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Diabetes Safe Insurance Policy

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IRDAI UIN : SHAHLIP23081V082223

Why is Diabetes an Epidemic in India?
HIGHLIGHTS

Plan Essentials

Diabetes

Diabetes Cover

Specially designed for persons diagnosed with Diabetes, both type 1 and type 2. Along with its complications, other illnesses or diseases are also covered.

Age

Entry Age

Any person aged between 18 and 65 years can avail this policy.

Policy

Policy Type

This policy can be availed either on an Individual or Floater basis. Floater basis can be taken only for a family of 2 members.

Premium plan

Flexible Plan Options

Plan A: With pre-acceptance medical examination. Plan B: Without pre-acceptance medical examination. 

Out

Outpatient Expenses

Outpatient expenses incurred at Network Hospitals or Diagnostic Centres are covered up to the limits mentioned in the policy clause.

Automatic

Automatic Restoration of Sum Insured

On exhaustion of the basic Sum Insured during the policy period, 100% of the basic Sum Insured will be restored once during the policy year.

Personal

Personal Accident Cover

One person is eligible to avail worldwide personal accident cover at no additional cost.

Installment

Instalment Options

The policy premium can be paid on a half-yearly basis. It can also be paid on an annual, biennial (once in 2 years) and triennial (once in 3 years) basis.

Detailed List

Understand what’s included

IMPORTANT HIGHLIGHTS

Plan APlan B

Pre-Insurance Medical Screening Mandatory

SECTION I - Hospitalisation for the Complications of Diabetes

Plan APlan B

In-patient Hospitalisation

Hospitalisation expenses incurred for a period of more than 24 hours on account of  illness, injury or accidents are covered. 

Pre-Hospitalisation

In addition to in-patient hospitalisation, the medical expenses incurred up to 30 days before the date of admission to the hospital are also covered.

Post-Hospitalisation

Post-hospitalisation medical expenses up to 60 days from the date of discharge from the hospital are covered as per the limits mentioned in the policy clause.

Room Rent

Room (Single Standard A/C Room), boarding and nursing expenses incurred during in-patient hospitalisation are covered.

ICU Charges

ICU charges at actuals are covered under this policy.

Emergency Ambulance

Ambulance charges for transporting the insured person to the hospital by private ambulance service are covered up to Rs. 2000/- per policy period.

Day Care Procedures

Medical treatments and surgical procedures that require less than 24 hours of hospitalisation due to technological advancements are covered.

Special Condition Under Section I

Plan APlan B

Kidney Transplantation

Donor expenses for kidney transplantation are payable if the insured person is the recipient provided the claim for transplantation is payable subject to the availability of the Sum Insured.

Dialysis Expenses

Expenses incurred for dialysis (including AV fistula / graft creation changes) is covered up to Rs. 1000/- per siting. If the insured person diagnosed with Chronic Kidney Diseases then the same are covered for 24 consecutive months.

Cost of Artificial Limbs

Expenses incurred for the cost of artificial limbs following the amputation are covered up to 10% of the Sum Insured.

SECTION II - Regular Hospitalisation Expenses

Plan APlan B

In-patient Hospitalisation

Hospitalisation expenses incurred for a period of more than 24 hours on account of  illness, injury or accidents are covered. 

Pre-Hospitalisation

In addition to in-patient hospitalisation, the medical expenses incurred up to 30 days before the date of admission to the hospital are also covered.

Post-Hospitalisation

Post-hospitalisation medical expenses up to 60 days from the date of discharge from the hospital are covered as per the limits mentioned in the policy clause.

Room Rent

Room (Single Standard A/C Room), boarding and nursing expenses incurred during in-patient hospitalisation are covered.

ICU Charges

ICU charges at actuals are covered under this policy.

Emergency Ambulance

Ambulance charges for transporting the insured person to the hospital by private ambulance service are covered up to Rs. 2000/- per policy period.

