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Star Special Care Health Insurance Policy

26.05.20 12:49 PM Comment(s) By Gaurav

A unique policy for children diagnosed with Autism Spectrum Disorder

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POLICY BENEFITS
ELIGIBILITY
GENERAL TERMS
POLICY BENEFITS
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Sum Insured Type: Individual
Sum Insured Options : Rs.3,00,000/-
Policy Tenure : One year
Copay : This policy is subject to copayment of 20% for each and every claim.
Pre-acceptance Medical Screening : No pre-acceptance medical screening.

Waiting period:

30 days waiting period
24 months waiting period for specified disease/procedure
48 months waiting period for treatment of pre existing disease

What does the policy cover?

  • Room, boarding, nursing expenses (all inclusive) as provided by the Hospital / Nursing Home up to Rs.5,000/- per day.
  • However if the insured opts to occupy a Shared Accommodation, the insured person shall be paid an amount of Rs..500/- per day subject to a maximum of Rs.2000/- per hospitalization and Rs.10,000/- per policy period.
  • Surgeon, Anesthetist, Medical Practitioner, Consultants, Specialist Fees.
  • Anesthesia, Blood, Oxygen, Operation Theatre Charges, Surgical appliances, Medicines and Drugs etc

Note:Expenses relating to hospitalization will be considered in proportion to the eligible room rent if room of higher rent is opted

  • Emergency Ambulance up-to a sum of Rs. 750/- per hospitalization and overall limit of Rs. 1,500/- per policy period.
  • Post Hospitalization:A sum equivalent to 7% of hospitalisation expenses or actual incurred up to 60 days after discharge from the hospital.
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ELIGIBILITY
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Any child aged between 3 years and 25 years diagnosed with Autism Spectrum Disorder can be covered.

GENERAL TERMS
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Renewal: Renewal upto the age of 25 years. Beyond 25 years of age the insured person/s will be offered any other suitable Individual Indemnity based Health Insurance Product with continuity benefits for applicable waiting period
Grace Period for renewal : 30 days from date of expiry of policy.
Free-look Period. A free look period of 15 days from the date of receipt of the policy by the insured is available to the insured to review the terms and conditions of the policy. In case the insured is not satisfied with the terms and conditions, the insured may seek cancellation of the policy and in such an event the Company may allow refund of premium paid after adjusting the stamp duty charges and proportionate risk premium for the period concerned provided no claim has been made until such cancellation.

Free look Period is not applicable at the time of renewal of the policy
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