Best Mediclaim Health Insurance Policy in India

Health Insurance Plans provide Comprehensive Coverage

Star Health Insurance Policies or mediclaim plans will cover all 24-hour in-patient hospitalisations due to illness, accidents and daycare treatments/procedures. All related pre-hospitalisation and post-hospitalisation expenses are payable up to the specified days mentioned in the policy clause.

Health Insurance Plans provide more Flexibility

Star Health Insurance plans provide more flexible benefits when the policyholder buys a mediclaim policy and goes through certain hardships. For instance, when the sum insured gets exhausted, additional coverage is provided without any extra premium. This is where benefits like Automatic Restoration of the basic Sum Insured, Super Restoration of the basic Sum Insured and Road Traffic Accident (RTA) on the sum insured come into place.

Note: These flexible benefits are product/policy specific. Please refer to the policy clause to learn more.

Health Insurance Plans Allow Additional Disease-Specific Coverage

With Star Health, the insured can avail of disease-specific policies for critical illnesses, cancer and cardiac ailments along with in-patient hospitalisation as a general mediclaim Health Insurance Policy. We have a wide range of mediclaim Health Insurance Policies to choose like  Star Cardiac Care Insurance Policy-Platinum, Star Cancer Care Platinum Insurance Policy and Star Cancer Care Platinum Insurance Policy.

Health Insurance Plans Cover non-Hospitalisation Expenses

The insured can avail of non-hospitalisation expenses covered with most of our mediclaim Health Insurance Policies. Those include expenses, dental treatments, annual health check-ups, out-patient care treatments, diagnostics, consultations, etc.

Our Best Health Insurance Plans

Health issues increase with a sedentary lifestyle and advancement in age to a larger population. The current pandemic situation has underlined the need for Health Insurance more than ever before. All our policies provide coverage for COVID-19, on the purchase of a Health Insurance plan by a healthy individual/family, if diagnosed with COVID-19 and require hospitalisation. Covid-19 treatments are covered with some waiting period as mentioned in the policy clauses.

Our varied, feature-rich Health Insurance plans are available for several health issues and provide peace of mind at times of financial crisis due to medical contingencies and uncertainties.

Health Insurance plans primarily are of different types and are classified under two categories based on their coverage – for an Individual and a Family.

• Individual Health Insurance Plan

Buying Individual Health Insurance plans cover an individual person for opted Sum insured, which can be used by the insured individual only.

• Family Floater Health Insurance Plan

In the context of Family Health Insurance, a family indicates self, spouse and the dependent children and parents.

The Family Floater Health Insurance plan covers an entire family with a single premium, and the sum insured floats among the insured family members. At hospitals across India, the insured and family members can avail of quality-assured in-patient hospitalisation, modern treatments, diagnosis, surgeries, etc along with a host of other features.

List of our Best-Buy Health Insurance Policies

Diabetes Safe Insurance Policy (UIN:SHAHLIP23081V082223 )

Diabetes is among one of the most common disorders with a huge number of 50.9 million people, driving India to the second position of the most affected country in the world, says Diabetes Foundation of India in a recent survey. A sedentary lifestyle, usage of tobacco, and unhealthy food habits are the factors that stand foremost leading to diabetes, according to WHO.

 

Diabetes Safe Insurance Policy offers coverage for regular in-patient hospitalisation due to illness/accidents and diabetes complications arising out of Type 1/Type 2 . This is a specialized plan designed for people already with a history of diabetes. The plan covers diabetic complications and all other illnesses that require 24 hours of hospitalisation on both individual and family floater basis.

 

Features	Criteria
Entry age (for adult)	18 years to 65 years
Policy period	1 year/2 years/3 years
Sum Insured in INR	3 / 4 / 5 /10 lakhs
Product type	Individual/Floater
Discounts	On buying our Health Insurance Policy online, avail 5% discount
Waiting period Non- diabetic compilations	PED-48 months	Specific Diseases- 24 months	Initial waiting period – 30 days (except for accidents)

Super Surplus Insurance Policy (UIN: SHAHLIP22035V062122) & Star Super Surplus (Floater) Insurance Policy (UIN: SHAHLIP22034V062122) are Top-Up Health Insurance Plans

Star Cardiac Care Insurance Policy-Platinum (UIN: SHAHLIP22033V022122)

Star Comprehensive Insurance Policy (UIN: SHAHLIP22028V072122)

Senior Citizens Red Carpet Health Insurance Policy (UIN: SHAHLIP22199V062122)

Family Health Optima Insurance Plan (UIN: SHAHLIP23164V072223)

Medi Classic Insurance Policy (Individual) (UIN: SHAHLIP23037V072223)