Day Care Procedures

Medical treatments and surgical procedures that require less than 24 hours of hospitalisation due to technological advancements are covered.

AYUSH Treatment

Medical expenses for Inpatient Hospitalization incurred on treatment under Ayurveda, Unani, Sidha and Homeopathy systems of medicines in a AYUSH Hospital is payable up to the sum insured.

Special Condition Under Section II

Plan APlan B

Cataract Treatment

Expenses incurred for Cataract treatment are covered up to the limits mentioned in the policy clause.

SECTION III - Outpatient Expenses

Plan APlan B

Outpatient Expenses

Outpatient expenses incurred at Network Hospitals or Diagnostic Centres are covered up to the limits mentioned in the policy clause.

SECTION IV - Coverage for Modern Treatment

Plan APlan B

Modern Treatment

Expenses incurred for modern treatments such as Balloon Sinuplasty, Intra Vitreal injections, Robotic Surgeries, etc. are covered up to the limits mentioned in the policy clause.

SECTION V - Personal Accident

Plan APlan B

Personal Accident Cover

One person is eligible to avail worldwide personal accident cover at no additional cost in case of accidental death.
Please refer to the Policy Documents to know the policy details and Terms & Conditions.
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Diabetes Safe Insurance Policy

 

Here’s some truly sweet news for individuals living with diabetes! Yes — health insurance can cover diabetes, depending on the plan you choose. Buying a dedicated Mediclaim policy for diabetes is one of the smartest ways to manage long‑term treatment costs without draining your savings. Since diabetes often requires continuous care, medications, lab tests, and regular monitoring, having insurance offers both financial relief and peace of mind. In this way, Star Health brings you a Diabetes Safe Insurance Policy that covers not just complications of diabetes (both Type I and Type II) but also regular hospitalisation, Personal Accident, and Outpatient Expenses as well! Star Health Insurance for diabetics The policy is designed to provide specified medical benefits to individuals diagnosed with Type 1 or Type 2 diabetes. On the other hand, treating diabetes without having insurance can be expensive as the treatment can be continued for years.

 

What is Medical Insurance for Diabetes?

 

Health insurance for diabetes patients is specially designed for people with diabetes or a family history of diabetes. It helps diabetic people manage the high cost of their treatment and related illnesses. This health policy for diabetes provides coverage for medical and hospitalisation costs for Type 1 and Type 2 diabetes and its complications.

 

Who Should Buy Health Insurance for Diabetes In India?

 

The following people should buy a health insurance policy for diabetic patients in India:

 

  • People with a family history of diabetes
  • People above 45 years
  • People who are overweight or obese
  • People with non-alcoholic fatty liver disease (NAFLD)
  • Women suffering from PCOS are at risk of developing gestational diabetes
  • Women who had gestational diabetes or gave birth to a baby above 4 kg

 

What is a Diabetes Safe Health Insurance Policy?

 

The Star Diabetes Safe Health Insurance Policy is specifically designed to offer health coverage for individuals diagnosed with Diabetes Mellitus. This comprehensive Star Mediclaim Health Policy provides immediate coverage for diabetes and its related complications under the Plan A variant, with no waiting period.

 

The policy is available on both an Individual and Family Floater basis, making it flexible to suit different needs. It covers both Type 1 and Type 2 diabetes patients, ensuring that individuals living with either form of the condition can benefit from this tailored health insurance plan. Hence, Star Health provides affordable health insurance for diabetics across India.

 

Eligibility Requirements

 

Age Criteria:

 

  • Minimum Entry Age: 18 years
  • Maximum Entry Age: 65 years

 

Policy Basis:

 

  • Individual Basis: Offers Coverage for a single person.
  • Floater Basis: Offers Coverage for a family of two members. Both must be diagnosed with diabetes to qualify for the floater option.

