Family Health Optima Insurance Plan

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IRDAI UIN: SHAHLIP23164V072223

HIGHLIGHTS

Plan Essentials

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Affordable Premium

This policy covers family members including self, spouse, up to 3 dependent children, parents and parents-in-law at an affordable premium.
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Health Check-Up

Health check-up expenses incurred at Network Hospitals are covered up to the specified limits for every claim-free year.
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Organ Donor Expenses

Expenses for organ transplantation where the insured person is the recipient are payable provided the claim for transplantation is payable.
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Automatic Restoration of Sum Insured

On 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.
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Recharge Benefit

On exhaustion of the limit of coverage, an additional indemnity is provided which can be utilised even for the same hospitalisation or for the treatment of disease / illness / injury for which claim was paid / payable under the policy.
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Assisted Reproduction Treatment

Expenses incurred for proven Assisted Reproduction Treatments as listed in the policy clause are covered up to the specified limits.
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Hospitalisation expenses for the treatment of New Born Baby

Cover 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.
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Medical Examination

All people above 50 years of age and those with adverse medical history are required to undergo pre-acceptance medical screening at the Company designated centres. At present 100% of the cost of medical screening will be borne by the company.
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Policy Term

Policy can be taken for 1 year or 2 years
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Wellness

Wellness Reward programme
DETAILED LIST

Understand what’s included

IMPORTANT HIGHLIGHTS

Policy Type

This policy provides benefits only on a Floater basis.

Entry Age

Any 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 Size

This policy provides wide coverage to family members including self, spouse, dependent children (maximum 3), parents and parents-in-law.

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 60 days before the date of admission to the hospital are also covered.

Post-Hospitalisation

Post-hospitalisation medical expenses up to 90 days from the date of discharge from the hospital are covered.

Shared Accommodation

Expenses incurred on occupying a shared accommodation by the insured person are covered up to the limits mentioned in the policy clause.

Road Ambulance

Ambulance 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 Ambulance

Air ambulance expenses are covered up to 10% of the Sum Insured for the entire policy period.

Automatic Restoration of Sum Insured

Upon 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 Bonus

For 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 Treatment

The 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 Baby

Cover 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 Treatment

Expenses incurred for the treatment under Ayurveda, Unani, Siddha and Homeopathy systems of medicines in AYUSH hospitals are covered.

Emergency Domestic Medical Evacuation

Expenses 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 Travel

The 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 Opinion

The Insured person can avail a Second Medical Opinion from a Doctor in the Company's network of medical practitioners.

Modern Treatment

Modern treatment expenses are payable up to the limits mentioned in the policy clause.

Recharge Benefit

Available up to the limits.

Day Care Procedures

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

Domiciliary Hospitalisation

Expenses incurred for domiciliary hospitalisation, including AYUSH on the advice of a medical practitioner for a period exceeding three days are covered.

Organ Donor Expenses

Expenses 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 Remains

The expenses incurred for the repatriation of mortal remains of the insured person are covered up to Rs. 5,000/- per policy period.

Cataract Treatment

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

Treatment in Valuable Service Providers

If 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-Up

Health check-up expenses incurred at Network Hospitals are covered up to the specified limits for every claim-free year.

Co-Payment

This 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 Options

Premium 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 Discount

5% discount for filling the lifestyle and habits related questionnaire at the inception of this policy.
Please refer to the Policy Documents to know the policy details and Terms & Conditions.
STAR HEALTH

Why Choose Star Health Insurance?

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.

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My friend told me to buy health insurance from Star Health Insurance. That helped me during my son’s illness. Their cashless treatment facility was very helpful at the time. I truly appreciate their service and support.

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Thiruvananthapuram

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I have been with Star Health Insurance for the past 8 years, and have applied for two claims in that time. Both claims got settled, and I received good support from the company during my hospitalisation.

Vanishree

Bengaluru

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My family has been with Star Health Insurance since 2006. Our claim, which we applied during last month, was handled without any hassle. We are happy that we are part of such service providers.

Ramachandran

Chennai

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Star Health Insurance helped me a lot when I was in need. I was covered under Star’s Comprehensive policy, which provided me cashless treatment at their network hospital during my Angioplasty surgery.

Shaila Ganachari

Mumbai

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I have been using Mediclaim services for the last 7-8 years. I had tried other companies. But, I satisfied with the service Star Health Insurance has provided me, they also have friendly support personnel.

Sudhir Bhaiji

Indore

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Tiji K Oommen
Thiruvananthapuram

My friend told me to buy health insurance from Star Health Insurance. That helped me during my son’s illness. Their cashless treatment facility was very helpful at the time. I truly appreciate their service and support.

user
Vanishree
Bengaluru

I have been with Star Health Insurance for the past 8 years, and have applied for two claims in that time. Both claims got settled, and I received good support from the company during my hospitalisation.

user
Ramachandran
Chennai

My family has been with Star Health Insurance since 2006. Our claim, which we applied during last month, was handled without any hassle. We are happy that we are part of such service providers.

user
Shaila Ganachari
Mumbai

Star Health Insurance helped me a lot when I was in need. I was covered under Star’s Comprehensive policy, which provided me cashless treatment at their network hospital during my Angioplasty surgery.

user
Sudhir Bhaiji
Indore

I have been using Mediclaim services for the last 7-8 years. I had tried other companies. But, I satisfied with the service Star Health Insurance has provided me, they also have friendly support personnel.

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Family Health Optima Insurance Plan

 

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.

 

Family Health Optima Insurance Plan Benefits Extensive Coverage

 

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.

 

Cashless Hospitalisation

 

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.

 

No Claim Bonus

 

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.

 

Lifelong Coverage and Renewability

 

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!

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