Mediclassic Individual Helath Insurance

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Medi Classic [Individual Health Insurance]

Medi Classic Insurance from Star Health is a policy that aims to provide reimbursement of hospitalization expenses incurred as a result of illness/disease/sickness and/or accidental injuries.

Policy Benefits

  • Hospitalization Cover: In-patient hospitalization expenses for a minimum of 24 hours. Includes room rent and boarding @ 2% of sum insured, subject to a maximum of Rs.4000/- per day.
  • Nursing expenses.
  • Surgeon's fees, Consultant's fees, Anesthetist’s and Specialist's fees.
  • Cost of medicines and drugs.
  • Emergency ambulance charges for transporting the insured patient to the hospital upto a sum of Rs 750/- per hospitalization and overall limit of Rs 1500/- per policy period.

Pre-Hospitalization & Post-Hospitalization

  • Pre-hospitalization medical expenses upto 30 days prior to date of admission.
  • Post-hospitalization - a lumpsum calculated at 7% of the hospitalization (excluding room charges)subject to a maximum of Rs.5000 is payable
  • Non-allopathic Treatments upto Rs.25,000/- per occurrence, subject to a maximum of 25% of sum insured per policy period.

No-Claim Discount

  • Discount ranging from 5%- 25% for every claim-free year (except for the Family Package Plan).

How much to pay (for individuals)


Sum
Insured
(in Rs)

5 months - 35 yrs

36 - 45 yrs

46 - 55 yrs

56 - 65 yrs

66 - 70 yrs

71 - 75 yrs

76 - 80 yrs

50000

575

700

1320

NA

NA

NA

NA

100000

1200

1350

2447

3000

4547

4872

6029

150000

1800

2000

3400

4200

6717

7284

9284

200000

2350

2600

4583

5300

8768

9574

12420

250000

2800

3150

5548

7200

10696

11744

15433

300000

3300

3650

6170

8200

12625

13914

18449

350000

3750

4150

7408

10196

14434

15964

21341

400000

4200

4500

8700

11451

16242

18015

24236

500000

4900

5400

10700

13958

19859

22113

30023

10,00,000*

7465

7965

13265

16525

NA

NA

NA

Service Tax 10.30% extra *Entry age upto 45 years. Renewal upto 65 years.

Optional benefits on payment of additional premium

  • Hospital Cash: Provides for payment of Rs.500 for each completed day of hospitalization. Premium ranging from Rs.200 to Rs. 350 per person, depending upon the age.
  • Patient Care: Available for persons above 65 years. It pays for the attendant charges after discharge from the hospital @ Rs 400 per day to a maximum of 5 days per hospitalization. Premium Rs 300 per person.
  • New Born Baby cover: Available with Family package plan and provides for your new-born from birth up to the expiry of the policy period. The sum insured is restricted to 10% of the sum insured in respect of the mother. Premium 10% of policy premium.

Eligibility

  • Any persons aged between 5 months and 80 years, residing in India,can take this insurance.

Tax benefits

  • Premium paid by Cheque A/c Pay, STAR HEALTH AND ALLIED INSURANCE COMPANY LIMITED. is eligible for relief as provided under Section 80 D of the Income Tax Act..

Exclusions

  • Expenses for the treatment of any illness/disease/condition, which is pre-existing
  • Treatment of illness/disease/sickness contracted by the insured person during the first 30 days from the commencement date of this policy
  • First Two Years Exclusions: Cataract, Hysterectomy for Menorrhagia or Fibromyoma, Replacement surgery for knee and/or joint(other than caused by an accident), Prolapse of intervertibral disc (other than caused by accident), Varicose Veins and Varicose Ulcers
  • First Year Exclusions: Benign Prostate Hypertrophy, Hernia, Hydrocele, Fistula in anus, Piles, Sinusitis and related disorders, Congenital internal disease/defect, removal of gallstones and renal stone
  • Naturopathy treatment
  • Expenses which are purely diagnostic in nature with no positive existence of any disease
  • Treatment of Cogential external disease/defects/anomalies
  • Expenses which are mainly cosmetic in nature

Claims Procedure

  • Inform the ID number for easy reference
  • In case of planned hospitalization, please inform 24 hours prior to admission into the hospital
  • In case of emergency hospitalization, information to be given within 24 hours after hospitalization
  • In non-network hospitals, payment must be made upfront and then reimbursement will be effected on the submission of documents.

NOTE: The benefits and exclusions mentioned herein are only an outline of the policy. For complete details, please contact 099946 12916, 093628 5443, Marketing – Sales Manager, Star Health office.

How to buy this insurance?

  • Please contact us through our 099946 12916, 093628 5443 / SMS /