 

Star Health Insurance's diabetes plan is designed to provide financial support to individuals with Type I or Type II Diabetes. Any person with Type I or Type II Diabetes Mellitus aged between 18 years and 65 years can select this health insurance for diabetic patients on an Individual or a Floater basis. The Sum Insured options available under this diabetes insurance plan are Rs. 3 Lakhs, Rs. 4 Lakhs, Rs. 5 Lakhs, and Rs. 10 Lakhs. It can help in winning the battle against diabetes. This is one of the most suitable health insurance plans for type 1 diabetes and type 2 diabetes as well, offering comprehensive coverage.

 

Living with diabetes requires consistent care, monitoring, and often costly medical treatments. In such situations, having comprehensive health insurance for diabetics can offer much-needed financial support to cover all these expenses. Star Health introduces one of the best health insurance policies for diabetic patients, an exclusive plan specially designed to cater to the healthcare needs of diabetic individuals. Moreover, Health insurance for diabetics in India can offer both coverage and mental peace.

 

There are two plans available under this policy:

 

Plan A: Pre-acceptance medical examination is required for all persons opting for this plan.

Plan B: No pre-acceptance medical examination is required.

 

Benefits under both Plans:

 

Coverages under Section I - Diabetes-Related Hospitalisations:

 

The Insured can occupy a single standard A/C Room for diabetes-related hospitalisations.

 

  • Pre- and post-hospitalisation expenses are covered for 30 and 60 days, respectively.
  • AYUSH treatment expenses are covered up to the Sum Insured.
  • Donor expenses for kidney transplantation are payable, provided the claim for transplantation is payable.
  • The cost of artificial limbs following amputation is payable up to 10% of the Sum Insured.
  • Expenses incurred on dialysis are payable up to Rs.1,000 per sitting for up to 24 consecutive months.

 

Coverages under Section II - Non-Diabetes Related Hospitalisations:

 

  • The Insured can occupy a single standard A/C Room for hospitalisations.
  • Pre- and post-hospitalisation expenses are covered for 30 and 60 days, respectively.
  • The expenses incurred towards cataracts are payable up to the limits specified in the schedule.
  • AYUSH treatment expenses are covered up to the Sum Insured.

 

Coverages under Section III - Outpatient Expenses:

 

  • The Cost of Fasting and Post Prandial and HbA1C tests - once every six months – up to Rs.750/- per event, up to Rs.1500/- per policy period.
  • Other expenses like medical consultation, other diagnostics, medicines, and drugs are covered up to the limits specified in the policy schedule.

 

Coverages under Section IV - Modern Treatments:

 

  • It covers the specified limits mentioned in the policy schedule.

 

Coverages under Section V - Personal Accident for Plan A and Plan B:

 

  • A benefit amount equal to the chosen Sum Insured will be given as a lump sum on the Accidental Death of the Insured person.

 

If you are looking for health insurance for diabetics in India, this policy stands out due to its wide coverage. The policy provides specified benefits for hospitalisation, outpatient consultations, diagnostic tests and personal accidents, subject to applicable limits and policy conditions. 

 

The majority of the population is not aware of diabetes and co-morbid factors. Diabetes Mellitus, or Diabetes, is a lifestyle disorder that can often trigger other severe diseases, and it is also known to be a primary cause of heart attacks and can be fatal. This is why understanding what a diabetes insurance plan is is essential.

 

‘Over 77 million people have diabetes in India’- Reported by Medical News Today, dated 28 July 28-July-2021. Diabetes can lead to problems such as heart disease, kidney failure, and nerve damage. It is becoming more common among the younger population as well. Health insurance for Type 2 diabetes or Type 1 diabetes ensures that you are covered for any medical emergencies and regular check-ups.

 

Early detection and constant surveillance are necessary to manage the lifestyle problems that cause diabetes. With proper medical care, you will be able to not only control your sugar levels but also lead a healthy life.

