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Star Health Gain Insurance Policy

What is the Plan all About?

To attain a perfect combination between health insurance benefits and tax benefits, Star Health Gain is the appropriate plan for you.This plan offers financial support for the expenses of in-patient hospitalization and outpatient hospitalization with maximum tax benefits.

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Key Features

  • Option to take a policy on individual/floater basis
  • Lifelong renewal of the policy is offered
  • Tax benefits under section 80 D of IT Act.
  • Fixed premium across all Sum Insured ranges and age groups.
  • Pre Acceptance medical screening exempted upto 50 years of the insured’s age
  • 7800 plus lists of network hospitals

Policy Benefits

  • The plan covers expenses for in-patient hospitalization for a minimum stay of 24 hours.
  • Pre hospitalization expenses are covered 30 days prior to being admitted in the hospital.
  • Post hospitalization expenses are paid as a lumpsum upto the specified limit in the policy.
  • The policy provides cover for the outpatient expenses as per the limits specified in the policy.
  • The special feature of this policy is that the premium payable is uniform irrespective of the age or the sum insured - Amount payable is Rs.15219/- (including GST). 

Value Added Benefits

  • Ambulance service charges are covered for emergency transportation to and from the hospital are covered as per the specified limits.
  • No claim discount offered is10% of the basic sum insured for every claim-free year.
  • Lifelong Renewability.
  • Unutilized amount towards out patient benefits can be carried forward to the next policy year.
  • 24* 7 Toll free helpline for the customers.
  • Tax benefits can be availed under section 80D of Income Tax Act,1961.
  • Facility for keeping personal health records in electronic format.

Sub Limits

  • Room, boarding, nursing expenses are capped at 2% of the sum insured subject to Rs 4,000 per day in class A cities, 1% of the sum insured subject to Rs 3,000 per day in class B cities, 1% of the sum insured subject to Rs 1,000 per day for other locations.
  • Emergency Hospitalization expenses are limited to Rs 750 per hospitalization and Rs 1,500 per policy period.
  • Outpatient benefits sublimits vary as per the sum insured opted and the cover opted i.e individual/family cover.

Waiting Period Clause

  • Initial waiting period: An initial waiting period of 30 days from the commencement of the policy is to be followed for any hospitalization except for the accident claims.
  • Specific Waiting Period: Specific waiting period of 2 years is applicable for the list of specified treatments/surgeries under the policy contract.
  • Pre-existing waiting period: 48 months waiting period is applicable for covering pre-existing diseases.

Who can Buy the Plan?

Factor Minimum Maximum
Age (as on last birthday) Adult: 18 Years, Children: 5 Months Adult: 65 Years, Children: 25 Years
Sum Assured 1Lacs 5 Lacs
Cover Type Individual/Family Floater -
Policy Tenure 1 Year 1 Year
Grace Period 30 Days -
Free Look Period 15 Days -
Riders Nil -

Exclusions

  • Self Inflicted injury
  • Convalescence benefit
  • Expenses incurred for Lasik laser
  • Cosmetic & Aesthetic Surgeries, etc.
  • Maternity benefits
  • Cost of spectacles and contact lenses, etc.
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