Star Health Assure Insurance Policy
Star Health Assure Insurance Policy offers comprehensive health coverage with numerous modern features and extensive benefits to secure individuals and families against hospitalization expenses arising due to illness or accidents.
Key Features
- Coverage available on an Individual or Family Floater basis (up to 9 members)
- Automatic Restoration of Sum Insured for unlimited times per policy year
- Wellness discounts up to 20%
- Sum Insured options up to ₹2 Crore
- No pre-acceptance medical screening required
- Instalment premium payment options (monthly, quarterly, half-yearly)
- Multiple policy terms: 1 year, 2 years, and 3 years
- Covers in-patient hospitalization and daycare treatments including AYUSH
Eligibility & Sum Insured
- Adults: 18 to 75 years
- Dependent children: 16 days to 25 years (can continue under floater till marriage after 25 years)
- Family definition includes Self, Spouse, Children, Parents, and Parents-in-law
- Multiple Sum Insured slabs starting from ₹5,00,000 up to ₹2,00,00,000
Coverage Benefits
- Room, boarding, nursing expenses with room rent criteria
- Surgeon, anesthetist, medical practitioner fees
- Operation theatre, ICU, diagnostic, medicines, and surgical appliances
- Daycare treatments including chemotherapy, radiotherapy, dialysis etc.
- Emergency road ambulance and air ambulance up to 10% of sum insured
- Pre and post hospitalization expenses up to 60 and 180 days respectively
- Home care treatment for specified conditions up to 10% of sum insured
- Delivery expenses including cesarean section (with waiting periods)
- Organ donor expenses and newborn baby hospitalization from day 1
- Assisted reproduction treatment with defined limits
- Chronic severe refractory asthma treatment
- Compassionate travel and mortal remains repatriation expenses
- Coverage for modern treatments and second medical opinion
- Wellness program offering premium discounts based on wellness points earned
- Cumulative bonus for claim-free years up to 100% of sum insured
Discounts
- Floater discount: 40% for child, 10% for parents under floater
- Long term discount: 10% on 2nd and 3rd year for longer policy terms
- Discount on deductibles chosen by insured
Exclusions & Waiting Periods
- Pre-existing disease waiting period: 30 to 36 months depending on policy term
- Specified disease and procedure waiting period: 24 months
- 30-day waiting period on illness except accident-related claims
- Exclusions on cosmetic surgery, hazardous sports, certain chronic conditions, etc.
- Detailed and specific waiting periods for maternity, assisted reproduction, fetal surgery, and newborn coverage
Claim Process & Services
- 24-hour helpline and senior citizen support
- Cashless hospitalization in network hospitals
- Reimbursement claims for non-network hospitals
- Mid-term inclusion facility for new family members
- Migration and portability benefits under IRDAI guidelines
Renewals & Premium Payment
- Renewable policy with protection of accrued benefits during grace period
- Instalment payment loading applicable
- Cancellation options with refund policies detailed
Tax Benefits
Premium paid eligible for deduction under Section 80D of the Income Tax Act