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Star Health Insurance: Everything You Should Know

In 2006, Star Health and Allied Insurance Co., Ltd. began as a joint venture with Allied Insurance. Star Health Insurance provides a variety of health insurance plans at a reasonable cost. The policies cover hospitalisation expenses, medical examinations, critical ailments, Ayurveda treatment, and so forth. Star health insurance also provides medical coverage for infants with autism. Recently, Star Health Insurance Company launched a pilot product to provide coverage for coronavirus patients.

Star Health Insurance is India’s first independent insurance company. The insurer has a network of over 11,000 hospitals where members can receive cashless care. In addition, the insurer has a global presence with a vast network of more than 340 branches. A Star health insurance claim settlement ratio of 90% (FY 2018-19) also substantiates the company’s excellent customer service. Individuals under the age of 60 are not required to make a co-payment, which is one of the main benefits.

Numerous awards and honours have been bestowed upon Star Health and Allied Insurance Co. Ltd., which is consistently rated among India’s leading health insurers.

The following are some of the most prominent:

  • Most Innovative New Product of the Year, 2020
  • Best BFSI Brands, 2019
  • Best Health Insurance Provider of the Year 2018-19

Star Health Insurance Company’s network of hospitals where insured members can receive cashless care exceeds 1,100. In addition, the insurer has a global presence with a vast network of more than 340 branches. A Star health insurance claim settlement ratio of 90% (FY 2018-19) also substantiates the company’s excellent customer service.

The Star Health Insurance policy covers, among other things, hospitalisation expenses, critical illness add-ons, medical check-up costs, ambulance fees, maternity expenses, a second medical opinion, organ donor coverage, and Ayurvedic treatment. Individuals under the age of 60 are not required to make a co-payment, which is one of the main benefits.

Why purchase Star Health insurance?

Star Health Insurance provides you with the finest medical care and healthcare, ensuring your financial security.

This health insurance policy guarantees that you and your family will receive the highest quality medical care at any facility of your choosing.

  • The insurer’s nationwide network of hospitals exceeds 5,000. Bajaj Allianz offers a variety of health insurance programmes that protect against the rising cost of medication in the modern era.
  • Due to the affordable health plans and high Star health claim settlement ratio of 90%, these plans are the obvious option for anyone seeking the most comprehensive coverage at the lowest possible price. The policies provide health coverage for individuals, families, and senior citizens, in addition to the section 80D tax benefit.
  • Purchasing Star Health Insurance plans for NRI is a fantastic idea for Indians living abroad who frequently return to India or who intend to move there permanently in a few years.

Benefits of the Star Health Insurance

Below are some additional Star Health Allied Insurance benefits.

  • Co-Payment
  • You are not required to make a co-payment; however, 20% of your Star Health Insurance Claim must be paid if you are between the ages of 61 and 65, unless otherwise specified.
  • Life-long Renewability
  • All star health insurance policies are renewable for life and provide lifetime coverage.
  • Existing Illnesses
  • Any preexisting condition is covered after a 4-year waiting period.
  • Room Rent
  • Star health insurance policies include room rent expenses of 2% of the sum assured, up to a daily maximum of Rs. 4000.
  • No External Administrator
  • Star Health Insurance Company does not employ a third-party administrator. This involves in-home claims settlement.

Let’s go over each insurance policy in greater detail.

Star Family Health Optima Insurance Plan

An individual and the family are both covered by the Star Family Health Optima family floater health insurance plan under a single sum insured.

Key Features and Benefits

  • The insurance plan offers automatic renewals up to 300% of the covered amount.
  • One of the key advantages is that the policy provides infant coverage beginning on the 16th day.
  • The costs of organ transplantation, hospitalisation, road ambulance, surgeon, physician, and anesthesiologist fees are all covered.
  • Additionally, the plan offers coverage for outpatient dental and ophthalmic treatment, accidental death and disability, and air ambulance benefit.

