Star Cardiac Care Overview

Star Cardiac Care is a specialized health insurance policy designed exclusively for individuals who have undergone cardiac interventions such as angioplasty, bypass surgery, or corrective heart procedures. This plan offers comprehensive coverage to support post-surgical care and cardiac health maintenance, ensuring financial protection against hospitalization and related medical expenses.

Eligibility

  • Persons aged between 18 and 65 years.
  • Individuals who have undergone any of the following:
  • Percutaneous Transluminal Coronary Angioplasty (PTCA) or Coronary Artery Bypass Graft (CABG) within 7 years before the proposal.
  • Corrective surgery for Atrial or Ventricular Septal Defect.
  • Treatment for Patent Ductus Arteriosus.
  • Other corrective cardiac surgeries or clinically indicated angiograms without interventions.

Policy Highlights

  • Renewable lifelong for continued cardiac coverage.
  • Coverage includes hospitalization, pre and post-hospitalization expenses related to cardiac ailments and accidents.
  • Personal accident cover for accidental death up to the insured sum.
  • Modern treatment expenses included within policy limits.
  • Covers day care procedures related to cardiac care.
  • Outpatient medical expenses, ambulance charges during hospitalizations.
  • Sub-limits apply for cataract treatment.
  • No requirement for pre-acceptance medical screening; prior medical documents suffice.
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Plan Options and Sum Insured

  • Multiple sum insured options (INR 3,00,000 and INR 4,00,000 recommended).
  • Plan variants: Gold and Silver.
  • Policy terms available for 1, 2, or 3 years with flexible premium payment options including quarterly, half-yearly, and yearly installments.

Important Details

  • Claims require disclosure of all prior medical details.
  • Coverage excludes certain preexisting diseases until a waiting period is completed.
  • Co-payment condition of 10% on claims for insured persons aged 61 and above at entry.
  • Coverage is subject to terms including exclusions for specified diseases, waiting periods, and fitness conditions.
  • Free look period of 15 days to review the policy.
  • Option for portability and renewal with accrued benefits.
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Claims Process

  • Inform Star Health 24 hours prior to planned hospitalization.
  • Emergency hospitalization must be reported within 24 hours.
  • Cashless facility available at network hospitals; reimbursement option available for non-network hospitals.
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