Star Health Senior Citizens Red Carpet Health Insurance Policy

Policy Benefits

• In-patient hospitalization treatment, including room rent, nursing, and boarding expenses are covered up to the limits specified.
• ICU charges are also covered under this policy.
• Treatment for specified illnesses covered like Cancer, Renal Complications,Treatment for breakage of bones, cataract, cardio vascular accident,etc. subject to the sub limits.
• Post Hospitalization expenses paid as lumpsum subject to the limits are also covered
• Specific Day care Procedures are covered.
• OPD medical consultations are covered.

Value Added Benefits

• Ambulance charges are covered up to the limits mentioned in the policy.
• 10% premium discount is available upon providing medical reports documents including Stress Thallium report, BP report, Blood urea & creatinine, and Sugar (blood & urine).
• Premium amount paid under this policy is eligible for tax exemption u/s 80D of IT Act, 1961.
• Pre-acceptance medical screening is not mandatory for those having no adverse medical history. 100% cost incurred towards such medical examination is covered.
• Sum insured can be enhanced at the time of policy renewal, if no claim has been paid/lodged under this policy.
• There is direct in-house claim settlement team, so enjoy fast & hassle-free claim settlement.
• Avail information on health through free Health Magazine.
• Take advantage of portability benefit under this policy.
• 5% discount on Premium for making an online purchase

Sub Limits

• Room rent/boarding/nursing expenses are capped up to 1% of the Sum Insured per day to a maximum of Rs 6,000 per day.
• ICU charges are covered up to 2% of the Sum Insured per day.
• Surgeon, Anaesthetist, Specialists Fees, Consultant’s Fees are covered up to 25% of the Sum Insured per hospitalization.
• Anaesthesia, Operation Theater charges, Blood, Oxygen, Cost of Pacemaker, etc. are covered up to 50% of the Sum Insured per hospitalization.
• 30% co-pay applies for each and every claim. 50% co-pay for claims arising from pre-existing diseases.
• Post hospitalization expenses are covered up to an amount equivalent to 7% of in-patient hospitalization expenses incurred, to a maximum of Rs 5,000 per occurrence.
• Sub limits are applicable on different illnesses/surgeries in a range of Rs 15,000 to Rs 3.5 Lacs.
• Ambulance charges are covered up to Rs 600 per hospitalization and Rs 1200 during a policy period.
• OPD medical consultations are payable to a limit of Rs 600 to Rs 1400 per policy period for SI 3 Lacs to 10 Lacs. A limit of Rs 200 per consultation is applicable.

Waiting Period Clause

• Initial Waiting Period: There is a waiting period of 30 days for any claims to be admissible under this policy.
• Specific Waiting Period: Some illnesses/treatments such as cataract, hydrocele, Hemorrhoids, etc. are covered after 24 months of continuous policy coverage.
• Pre existing Disease Waiting Period: Any pre-existing ailment/injury that was diagnosed /acquired within 12 months before issuance of the first policy.