When a family member is ill, it is a traumatic time for the rest of the family. Star Health provides Family Health Optima to protect all members of a family from financial setbacks in the event of a serious illness. The coverage is applicable equally to all members of the family.

Family Health Optima Benefits

• Hospitalisation Cover: This would protect the insured person for in-patient hospitalisation expenses for a minimum of 24 hours. These expenses include room boarding expenses to a maximum of Rs.1500 per day in Class A cities, Rs.750/- in Class B cities or Rs.500/- in other locations
• Nursing expenses
• Surgeon's fees, Consultant's fees, Anesthetist and Specialist fees
• Cost of blood, oxygen, diagnostic expenses, cost of pace makers etc
• Cost of medicines and drugs
• Emergency ambulance charges for transporting the covered patient to the hospital up-to a sum of Rs.750/- per hospitalization and overall limit of Rs.1500/- per policy period

Additional Benefits

• The sum insured floats among the family members insured. In other words there is no need to take insurance for each member separately for separate sum insured
• Thus there is considerable premium saving

Family Includes

• Family would mean proposer, spouse, dependent children upto 25 years and those who are economically dependent on their parents

Pre - and Post Hospitalisation cover

• Pre-hospitalisation Medical expenses up to 30 days prior to the date of admission or post-hospitalisation calculated at 7% of the hospitalisation expenses (excluding room rent) subject to a maximum of Rs.5000 is payable

Discount

• A discount of 10% on Premium is allowed on renewal of the policy if there is no claim in the immediately preceding year of the policy. This discount is not cumulative

How much to pay?

IT Benefit

• Premium paid by cheque for this insurance is eligible for relief under section 80D of the IT Act

Claim Procedure

• Call 24 hour help-line for assistance
• Inform ID number for easy reference
• For planned hospitalisation, please inform 48 hours prior to admission to the hospital
• For emergency hospitalisation, information to be given within 24 hours after hospitalisation
• Cashless facility can be availed at all network hospitals
• For treatment in non-network hospitals, reimbursement of expenses will be effected on submission of all medical documents

Exclusions

• Expenses incurred for treatment of any illness/ disease/ condition, which is pre-existing at the time of commencement of insurance
• Any expenses incurred for treatment of illness/ disease/ sickness contracted by the Insured Person during the first 30 days from the commencement of the policy
• First Year exclusions – Hernia, Piles, Hydrocele, Congenital Internal disease/ defect, Sinusitis, Gall Stone / Renal Stone removal / treatment
• Second Year Exclusions – Hysterectomy for Menorrhagia or Fibromyoma, Cataract, Knee Replacement Surgery (other than caused by an accident), Joint Replacement Surgery (other than caused by an accident), Prolapsed Intervertebral Disc (other than caused by an accident), Varicose veins / ulcers
• Naturopathy treatment
• Expenses, which are purely diagnostic in nature with no positive existence of any disease
• Expenses those are mainly cosmetic in nature
• Expenses incurred for treatment of diseases/illness/accidental injuries by systems of medicines other than Allopathic
• Expenses incurred for treatment of congenital disease/defects/anomalies
• For a detailed list of exclusions please refer policy conditions

Eligibility

• Any person aged between 5 months and 60 years residing in India, can take this insurance

How to buy this insurance?

• Please contact 98410-74702 at Chennai or write to eswarrj@gmail.com

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