 

However, with extensive medical treatments, huge bills come into the picture, which is why you may need an insurance plan for Type 1 diabetes or Type 2 diabetes. Star Health Insurance offers a Diabetes Safe Insurance Policy, a specialised plan designed for people with a history of diabetes.

 

Features of the Star Diabetes Safe Insurance Policy

 

This specialised health policy from Star Health offer coverage for Type I or Type II Diabetes Mellitus aged between 18 years and 65 years.

 

  • Entry Age: Individuals with Diabetes Mellitus between 18 and 65 years.
  • Sum Insured: 3 lakh, 4 lakh, 5 lakh, and 10 lakhs.
  • Unlimited Coverage: Plan A has No Sub-Limit Restrictions, while Plan B has Sub-limits for cardiovascular complications.
  • Coverage Type: Individual and Floater basis (like self and spouse)
  • Medical Screening: This policy has two plans. Plan A requires medical screening and provides coverage from day one. However, Plan B does not require medical screening but offers covers hospitalization expenses due to complications of diabetes after a waiting period of 12 months. The company covers 100% of the medical screening expenses if the policy is accepted. However, if the policy is rejected, 50% of the screening cost will be charged.

 

Thus, Star Health provides one of the best health insurance for diabetic patients.

 

Reasons to Choose a Diabetes Safe Insurance Policy

 

Can you get health insurance with diabetes? Yes Ofcourse!  Covers hospitalisation expenses other than complications of diabetes, also.

 

  1. Ailments like Cardiovascular Disease, Diseases of the renal system, Diseases of the eye, and foot ulcers are covered with no waiting periods in Plan A and a waiting period in Plan B.
  2. Automatic restoration of the entire Sum Insured by 100% upon exhaustion of the basic Sum Insured at once during the policy period.
  3. The premium paid is eligible for relief under section 80D of the Income Tax Act, 1961.
  4. No co-payment at the time of claim.

 

Advantages

 

Here are the countless advantages of diabetes medical insurance: 

 

  1. Pre-hospitalisation expenses up to 30 days before the date of hospitalisation.
  2. Post-hospitalisation expenses are covered for up to 60 days after discharge, limited to 7% of the hospitalisation costs or a maximum of Rs. 5,000.
  3. It includes coverage for a second transplant in case the first transplant fails.
  4. Has a wide network of hospitals across India.
  5. Covers hospitalisation costs for the kidney donor during renal transplant surgery.
  6. It covers the cost of prosthetic limbs due to amputation, up to 10% of the Sum Insured.
  7. Individuals are offered 24/7 expert medical consultation.
  8. This policy offers multiple post-renal transplant complications for the insured.
  9. Offers coverage for over 400 daycare treatments and procedures. No third-party administrator
  10. It offers smooth and hassle-free claim settlement

 

Key Factors of a Diabetes Safe Insurance Policy

 

  1. Pre-existing Diabetes Coverage:  Star’s health insurance for diabetic patients guarantees coverage for diabetes-related complications from the beginning, making it an ideal choice for those getting health insurance with Type 1 diabetes or Type 2 diabetes.
  2. Comprehensive Coverage: Star’s health insurance for diabetics covers hospitalisation, outpatient consultations, medications, and diabetes-related complications. It also offers coverage for Type 1 and Type 2 diabetes, making sure individuals get all the treatment required without any tension.
  3. Cashless Facility: The health insurance diabetes plan by Star Health allows individuals to avail of cashless hospitalisation at network hospitals.
  4. Waiting Period: Star’s health insurance policy for diabetic patients provides two different plans. Plan 1 offers immediate coverage for diabetes-related ailments, while Plan 2 offers a short waiting period.
  5. Wide Network of Hospitals: With an extensive list of network hospitals, Star’s health insurance for diabetics in India ensures seamless access to specialised diabetes care, making hospitalisation and treatments hassle-free for individuals.

