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Star Cardiac Care Insurance Policy

  • This policy is for persons who have undergone for the first time the named surgery / intervention / correction for the existing Cardiac diseases.
  • This policy has two Plan options – Gold Plan and Silver Plan
  • Silver Plan pays for expenses incurred as an inpatient for treatment in respect of all cardiac related complications that necessitate surgery/intervention
  • Gold Plan pays for expenses incurred as an inpatient for treatment in respect of all cardiac related complications that necessitate medical management, surgery/intervention.
  • Under both the Plans regular hospitalization is covered under Section 1 and all Cardiac related ailments are covered under Section 2.
  • Out Patient Benefit is available
  • Personal Accident: Accidental Death Cover
  • No Pre acceptance medical screening.
  • 405 day-care procedures covered.

IRDAI/HLT/SHAI/P-H/V.III/397/2016-17

Recharge Benefit

Policy Benefits: (Applicable for Both Silver Plan and Gold Plan)
Section 1: Hospitalization cover
  • Protects the insured for in patient hospitalisation expenses for a minimum of 24 hrs. These expenses include room, nursing and boarding charges, Surgeon, Anaesthetist, Medical Practitioner, Consultants, Specialist Fees, Oxygen, Operation Theatre, Diagnostics, imaging modalities and Cost of Medicines and Drugs, Oxygen, Blood, Operation theatre, Diagnostic and Imaging modalities.
  • Ambulance charges for emergency transportation to hospital as per specified limits.
  • Pre-Hospitalization expenses up to 30 days prior to admission in the hospital.
  • Post-hospitalisation expenses incurred up to specified limits.
  • 405 Day-care treatments covered
  • Pre-Existing Diseases / Illness are covered after 48 months of continuous coverage without break with any Indian Non-Life Insurer, under Section 1
Section 2: Cardiac Section

After a waiting period of 90 days, this policy covers all treatments relating to Cardiac diseases. This waiting period will not apply for renewals.

 

Section 3: Out-Patient Expenses

The Company will pay the amount of such expenses as are reasonably and necessarily incurred at the network hospitals/diagnostic centres as an Out Patient, provided the policy is in force


The limit of benefit under this Section is Rs.500/- per event subject to a maximum of Rs.1500/- per policy period, provided policy is in force. This benefit forms part of the Sum Insured.

 

Section 4: Personal Accident

If at any time during the Period of Insurance, the Insured Person shall sustain any bodily injury resulting solely and directly from an Accident caused by external, violent and visible means and if such accident causes death of the Insured Person within 12 Calendar months from the date of Accident, then the Company will pay the Sum Insured mentioned in the schedule as compensation

Eligibility

  1. Star Cardiac Care Insurance can be taken by any person between 10 years and 65 years of age, who has undergone for the first time
  2. PTCA (Stenting) or CABG (By-pass) procedure,  within 7 years prior to the date of policy purchase or
  3. Atrial Septal Defect (ASD) or Ventricular Septal Defect (VSD) that has been corrected  or
  4. Patent Ductus Arteriosus (PDA) that has been treated or
  5. RF Ablation done to correct the underlying cardiac condition or
  6. Had an Angiogram done but no intervention was medically found necessary

General Terms

Tax Benefits

Amount paid by any mode other than by cash for this insurance is eligible for relief under Section 80D of the Income Tax Act.

 

Free Look Period

A free look period of 15 days from the date of receipt of the policy is available for reviewing the policy terms and conditions. In case insured is not satisfied he can seek cancellation of the policy and in such event the Company will allow refund of premium after adjusting the cost of pre- acceptance of medical screening, stamp duty charges and proportionate risk premium for the period concerned provided no claim has been made until such cancellation. Free look cancellation is not applicable at the time of renewal.

 

Guaranteed Lifetime Renewals

Life-long renewals beyond 65 years are offered under this policy.

 

NOTE: Renewal premium, terms and conditions are subject to change with prior approval from IRDAI.

Star Advantage

  • No Third Party Administrator – direct in-house claims settlement
  • Faster and hassle-free claim settlement
  • Network of more than 8200+ hospitals across India
  • Facility for maintaining personal health record in electronic format.

NOTE: The benefits mentioned herein are only an outline of the policy. For details please contact your nearest Star Health Office or call toll free no 1800 425 2255/1800 102 4477.

Premium Chart

Premium Rating EXCLUDING TAX
Sum Insured 3,00,000/- 4,00,000/-
Plan/Age Band in Yrs Silver Plan Gold Plan Silver Plan Gold Plan
10-60 yrs 18000 26000 22000 30000
61-65 yrs 19000 28000 25000 34000
For Renewals only
66-70 yrs 21000 30000 27000 37000
71-80 yrs 23000 32000 30000 41000
Above 80 29900 44800 39000 57400
Premium Rating INCLUDING TAX @ 18%
Sum Insured 3,00,000/- 4,00,000/-
Plan/Age Band in Yrs Silver Plan Gold Plan Silver Plan Gold Plan
10-60 yrs 21240 30680 25960 35400
61-65 yrs 22420 33040 29500 40120
For Renewals only
66-70 yrs 24780 35400 31860 43660
71-80 yrs 27140 37760 35400 48380
Above 80 35282 52864 46020 67732
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