Registration No : 129; Corporate Identity Number : U66010TN2005PLC056649
CORPORATE OFFICE: No.1, New Tank Street, Valluvar Kottam High Road, Nungambakkam, Chennai - 600034. Ph: 044-28288800
Help Line. 99946 12916, 93628 54443 E-mail.: dhanasekaran.p@starhealth.in
Family Health Optima from Star Health is a health insurance plan that gives protection for the entire family on the
payment of a single premium under a single sum insured. The sum insured floats among the family members insured.
It's just one more way to tighten the family bonds.
ï A Super Saver Policy
ï Single Sum Insured
ï Wider Coverage
ï Coverage for entire family
ï Single premium
ï Considerable saving in premium as the family is covered under one policy.
FEATURES FAMILY HEALTH OPTIMA
ADULTS AGE AT ENTRY 18 YRS TO 65 YRS (residing in India)
CHILDREN AGE AT ENTRY From 16th day can be covered as part of the Family
DEPENDANT CHILDREN From 16 days to 25 years
SUM INSURED 2, 3, 4, 5, 10, 15 Lacs
ENTRY AGE (61 - 65 YRS) Co Pay of 20 % applicable
RENEWALS Life long
PREMIUM RATING Premium based on Zone 1, Zone 2, & Zone 3 to be collected as per the residential
address of the customer.
Zone 1: (Delhi, Including Gurgeon, Noida, Faridabad, Ghaziabad), Bombay & entire state
of Gujarat.
Zone 2: Bangalore, Chennai, Coimbatore, Kerala and Pune.
Zone 3: All remaining places & Locations other than Zone 1 & Zone 2
ADDITIONAL CO- PAY For persons availing hospitalization benefits in Higher Zones Co-pay of 10% is applicable
ROOM RENT/ NURSING &
BOARDING
ZONE 1
SI 10/15 lacs : (A/B/C) Single Std A/C room
SI 5 lacs : (A/B/C) Single Std A/C room
Up to SI 4 lacs :
A city 2% of SI upto a max of Rs.5000 per day.
B city 1% of SI upto a max of Rs.3000 per day.
C city 1% of SI upto a max of Rs.2000 per day.
ZONE 2 & ZONE 3
SI 10/15 lacs : (A/B/C) up to max of Rs.10000 per day.
SI 5 lacs : (A/B/C) upto a max of Rs.7500/- per day.
Up to SI 4 lacs :
A city 2% of SI upto a max of Rs.5000 per day.
B city 1% of SI upto a max of Rs.3000 per day.
C city 1% of SI upto a max of Rs.2000 per day.
HOAPITALIZATION EXPENSES Admission beyond 24 hrs for sickness/ illness/ disease & accidental injuries. Coverage for
minor sickness to major surgery
PRE & POST
HOSPITALIZATION EXPENSES
Pre & Post Hospitalization benefits extended to 60 & 90 days respectively with no caps
THER CHARGES INCLUDED Nursing charges & doctor fees, lab test, scan, xray, drugs & medicines, operation theatre
charges, surgical instruments, cost of blood & oxygen, cost of pacemaker etc
AMBULANCE CHARGES Rs 750/- per hospitalization up to max of 1500/- per policy period
DAY CARE PROCEDURES 405 day care procedures covered
2. IRDA Registration No : 129; Corporate Identity Number : U66010TN2005PLC056649
CORPORATE OFFICE: No.1, New Tank Street, Valluvar Kottam High Road, Nungambakkam, Chennai - 600034. Ph: 044-28288800
Help Line. 99946 12916, 93628 54443 E-mail.: dhanasekaran.p@starhealth.in
CATARACT LIMITS SI 2 lacs: RS 12000 flat (per policy period).
SI 3/4/5 lacs : Rs 20000 for one eye & 30000 both eye (per policy period).
SI 10/15 lacs : Rs 30000 for one eye & 40000 both eye (per policy period)
BONUS ADDITIONS Sum Insured - 3 to 15 lacs 35% max for claim free
AUTOMATIC RESTORATION Available from SI 3 lacs & Above : 100% (In between policy period in case SI getting fully
exhausted of becoming zero, top up of 100% of SI will be done at no extra cost)
TAX BENEFITS Under sec 80 D
WAITING PERIOD For health cover - 30 days,
For Accidental Injury - covered from DAY 1
BAD RISK person suffering from chronic kidney disease, cancer, heart disease, brain stroke,
parkinson, alzhmier
INSTANT RECHARGE BENEFIT FREE OF COST extra coverage for all types of claims if and when the original SI becomes
insufficient, Upto 30% of SI ( Recharge SI filled only once in policy period & Facility for 3L
/ 4L / 5L only
AUTO COVER FOR NEW
BORN BABY
Hospitalization expenses for treatment of New Born Baby, born during the policy period.
This cover starts from the 16th day after birth and is subject to a limit of 10% of SI or
(50k) , whichever is less.
DONOR EXPENSES FOR
TRANSPLANT OF ORGANS
up to a limit of 10% of the SI or (1 lakh), whichever is less
COST OF HEALTH CHECK UP up to 1% of the average basic sum insured subject to a maximum of Rs.5000/- after
every 3 years of policy run
DOMICILARY HOSPITAL
EXPENSES
UNLIMITED Domiciliary Hospitalization Expenses, exceeding 3 days. Does not cover
certain minor medical conditions
CLASS A CITIES Ahmedabad, Bangalore, Chennai, Hyderabad including Secundrabad, Kolkata, Mumbai
including Thane, Pune, New Delhi Including Noida, Gurgeon, Ghaziabad & Faridabad
CLASS B CITIES Allahabad, Amritsar, Agra, Baroda, Coimbatore, Cochin, Goa, Indore, Jalandhar, Jodhpur,
Kanpur, Kota, Ludhiana, Mohali, Meerut, Nagpur, Pakola, Rajkot, Surat, Udaipur, Vizag
Varanasi, Vijayawada and all state capitals other than those falling under CLASS A
OTHER LOCATIONS Rest of India not falling under Class A & Class B
FIRST YEAR EXCLUSIONS NO 1YR EXCLUSION ,ONLY FIRST 2 YEAR EXCLUSION
FIRST 2 YEAR EXCLUSION Cataract, diseases of the vitreous and retina, Diseases of the ENT, mastoidectomy/
tympanoplasty/stapedectomy, Diseases of the thyroid gland, Varicose veins and varicose
ulcers, Diseases of the prostate, Urethral stricture/obstructive uropathies, All types of
Hernia, Varicocele/ Hydrocele, Fistula/ fissure in ano, hemorrhoids/ Pilonidal sinus and
fistula, Congenital internal defect /disease, Gall bladder diseases and Stones (Calculii) in
any internal organ and its management/treatment, All and any treatment related to
female reproductive system /benign breast diseases, Any treatment related to
tendon/ligament/ fascia/bone and joints, Diseases of disc and vertebra including IVDP
(PIVD), Lumps/cysts of any type on any part of the body, Transplant of organs and
surgery
GENERAL EXCLUSION Maternity, Dental, HIV/Aids, Naturopathy, contact lens, wheel chair, crutches, hearing
aids, congenital external disease, non-allopathic, weight control/reduction treatments,
mental disorders, suicide attempts, non-medical expenses, Dental treatments etc refer
policy conditions for exclusions