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.
Post hospitalization expenses are covered up to 60 days after being discharged from the hospital for 7% of hospitalization expenses up to a maximum of Rs.5000.
The limit on cataract treatments depends on the Sum Insured chosen. If the Sum Insured is up to Rs.2 lakhs, the limit is Rs.12, 000 per person per policy period. If the Sum Insured is Rs.3-5 lakhs, the limit is Rs.20, 000/eye per person up to a maximum of Rs.30, 000. For Sum Insured more than Rs.5 lakhs, the limit is Rs.30, 000/eye per person up to a maximum of Rs.40, 000
Free health check-ups are allowed only if the Sum Insured under the policy is Rs.2 lakhs and above.
A period of 15 days is allowed as a free-look period under the plan. during this free-look period, the policyholder can choose to cancel the policy if not satisfied with it.
Yes, co-pay is applicable in policies where the life insured is aged 60 years and above. The rate of co-pay is 10%. In case of any claim, 10% of the expenses incurred should be paid by the policyholder himself.