Health Insurance

Health Insurance

A health insurance policy is a product that protects you against the financial implications of a wide variety of health-related expenses, ranging from those caused by minor illnesses and injuries to critical diseases. Therefore, health insurance plans and the cumulative Bonus serve as a protective financial shield for you should you be faced with a major medical expense.

Selecting suitable medical insurance is difficult yet incredibly important for you to have a sufficient degree of preparedness against any sudden and, in some cases, expected medical expenses. Imagine a scenario wherein you are diagnosed with a serious medical condition that requires consistent treatment, hospitalization, and/or surgery. Or simply take the example of the spread of COVID-19 in India and imagine the various expenses you may have to look after if diagnosed with a COVID-19 infection

Types of Health Insurance in India

Everyone needs to secure their own and their family’s health. With the increasing cost of healthcare in India, buying a health insurance policy has become almost mandatory for everyone. Medical insurance makes sure not only medical security but also a hassle-free claim resolution. In today’s world of options, people have different choices when it comes to purchasing health insurance. There are various plans readily available in India to include every aspect of a medical emergency. Some popular types of policies are explained below:

Personal Accidental Health Insurance

These personal accident plans are frequently provided as riders to standard health plans. They include hospitalisation and bear medical outlay, in the event of an accident. These are issued as fixed benefit policies, where specified sums are paid on occurrence of unforeseen events, such as accidents. Such events that can result in death or disability of the person. However, the payout is not related to the expenditure.

Group Mediclaim Insurance

Group health insurance is an umbrella policy offered to a group of individuals. The most common example is when an employer promotes a corporate insurance plan to their employees, who can roll it out to their spouse, children, parents, or parents-in-law. Employer-employee insurance benefits are comprehensive and affordable, depending on the plan your company opts for.

Group Personal Accidental Insurance

As the name suggests, Group Personal Accident Insurance is a policy issued to a group of people by an institution or organization. Perhaps the most important purpose of group personal accident insurance is to provide comprehensive financial protection against hefty expenses incurred due to disablement or death resulting from accidental injury.

Benefits of Health Insurance Plans

Star Health Insurance offers various health insurance plans to meet customers’ needs and provides hassle-free in-house claim settlement. By buying our health insurance plans, you can benefit from:

Cashless Facility from Network Hospitals : Speed is the essence when treating the ailing. The cashless facility supported by our health insurance plans across India is the need of the hour. Star Health and Allied Insurance Company Ltd., processes more than 89.9% of hospitalization related to mediclaim health insurance claims within 2 hours under the cashless facility and 88% of claims get settled within 7 days on submission of complete documents under reimbursement.

Tax Exemptions  : Under Section 80 D of the Income Tax Act 1961-2021, an income taxpayer can avail tax exemptions on premium paid towards medical health insurance policies. On buying our health insurance plans, the taxpayer can avail tax exemptions for premiums paid towards self, spouse, dependant children and parents.

Value-Added Services : Star Health Insurance Company provides value-added benefits like e-Medical Opinion, Telemedicine Services, Wellness Programs and rewards (which can be converted to premium discounts on renewals) and many more as value-added services. Star Health Insurance Company justifies being the Health Insurance Specialist.

Enduring Trust : Star Health Insurance, being the Health Insurance Specialist in India upholds the customer values and helps them at times of hospitalization or daycare procedures for medical emergencies.

Customer Centric : Star Health continues to provide convenient digital platforms and communication channels that are accessible and reachable to customers. We aim to meet our customers at the right time, in the right way, with the right care in a way that brings value to our customer’s delight.

What is Covered in a Health Insurance Plan?

Most health insurance companies in India cover the following medical expenses under a health insurance policy.

In-patient Hospitalization ExpensesThe hospitalization expenses incurred during the treatment of an illness or injury are covered provided the hospitalization is for more than 24 hours.

Pre-existing Illnesses or Diseases After the completion of the waiting period, you can file a claim for the expenses incurred on the treatment of any pre-existing illness or condition.

Pre and Post Hospitalization Expenses Medical expenses incurred on blood tests, x-ray, and other medical check–ups that are required before hospitalization are taken care of by the insurance company. Similarly, the cost of medicines and preventive health check-ups that are done to ascertain your health after the discharge from the hospital is covered under the health insurance plan.

Ambulance Charges Although the coverage amount varies from insurer to insurer, most medical insurance plans cover emergency ambulance charges.

Maternity Cover Medical expenses incurred during the pregnancy and delivery are covered along with newborn baby expenses.

Preventive Health Check-ups Regular health check-up facilities are also made available in some health insurance plans in India.

Day-care Procedures – Daycare treatments where hospitalization is not required for more than 24 hours are covered. It includes eye surgery, dialysis, and other common daycare surgeries as mentioned in your policy document.

Home Treatment Cover It also covers the expenses incurred on getting medical treatment at home on the advice of a medical practitioner.

AYUSH Benefit A health insurance plan also reimburses the medical costs incurred on Ayurveda, Unani, Siddha or Homeopathy treatment up to a specified limit.

Mental Healthcare Cover – Several health plans in India offer coverage for the medical expenses incurred on the treatment of mental illness, like depression

What is Not Covered in a Health Insurance Plan?

The following medical expenses and situations are not covered in a health insurance plan.

  • Unless there is an accidental emergency, claims arising during the initial 30 days of buying a health insurance plan are not covered.
  • Coverage of pre-existing diseases is subject to a waiting period of 2 to 4 years
  • Critical illnesses coverage usually comes with 90 days waiting period
  • Injuries caused by war/terrorism/ nuclear activity
  • Self-inflicted injuries or suicide attempts
  • Terminal illnesses, AIDS, and other diseases of similar nature
  • Cosmetic/plastic surgery, replacement of hormones surgery, etc.
  • Dental or eye surgery expenses
  • Bed rest/hospitalization and rehabilitation, common illnesses, etc.
  • Treatment/diagnostic tests and post-care procedures
  • Claims arising out of adventure sports injuries

Note: It is recommended to check your policy wordings to get a detailed list of exclusions

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Frequently Ask Questions

Health insurance is an insurance product that provides cover for medical and surgical expenses of an insured person, in case of a medical emergency. However, you are required to pay a premium to avail health insurance policy.

You should purchase health insurance so that you don’t lose your lifelong savings while paying for medical bills in a critical situation.

You need to take Life Cover of a minimum of 15% percent of your annual income. You can get a Life Cover based on your annual income at affordable rates.

While the eligibility age for health insurance policies differs, the general eligibility age for adults ranges between 18 years up to 65 years. The eligibility age for children lies between 90 days up to 18 years.

Yes, you are free to buy another plan based on your specific medical needs.

You can buy Individual Health Insurance Plan, Family Floater Health Insurance Plan, Senior Citizen Health Insurance Plan, Critical Illness Insurance Plan, Maternity Health Insurance Plan, Group Health Insurance Plan, Personal Accident Insurance Plan.

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