Arogya Sanjeevani Policy, Star Health and Allied Insurance Co Ltd (UIN: SHAHLIP22027V032122)

Star Outpatient Care Insurance Policy (UIN: SHAHLIP22231V012122)

Star Hospital Cash Insurance Policy (UIN: SHAHLIP20046V011920)

Young Star Insurance Policy (UIN: SHAHLIP22036V042122)

Star Micro Rural and Farmers Care (UIN: SHAHMIP22038V032122)

Star Women Care Insurance Policy (UIN: SHAHLIP23132V022223)

Star Health Premier Insurance Policy (UIN: SHAHLIP22226V012122)

Star Health Assure Insurance Policy (UIN: SHAHLIP23131V022223)

Key factors to consider before buying your Health Insurance Policy

Choosing the best Health Insurance is quite a task. It is hard to pick the best plan while numerous firms are offering Health Insurance. The inclusion and exclusion differ from each policy. Every information that you gather will help you in the process of choosing the right Health Insurance Plan.

If you are planning to buy Health Insurance, you should also pick the right Insurance Provider.

Check out the plans offered by the Company. Every Insurance Company has its own Network Hospitals, so make sure to choose a company that offers a wide Network of Hospitals. Give equal importance to the claim settlement ratio, and go for the one that has a high claim settlement ratio.

When it comes to choosing the best Health Insurance Policy, be mindful of the following:

Inclusion and exclusion are the key factors, so it is important to read them carefully before opting for the policy. This can avoid misconceptions during the claim process. Understanding your Health Insurance coverage gives you an upper hand while filing a claim.

Waiting Period in Health Insurance should be of major concern because, during the waiting period, you cannot raise a claim to avail the benefits. Thereby, it is essential to know the duration of waiting periods. It is advisable to choose a policy that has a lower waiting period.

Network Hospitals are the hospitals that work in agreement with Insurance Companies to provide cashless treatment. Go for the insurer who has a wide network of hospitals as you can choose the one that suits you best.

Co-payment refers to the sharing of medical bills between the insured and the insurer. Some policies make co-pay mandatory and for some it is optional. Being aware of your co-pay gives you more flexibility while planning your finance.

Sub-limits are a common factor in Health Insurance. The policy might have sub-limits for different expenses such as room rent, Domiciliary treatment, AYUSH treatment, Cataract treatment, etc. So, the claim amount for such expenses is covered up to the mentioned sub-limits and you have to pay the balance amount.

A cumulative Bonus is also known as no-claim bonus. If you do not raise a claim during the policy period, then your Sum Insured will be enhanced by certain percentage. Such enhancement is called a cumulative bonus. The accumulated bonus will come in handy during the needful times.

Our Best Speciality Health Insurance Plans

Policy for Diabetes

The evolving lifestyle gives rise to serious diseases and disorders. One such complication is Diabetes. With the rise in medical inflation, having a Diabetes Insurance plan can save you from your financial breakdown. Our Diabetes Safe Insurance Policy is specially designed to cater for the needs of people diagnosed with both type 1 & type 2 Diabetes.

Policy for Cancer

Cancer is a serious threat and one of the leading causes of death across the world. A specific insurance policy for cancer offers cover for hospitalisation, treatment and diagnosis related to cancer. Our Star Cancer Care Platinum Insurance Policy is specially designed for people who are diagnosed with Cancer. In addition, it also provides coverage for non-cancer ailments.

Policy for Cardiac Ailments

Lifestyle changes also come with complications. With ever-increasing risks of cardiovascular illnesses and other associated complications, it becomes crucial that you secure yourself with the best Health Insurance plan. Our Star Cardiac Care Insurance Policy-Platinum provides wide coverage for cardiac illnesses. It doesn’t stop there. It gives coverage for non-cardiac ailments as well.

Policy for Critical Illness

In most cases, health problems occur unexpectedly and the rising medical inflation adds to the trouble. The treatment for critical illness is expensive and runs for a longer course of time. Do not worry about the treatment expenses because our Star Critical Illness Multipay Insurance Policy, insures you against 37 critical illnesses. The policy provides a lump sum on the diagnosis of critical illnesses under 4 groups.

Why Star Health is a Best Health Insurance Company?

Our motto is to serve the customers with the utmost care. We listen deeply to you, so we can provide Health Insurance plans that earn your trust.

