Policy TypeThis policy provides benefits only on a Floater basis. |
Entry AgeAny person aged between 18 and 65 years can avail this policy. Dependent children are covered from the 16th day onwards up to 25 years. |
Family SizeThis policy provides wide coverage to family members including self, spouse, dependent children (maximum 3), parents and parents-in-law. |
In-Patient HospitalisationHospitalisation expenses incurred for a period of more than 24 hours on account of illness, injury or accidents are covered. |
Pre-HospitalisationIn addition to in-patient hospitalisation, the medical expenses incurred up to 60 days before the date of admission to the hospital are also covered. |
Post-HospitalisationPost-hospitalisation medical expenses up to 90 days from the date of discharge from the hospital are covered. |
Shared AccommodationExpenses incurred on occupying a shared accommodation by the insured person are covered up to the limits mentioned in the policy clause. |
Road AmbulanceAmbulance charges for the transportation of insured person by private ambulance are covered up to Rs. 750/- per hospitalisation and Rs. 1500/- per policy period. |
Air AmbulanceAir ambulance expenses are covered up to 10% of the Sum Insured for the entire policy period. |
Automatic Restoration of Sum InsuredUpon exhaustion of the limit of coverage during the policy period, 100% of the Sum Insured will be restored 3 times in the same policy year. |
Cumulative BonusFor Sum Insured options Rs. 3,00,000/- and above, Cumulative Bonus is available at 25% of the expiring Sum Insured in the second year and additional 10% of the expiring Sum Insured for the subsequent years. The maximum allowable bonus shall not exceed 100% |
Additional Sum Insured for Road Traffic Accident (RTA)If the insured person meets with a Road Traffic Accident resulting in an in-patient hospitalisation, then the Sum Insured shall be increased by 25% subject to a maximum of Rs.5,00,000/-. |
Assisted Reproduction TreatmentThe Company will reimburse medical expenses incurred on Assisted Reproduction Treatment, where indicated, for sub-fertility 1. Waiting period of 36 months from the date of first inception of this policy is applicable. 2. Maximum liability of the Company for such treatment shall be limited to Rs.1 lakh for sum insured of Rs.5 lakh and Rs.2 lakhs for sum insured of Rs.10 lakhs and above for every block of 36 months. |
Hospitalisation Expenses for Treatment of New Born BabyCover starts from 16th day after birth and subject to a limit of 10% of the Sum Insured or Rupees Fifty Thousand, whichever is less, provided the mother is insured under the policy for a continuous period of 12 months without break. Note : Exclusions No.1(Code Excl 01), Exclusion No.2(Code Excl 02), Exclusion No.3(Code Excl 03) and the above sublimit will not apply for treatment related to Congenital Internal disease/defects for the new born. |
AYUSH TreatmentExpenses incurred for the treatment under Ayurveda, Unani, Siddha and Homeopathy systems of medicines in AYUSH hospitals are covered. |
Emergency Domestic Medical EvacuationExpenses incurred towards the transportation of the insured person from the treating hospital to another hospital for treatment are covered as per the limits mentioned in the policy clause. |
Compassionate TravelThe air transportation expenses incurred up to Rs. 5000/- are payable for an immediate family member to travel to the hospital in case of hospitalisation of the insured person for life-threatening emergency times, at the place away from insured’s usual place of residence. |
Second Medical OpinionThe Insured person can avail a Second Medical Opinion from a Doctor in the Company's network of medical practitioners. |
Modern TreatmentModern treatment expenses are payable up to the limits mentioned in the policy clause. |
Recharge BenefitAvailable up to the limits. |
Day Care ProceduresMedical treatments and surgical procedures that require less than 24 hours of hospitalisation due to technological advancements are covered. |
Domiciliary HospitalisationExpenses incurred for domiciliary hospitalisation, including AYUSH on the advice of a medical practitioner for a period exceeding three days are covered. |
Organ Donor ExpensesExpenses incurred for organ transplantation are covered up to a limit of 10% of the Sum Insured subject to the maximum of Rs. 1,00,000/- whichever is less. |
Repatriation of Mortal RemainsThe expenses incurred for the repatriation of mortal remains of the insured person are covered up to Rs. 5,000/- per policy period. |
Cataract TreatmentExpenses incurred for Cataract treatment are covered up to the limits mentioned in the policy clause. |
Treatment in Valuable Service ProvidersIf the treatment is undergone in a hospital suggested by the Company, then a lump-sum of 1% of the Sum Insured subject to a maximum of Rs. 5,000/- per policy period is payable. |
Health Check-UpHealth check-up expenses incurred at Network Hospitals are covered up to the specified limits for every claim-free year. |
Co-PaymentThis policy is subjected to co-payment of 20% of each and every claim amount for fresh as well as renewal policies for insured persons whose age at the time of entry is 61 year and above. |
Instalment OptionsPremium can be paid Monthly, Quarterly and Half Yearly. Premium can also be paid Annually and Biennially (once in 2 years). Note: If Instalment Facility is opted for 2 year term policies, the full premium applicable for 2 year terms should be paid in monthly, quarterly or half yearly within the expiry of the first year. |
Upfront Discount5% discount for filling the lifestyle and habits related questionnaire at the inception of this policy. |
As a Health Insurance specialist, we extend our services from offering tailor-made products to fast in-house claim settlements. With our growing network of hospitals, we ensure easy access to fulfill your medical needs.
