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Star Health’s Medi Classic Plan is a health insurance plan available for individuals as well as their families. The plan provides the basic coverage features and also restores the Sum Insured if it is exhausted in any policy year. There are optional add-on covers also which can be opted to make the plan more comprehensive.
Step 1 – The policyholder chooses the Sum Assured, the policy term and the members covered.
Step 2 – The policyholder can also choose any additional coverage from the optional benefits available.
Step 3 – If the covered member (s) face any medical contingency and the related expenses are covered by the plan the expenses incurred are paid by the plan.
Step 4 – If the plan matures and no medical contingencies occur, no benefit is paid.
Ritwik buys Medi Classic Plan for Sum Insured of Rs.5 lakhs for himself and his wife.
Option 1 – His wife is hospitalized and they incur a bill of Rs.10 lakhs. Rs.5 lakhs is paid by the plan and the Sum Insured is restored back to pay the remaining Rs.5 lakhs.
Option 2 – if the plan matures and Ritwik doesn’t suffer any medical emergency, the Sum Insured increases by 5% and becomes Rs.5.25 lakhs.
|Room rent, boarding and nursing expenses||2% of Sum Insured up to Rs.5000/day|
|Non-allopathic treatments||Up to 25% of Sum Insured up to Rs.25,000|
|Day care treatments||101 procedures Covered up to the Sum Insured|
|Post hospitalization||60 days|
|Ambulance cover||Up to Rs.750 per hospitalization up to Rs.1500 per policy period|
|Restoration of Sum Assured||Up to 200% of Sum Insured for individual coverage|
|Health check-ups||1% of the Sum Insured up to Rs.5000 once every 4 years|
|Age at entry (in completed years)||5 months||Individual plan - 65 years
Family package – 45 years
|Term of the plan||1 year||2 years|
|Premium paying options||Single pay|
|Sum Assured||Rs.1.5 lakhs||Rs.15 lakhs|
Illnesses suffered during the first 30 days of the plan commencement are not covered.
Pre-existing illnesses or conditions are not covered by the plan in the first 4 years of the policy
Specific illnesses are not covered in the first two years of the plan.
Illnesses or accidents caused due to genetic disorder or stem cell surgery, substance abuse, participation in adventure sports or hazardous activities, criminal acts, attempted suicide, war and hazardous substances, etc. are not covered.
Treatments like dental treatments, cosmetic treatments, artificial life support, weight loss treatments, etc. are not covered.
Below are the sample rates of premium payable by a non-smoking male living in Mumbai for different combinations of age and members covered. The policy is taken for 1 year and the Sum Inusred is Rs.3 lakhs.