The Young Star Insurance Policy by Star Health Insurance is designed to cater to the unique healthcare needs of young adults. This comprehensive policy offers extensive coverage, including hospitalization expenses, daycare procedures, and pre-and post-hospitalization costs. With a focus on promoting wellness and preventive care, the policy also provides benefits like health check-ups and wellness programs. Also, it covers modern treatments and offers a no-claim bonus for every claim-free year, enhancing the overall value. Made to fit the dynamic lifestyle of young individuals, the Young Star Insurance Policy ensures financial security and peace of mind, allowing policyholders to focus on their aspirations without worrying about medical expenses.
| Gold Plan | Silver Plan | |
|---|---|---|
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 as per the limits mentioned in the policy clause. | ||
Room RentRoom (Single Private A/C Room), boarding and nursing expenses incurred during in-patient hospitalisation are covered. | ||
Road AmbulanceThis policy covers ambulance charges for admission to the hospital, for shifting from one hospital to another and from hospital to residence. | ||
Day Care ProceduresMedical treatments and surgical procedures that require less than 24 hours of hospitalisation due to technological advancements are covered. | ||
Modern TreatmentExpenses incurred for modern treatments such as Oral Chemotherapy, Intra Vitreal injections, Robotic Surgeries, etc. are covered up to the limits mentioned in the policy clause. | ||
Additional Basic Sum Insured for Road Traffic Accident (RTA)If the basic Sum Insured gets exhausted, then for hospitalisation due to Road Traffic Accidents, it will be increased by 25% to the maximum of Rs. 10,00,000/-. | ||
AYUSH TreatmentMedical 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. | ||
Automatic Restoration of Sum InsuredOn partial or full utilisation of the Sum Insured during the policy period, 100% of the Sum Insured will be restored once in the same policy period. | ||
Cumulative BonusCumulative bonus is provided at 20% of the Sum Insured for each claim-free year subject to a maximum of 100% of the Sum Insured. | ||
Online DiscountA 5% discount on premium is available for purchasing the policy for the first time through online. | ||
Special DiscountA 10% discount on premium is applicable on purchasing the policy before 36 years of age and renewing it after 40 years of age. | ||
E-Domestic Second Medical OpinionAccess to a second medical opinion from a network doctor based on submitted medical records. | ||
Preventive Health Check-upWe will arrange for a Preventive Health Check-up at Our Network Providers for the applicable package as per opted Sum Insured. For the updated and applicable list of tests available under such package, Insured Persons are required to check our website
www.starhealth.in | ||
Star Wellness ProgramWellness program designed to motivate and encourage the healthy lifestyle of the insured person through various wellness activities. In addition, the earned wellness bonus points can be utilised for availing renewal discounts up to a maximum of 10%. | ||
Lifelong RenewalThis policy provides a lifelong renewal option. | ||
Delivery ExpensesDelivery expenses including the Caesarean section are covered up to Rs. 30,000/- per delivery to the maximum of two deliveries. | ||
Hospital Cash BenefitA cash benefit of Rs.1000/- for each completed day in the hospital is provided for a maximum of 7 days per hospitalisation and 14 days per policy period. | ||
Home Care TreatmentPayable up to 10% of Sum Insured subject to maximum of Rs.5 lakhs in a Policy Year, for treatment availed by the Insured Person at home, only for the specified conditions. | ||
Unlimited Tele-ConsultationInsured can avail unlimited number of Tele-consultations on Star Health mobile application or digital platforms. |
This program intends to promote, incentivize and to reward the Insured Persons’ healthy life style through various wellness activities. The wellness activities as mentioned below are designed to help the Insured person to earn wellness reward points which will be tracked and monitored by the Company. The wellness points earned by the Insured Person(s) under the wellness program, can be utilized to get discount in premium. This Wellness Program is enabled and administered online through “Star Health" Mobile App.
Note: The Wellness Activates mentioned in the table below (from Serial Number 1 to 5) are applicable for the Insured person(s) aged 18 years and above only.
The following table shows the discount on renewal premium available under the Wellness Program:
| Wellness Points Earned | Discount in Premium |
|---|---|
| 200 to 350 | 2% |
| 351 to 600 | 5% |
| 601 to 750 | 7% |
| 751 to 1000 | 10% |
*In case of floater policy the weightage is given as per the following table & noted points:
| Family Size | Weightage |
|---|---|
| Self, Spouse | 1:1 |
| Self, Spouse and Dependent Children (up to 17 years) | 1:1:0:0:0 |
| Self, Spouse and Dependent Children (18 years and above) | 2:2:1:1:1 |
Note: In case of two year policy, total number of wellness points earned in two year period will be divided by two.