Eligibility Criteria

CriteriaSpecifications
Minimum Entry AgeAdult – 18 years
Children – 16 days
Maximum Entry AgeAdult – 65 years
Children – 25 years
Sum InsuredRs 1 lakh to Rs 25 lakh
Number of Family Members IncludedIndividual Policy: 1 adult member
Floater Policy – 5 members (self, spouse and up to 3 children)

Star Senior Citizens Red Carpet Health Insurance Plan

The Star Senior Citizens Red Carpet policy is tailored specifically for seniors over 60. The coverage is offered as both a family and an individual floater. You are not required by the policy to show up for a pre-policy medical examination.

Key Features and Benefits

  • Inpatient hospitalisation costs, such as nurse fees, room rent, anaesthetics, medication, and other similar costs, are also covered by the policy.
  • These costs for contemporary medical care are also covered by this coverage.
  • After a 12-month waiting period, the coverage also covers pre-existing conditions.
  • The costs of nursery treatments and organ donation are also reimbursed.

Eligibility Criteria

CriteriaSpecifications
Minimum Entry Age60 years
Maximum Entry Age75 years
Sum InsuredIndividual Policy: Rs 1 lakh to 7.5 lakh
Floater Policy: Rs 10/ 15/ 20/ 25 lakh
Number of Family Members IncludedIndividual Policy: 1 adult member
Floater Policy – 2 members (self and spouse)

Star Comprehensive Health Insurance

People aged 3 months to 65 years can get health coverage with the Star Comprehensive health insurance policy. The policy offers maternity benefits as well as automatic newborn health insurance coverage.

Key features and Benefits

  • Without requesting an additional payment, it provides coverage in the event of a personal accident leading to permanent disability or unexpected death.
  • Treatments using Ayurveda, Unani, Siddha, and homoeopathy are also covered.
  • You can claim expenses for contemporary therapies, domiciliary hospitalisation, and outpatient eye care.
  • For those above the age of 60, a 10% co-pay is required.
  • The coverage provides additional advantages like free health screenings, bariatric procedures, aid for air ambulances, and more.

Eligibility Criteria

CriteriaSpecifications
Minimum Entry AgeAdult – 18 years
Children – 3 months
Maximum Entry AgeAdult – 65 years
Children – 25 years
Sum InsuredRs 5 lakh to Rs 1 Crore
Number of Family Members IncludedIndividual Policy: 1 adult member
Floater Policy – 5 members (self, spouse and up to 3 children)

Star MediClassic Health Insurance

Any injury or illness that results in hospitalisation is covered by the Star MediClassic health insurance plan. Monthly, quarterly, and semi-annual payments are all acceptable for premium payments.

Key Features and Benefits

  • In the case of the Individual plan, the insurance offers auto-restoration of up to 200% of the sum insured if it becomes depleted.
  • The insurance plan pays for costs associated with mental and psychosomatic disorders.
  • Additionally, non-allopathic therapies are also admissible.

Eligibility Criteria

CriteriaSpecifications
Minimum Entry Age5 months
Gold Plan – 16 days
Maximum Entry Age65 years
Sum InsuredRs 1.5 lakh to Rs 15 lakh
Gold Plan – Rs 3 lakh to Rs 25 lakh
Number of Family Members IncludedIndividual – 1 adult member
Family Package Plan – 4 members (with self, spouse and up to 2 children)

Star Health Gain Insurance Plan

A person and their family are covered for medical expenses under the Star Health Gain Insurance plan.

Key Features and Benefits

  • People between the ages of 91 days and 65 are covered by the coverage.
  • A 20% co-pay is required for all claim amounts.
  • The insurance covers costs for both inpatient and outpatient care.
  • The savings from outpatient care are carried over to the following insurance year.
  • The costs of current treatment are also covered.
  • For situations involving accidents, the waiting period is 30 days; for illnesses/diseases, it is 24 months; and for pre-existing conditions, it is 48 months.

Eligibility Criteria

CriteriaSpecifications
Minimum Entry AgeAdult – 18 years
Children – 91 days
Maximum Entry AgeAdult – 65 years
Children – 25 years
Sum InsuredRs 1 lakh to Rs 5 lakh
Number of Family Members IncludedIndividual Policy: 1 adult member
Floater Policy – 5 members (self, spouse and up to 3 children)

Star Super Surplus Insurance Pla

Having no pre-medical screening requirements, Star Super Surplus Insurance is a top-up health plan. It makes sense to add coverage benefits on top of the current health plan.