We are committed to saving you time, saving you money, and getting rid of the hassles that make health insurance so hard to navigate.
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What can be more important than ensuring the health and well-being of your loved ones in this active world? The Star Family Health Optima Insurance Plan is crafted to provide extensive health coverage for your entire family under a single policy. Above all, you and your family can get pre-eminent medical care without worrying about financial stress.
With this health insurance policy, your family is secured against unforeseen medical emergencies and can receive the best care. Family Health Optima Insurance Plan provides extensive coverage, which includes hospitalisation expenses, pre and post-hospitlisation costs, and a array of other medical expenses.
a) Recharge Benefit - If the limit of coverage under the policy is exhausted/ exceeded during the policy period, additional indemnity up to the limits would be provided once for the remaining policy period.
b) Assisted Reproduction Treatment - The Company will reimburse medical expenses incurred on Assisted Reproduction Treatment for sub-fertility.
c) Automatic Restoration of Sum Insured - Automatic restoration of the sum insured three times during the currency of the policy period upon exhaustion of the limit of coverage.
d) Additional Sum Insured for RTA (Road Traffic Accident) - If the insured person meets with a Road Traffic Accident resulting in an in-patient hospitalization, then the sum insured shall be increased by 25% subject to a maximum of Rs.5,00,000/-
e) Treatment in Valuable Service Providers - If the insured takes treatment in a hospital suggested by the company, then the company will provide a lump-sum payment calculated at 1% of the Sum Insured subject to a maximum of Rs.5,000/-
f) Shared Accommodation - If the Insured person occupies shared accommodation during in patient hospitalization, then a lump sum payment as stated will be payable.
g) AYUSH Treatment - In-patient Hospitalisation expenses incurred on treatment under Ayurveda, Unani, Siddha and Homeopathy systems of medicines in an AYUSH Hospital are payable up to the limits.
h) Emergency Domestic Medical Evacuation - The Company will reimburse reasonable and necessary expenses incurred towards transportation of the insured person from the treating hospital to another hospital for treatment.
Organ Donor Expenses - This cover is subject to a limit of 10% of the Sum Insured or Rupees One lakh, whichever is less.
i) Cost of Health Checkup - Expenses incurred towards the cost of health check-up subject to a maximum of Rs.3,500/- for every claim-free year.
j) Hospitalization expenses for treatment of New Born Baby - The coverage for newborn babies starts from the 16th day after their birth and is subject to a limit of 10% of the Sum Insured or Rupees Fifty thousand, whichever is less.
k) Air Ambulance - Per policy limits is up to 10% of the Sum Insured during the entire policy period. This benefit is available for sum insured options of Rs.5,00,000/- and above only.
The Family Health Optima Insurance Plan offers cashless hospitalisation across a network of more than 10,000 hospitals. Thus, in the event of a medical emergency, you can fully attend to the necessary treatment without worrying about beforehand payments. The insurance company settles the bills directly with the hospital, guaranteeing a smooth experience for you and your family.
The plan rewards policy owners for remaining healthy. If no claims are made during the policy period, you are entitled to a no-claim bonus, which increases your sum insured in the successive year without any extra premium.
You can enjoy lifelong renewability, ensuring continuous coverage for your family with the Star Family Health Optima Insurance Plan. Therefore, as long as you renew your promptly, your family will always have access to health insurance, providing tranquillity in the years ahead.
Family Health Optima Insurance Plan covers pre-hospitalisation expenses for up to 60 days before admission and post-hospitalisation expenses for up to 90 days after discharge.
The Family Health Optima Insurance Plan benefits include extensive coverage for hospitalisation, maternity care, and emergency services, ensuring complete and comprehensive protection for your entire family. The Family Health Optima Insurance Plan is a perfect choice for families looking for comprehensive health coverage at an economical price. Invest in your family’s health and well-being with the Family Health Optima Insurance Plan today!
We’re Star Health. We offer the coverage that’s designed to help keep you healthy. It's the care that comes to you, and stays with you.