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Star Diabetes Safe Insurance Policy

What is the Plan all About?

Diabetes Safe Insurance policy offered by Star Health Insurance Company is a specialized health care plan for the diabetes patients, who are already living with Diabetes Mellitus. This plan not just covers complications of Diabetes (both Type 1 & Type 2) but also expand its coverage to cover hospitalization expenses, personal accident and outpatient expenses as well.

2 Plan Variants are available under this Plan:

  • Plan A – Pre-acceptance medical screening is compulsory.
  • Plan B – There is no pre-acceptance medical screening.

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Key Features

  • Hospitalization Cover for Diabetes both type 1 and type 2
  • Policy can be taken on Individual and Floater basis
  • Automatic restoration of entire Sum insured by 100%
  • Donor expenses for kidney transplant surgery covered
  • Compensation for Accidental Death of the chosen insured person
  • OPD expenses covered
  • Lifelong renewals beyond 65 years are offered
  • 405 day care procedures covered
  • Tax Benefits under section 80 D

Policy Benefits

  • Covers hospitalization expenses arising out of the complications of Diabetes are covered like room rent, surgeon fees, etc.
  • Covers hospitalization for all other injuries/ailments apart from Diabetes
  • Out Patient expensesfor Medical consultations, Diagnostic tests, medicine and drugs are covered.
  • Pre & Post hospitalization expenses covered up to 30 days and 60 days respectively.
  • Compensation for Accidental Death of the chosen insured person is available under the policy.   
  • Donor expenses for kidney transplant surgery are paid
  • Dialysis expenses covered as per the specified limit up to 24 months
  • Cost of artificial limbs due to amputation up to specified limits
  • 405 Day care procedures covered
  • Personal Accident benefit available under this plan

Value Added Benefits

  • Automatic restoration of entire Sum insured.
  • Emergency Ambulance expenses are covered.
  • Tax Benefit for this insurance is eligible for relief under Section 80D of the Income Tax Act.
  • No Third Party Administrator - direct in-house claims settlement
  • Faster and hassle-free claim settlement
  • Cashless hospitalization
  • Network of more than 7800 plus hospitals across India
  • Facility for maintaining personal health record in electronic format.

Sub Limits

  • Dialysis expenses @ Rs.1000/- per sitting up to 24 months
  • Room Rent is capped to Single Standard AC Room under section 1.
  • Room Rent is capped at 1.5% of the sum insured subject to Rs 8,500 per day for section 2.
  • Post Hospitalization is capped at 7% of the hospitalization expenses (including room charges) subject to a maximum of Rs 5,000.
  • The cost of fasting and Post Prandial and HbA1C tests once every 6 months upto Rs 750 per event and up to Rs 1,500 per policy period.
  • OPD benefit expenses vary with respect to Sum insured and plan type.
  • Emergency Ambulance up to Rs 2,000 per policy period.

Waiting Period Clause

No waiting period for the Plan A variant  pertaining to benefits under section 1.

Waiting Period is as follows:

  • 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. This is applicable for the Plan B variant.
  • 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) 18 Years 65 Years
Sum Assured 3 Lacs 10 Lacs
Cover Type Individual/Family Floater -
Policy Tenure 1 Year 1 Year
Grace Period 30 Days -
Free Look Period 15 Days -
Riders Nil -

Exclusions

  • Dental Treatment
  • Convalescence benefit
  • Cosmetic & Aesthetic Surgeries, etc.
  • Maternity benefits
  • Cost of spectacles and contact lenses, etc.
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