Star Special Care Health Insurance
Cashless Approval TAT | Within 2 hours |
Claim Settlement Ratio | 99.10% |
Network Hospitals | 14,000+ |
Pre-existing Disease Waiting Period | 1 year |
Special Benefits | No Extra Premium for Disease Coverage |
Starting Premium for Rs. 5 lakhs SI | Rs. 410/month |
About Star Special Care Health Insurance
Star Special Care from Star Health is an indemnity-oriented medical insurance policy. It provides medical insurance cover to the children aged between 3 to 25 years who are diagnosed with Autism Spectrum Disorder. The plan can be renewed up to 25 years of age. After that, the insured individual will be provided another individual indemnity-based health insurance product with continuity benefits for the applicable waiting period.
Although the plan has sub-limits for certain procedures and/or treatments, it offers quite a few benefits to the policyholders. There are no requirements for pre-medical check-ups, coverage for post hospitalisation expenses, coverage for an emergency ambulance and so on.
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Key Inclusions and Exclusions of the Plan
What's Included
- Anesthesia, costs for operation theatre, blood, oxygen, surgical appliances, diagnostic materials, diagnostic imaging modalities, medicines, drugs, dialysis, radiotherapy, chemotherapy, etc.
- Room, nursing and boarding expenses are covered all inclusive as directed by the hospital/nursing home to a maximum of Rs. 5,000 every day
- Surgeon, anesthetist, medical practitioner, consultants, specialist fees is included
- Charges for emergency ambulance are covered for up to Rs. 750 per hospitalisation and a maximum limit of Rs. 1,500 for each policy period
- Post-hospitalisation expenses are covered up to 7% or the actual expenses incurred for up to 60 days after discharge from the hospital
What's Not Included
- Cost of vitamins and tonics unless it is a part of treatment for injury or disease as specified by the physician
- Charges for hospital registration, admission, record, telephone, etc. are not covered under the policy
- Injury or disease occurred due to nuclear weapons or materials either directly or indirectly
- Cerebral palsy, chromosomal abnormalities and genetic abnormalities, mental retardation are not covered under this policy
- Dental treatment or surgery are excluded unless is required because of accidental injuries and requiring hospitalisation (excluding dental implants)
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Star Special Care Expert Review
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Major Attractions
Special Care is a plan that manages the medical expenses by providing cover for all the primary health care requirements. The salient features of the plan are-
- Premiums can be paid monthly or annually
- Room, boarding and nursing expenses are covered as presented by the Hospital or Nursing Home up to a limit of Rs. 5,000 per day
- Surgeon, Anesthetist, Consultant, Specialist, or Medical Practitioner’s fee are paid under the plan
- Oxygen, Anesthesia, Blood, Operation Theatre charges, Medicines and Drugs, Surgical appliances and all other such expenses are covered
- Cover for all the daycare procedures (with limits on some)
- Emergency ambulance up to a sum of Rs. 750 per hospitalisation and overall limit of Rs. 1,500 per policy period
- Post hospitalisation expenses covered for a sum equivalent to 7% of the hospitalisation expenses or actuals incurred up to 60 days after discharge from the hospital
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What’s More?
Other than the coverage benefits, Star Health also promises the following to the policyholders through its Special Care health insurance plan-
- Hassle-free claim procedure
- The cashless facility at the network hospitals
- Rebate in income tax under Section 80D of the Income Tax Act 1961
- Renewability up to the insured person/s complete(s) 25 years of age
- Grace period of 30 days from the date of expiry of the policy for renewal
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Conclusion
This is an ideal plan for special children, as the regular health insurance plans do not provide cover for the same. The plan comes at affordable premiums yet covers all the necessary features. So, in order to get more exhaustive coverage for Autism Spectrum Disorder, it perfectly suits the need.
If you are planning to buy this plan for yourself or your loved ones, buy it online. Unlike offline, the online process lets you make a deal quickly and conveniently without any involvement of an agent. You can even seek help from leading health insurance brokers in the market. Their customer care executives will guide you through the entire process of purchasing this plan and even provide you with the after sales service too.
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FAQs on Special Care Health Insurance Plan
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Is pre-acceptance medical check-up screening mandatory to buy the Star Health Special Care Policy?
A pre-acceptance medical check-up is not required to purchase the Star Health Special Care, but a copy of the past medical records from all the concerned specialists has to be submitted.
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What are the sum insured options in the policy?
The policy is available for a sum insured of Rs. 3 Lakh only.
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What is the premium amount to be paid under this plan?
The gross premium to be paid (excluding taxes) varies for different age groups. For children between 3 to 10 years of age, the premium amounts to Rs. 4,800; for children between 11 to 20 years of age, the premium amounts to Rs. 5,235; and for the ones between 21 to 25 years of age it is Rs. 6,075.
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What is the policy term for Star Health Special Care Policy?
The policy is available for a term of 1 year.