Star Health and Allied Insurance Company limited - Critical Illness Policy

Purchase mode: Online

Recommendation about Mediclaim: No

Premium:  Bad, as premium charges are too high

Product Features:

Parameter

Value

Entry age

18 to 65 Years

Renewal

70 Years

Policy tenure

Yearly

Sum Insured

Rs. 50,000 to Rs. 10,00,000

Illness Cover

  • Major Organ Transplant
  • First time diagnosis of Brain Tumour
  • Cancer
  • Chronic Kidney Disease
  • Hepatoma
  • Coma
  • Paraplegia and Quadriplegia

What does this policy Cover

  • Hospital room accommodation is covered till 2% of sum insured subject upto to a maximum of Rs.4000/- per day
  • The fees of the doctors, the Boarding and Nursing expenses, fees of the surgeon and his team of doctors, consultant, Anesthetist and Specialist are also included
  • Emergency ambulance charges for transporting the insured patient to the hospital
  • The cost of medicines and drugs are provided

The critical illness cover is provided to the life insured in a lump sum on diagnosis of any of the major illnesses:

  • Major Organ Transplant
  • First time diagnosis of Brain Tumour, Cancer, Chronic Kidney Disease, Hepatoma, etc.
  • Coma
  • Paraplegia and Quadriplegia
  • Cerebro-Vascular Stroke causing Hemiplegia, Acute Myocardial Infarction resulting in Left Ventricular Ejection Fraction of less than 25%

Exclusions

  • Initial waiting period of 30 days from commencement of the policy, whereby no claims will be admitted during that period.
  • Certain diseases are excluded in the first year of operation like Fistula in anus, Piles, Sinusitis and related disorders, congenital internal disease/defects, removal of gallstones and renal stone, Benign Prostate Hypertrophy, Hernia, Hydrocele
  • Some of the diseases are excluded in the first Two Years of operation, which are knee replacement surgery, Cataract, Hysterectomy for Menorrhagia or Fibromyoma, Prolapse of inter-vertebral disc and varicose ulcers
  • Expenses for diagnostic purposes and Naturopathy treatment are not included
  • Hospitalisation expenses would be paid till the date of diagnosis of major illnesses because once the critical illness is diagnosed, the lump sum benefit is paid out and the policy is terminated
  • There is a 90 day waiting period to receive the critical illness benefit in the first year of operation

Special features of the policy

  • Provides for regular Hospitalisation benefits along with critical illness coverage
  • Provides for accidental benefit coverage as well.
  • Extensive critical illness coverage till 70 years.
  • Pre existing diseases are covered after 48 months of continuous insurance.
  • Non-Allopathic Treatments (applicable to Section I only) is available upto 25% of Sum Insured per occurrence subject to a maximum of Rs 25,000 per policy period.

Illustration showing premium:

No. of Members (Individual)

Age Group

Premium Sum Insured (5 lacs)

1  Adult

36-45

Rs 10,562

1 Adult

56-65

Rs 21,910

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