With the perfect balance between insurance and tax benefit – Star Health Gain Insurance is the policy just for you. Despite a reassuringly low premium, it offers both outpatient and inpatient hospitalization expenses cover with maximum tax benefits. Sure enough, the best of both worlds is now yours.
Major Product Features
- Flat amount of Rs 14,725 only irrespective of the sum insured or age of the persons or number of persons covered.
- Coverage for both inpatient and outpatient treatments under one policy.
- Any unutilized amount under outpatient benefit can be carried forward to the next one year.
Policy Benefits
- Expenses in a hospital for inpatient hospitalization (minimum 24-hour stay).
- Expenses under the following heads are payable:
- Room rent or boarding upto 2% of the sum insured, subject to a maximum of Rs 4000 per day in Class A cities; 1% of the sum insured, subject to a maximum of Rs 3000 per day in Class B cities; 1% of the sum insured, subject to a maximum of Rs 1000 per day in subject to a maximum of Rs 1000 per day in other locations.
- b) Nursing charges.
- Surgeons, consultants and anaesthetists fees.
- Blood, oxygen, diagnostic expenses, cost of pacemakers and similar expenses.
- Drugs and medicines.
- Emergency ambulance charges for transporting the patient to the hospital upto a sum of Rs 750 per hospitalization and overall policy limit of Rs 1500.
- Pre-hospitalization expenses upto 30 days prior to the date of admission in hospital/nursing home.
- Post-hospitalization expenses calculated @7% of the hospitalization expenses (excluding room rent), subject to a maximum of Rs 5000 (benefit-based).
Eligibility
- Any person aged between 5 months and 60 years can be covered under this insurance.
Tax Benefit
- Premium paid by Cheque A/C STAR HEATLH AND ALLIED INSURANCE COMPANY LIMITED, for this insurance is eligible for relief under Section 80D of the IT Act.
Limit of Outpatient Benefits for Individuals
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Individual
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Limit of Outpatient Benefits for Individuals Sum
|
|
Sum insured for IP (Rs)
|
1,00,000
|
2,00,000
|
3,00,000
|
4,00,000
|
5,00,000
|
|
5mths-45yr
|
8,700
|
7,750
|
7,000
|
6,250
|
5,750
|
|
46-55yr
|
7,900
|
6,350
|
5,200
|
3,000
|
NA
|
|
56-60yr
|
7,900
|
5,800
|
3,700
|
NA
|
NA
|
Maximum Outpatient Treatment Benefit for Various Family Sizes
|
Family Size
|
Limit of Outpatient Benefits for Individuals Sum
|
|
|
Sum insured for IP (Rs)
|
1,00,000
|
2,00,000
|
3,00,000
|
4,00,000
|
5,00,000
|
|
2A
|
5mths-35yr
|
8400
|
7400
|
6750
|
5900
|
5250
|
|
|
36y-45y
|
8400
|
7400
|
6500
|
5500
|
4900
|
|
|
46-55y
|
NA
|
5650
|
4000
|
2000
|
NA
|
|
|
56-60y
|
NA
|
5000
|
2250
|
NA
|
NA
|
|
1A+1C
|
5mths-35yr
|
8500
|
7700
|
6950
|
5750
|
5500
|
|
|
36y-45y
|
8500
|
7500
|
6750
|
5750
|
5250
|
|
|
46-55y
|
NA
|
5850
|
4500
|
2400
|
NA
|
|
|
56-60y
|
NA
|
5200
|
2250
|
NA
|
NA
|
|
1A+2C
|
5mths-35yr
|
8450
|
7500
|
6900
|
6000
|
5500
|
|
|
36y-45y
|
8450
|
7250
|
6650
|
5750
|
5000
|
|
|
46-55y
|
NA
|
5750
|
4450
|
2250
|
NA
|
|
|
56-60y
|
NA
|
5150
|
2250
|
NA
|
NA
|
|
1A+3C
|
5mths-35yr
|
8350
|
7400
|
6650
|
5750
|
5250
|
|
|
36y-45y
|
8350
|
7200
|
6450
|
5500
|
4750
|
|
|
46-55y
|
NA
|
5500
|
4000
|
NA
|
NA
|
|
|
56-60y
|
NA
|
4750
|
2250
|
NA
|
NA
|
|
2A+1C
|
5mths-35yr
|
8250
|
7250
|
6600
|
5750
|
5000
|
|
|
36y-45y
|
8250
|
7000
|
6150
|
5450
|
4500
|
|
|
46-55y
|
NA
|
5250
|
3750
|
NA
|
NA
|
|
|
56-60y
|
NA
|
4500
|
1500
|
NA
|
NA
|
|
2A+2C
|
5mths-35yr
|
8250
|
7000
|
6500
|
5500
|
4650
|
|
|
36y-45y
|
8250
|
7000
|
5950
|
5000
|
3750
|
|
|
46-55y
|
NA
|
5000
|
3500
|
NA
|
NA
|
|
|
56-60y
|
NA
|
4250
|
1500
|
NA
|
NA
|
|
2A+3C
|
5mths-35yr
|
8250
|
7000
|
6250
|
5250
|
4250
|
|
|
36y-45y
|
8250
|
6700
|
5750
|
4900
|
3700
|
|
|
46-55y
|
NA
|
4750
|
3250
|
NA
|
NA
|
|
|
56-60y
|
NA
|
4000
|
1150
|
NA
|
NA
|
|
A - Adult C - Child IP - Inpatient NA - Plan Not Available
|
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
How to buy this insurance?
- Please contact us through our Help Line 099946 12916, 093628 54443 / SMS / SMSTAR TO 56070
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