Plan Overview
The Star Comprehensive Insurance Policy offers exhaustive health coverage for individuals and families with no sub-limits or caps. It is designed to ease the financial burden of medical expenses with a wide range of benefits, covering hospitalization, day care procedures, pre-existing diseases, and more.
Coverage Highlights
- Hospitalization: Room, boarding & nursing, surgeon & specialist fees, anesthesia, blood, oxygen, operation theatre charges
- Air ambulance cover (up to 10% of sum insured for policies above Rs. 7.50 Lakhs)
- Emergency ambulance charges
- Pre and post-hospitalization medical expenses (30 days before and 60 days after hospitalization)
- Coverage of specified diseases after waiting periods
- 405 day care procedures covered
- Outpatient medical consultations (excluding dental & ophthalmic)
- Domiciliary hospitalization
- Bariatric surgery coverage with specified limits
- Accidental death and permanent total disablement cover
Special Features
- Second medical opinion facility
- No Third Party Administrator for claim processing
- Cashless hospitalization in network hospitals
- 24/7 toll-free helpline
- Automatic restoration of sum insured after exhaustion
- Health check-up benefit every 3 claim-free years
- Hospital cash benefit for each day of hospitalization (up to 7 days per occurrence)
Eligibility
- Entry age: 3 months to 65 years
- Lifelong renewals guaranteed
- Coverage for dependent children up to 25 years economically dependent on parents
- Pre-acceptance medical screening for those above 50 years
Waiting Periods and Exclusions
- Accidents covered from day 1
- 30 days waiting period for illnesses
- 24 months for specific illnesses
- 36 months for delivery, newborn cover, and bariatric surgery
- Standard exclusions apply (e.g., pre-existing diseases, cosmetic treatments, specified illnesses during waiting periods)
Renewal and Portability
- Guaranteed renewals with a 30-day grace period
- Option to enhance sum insured at renewal
- Policy is portable to other insurers following guidelines
Claim Process
- 24-hour helpline assistance
- Inform prior for planned hospitalization; within 24 hours for emergency admission
- Cashless facility available at network hospitals
- Reimbursement process for non-network hospitalizations
Premiums
Flexible plans with sum insured options ranging from Rs. 5,00,000 to Rs. 25,00,000, with premiums varying based on age and family size.