Key features and Benefits

  • The policy offers protection to those between the ages of 18 and 65.
  • The cost of an air ambulance is also covered.
  • The costs of organ donors are also reimbursed.
  • Up to the predetermined limits, maternity coverage is also offered.

Eligibility Criteria

CriteriaSpecifications
Minimum Entry AgeAdult – 18 years
Children – 91 days
Maximum Entry AgeAdult – 65 years
Children – 25 years
Sum InsuredSilver Plan – Rs 7 lakh to Rs 10 Lakh
Gold Plan – Rs 5 Lakh to Rs 25 lakh
Number of Family Members IncludedIndividual Policy: 1 adult member
Floater Policy – 5 members (self, spouse and up to 3 children)

Star Diabetes Safe Insurance

A health insurance plan for people with diabetes is called the Star Diabetes Safe Insurance Plan. Patients with Type 1 and Type 2 diabetes as well as associated comorbidities are covered.

Key Features and Benefits

  • The insurance covers complications associated to diabetes and its side effects.
  • Additionally, outpatient medical costs may be deducted.
  • 100% of the selected amount for personal accident insurance is given to the policyholder.
  • The insured may submit claims for lodging, boarding, anaesthesia, surgical expenses, medications, and pharmaceuticals.

Eligibility Criteria

CriteriaSpecifications
Minimum Entry Age18 years
Maximum Entry Age65 years
Sum InsuredRs 3 lakh to Rs 10 lakh
Number of Family Members IncludedIndividual Policy: 1 adult member
Floater Policy – 2 members (self and spouse)

Star Cardiac Care Health Insurance

For those between the ages of 10 and 65 who already have heart illnesses, there is the Star heart health insurance plan. To be eligible for coverage under this plan, applicants do not need to go through any pre-medical screening.

Key Features and Benefits

  • There are two alternatives for the policy’s sum insured: Rs. 3 lakh and Rs. 4 lakh.
  • It comes in two varieties: the Silver Plan and the Gold Plan.
  • After the 90-day waiting period, it offers coverage against heart illnesses.
  • Benefits of the policy include coverage for outpatient fees, personal accidents, and cataract surgery.
  • Every nursery service is claimable under this coverage.

Eligibility Criteria

CriteriaSpecifications
Minimum Entry Age10 years
Maximum Entry Age65 years
Sum InsuredRs 3 lakh and Rs 4 lakh
Number of Family Members IncludedIndividual only

Star Criticare Plus Health Insurance

The expenses incurred for any disease, injury, accident, and any major illnesses as listed in the policy wordings are paid in full by Star Criticare Plus Health Insurance. Under this Star health critical illness coverage, anyone between the ages of 18 and 65 can be protected.

Key features & benefits

  • This critical illness policy covers inpatient hospitalisation costs for at least 24 hours, including nursing fees, room rent, anaesthetics, medication, and other related costs.
  • The coverage offers lump sum payments upon diagnosis of any one of the nine serious illnesses.
  • It covers pre-hospitalization (30 days previous to hospital admission) and post-hospitalization costs, as well as any ambulance fees.
  • Cancer, brain tumours, chronic kidney illness, organ transplants, comas, paraplegia, etc. are all covered under this star health insurance policy.

Eligibility Criteria

CriteriaSpecifications
Minimum Entry Age18 years
Maximum Entry Age65 years
Sum InsuredRs 2 lakh to Rs 10 lakh
Number of Family Members IncludedIndividual only

Star Cancer Care Gold (Pilot Product)

The Cancer Care Gold (Pilot Product) is intended for those who have received a cancer diagnosis. The insurance is given on a per-person basis.