Insured will be given log-in facility, which will be linked to his/ her policy.
*Please refer the Illustrations to understand the calculation of discount in premium, weightage and the calculation in case of two year policy.
The wellness services and activities are categorized as below:
| Sr. No. | Activity | Maximum number of Wellness Points that can be earned under each policy in a policy year |
|---|---|---|
| 1. | Manage and Track Health | |
| a) Online Health Risk Assessment (HRA) | 50 | |
| b) Preventive Risk Assessment | 200 | |
| 2. | Affinity to Wellness | |
| a) Participating in Walkathon, Marathon, Cyclothon and similar activities | 100 | |
| b) Membership in a health club (for 1 year or more) | 100 | |
| 3. | Stay Active – If the Insured member achieves the step count target on "Star Health" Mobile App | 200 |
| 4(a). | Weight Management Program (for the Insured who is Overweight / Obese) | 100 |
| 4(b). | Sharing Insured Fitness Success Story through adoption of Star Wellness Program (for the Insured who is not Overweight / Obese) | 50 |
| 5(a). | Chronic Condition Management Program (for the Insured who is suffering from Chronic Condition/s - Diabetes, Hypertension, Cardiovascular Disease or Asthma) | 250 |
| 5(b). | On Completion of De-Stress & Mind Body Healing Program (for the Insured who is not suffering from Chronic Condition/s - Diabetes, Hypertension, Cardiovascular Disease or Asthma) | 125 |
| Additional Wellness Services | ||
| 6. | Virtual Consultation Service | |
| 7. | Medical Concierge Services | |
| 8. | Period & Fertility Tracker | |
| 9. | Digital Health Vault | |
| 10. | Wellness Content | |
| 11. | Health Quiz & Gamification | |
| 12. | Post-Operative Care | |
| 13. | Discounts from Network Providers |
1. Manage and Track Health:
(a) Completion of Health Risk Assessment (HRA):
The Health Risk Assessment (HRA) questionnaire is an online tool for evaluation of health and quality of life of the Insured. It helps the Insured to introspect his/ her personal lifestyle. The Insured can log into his/her account on the website www.starhealth.in and complete the HRA questionnaire. The Insured can undertake this once per policy year. On Completion of online HRA questionnaire, the Insured earns 50 wellness points.
Note: To get the wellness points mentioned under HRA, the Insured has to complete the entire HRA within one month from the time he/she started HRA Activity.
(b) Preventive Risk Assessment:
The Insured can also earn wellness points by undergoing diagnostic / preventive tests during the policy year. These tests should include the four mandatory tests mentioned below. Insured can take these tests at any diagnostic centre at Insured’s own expenses.
| List of mandatory tests under Preventive Risk Assessment | |
|---|---|
| 1. Complete Haemogram Test | |
| 2. Blood Sugar (Fasting Blood Sugar (FBS) + Postprandial (PP) [or] HbA1c) | |
| 3. Lipid profile (Total cholesterol, HDL, LDL, Triglycerides, Total Cholesterol / HDL Cholesterol Ratio) | |
| 4. Serum Creatinine | |
Note: These tests reports should be submitted together and within 30 days from the date of undergoing such Health Check-Up.