We are a Health Insurance Specialist, and here goes our list of most recent achievements on our customer-centric policies:

• India’s Best Health Insurance Company For Retail Product – Insurance Alerts
• Most Innovative New Product of the Year 2020
• Young Star Insurance Policy had been awarded the Most Innovative New Product of the Year at ASSOCHAM’s Insurance E-Summit and Awards 2020
• Best BFSI Brands 2019 by Economic Times
• Best Health Insurance Provider of the year – Business Today, Money Today Financial Awards 2018–2019
• Health Insurance Provider of the year Silver Award by Outlook Money Awards 2018

Reasons to choose Star Health Insurance Company as your Insurance Provider

• Customer – centric company

Products are customer-centric and designed based on customer needs – Star Diabetes Safe Insurance Policy, Star Cancer Care Platinum Insurance Policy, Star Cardiac Care Insurance Policy-Platinum, Star Cancer Care Platinum Insurance Policy, Young Star Insurance Policy and many more, in the pipeline to serve you just the way our customers want.

Star Health Insurance acts with a set of core values that include trust and integrity with a customer-first mindset. This enables us to go the extra mile for you with our Health Insurance plans. We consider ourselves privileged to have positively impacted the lives of those who choose to be a part of the Star family.

• 89.9% of claims settled in less than 2 hours under cashless at our network hospitals
   

Cashless facility is made available within 2 hours in network hospitals across India. Our in-house claim settlement process is a major factor, which has allowed us to achieve this massive success rate. We ensure a hassle-free claim process and settlement done by qualified in-house doctors.

• PAN India presence
   

Ever-growing 14,000+ network hospitals across India.

• Claims settled by qualified doctors
   

A dedicated internal team of doctors to process your Health Insurance Plan claims, and fast-track the proceedings. This team also weeds out those who use nefarious methods to gain funds and intend to make gain out of Health Insurance.

• No Third-Party Administration (TPA)
   

A claim does justice only when it is settled within the timeframe. Often, many insurance companies avail services of TPA and incentivized for the claim processing. Star Health Insurance does not depend on the TPA but on our in-house claim team to help process claims faster and settle them in shortest time during the most needed hour.

• A high-quality free telemedicine facility for all
   

Health is inclusive, and we believe in access to everybody, not only our customers. Hence, anyone can avail of our free telemedicine facilities. Talk to Star App is a specialised application designed to serve this purpose.

• Wellness programs
   

Star Health Insurance supports the active maintenance of good health with unique wellness programs that encourage a healthy lifestyle.

What is the procedure for Health Insurance claims?

Cashless Claim Procedure

Contact the insurance desk at a network hospital. Share the Customer ID and Policy copy of the Insured patient.

Intimate a planned hospitalisation about 7 to 10 days in advance, while an emergency hospitalisation is to be informed within  24 hours of admission.

 

Procedure

 

• Register claim
• The documents are sent to the Star Health Claims Team
• The documents get verified by the Claim Processing Team
• The network hospital receives the decision of claim approval, query for additional documents or denial of cashless payment or rejection within two hours
• When accepted, the claim gets resolved according to the terms of the insurance
• Pay the difference, if any, before discharge

Reimbursement Claim Procedure

It is important to know about certain terms before purchasing health insurance. These terms help to know more about the policy coverage and its criteria. It is important to go through all the terms to avoid major mistakes. However, some terms can be difficult to understand.

Some of the general and common terms that will help you choose the correct health insurance plans are given below.

1. Sum-Insured

Sum-insured is the policy coverage amount.

2. Premium

Premium is the amount you must pay the insurer or the health insurance company against the policy purchased. The premium will depend on the type of policy you choose, the policyholder, age and other factors.

3. Cashless Claims

Cashless claims are health insurance claims that can be availed in the insurer’s network hospitals.

4. Add-On Covers

Add-on covers are additional features that offers additional financial covers in health insurance against unknown medical emergencies that involves high medical costs.

Other names for add-on covers are riders and optional covers. Critical illness, room rent waiver, maternity cover and hospital cash benefit are some of the common add-ons that can enhance your base health insurance.

5. Critical Illness

Critical illnesses are life-threatening medical conditions like kidney failure, cancer and cardiovascular diseases. For such critical illnesses, there are special plans that cover these illnesses. Additionally, you can get an add-on or a rider cover.

6. Network Hospitals

All health insurance companies have a tie-up with a certain number of hospitals in the country. These tie-ups with hospitals are called network hospitals.

7. Automatic Restoration

Most health insurance companies are offering automatic restoration benefits. You will benefit from insurance backup when you have exhausted the sum insured. In automatic restoration sum insured gets reloaded for the next hospitalisation during the policy term.

8. Pre-Existing Disease/Co-Morbidities

Co-morbidities like hypertension, COPD, kidney diseases, diabetes and other major health issues are considered as risk factors for health insurance. So people with any of the co-morbidities mentioned above are charged a higher premium.

