Monday, January 4, 2010

Mediclassic - Individual Helath Insurance


Medi Classic [Individual Health Insurance]



Medi Classic Insurance from Star Health is a policy that aims to provide reimbursement of hospitalization expenses incurred as a result of illness/disease/sickness and/or accidental injuries.

Policy Benefits
  • Hospitalization Cover: In-patient hospitalization expenses for a minimum of 24 hours. Includes room rent and boarding @ 2% of sum insured, subject to a maximum of Rs.4000/- per day.
  • 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.

Pre-Hospitalization & Post-Hospitalization
  • Pre-hospitalization medical expenses upto 30 days prior to date of admission.
  • Post-hospitalization - a lumpsum calculated at 7% of the hospitalization (excluding room charges)subject to a maximum of Rs.5000 is payable
  • Non-allopathic Treatments upto Rs.25,000/- per occurrence, subject to a maximum of 25% of sum insured per policy period.

No-Claim Discount
  • Discount ranging from 5%- 25% for every claim-free year (except for the Family Package Plan).

How much to pay (for individuals)

Sum
Insured
(in Rs)

5 months - 35 yrs
36 - 45 yrs
46 - 55 yrs
56 - 65 yrs
66 - 70 yrs
71 - 75 yrs
76 - 80 yrs
50000
575
700
1320
NA
NA
NA
NA
100000
1200
1350
2447
3000
4547
4872
6029
150000
1800
2000
3400
4200
6717
7284
9284
200000
2350
2600
4583
5300
8768
9574
12420
250000
2800
3150
5548
7200
10696
11744
15433
300000
3300
3650
6170
8200
12625
13914
18449
350000
3750
4150
7408
10196
14434
15964
21341
400000
4200
4500
8700
11451
16242
18015
24236
500000
4900
5400
10700
13958
19859
22113
30023
10,00,000*
7465
7965
13265
16525
NA
NA
NA


Service Tax 10.30% extra                         *Entry age upto 45 years. Renewal upto 65 years.


Optional benefits on payment of additional premium
  • Hospital Cash: Provides for payment of Rs.500 for each completed day of hospitalization. Premium ranging from Rs.200 to Rs. 350 per person, depending upon the age.
  • Patient Care: Available for persons above 65 years. It pays for the attendant charges after discharge from the hospital @ Rs 400 per day to a maximum of 5 days per hospitalization. Premium Rs 300 per person.
  • New Born Baby cover: Available with Family package plan and provides for your new-born from birth up to the expiry of the policy period. The sum insured is restricted to 10% of the sum insured in respect of the mother. Premium 10% of policy premium.

Eligibility
  • Any persons aged between 5 months and 80 years, residing in India,can take this insurance.

Tax benefits
  • Premium paid by Cheque 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..

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 this 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 intervertibral 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/defect, removal of gallstones and renal stone
  • Naturopathy treatment
  • Expenses which are purely diagnostic in nature with no positive existence of any disease
  • Treatment of Cogential external disease/defects/anomalies
  • Expenses which are mainly cosmetic in nature

Claims Procedure
  • Inform the ID number for easy reference
  • In case of 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
  • In non-network hospitals, payment 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 5443, Marketing – Sales Manager, Star Health office.

How to buy this insurance?
  • Please contact us through our 099946 12916, 093628 5443 / SMS /


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