2. Affinity towards wellness:
Insured earns wellness points for undertaking any of the fitness and health related activities as given below. List of Fitness Initiatives and Wellness points:
| Initiative | Wellness Points | |
|---|---|---|
| a. | Participating in Walkathon, Marathon, Cyclothon and similar activities | 100 |
| - On submission of BIB Number along with the details of the entry ticket taken to 100 participate in the event. | ||
| b. | Membership in a health club (for 1 year or more) - In a Gym / Yoga Centre / Zumba Classes / Aerobic Exercise/ Sports Club/ Pilates Classes/ Swimming / Tai Chi/ Martial Arts / Gymnastics/ Dance Classes | 100 |
| Note: | In case if Insured is not a member of any health club, he/she should join into club within 3 months from the date of the policy risk commencement date. Insured person should submit the health club membership. | |
3. Stay Active:
Insured earns wellness points on achieving the step count target on “Star Health” Mobile App as mentioned below:
| Average number of steps per day in a policy year | Wellness Points |
|---|---|
| If the average number of steps per day in a policy year are between - 5000 and 7999 | 100 |
| If the average number of steps per day in a policy year are between - 8000 and 9999 | 150 |
| If the average number of steps per day in a policy year are - 10000 and above | 200 |
Note:
| |
4. (a) Weight Management Program:
| Sr. No. | Name of the Ailment | Values to be submitted | Criteria to get the Wellness points |
|---|---|---|---|
| 1. | Obesity (If BMI is above 29) | Height & Weight (to calculate BMI) | Achieving and maintaining the BMI between 18 and 29 |
| 2. | Overweight (If BMI is between 25 and 29) | Height & Weight (to calculate BMI) | Reducing BMI by two points and maintaining the same BMI in the policy year |
| - Values (for BMI) shall be submitted for every 2 months (up to 5 times in each policy year) | |||
(b) Incase if the Insured is not Overweight / Obese, the Insured can submit his/her Fitness Success Story with us, on how the Insured Started / Improved /Maintaining his/her “Active/Healthy Life Style” through adoption of Star Wellness Activities. On submission of the Fitness Success Story through adoption of Star Wellness Activities, Insured earns 50 wellness points.
5. (a). Chronic Condition Management Program:
This Program will help the Insured suffering from Diabetes, Hypertension, Cardiovascular Disease or Asthma to track their health through the empanelled wellness experts who will guide the insured in maintaining/ improving the health condition.
| Sr. No. | Name of the Ailment | Test to be submitted | Values Criteria to get the additional Wellness points |
|---|---|---|---|
| 1. | Diabetes(Insured can submit either HbA1c test value (or) Fasting Blood Sugar (FBS) Range and Postprandial test value) | HbA1c | ≤ 6.5 |
| Fasting Blood Sugar (FBS) Range and Postprandial test value | 100 to 125 mg/dl below 160 mg/dl | ||
| 2. | Hypertension | Measured with - BP apparatus | Systolic Range - 110 to 140 mmHg Diastolic Range - 70 to 90 mmHg |
| 3. | Cardiovascular Disease | LDL Cholesterol and Total Cholesterol / HDL Cholesterol Ratio | 100 to 159 mg/dl ≤ 4.0 |
| 4. | Asthma | PFT (Pulmonary Function Test) | FEV1 (PFC) is 75% or moreFEV1/ FVC is 70% or more |
(b). In case if the Insured is not suffering from Chronic Condition/s (Diabetes, Hypertension, Cardiovascular Disease or Asthma) he/she can opt for “De-Stress & Mind Body Healing Program”. This program helps the Insured to reduce stress caused due to internal (self-generated) & external factors and increases the ability to handle stress.
Note: This is a 10 weeks program which insured needs to complete without any break.
6. Virtual Consultation Service:
‘Medical Consultation’ is available through our in-house Medical Practitioners/Empanelled Service providers round the clock to the insured through an online portal, mobile application as a chat service, voice call or a call back service. Consultations including on ‘Diet & Nutrition’ and ‘Second Medical Opinion’ is available.
7. Medical Concierge Services:
The Insured can also contact Star Health to avail the following services:
8. Period & Fertility Tracker:
The online easy tracking program helps every woman with their period health and fertility care. The program gives access to trackers for period and ovulation which maps out cycles for months. This helps in planning for conception prevention and tracks peak ovulation if planning pregnancy.
9. Digital Health Vault:
A secured Personal Health records system for Insured to store/access and share health data with trusted recipients. Using this portal, Insured can store their health documents (prescriptions, lab reports, discharge summaries etc.), track health data add family members.
10. Wellness Content:
The wellness portal provides rich collection of health articles, blogs, tips and other health and wellness content. The contents have been written by experts drawn from various fields. Insured will benefit from having one single and reliable source for learning about various health aspects and incorporating positive health changes.
11. Health Quiz & Gamification:
12. Post Operative Care:
It is done through follow up phone calls (primarily for surgical cases) for resolving their medical queries.
13. Discounts from Network Providers:
The Insured can avail discounts on the services offered by our ` network providers which will be displayed in our website.