 

Exclusions of the Star Diabetes Safe Insurance Policy

 

Star Health Insurance plans have the following exclusions:

 

  • Pre-existing conditions are not covered until the waiting period is complete.
  • Medical conditions arising from alcohol.
  • Cosmetic or plastic surgeries, unless they are part of necessary medical treatment.
  • Gender reassignment surgeries are not covered under the plan.
  • Symptoms resulting from alcohol consumption or drug overdose are excluded.
  • Routine medical check-ups are not covered under the plan.
  • Unproven or experimental medical treatments.

 

Health Insurance for Senior Citizens with Diabetes   

 

With ageing, dealing with diabetes becomes even more challenging. If in your family any senior person is dealing with diabetes, then finding health insurance for senior citizens with diabetes is a requirement that one cannot ignore. Health insurance for Indian diabetic patients will provide treatment options for several diabetes complications. This could include coverage for heart disease, kidney failure, or nerve damage- common issues among seniors with diabetes. For individuals looking for health insurance for senior citizens dealing with diabetes, Star Health offers tailored coverage to support diabetes management at an older age, guaranteeing quality care and financial safety.

 

Conclusion

 

Selecting a diabetes health insurance plan can significantly decrease the financial burden and stress associated with managing diabetes. It is crucial to select an insurance plan that offers comprehensive coverage, tailored benefits, and financial protection, ensuring peace of mind for you and your family.

 

Thus, mitigate the economic burden of diabetes management, ensure continuous treatment, and safeguard your savings with the Star Insurance Policy – a reliable and comprehensive solution for diabetes management. This policy could be considered one of the best health insurance policies for diabetics in India, specifically tailored to meet the needs of diabetic patients.

 

Reader Information: The Section 80D tax benefits discussed are applicable only under the old tax regime, subject to prevailing tax laws and regulations.

Diabetes Safe Insurance Policy

As is evident from its name, Diabetes Safe Insurance Policy will cover you against all expenses incurred on hospitalisation for treatment of Type I or Type II Diabetes and its complications. The plan provides coverage on an individual and family floater basis that requires 24 hours of hospitalisation.

Anyone with Type I or Type II Diabetes in the age group of 18 to 65 years will be considered eligible to buy this insurance plan.


Let us take a deeper look at what the Diabetes Safe Insurance Policy covers.


With this Policy, you get two plan options - Plan A and Plan B.
 

Diabetes Safe Insurance Policy - Plan A requires a Pre-Insurance Screening. The plan allows you to file a claim for all medical expenses arising out of hospitalisation and complications caused by diabetes up to the Sum Insured.


Plan A offers cover for diabetes complications such as Cardio Vascular System, Renal System, Diseases of the eye, Diabetic Peripheral Vascular Diseases and Foot Ulcer from day 1.
 

Diabetes Safe Insurance Policy Plan B does not require a Pre-Insurance Screening. All in-patient hospitalisation expenses arising out of diabetes during the policy period will be covered up to the Sum Insured.


In Plan B, medical expenses relating to any Cardio Vascular System, Renal System, Diseases of the eye, Foot Ulcer, Diabetic Peripheral Vascular Diseases and other complications of diabetes are covered after a waiting period of 12 months.
 

All in-patient hospitalisation expenses for Non-Diabetic complications are covered in both plans up to the Sum Insured. Under this policy, the waiting period for pre-existing conditions is 36 months, for specific diseases it is 24 months, and the initial waiting period for the policy is 30 days, except for accidents.


We request that you choose the right plan option depending on your healthcare requirements.
 

