MEDI CLASSIC INDIVIDUAL POLICY
MEDICLASSIC INDIVIDUAL
POLICY
HIGHLIGHTS
·
Wider Cover with Higher Sum Insured options under Gold Plan.
·
Super Restoration under gold plan- up to 100% of basic sum
insured for same ailment in subsequent hospitalization
·
Automatic restoration of entire Sum insured by 200%.
·
Cover for Organ donor expenses up to sum insured under gold
plan.
·
New born baby cover under gold plan.
·
All day-care procedures covered.
BENEFITS
·
Room, boarding and Nursing expenses - 2% of sum insured subject
to maximum of Rs.5000/-.
·
Emergency Ambulance charges upto a sum of Rs.750/- per
hospitalization and Rs.1500/- per policy period.
·
Pre-Hospitalization expenses up to 30 days prior to admission in
the hospital.
·
Post-hospitalisation expenses incurred for a period up to 60
days from the date of discharge from the hospital. The amount payable shall not
exceed the sum equivalent to 7% of the hospitalization expenses subject to a
maximum of Rs.5000/- per hospitalisation.
·
Cost of Health Check-up once after a block of every four
claim-free years. This benefit is available for sum insured of Rs. 2,00,000/-
and above only.
·
Cataract is payable up to the limits.
·
Psychiatric and Psychosomatic Disorder: If the insured
person is diagnosed with psychiatric or psychosomatic disorder for the first
time and hospitalized for minimum period of 5 consecutive days under this
policy, then the Company will pay hospitalization expenses up to Basic Sum
Insured
·
Cumulative Bonus: 5% of the basic sum insured for every
claim free year subject to a maximum of 25%
·
Automatic Restoration: There shall be automatic restoration
of the Basic Sum Insured by 200%, once during the policy period
·
Non Allopathic Treatment: Up to 25% of the Basic Sum
Insured subject to a maximum of Rs 25000/- during entire policy period.
·
Family Package Plan (Not Available under Gold Plan): Available
for persons from 5 months to 45 years. The sum insured is apportioned equally
among insured family members. Health Checkup benefit will be calculated on the
policy sum insured and equally divided among all the insured persons.
If the insured person needs wider benefits then they can choose
Gold Plan:
BENEFITS UNDER GOLD PLAN:
·
Room, boarding, nursing expenses for sum insured of Rs.
3,00,000/- and Rs. 4,00,000/- is payable up to 5000/- per day and Above
Rs.5,00,000/- Private Single A/c Room.
·
Emergency Ambulance charges up to Rs.2000/- per
hospitalization.
·
Pre-Hospitalization expenses up to 30 days prior to admission in
the hospital.
·
Post-hospitalisation expenses incurred for a period up to 60
days from the date of discharge from the hospital.
·
Cost of Health Check-up is payable up to the limits.
·
Cataract is payable up to the limits.
·
Psychiatric and Psychosomatic Disorder: If the insured
person is diagnosed with psychiatric or psychosomatic disorder for the first
time and hospitalized for minimum period of 5 consecutive days under this
policy, then the Company will pay hospitalization expenses up to Basic Sum
Insured consecutive days.
·
Cumulative Bonus: 25% of basic sum insured in the second
year and additional 20% of the basic sum insured for each subsequent years
subject to a maximum of 100% overall.
·
Automatic Restoration: There shall be automatic restoration
of the Basic Sum Insured by 200%, once during the policy period.
·
Super Restoration of basic Sum Insured by 100% would be provided
once for the remaining policy period which can be used for the subsequent
hospitalization.
·
Domiciliary hospitalization treatments for a period exceeding
three days.
·
Organ Expenses incurred for organ transplantation from the Donor
to the recipient insured person are payable provided the claim for
transplantation is payable.
·
Shared accommodation If the Insured person occupies shared
accommodation during in patient hospitalisation, then a lump sum payment as
stated will be payable.
·
Additional Basic Sum Insured for Road Traffic Accident
(RTA) If the insured person meets with a Road Traffic Accident resulting
in patient hospitalization, then the basic sum insured shall be increased by
50%.
·
Hospitalization expenses for treatment of New Born Baby: The
coverage for new born baby starts from the 16th day after its birth and is
subject to a limit of 10% of the Sum Insured or Rupees Fifty thousand,
whichever is less.
·
Non Allopathic Treatment: Up to 25% of the Basic Sum
Insured subject to a maximum of Rs 25000/- during entire policy period.
Add-on covers (subject to payment of additional premium):
·
Patient Care: Available for persons above 60 years. Pays
for attendant charges after discharge from hospital for maximum 5 days per
hospitalisation and 14 days per policy period.
·
Hospital Cash:Hospital cash benefit for each completed day of
hospitalization subject to a maximum of 7 days per hospitalization and 14 days
per policy period.
Discounts (Available only if Gold Plan is chosen):
·
Family Discount: 5% discount is available if 2 or more
family members are covered under this policy.
·
Major Organ Donor Discount: If at the time of renewal if
the insured person submits proofs that he / she has donated a major organ, a
discount of 25% of the premium is available at the time of renewal. This
discount is available even for subsequent renewals also.
WAITING
PERIODS:
The Company shall not be liable under this policy directly or
indirectly for;
·
First 30 days for illness/disease (other than accidents).
·
24 months for specified illness/disease/treatments.
·
48 months for pre-existing disease.
EXCLUSIONS:
Please refer to policy terms
and conditions for complete information about exclusions.
ELIGIBILITY
·
Age at entry 5 months and 65 years.
·
Under Gold plan age at entry is 16th day to 65 years.
SUM
INSURED OPTIONS:
·
Rs.1.5 lacs, Rs.2 lacs, Rs.3 lacs, Rs.4 lacs, Rs.5 lacs, Rs.10
lacs and Rs.15 lacs.
·
Under Gold Plan: Rs.3 lacs, Rs.4 lacs, Rs.5 lacs, Rs.10 lacs,
Rs.15 lacs, Rs.20 lacs and Rs.25 lacs.
·
GENERAL TERMS
·
TAX BENEFITS:
·
Amount paid by any mode other than by cash for this insurance is
eligible for relief under Section 80D of the Income Tax Act.
·
FREE LOOK PERIOD:
·
A free look period of 15 days from the date of receipt of the
policy is available for reviewing the policy terms and conditions (Not
Applicable for Renewals).
·
GRACE PERIOD FOR RENEWAL:
·
30 days from date of expiry of policy.
·
·
NOTE: Renewal premium, terms and conditions are subject to
change with prior approval from IRDAI.
STAR
ADVANTAGE
·
No Third Party Administrator, direct in-house claim settlement.
·
Faster and hassle-free claim settlement.
·
Network of more than 9800+ hospitals across India.
The benefits mentioned herein are only an outline of the policy. Detailed
policy terms and conditions can be accessed in our website www.starhealth.in
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