Terms and conditions under wellness activity
ILLUSTRATION OF BENEFITS:
Lets look how the Insured can avail discount on premium through the “Star Wellness Program”
Scenario – 1 A 24 year old Individual Ramesh buys Young Star Insurance Policy with Sum Insured of 25 Lacs, let’s understand how he can earn Wellness Points by doing different wellness activities. Ramesh has declared that his Body Mass Index (BMI) as 25. Ramesh enrolled under the Star Wellness Program and completed the following wellness activities. | ||
|---|---|---|
| Sr.No | Name of the wellness activity taken up during the policy year | Wellness Points Earned |
| 1 | Completed Online Health Risk Assessment (HRA) | 50 |
| 2 | Submitted Health Check-Up Report (two test results are not within normal values) | 150 |
| 3 | Participated in Walkathon | 100 |
| 4 | Attended to o Yoga Classes | 100 |
| 5 | Achieved 10,000 average number of steps per day during the policy year | 200 |
| 6 | Ramesh accepted the Weight management program and reached 23 BMI | 100 |
| 7 | Ramesh has completed De-stress & Mind Body Healing Program | 125 |
| Total Number of Wellness Points earned | 825 | |
| Based on the number of Wellness Points earned Ramesh is eligible to get 10% discount on renewal premium. | ||
ILLUSTRATION OF BENEFITS:
Lets look how the Insured can avail discount on premium through the “Star Wellness Program”
| Scenario – 2 A 26 year old Individual Suresh and his wife Lakshmi aged 25 years buy Young Star Insurance Policy (Floater Sum Insured) with Sum Insured of 50 Lacs, let’s understand how they can earn Wellness Points under the Floater Policy. Suresh has declared his Body Mass Index (BMI) as 26 & Lakshmi has declared her BMI as 25. Suresh and Lakshmi enrolled under the Star wellness program and completed the following wellness activities. | |||
|---|---|---|---|
| Sr.No | Name of the wellness activity taken up during the policy year | Wellness Points Earned by Suresh | Wellness Points Earned by Lakshmi |
| 1 | Completed Online Health Risk Assessment (HRA) | 50 | 50 |
| 2 | Submitted Health Check-Up Report | 200 | 200 |
| 3 | Participation in Marathon | 100 | 100 |
| 4 | Attended to Aerobic Exercise | 100 | 100 |
| 5 | On achieving the step count target | 200 | 150 |
| 6 | Suresh accepted the Weight management program and reached 24 BMI Lakshmi accepted the Weight management program and reached 23 BMI | 100 | 100 |
| 7 | Suresh & Lakshmi has completed De-stress & Mind Body Healing Program | 125 | 125 |
| Total Number of Wellness Points earned | 875 | 825 | |
| No of wellness points based upon weightage - 1:1 | 437 (875X1/2) | 412 (825X1/2) | |
| Total Number of Wellness Points earned by Suresh and Lakshmi = 849 (437+412) Based on the no of Wellness Points earned, Suresh & Lakshmi are eligible to get 10% discount on renewal premium | |||
ILLUSTRATION OF BENEFITS:
Lets look how the Insured can avail discount on premium through the “Star Wellness Program”
Scenario –3
A 35 year old Individual Umesh buys Young Star Insurance Policy for two year period, with Sum Insured of 1Crore, let’s understand how he can earn Wellness Points by doing different wellness activities. He is suffering from Hypertension. Umesh enrolled under the Star Wellness Program and completed the following wellness activities. | |||
|---|---|---|---|
| Sr.No | Name of the wellness activity taken up during the policy year | Wellness Points Earned in the First Year | Wellness Points Earned in the Second Year |
| 1 | Completed Online Health Risk Assessment (HRA) | 50 | 50 |
| 2 | Submitted Health Check-Up Report | 200 | 200 |
| 3 | Participated in Walkathon | 100 | 100 |
| 4 | Attended to Tai Chi Classes | 100 | - |
| 5 | Achieved 10,000 average number of steps per day during the policy year | 200 | 150 |
| 6 | Submitted his fitness success story | 50 | 100 |
| 7 | Managed Hypertension through Chronic management program | 250 | 250 |
| Total Number of Wellness Points earned | 950 | 850 | |
| Total Number of Wellness Points earned by Umesh = 1800 (950+850) Calculation of Wellness Points as per two year policy condition = 900 (1800/2) | |||
| Based on the number of Wellness Points earned, Umesh is eligible to get 10% discount on renewal premium | |||
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Young Star Insurance Policy is an extensive Health Insurance Policy that provides complete coverage to individuals during the most progressive stage in anyone’s life. This plan covers adults between 18 and 40 years of age and their economically dependent children from 91 days to 25 years.
