Monday, January 4, 2010

Family Health Optima



                               
Family Health Optima
Family Health Optima from Star Health is a health insurance plan that gives protection for the entire family on the payment of a single premium under a single sum insured. The sum insured floats among the family members insured.  It's just one more way to tighten the family bonds.
Policy Benefits
  • Hospitalization Cover: Protects the insured person for in-patient hospitalization expenses for a minimum of 24 hours. These expenses include room and boarding charges as per policy conditions
  • Nursing expenses
  • Surgeon's fees, Consultant's fees, Anesthetist’s and Specialist's fees
  • Cost of medicines and drugs
  • Emergency ambulance charges for transporting the insured patient to the hospital upto a sum of Rs.750/- per hospitalization and overall limit of Rs.1500/- per policy period
A Super Saver Policy
  • Single Sum Insured
  • Coverage for entire family
  • Single Premium
  • Considerable saving in premium as the family is covered under one policy
Pre and Post Hospitalization Cover
  • Pre-hospitalization medical expenses upto 30 days prior to the date of admission
  • Post-hospitalization calculated at 7% of the hospitalization expenses (excluding room charges), subject to a maximum of Rs.5000 is payable.
Family Includes
  • Proposer, spouse, dependent children upto 25 years those who are economically dependent on their parents.
Tax benefits
  • Premium paid by Cheque or DD A/c Pay, STAR HEALTH AND ALLIED INSURANCE COMPANY LIMITED is eligible for relief as provided under Section 80 D of the Income Tax Act..
Eligibility
  • Any person aged between 5 months and 60 years residing in India can take this insurance.


How much to pay?

A: Adult     C: Children upto 25 yrs.     NA: Not Available
 
Sum Insured : Rs. 1,00,000

5 Months - 45 Yrs
46 Yrs- 55 Yrs
56 Yrs- 60 Yrs
2A
1765
NA
NA
1A + 1C
1515
NA
NA
1A + 2C
1640
NA
NA
1A + 3C
1785
NA
NA
2A + 1C
1890
NA
NA
2A + 2C
2025
NA
NA
2A + 3C
2165
NA
NA



Sum Insured : Rs. 2,00,000

5 Months - 35 Yrs
36 Yrs- 45 Yrs
46 Yrs- 55 Yrs
56 Yrs- 60 Yrs
2A
2890
3140
5535
6400
1A + 1C
2715
3005
5265
6120
1A + 2C
2835
3075
5410
6225
1A + 3C
3085
3415
5715
6645
2A + 1C
3295
3555
5925
6965
2A + 2C
3455
3675
6450
7360
2A + 3C
3625
4060
6795
7820



Sum Insured : Rs. 3,00,000

5 Months - 35 Yrs
36 Yrs- 45 Yrs
46 Yrs- 55 Yrs
56 Yrs- 60 Yrs
2A
3985
4360
7605
10030
1A + 1C
3710
3940
6930
9185
1A + 2C
3825
4110
7160
9725
1A + 3C
4125
4440
7630
10095
2A + 1C
4190
4830
7865
10625
2A + 2C
4310
5110
8400
11090
2A + 3C
4615
5320
8710
11755



Sum Insured : Rs. 4,00,000

5 Months - 35 Yrs
36 Yrs- 45 Yrs
46 Yrs- 55 Yrs
56 Yrs- 60 Yrs
2A
5195
5565
10510
13515
1A + 1C
4750
5070
9660
12730
1A + 2C
4910
5250
10150
13210
1A + 3C
5365
5725
10980
13755
2A + 1C
5295
5775
11270
14290
2A + 2C
5645
6240
11870
14890
2A + 3C
6025
6540
12585
15815



Sum Insured : Rs. 5,00,000

5 Months - 35 Yrs
36 Yrs- 45 Yrs
46 Yrs- 55 Yrs
56 Yrs- 60 Yrs
2A
5920
6525
12010
15855
1A + 1C
5370
5955
11550
15225
1A + 2C
5630
6285
11865
15645
1A + 3C
6035
6770
12390
16275
2A + 1C
6345
7045
12815
16750
2A + 2C
6875
7675
13210
17450
2A + 3C
7260
8195
13860
18105



Age of the oldest family member covered should be taken for premium calculation Service tax 10.30% extra

Discount
  • A discount of 10% on Premium is allowed on renewal of the policy if there is no claim in the immediately preceding year of the policy. This discount is not cumulative.
Exclusions
  • Expenses for the treatment of any illness/ disease/condition which is pre-existing
  • Treatment of illness/disease/sickness contracted by the insured person during the first 30 days from the commencement date of the policy
  • First Two Years Exclusions: Cataract, Hysterectomy for Menorrhagia or Fibromyoma, Replacement surgery for knee and/or joint (other than caused by an accident), Prolapse of intervertebral disc(other than caused by accident),varicose veins and varicose ulcers
  • First Year Exclusions: Benign Prostate Hypertrophy, Hernia, Hydrocele, Fistula in anus, Piles, Sinusitis and related disorders, congenital internal disease/defects, removal of gallstones and renal stone
  • Naturopathy treatment
  • Expenses which are purely diagnostic in nature with no positive existence of any disease
  • Expenses incurred for non-allopathic treatment
  • Treatment of external Congential disease/defects/anomalies
  • Expenses which are mainly cosmetic in nature 
Claims Procedure
  • Inform the ID number for easy reference
  • In case of a planned hospitalization, please inform 24 hours prior to admission into the hospital
  • In case of emergency hospitalization, information to be given within 24 hours after hospitalization
  • At non-network hospitals, payments must be made upfront and then reimbursement will be effected on the submission of documents
NOTE: The benefits and exclusions mentioned herein are only an outline of the policy. For complete details, please contact 099946 12916, 093628 54443 Marketing – Sales Manager.
How to buy this insurance?
  • Please contact us 099946 12916, 093628 54443 / SMS /