  1. Both plans can be bought on an individual as well as on a floater basis, which covers you and your spouse, provided either of you is a diabetic. Lifelong renewal is available.
  2. The maximum Sum Insured Option is ₹10,00,000 in this policy.
  3. Both plans will cover your daycare medical expenses and modern treatment (up to sub-limits)
  4. Cataract surgeries are covered up to specific limits based on the Sum Insured opted for.
  5. Organ donor expenses for kidney transplantation are allowed.
  6. Dialysis expenses are covered.
  7. The chosen Insured person has worldwide cover for Accidental Death.
  1. Room (Single Standard A/C room), Boarding and Nursing Expenses
  2. Surgeon, Anaesthetist, Medical Practitioner, Consultants, Specialist fees
  3. Emergency ambulance charges up to a sum of ₹2,000 per policy period.
  4. Pre-hospitalisation Expenses incurred for a period not exceeding 30 days before the date of hospitalisation
  5. Post-hospitalisation Expenses incurred up to 60 days after discharge from the hospital are payable up to 7% of the hospitalisation expenses, subject to a maximum of Rs. 5,000/- per hospitalisation
  6. Fasting and Post Postprandial and HbA1C tests incurred at any networked facility are covered once every six months up to Rs. 750/- per event up to Rs. 1500/- per policy period. Outpatient expenses like medical consultation, other diagnostics, medicines and drugs are covered up to the specific limits per policy period
  7. ICU charges
  8. Blood and oxygen expenses
  9. Medicinal expenses
  10. Automatic restoration of the Basic Sum Insured by 100% immediately upon exhaustion of the basic sum insured, once during the policy period
  11. Amputation claims up to 10% of the Sum Insured

Here are some of the common reasons why your claims could get rejected by the Star Health Diabetes Safe Insurance Policy:

  1. Hospitalisation expenses during the waiting period for that particular disorder
  2. Obesity related medical procedures Hospitalisation expenses for Investigation & Evaluation
  3. Treatment relating to sterility and infertility.
  4. Self-intentional injury
  5. Cost of spectacles, contact lens and any dental treatments

For more details on the risk factors, terms and conditions, please read the policy wordings before concluding sale

FAQ's

In the Diabetes Safe Insurance Policy, all the expenses of hospitalizations about the treatment of Diabetic and non-Diabetic conditions are covered.

  • The initial waiting period under this plan is 30 days (except for accidents).
  • The waiting period for PEDs is 36 months.
  • For specific diseases, it is 24 months.

Under Plan A - Diabetic Complications are covered from Day 1 for Type I and Type II Diabetes.

Under Plan B - Diabetic Complications are covered after 12 months for Type I and Type II Diabetes.

Yes. This plan covers other illnesses too.

Sub limits are available for Cataract, CVD and modern treatments. Refer to the policy clause for more details.

Plan A and Plan B are the two variants available in this plan.

Any person of the age group from 18-65 years diagnosed with Diabetes is eligible to buy this policy.

In India, the best health insurance for diabetes offers coverage for the expenses associated with hospitalisation, medications, diagnostic tests, and complications, especially under specialised plans. Standard health plans might need an important waiting period for coverage of this pre-existing condition; meanwhile, specialised plans could provide immediate coverage for Type 1 and Type 2 diabetes.

Yes. Any disease/illness diagnosed or taking treatment should be disclosed and will be considered as a pre-existing disease which would help them during any claim at a later date.

We have various options to address customer needs.

Option 1:  Under a standard policy, the waiting period varies for pre-existing diseases (diabetes mellitus/hypertension), which are covered after a certain period, like 36 months, based on the products/plan opted for.

Option 2: Innovative product designed only for diabetes called Diabetes Safe Insurance Policy which covers persons with a history of diabetes. The plan not only covers diabetic complications but also other than diabetic complications.

Diabetes Safe Insurance Policy
Disclaimer:

Health Insurance Coverage for pre-existing medical conditions is subject to underwriting review and may involve additional requirements, loadings, or exclusions. Please disclose your medical history in the proposal form for a personalised assessment. 
The information provided on this page is for general informational purposes only. Availability and terms of health insurance plans may vary based on geographic location and other factors. Consult a licensed insurance agent or professional for specific advice. T&C Apply. For further detailed information or inquiries, feel free to reach out via email at marketing.d2c@starhealth.in