This Policy comes with 2 variants: Silver Plan and Gold Plan. Any one variant can be chosen based on the requirements.
With Sum Insured options ranging from Rs. 3 Lakhs to Rs. 1 Crore for Individual Policies and Rs. 5 Lakhs to Rs. 1 Crore for Floater Policies, this plan covers the in-patient hospitalization expenses of the Insureds and their families along with multiple new age features with no pre-medical screening.
This Policy offers coverage to people up to the age of 40 years. The Young star policy offers coverage to the medical expenses incurred because of hospitalization, ambulance charges, mid-term inclusion, automatic restoration, etc. It also comes with special features, like no cap on room rent.
This policy can either be purchased as an individual or family floater basis with sum insured choices. An individual can either select a gold plan or a silver plan below this policy according to their needs.
Knowing the Young Star insurance policy details will help you understand its importance.
There are many coverages included in this policy. The following coverage is offered under the Star Young Star Health Insurance policy:
The Young Star Insurance Policy additionally cover the following advantages:
Though there are many inclusions in this policy, there are also some exclusions. The Star Young Star Insurance Policy Exclusions are given below :
Young Star Extra Protect-Add on Cover is a cover that promotes the limit of existing coverage and provide new features to the base health insurance policy. The policyholders who are covered below this policy with a minimum Sum Insured of Rs. 10,00,000/- could get this add on cover.
Star young star health insurance has many benefits. The add-on can be used as an extra coverage below the young star health insurance. Let’s discuss the eligibility of Star Health Young Star Policy.
A health insurance add-on refers to an extra advantage that can be added to your choice of health insurance by paying a small amount towards the premium amount. You can get more coverage for particular needs with these add-ons when the time comes.
The bouquet of features & benefits offered by Young Star Insurance Policy are as follows:
Star Health provides end-to-end support with captivating wellness activities and discounts in the premium of up to 10% during renewals and encourages its customers to choose a healthy lifestyle.
If an individual gets insured under Young Star Insurance policy before 36 years of age and wishes to renew under this plan after 40 years, he/she can avail a 10% discount in the premium in all subsequent renewals thereof.
With wide range of benefits, multiple discount options and instalment premium payment modes, Young Star Insurance Policy promises to protect the health and well-being of the individuals when they are busy climbing up the ladder of success to achieve their goals.
Star Health Insurance Add-On can help upgrade your limitations of the existing policy. They offer an extra coverage for things such as room rent, non-medical items, and treatments.
Star Health Insurance Young Star has many benefits. Similarly, Star Health Add-On Covers have many benefits. Here are the benefits of Add-On Covers :
There are many types of add-on covers. Let’s discuss some of the add-on Covers.
1) Maternity Health Coverage
It is an add-on advantage designed for pregnant mothers to offer coverage for the expenses incurred during childbirth. But this add-on often has a waiting period of 24-48 months for the coverage to begin.
2) Critical Illness Cover
This is an add-on that offer full coverage if the policy holder are diagnosed with any critical illness, like cancer, heart attack, or kidney failure. This cover is offered as an add-on by some insurers, while for others, it is offered as standalone critical illness insurance policy separately.
3) Hospital cash Cover
This add-on covers any non-medical expenses incurred during hospitalisation, as per the policy terms mentioned in the documents.
4) Room Rent Waiver
A room rent waiver cover helps health insurance policy cover the room rent charge at the hospital by reducing your burden on your savings.
5) OPD Cover
This add-on cover offers financial help to cover treatment and consultation expenses that do not need admission to a hospital. It also covers minor procedures that do not necessarily need hospitalisation.
6) Home Care Treatment
The home care treatment add-on offers financial coverage for medical expenses incurred because of different home treatments. However, these expenses come with fixed limits.
7) Consumables Cover
It is an add-on that manages the expenses incurred by medical equipment and supplies needed for treatments. This can cover items such as syringes, gloves, masks, and other disposable items that are excluded below basic coverage.
8) Restore Benefit Cover
The restore benefit cover permits you restore your sum insured value a number of times during the policy year in case it is exhausted because of any claim. This add-on helps policyholders who need continuous coverage even after numerous claims.
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