Product Overview
Star Family Optima Health Insurance Plan is a hospitalization policy, which covers inpatient treatment for a minimum period of 24hrs, along with other benefits like day care treatments, Ayurvedic treatment, etc.
Unique Features of Star Allied Family Health Optima Plan
- Sum Insured will be automatically restored to 100%, in the event if the entire sum insured is exhausted and the policy has not yet expired.
- Get extra sum insured (auto recharge) at no extra cost, up to 30% of sum insured
- No Medical Test up to 50 years
- New - Born Baby cover from 16th day
- Any Expenses related to Pre-Hospitalisation will be covered upto 60 days & Post-Hospitalisation expenses will be covered upto 90 days
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Critical features of Star Allied Family Health Optima Plan
- Room rent:
Limits imposed towards room and ICU rent expenses
Limits are imposed as per the zone selected by the insured
- Co-Pay:
Specific % of admissible claim amount to be borne by Insured
- This plan has co-payment of 20% above the 60 age
- Sum limit on Cataract - 12,000 to 40,000 depending upon chosen sum insured
- No Claim Bonus:
Health Insurance policies may offer Cumulative Bonus wherein for every claim free year, the Sum Insured is increased by a certain percentage at the time of renewal
25% of basic sum insured up to a maximum of 35 % for each unclaimed year in case opted for(The cumulative bonus is reduced by 25% of sum insured once a claim is made)
- Pre-Existing Diseases:
Means any condition, ailment or injury or related condition(s) for which you had signs or symptoms, and / or were diagnosed, and / or received medical advice/ treatment, within 48 months prior to the first policy issued by the insurer
This Plan has a waiting period of 4 years is case of pre-existing diseases
Eligibility Criteria
- Minimum Age of Entry:- Children-16 days to 25 years/Adults-18 years
- Maximum age of Entry:- 65 years
- Renewal Age:- Life Long Renewal
- Sum Insured:- Rs. 2 lakhs to 15 lakhs
- Policy Tenure:- 1 year
- Premium Calculated on Basis of:- Age, (i.e. sum Insured Chosen)
Exclusions
- Expenses arising out of or attributable to alcohol or drug use/misuse/abuse
- Medical expenses incurred for treatment of AIDS
- Treatment arising from or traceable to pregnancy and childbirth, miscarriage, abortion and its consequences
- Congenital disease
- Tests and treatment relating to infertility and in vitro fertilization.
- War, riot, strike, nuclear weapons induced hospitalization.
- Expenses attributable to self-inflicted injury (resulting from suicide, attempted suicide)
- Expenses arising out of or attributable to alcohol or drug use/misuse/abuse
- Cost of spectacles/contact lenes,dental treatment
- Medical Expenses relating to any hospitalisation primarily and specifically for diagnostic, X-ray or laboratory examinations and investigations
Note: Any claims arising out of or attributable to any of the following are not covered. Please refer to the policy wordings for a detailed list of Exclusions.
Tax Benefits
The premium paid for health insurance policy is liable to get a tax rebate under section 80D of the Income Tax Act, 1961.
Claim Process
In case you would like to know about the Claim Process or would like to register a Claim please click the link below
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