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| Micro Insurance in India (Star Health & Allied Insurance) |
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| Fully knowledge backed website to offer medical information, including health tips. |
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| What can benefit from this policy ? |
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| Any person aged between 26 years and 75 years can take this insurance. |
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| What are the benefits : |
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| The policy has two sections : |
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Section I provides
Hospitalisation cover - In-patient hospitalisation expenses are covered which includes room rent @2% of sum insured subject to a maximum of Rs.4,000/- Boarding and Nursing expenses |
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| Surgeon's fees, Consultant's fees, Anesthetist's fees |
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| Cost of medicines and drugs |
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Emergency ambulance charges for transporting the insured patient @ Rs. 750/- per hospitalisation and Rs. 1500/- per policy period. |
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| Pre-hospitalisation expenses upto 30 days prior to date of admission into the hospital. |
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A lump-sum calculated at 7% of the specified hospitalisation expenses payable towards Post hospitalisation, subject to a maximum of Rs. 5000/- |
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Section II provides
Lump Sum Compensatin is provided for 50% of sum insured under Section II in addition to payment of hospitalisation under Section I. |
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| Such hospitalisation expenses would be paid only till the date of diagnosis of the Major illness. |
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On entitlement for payment of lump-sum undr this section, all further benefits under the policy of insurance shall cease and the policy automatically terminates. Only one lump-sum payment will be made during the Insured Person's lifetime regardless of the number of the Major illness incapacities or treatments suffered by the Insured Person. |
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| Survival Period - To become eligible for lumsum compensation, the diagnosis should be after 90 days from the commencement date of the policy. In case of detection of major illness, the insured person must survive beyond 30 successive days from such date of detection to be eligible for a claim undr this policy. |
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What are the Specified Major Illnesses
Stroke
Renal Failure
Cancer |
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| How much to pay : |
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| SI (Rs) |
26-35 yrs |
36-45 yrs |
46-55 yrs |
56-65yrs |
66-70 yrs |
71-75 yrs |
| 100000 |
1488 |
1700 |
3107 |
4104 |
5723 |
6133 |
| 150000 |
2231 |
2525 |
4390 |
5856 |
8481 |
9175 |
| 200000 |
2950 |
3275 |
5807 |
6800 |
11041 |
12010 |
| 250000 |
3544 |
4000 |
7102 |
9252 |
13557 |
14811 |
| 300000 |
4200 |
4650 |
7870 |
10300 |
15983 |
17556 |
| 350000 |
4794 |
5325 |
9438 |
12848 |
18380 |
20236 |
| 400000 |
5375 |
5800 |
10992 |
14101 |
20626 |
22802 |
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Can this policy be taken by a Group :
This policy is not designed for a Group : |
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I. T. Benefit :
Premium paid by cheque is eligible upto Rs. 10000/- for relief under Section 80-D of the Income Tax Act |
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Renewal Features :
Renewal f policy under mutual consent.
Where claims ratio is 100% for immediately preceding two consecutive years, a loading on the premium may be imposed ranging from 20% to 50%. |
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What cannot be claimed :
Expenses incurred for treatment of any illness/disease/conditions, which is pre-existing at the time of commencement of insurance. |
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Any expenses incurred for treatment of illness/disease/sickness contracted by the Insured Person during the first 30 days frm the commencement of the policy. |
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First Year exclusions - Hernia, Piles, Hydrocele, Congenital Internal disease/defect, Sinusitis, Gall Stone/Renal Stone removal / treatment. |
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Two Years Exclusions - Hysterectomy, Cataract, Knee Replacement Surgery (other than caused by an accident), Joint Replacement Surgery (other than caused by an accident), Prolapsed Intervertebral Disc, Varicose veins / ulcers. |
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Naturopathy treatment
Expenses, which are purely diagnostic in nature with no positive existence of any disease. |
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| Expenses that are mainly cosmetic in nature |
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| Expenses incurred for treatment by systems of medicines other than Allopathic shall be limited to 25% of Sum Insured, subject to a maximum of Rs. 25000/- in the entire policy period. |
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