9. Exclusions

Exclusions or limitations are circumstances and conditions that health insurance companies will mention in their policy wordings clearly. In such cases, your health insurance claims can get rejected or will not be processed further.

10. Inclusions

Inclusions or coverage benefits are one section that you should check properly. These benefits refer to benefits and other policy features the insurer will compensate you. Some common inclusions include hospitalisation, anaesthesia, surgery, ambulance charges and treatment-related expenses.

11. Waiting Period

In medical insurance, there will be a waiting period for health conditions. During the waiting period, you cannot avail the health insurance claims. The waiting period will differ for various health conditions and insurance policies.

12. Top-Up Plans

Top-up plans are policies that can be bought along with the base policy. When the sum insured by the base policy gets exhausted, the top plans will cover you.  

13. Co-Payment

A copay clause or co-payment is a fixed percentage of the amount the policyholder should pay to the hospital on the expenses in the treatment taken. Copay percentage differs from policy to policy and depends upon the entry age.

Some of the reasons why health insurance is required.

Health insurance protects you and your family from sudden hefty medical bills, which can be financially stressful.

Health insurance covers the treatment cost for health conditions and other lifestyle diseases like cardiovascular diseases, diabetes and hypertension.

When you purchase health insurance, you can avail the tax benefit under section 80D. 
 

Sum Insured

Make sure to choose a policy with a coverage at an affordable premium in a policy year for hospitalisation.

Coverage Amount

When opting for health insurance, check the coverage amount under each policy. Choose the policy covering medical expenses like hospitalisation, daycare, ambulance and maternity.

Family Floater Plans

Prefer family floater plans, which will cover the whole family. Family floater plans are affordable and will cover the whole family.

Compare Various Policies

When buying health insurance, it is important to compare various plans and choose the one that suits you. It will also give you an idea about the coverage details and which policy will suit your budget.

Add-ons or optional features in health insurance can be included in your base policy by paying an additional amount at purchase. In most cases, people choose ad-ons as they are cost-effective and also have significant advantages.

Health insurance plans has different eligibility criteria, including age, pre-existing medical conditions, etc. The following conditions must be met to qualify for a health insurance plan. 

• Age

The entry age for adults is 18, and they are eligible for all benefits according to the terms and conditions of the policy. However, the age criteria vary for different policies.

• Pre-Medical Screening

The pre-medical test is a must for policyholders over the age of 45 or 55. However, prior to issuing a policy, most senior citizen health plans need medical exams.

• Pre-Existing Disease (PED)

Pre-existing conditions are diseases diagnosed in the insurer before purchasing the health insurance plan. Pre-existing diseases have a set waiting period during which you are not eligible for all your health insurance benefits.

You can submit claims for that specific condition under your health insurance plan only after the waiting period. To prevent claim denial, provide the right information about your health issues and lifestyle choices

How to calculate Health Insurance premiums?

What are the factors that affect Health Insurance premiums?

Several factors will influence your health insurance plan, affecting whether the premium of your health insurance policy increases or decreases. Here are certain factors that influence the premium of your health insurance plan.

 

• Age

 

Age determines the health insurance premium. The higher the age, the higher the premium for the health insurance plan. With the increase in age, you are more prone to developing age-related diseases and require medical care, which raises the premium of your health insurance coverage.

 

• Medical History

 

The premium for the policy increases when there is a pre-existing disease.

 

• Duration of the Policy

 

The length of the health insurance policy will impact the premium of the plan. The premium tends to be lower for a higher-duration policy.

 

• Habits

 

You are more likely to experience significant health problems if you smoke, drink, etc. These lifestyle habits affect the health insurance premium.

 

• Occupation

 

The nature of your occupation or work influences the health insurance premium. The premium increases while working in harmful environments or having a stressful job.

 

• Body Mass Index

 

Diabetes, obesity, heart disease, and other disease are related to the BMI index. The insurance premium is higher for those with high BMI indices.

How to reduce Health Insurance premiums?

#1 People in good health don’t require health insurance

You can reap the long-term benefits of health insurance even when you’re healthy and young. Health insurance protects you from any unforeseen health.

#2 Insurance doesn’t cover pregnancy

There are insurance policies with maternity coverage subject to certain terms and conditions. 

#3 Your entire medical expenses will be reimbursed

The amount of reimbursement depends on the policy. Most plans cover room charges based on the sum insured, and any excess must be paid by the insured. A policy may have sub-limits for other costs which are subject to partial reimbursement. 

#4 Online health insurance purchases are not safe

Health insurance sales have gradually increased online. However, many believe that Internet transactions could result in fraud. This is untrue since insurers have launched online portals for easier policy purchases.