Star Health Premier Insurance Policy
Star Health Premier Insurance is a comprehensive health insurance plan designed specifically for individuals aged 50 and above. It offers indemnity coverage for hospitalization expenses arising from illness or accident with sum insured options up to Rs. 1 Crore. The policy includes benefits such as home care treatment, AYUSH treatment, non-medical expenses, and modern treatments, making it ideal for senior citizens seeking extensive health protection.
Eligibility
- Primary member: Minimum age 50 years, no maximum age limit.
- Dependent children: 91 days to 25 years (continuity benefits on switching policies post-25 years).
- Family floater options with discounts available for spouse under 50 years.
Key Benefits
- Coverage for room rent, surgeon, anesthetist, medical practitioner fees, operation theater, ICU charges, medicines, diagnostics, and more.
- Daycare procedures and cataract treatment (with specific sub-limits).
- Road and air ambulance expenses (up to Rs. 2.5 lakh per hospitalization).
- Pre- and post-hospitalization expenses (60 and 90 days respectively).
- Organ donor expenses, AYUSH treatment, bariatric surgery, and modern treatments coverage.
- Domiciliary hospitalization and home care treatment benefits.
- Automatic restoration of sum insured and cumulative bonus for claim-free years.
- Rehabilitation, pain management, and hospice care.
- Outpatient medical expenses and annual health check-up benefits.
- Star Wellness Program to reward healthy lifestyles with premium discounts.
Policy Features
- No pre-medical screening required.
- Discounts available on submitting health checkup reports.
- Flexible premium payment options (annual, quarterly, half-yearly).
- Long-term renewal discounts and no claim loading on renewals.
- Cashless hospitalization in network hospitals and reimbursement for non-network hospitals.
Exclusions
- Pre-existing diseases covered after 24 months waiting period.
- Several waiting periods apply to specific diseases and treatments.
- Excluded treatments include cosmetic surgery (except reconstructive), certain addictions, infertility, unproven treatments, and more (refer policy terms for full details).
Claim Process
- Inform the insurer 24 hours before planned hospitalization or within 24 hours of emergency admission.
- Cashless facility available at network hospitals; reimbursement for non-network.
- Submit KYC and medical documents as required for claim settlement.
Tax Benefits
Premium payments are eligible for tax deductions under Section 80D of the Income Tax Act.