Key Features and Benefits

  • This is the first insurance programme in India designed specifically for cancer patients.
  • It provides protection from the danger of cancer metastasizing, returning, or developing a second cancer.
  • For those who have been diagnosed with cancer, there is the Star Health Insurance Cancer Care Plan.
  • There is no need for a pre-acceptance medical examination.
CoverageA) Section 1: Offers lump sum benefits in the event of recurrence of second cancer/disease/metastasis
B) Section 2 (Indemnity Coverage): It offers cover for interventional and surgical therapy
C) Section3 (Indemnity Coverage): It offers cover for non-interventional and non-surgical therapy

Eligibility Criteria

CriteriaSpecifications
Minimum Entry Age5 months
Maximum Entry Age65 years
Sum InsuredRs 3 lakh and Rs 5 lakh
Number of Family Members IncludedIndividual only

Star Special Care Insurance Policy

The Star Special Care Health Plan was created especially for kids with autism spectrum disorder by the Star Health Insurance Company.

Features & Coverage

  • With this plan, parents may ensure that their kid with special needs will receive the best care available.
  • Any child with an autism diagnosis between the ages of 3 and 25 is covered.

Eligibility Criteria

CriteriaSpecifications
Minimum Entry Age3 years
Maximum Entry Age25 years
Sum InsuredRs 3 lakh
Number of Family Members IncludedIndividual only

Star Health Novel Coronavirus Insurance Policy

For those who are COVID-19 positive, Star Health Insurance Company has created the Star Novel Coronavirus insurance policy. The insurer makes a one-time payment to cover hospitalisation costs. Before purchasing the coverage, candidates are not required to undertake medical examinations.

Key Features and Benefits

  • The sum insured under the Star Novel Coronavirus COVID-19 policy is offered on an individual basis.
  • There is no involvement from a third party administrator, and internal claim resolution is available.
  • Upon diagnosis and admission to the hospital, the sum insured amount is paid in one lump sum.

Eligibility Criteria

CriteriaSpecifications
Minimum Entry AgeAdult – 18 years
Children – 3 months
Maximum Entry AgeAdult – 65 years
Children – 25 years
Sum InsuredRs 21,000 and Rs 42,000
Number of Family Members IncludedIndividual only

Star Outpatient Care Health Insurance Policy

The Star Outpatient Care Health Insurance policy has been created to cover the expenses incurred by both individuals and entire families for outpatient consultations. There are three different plan options available: Silver, Gold, and Platinum plan.

Key Features & Benefits

  • It pays for outpatient care received at facilities practising Ayurveda, Homoeopathy, Unani, Yoga, Siddha, and Naturopathy.
  • It pays for the costs of diagnostics, physiotherapy, and pharmacy at any Star Health Insurance network facility.
  • Additionally, it covers any outpatient dental or ophthalmic costs related to accidents injuries.

Eligibility Criteria

CriteriaSpecifications
Minimum Entry AgeAdult – 18 years
Children – 31 days
Maximum Entry AgeAdult – 50 years
Children – 25 years
Sum InsuredRs 25,000 to Rs 1 lakh
Number of Family Members IncludedIndividual Policy – 1 adult member
Floater Policy – 6 family members

Star Health Insurance: Arogya Sanjeevani Policy

A simple health insurance plan with a broad range of covering advantages is the Star Health Arogya Sanjeevani Policy. Payment options for the policy’s premium include monthly, quarterly, half-yearly, and annual payments.

Key Features & Benefits

  • Before purchasing this coverage, applicants who are over 50 must have a medical examination.
  • It pays for in-patient hospitalisation costs, including room rent and ICU fees.
  • In actuality, the insured may submit a claim for all nursery services.
  • Twelve contemporary therapies are addressed, including deep brain stimulation, balloon sinuplasty, bronchial thermoplasticy, robotic surgery, oral chemotherapy, and stem cell therapy.
  • It pays for Ayurveda, Naturopathy, Siddha, Yoga, Unani, and Homoeopathy inpatient hospital treatments.

Eligibility Criteria

CriteriaSpecifications
Minimum Entry Age3 months
Maximum Entry Age65 years
Sum InsuredRs 1 lakh to Rs 10 lakh
Number of Family Members IncludedIndividual Policy – 1 adult member
Floater Policy – 5 family members or more (self, spouse, children, parents, and parents-in-law)

Star Hospital Cash Insurance Policy

A daily cash allowance for hospital expenditures is provided by the Star Hospital Cash Insurance Policy to the policyholder. There are two variations of this plan: the Basic and the Enhanced plan.

Key Features & Benefits

  • The policyholder of the Star Hospital Cash Insurance Policy is given a lump sum reward for the duration of their hospital stay.
  • There are six different sorts of hospital cash benefits offered by it: hospital cash for illness, hospital cash for childbirth, hospital cash for intensive care units around the world, hospital cash for accidents, and hospital cash for recuperation.
  • Only the Enhanced plan offers Convalescence Hospital Cash, Worldwide Hospital Cash, and Child Birth Hospital Cash.

Eligibility Criteria

CriteriaSpecifications
Minimum Entry AgeAdult – 18 years
Children – 91 days
Maximum Entry AgeAdult – 65 years
Children – 25 years
Sum InsuredRs 1000 to Rs 5000 per day
Number of Family Members IncludedIndividual Policy: 1 adult member
Floater Policy – 5 members (self, spouse and up to 3 children)

Star Health Insurance: Corona Rakshak Policy

For those who have been given a COVID-19 diagnosis, there is a specific policy called Star Health Corona Rakshak. If the insured person has the coronavirus disease while the policy is in effect, the insurance will pay them a lump sum payment equal to up to 100% of the amount insured.

Features & Coverage

  • If the insured receives a COVID-19 diagnosis and needs at least 72 hours of continuous hospitalisation, this Star health mediclaim coverage offers a lump sum payout.
  • The candidate is not required to show up for any pre-policy screening.
  • Only if the insured person tests COVID positive at a centre authorised by the government will the benefit be available.
  • This plan offers a single benefit.

Eligibility Criteria

CriteriaSpecifications
Minimum Entry Age18 years
Maximum Entry Age65 years
Sum InsuredRs 50,000 to Rs 2.5 lakh
Number of Family Members IncludedIndividual only

Young Star Insurance Policy

The Young Star Insurance policy has been specifically created to address the medical requirements of individuals up to the age of 40. This coverage is offered in two different plan categories, the Silver plan and the Gold plan. The premium for this coverage can be paid in monthly, quarterly, semi-annual, or annual installments.

Key features & Benefits

  • No pre-policy medical examination is required of applicants for the Young Star Health Insurance Policy.
  • It pays for costs associated with in-hospital treatment, including rent for the room, medications, ICU fees, test fees, doctor’s fees, etc.
  • Only the Gold plan offers the cash benefit for hospital bills and delivery costs.
  • If the insured is wearing a helmet during the road traffic accident, it offers an additional 25% sum covered up to Rs 10 lakh.
  • It has a Star Wellness Programme that enables you to accumulate points that can be used to get savings on renewals.

Eligibility Criteria

CriteriaSpecifications
Minimum Entry AgeAdult – 18 years
Children – 91 days
Maximum Entry AgeAdult – 40 years
Children – 25 years
Sum InsuredRs 3 lakh to Rs 1 Crore
Number of Family Members IncludedIndividual Policy: 1 adult member
Floater Policy – 5 members (self, spouse and up to 3 children)

Star Health Corona Kavach Policy

An indemnity coverage called Corona Kavach, issued by Star Health Insurance, is created to pay for hospitalisation costs related to the treatment of COVID-19. Additionally, it pays for home care and coronavirus treatment costs associated with co-morbid illnesses.

Key Features & Benefits

  • Hospitalisation costs associated with COVID-19 treatment, including co-morbid diseases, are covered by this Corona Kavach coverage.
  • Up to 14 days’ worth of COVID-19’s home care charges are covered.
  • After a continuous admission of 24 hours, the hospitalisation costs would be paid.
  • The COVID-19 treatment received at an AYUSH hospital is covered by the plan.
  • Pre-hospitalization costs are covered for up to 15 days, while post-hospitalization costs are covered for up to 30 days.
  • Only if the insured person’s COVID-19 test results at a facility that has received government authorization will the costs of treatment be covered.
  • Hospital daily cash coverage is an optional feature of this Star Mediclaim plan.

Eligibility Criteria

CriteriaSpecifications
Minimum Entry AgeAdult – 18 yearsChildren – 1 day
Maximum Entry AgeAdult – 65 yearsChildren – 25 years
Sum InsuredRs 50,000 to Rs 5 lakh
Number of Family Members IncludedIndividual Policy – 1 adult memberFloater Policy – 4 family members and more (self, spouse, children, parents and parents-in-law)

Star Accident Care Health Insurance Policy

The Star Accident Care policy was created to protect people from unintentional harm, incapacity, and death. Customers between the ages of 18 and 70 are eligible to apply for this policy.

Key Features & Benefits

Every personal accident insurance policy offered by Star Health Insurance pays benefits in the event that the policyholder passes away from an unintentional injury.

Additionally, it protects the insured against both long-term and short-term total disability brought on by an accident.

In the event of the parent’s passing, it also offers dependent children with a payout for education.

Additionally, enhanced weekly compensation of up to Rs.15,000

How can I submit a claim to Star Health Insurance?

Follow the instructions below if you want to use a Star Medical Insurance plan’s cashless claim feature.

Step 1: Visit the insurance desk at the reception of the network-listed hospital you are undergoing a treatment at

Step 2: Display the policy ID for identification purpose

Step 3: A doctor from their team will evaluate the documents. After the verification, he/she will process the claim in accordance with the terms and conditions of the opted plan

Step 4: The Star Health Network Hospital would cross-check your identity and submit the pre-authorization Star Health Insurance Claim Form

Step 5: A designated field doctor will make the hospitalization process simpler for you

Step 6: After the completion of the necessary formalities, the claim would be settled according to the terms and conditions

Note: Contact Care your Bajaj Allianz Health Insurance claim status anytime over a Health Insurance customer care for any additional help relating to an insurance policy or claim. Call can also be checked.

Documents Required for Star Health Reimbursement Claim

  • Original chemist bills with prescription
  • Duly filled and signed Star medical insurance claim form
  • Medical bills, discharge certificate and receipts
  • Medical test reports and investigation reports
  • Surgeon’s bills and receipts
  • Nature of the surgery/operation
  • Registration certificate of the hospital (if lesser than 15 beds)
  • FIR/Self-declaration/ Medico Legal certificate in case of an accidental hospitalization

How to Calculate the Premium for Star Health Insurance?

Star Health & Allied Insurance Company Limited facilitates the calculation of your annual premium for its various star health insurance plans. The star health insurance premium calculator can be used to determine your annual premium. Simply provide a few essential details, and the Star Health premium calculator will assist you in calculating your annual premium for the Star Health Insurance plan you intend to purchase.

You’ll need the following information to compute your Star Health insurance premium payment using the star health calculator:

  • Policy Tenure
  • Sum Insured
  • Scheme (total number of members you intend to add in the plan)
  • Date of birth of the eldest member

The Star Health premium calculator will then provide you with the basic premium and the total premium amount.

Hospitals in the Star Health Insurance Network

Star Health Allied Insurance is affiliated with over 11,000 network hospitals in India where Star Health Insurance holders can receive seamless hospitalisation and reimbursement. This is one of the largest Star Health Network Hospital List databases in the nation. The insurance provider also offers a straightforward and hassle-free procedure for settling health claims without the intervention of a Third-party Administrator (TPA).

Choose your city and state from the drop-down menus on the online Network Hospital Locator to find a network hospital that is accessible from your residence. You will be immediately redirected to a list of Star health insurance network hospitals with their contact information. Star Health Insurance is also affiliated with Agreed Network Hospitals, where you can take advantage of contactless transactions and receive package rates for its designated procedures.

Contact Information for Star Health Insurance Company

Star Health & Allied Insurance Co Ltd have their registered office at New Tank Street, Valluvar Kottam High Road, Chennai 600034 PH:28288800 and zonal office/branches everywhere in India and details of a few of them are given below:

  • HUDA Market, Sector 14, 1st Floor, Old Delhi Road, New Delhi – 122001; PH-4255201
  • Himalaya House, KG Marg CP, New Delhi – 110001; PH-08512883222

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