Brochure Young Star Insurance Policy V 9 Web 782fb9d5a9
Brochure Young Star Insurance Policy V 9 Web 782fb9d5a9
In s ura nc e P o lic y
UIN No.: SHAHLIP25035V052425
EasyPremiums
Easy Premiums- -Multiple
MultipleBenefits
Benefits- -Total
TotalCoverage.
Coverage.
1
YOUNG STAR
or
INSURANCE ii. for transportation of the insured person by private ambulance service from one hospital to another
hospital for better medical treatment
POLICY E. Pre-hospitalization Expenses: Medical expenses incurred up to 60 days immediately before the
insured person is hospitalized
UIN No.: SHAHLIP25035V052425 F. Post Hospitalization Expenses: Medical expenses incurred up to 90 days immediately after the insured
The age between 18 years and 40 years is always considered as the most progressive in anyone’s life. During this person is discharged from the hospital
period, individuals tend to work hard to expand their horizons and work harder to achieve their goals. It is in this G. E-Medical Opinion: The Insured Person is given the facility of obtaining a “E Medical Opinion” from the
phase of life, the solid foundation of success is laid. While individuals being busy, working their way up on the ladder Company’s expert panel. Subject to the following conditions;
of success, it is also important to protect the health and well-being of themselves and their families. Because a • This should be specifically requested for by the Insured Person
medical emergency can strike at any time and can pose a huge financial burden, if health insurance is overlooked. • This opinion is given without examining the patient, based only on the medical records submitted
Eligibility • The opinion should be only for medical reasons and not for medico-legal purposes
• For Adults: 18yrs – 40 yrs • Any liability due to any errors or omission or consequences of any action taken in reliance
• For Dependent Child: 91 days – 25 yrs (Only on Floater basis) • of the opinion provided by the Medical Practitioner is outside the scope of this policy
• Life Long Renewals • Utilizing this facility alone will not amount to making a claim
H. Coverage for Modern Treatments: Expenses are subject to the limits.
Sum Insured Options
(For details please refer website: www.starhealth.in)
• Available only on Individual basis: Rs.3,00,000/-
I. AYUSH Treatment: Medical expenses for Inpatient Hospitalization incurred on treatment under
• Available on both Individual and Floater basis: Rs.5,00,000/-, Rs.10,00,000/-, Rs.15,00,000/-,
Ayurveda, Unani, Sidha and Homeopathy systems of medicines in a AYUSH Hospital is payable up to the
Rs.20,00,000/-, Rs.25,00,000/-, Rs.50,00,000/-, Rs.75,00,000/- and Rs.1,00,00,000/-
sum insured.
If the policy is issued on floater basis, the basic sum insured, cumulative bonus and other related benefits float
Note: Claims under Yoga and Naturopathy system of treatment will be payable subject to prior approval
amongst the insured persons.
from the company
Policy Term: 1 year / 2 year / 3 year. For policies more than one year, the Basic Sum Insured is for each of the Cost of Health Check up: Expenses incurred towards Cost of Health check-up up to the limits mentioned in
year, without any carry over benefit thereof. the table below on completion of each policy year (irrespective of claim) provided health check up is done at
Long Term Discounts: For 2 year Term - 10% discount on 2nd year premium a Networked facility;
For 3 year Term - 11.25% discount on 2nd and 3rd year premium Sum Insured / Rs.15,00,000
Rs.3,00,000 Rs.5,00,000 Rs.10,00,000
Instalment Facility available: Premium can be paid Monthly, Quarterly and Half-Yearly. Premium can also Policy Type (Rs.) and above
be paid Annually, Biennial (Once in 2 years) and Triennial (Once in 3 years). For instalment mode of payment,
Individual (Rs.) Rs.1,500 Rs.2,000 Rs.3,000 Rs.3,500
there will be loading as given below:
Floater (Rs.) NA Rs.3,000 Rs.4,000 Rs.5,000
Monthly 4%| Quarterly 3%| Half Yearly 2%
Note:
Plan Options: Silver Plan/ Gold Plan.
1) This benefit is payable on renewal and when the renewed policy is in force
idterm Inclusion of additional person: Permissible on payment of proportionate premium subject to the
M 2) The maximum limit for this benefit shall not exceed the limit applicable for the renewed sum insured
following; 3) Payment under this benefit does not form part of the Basic Sum Insured
• ewly Married / Wedded spouse: Intimation about the marriage should be given within 45 days from the
N 4) Payment of expenses towards cost of health checkup will not prejudice the Company’s right to deal with
date of marriage the hospitalisation claim in case of non-disclosure of material fact and /or pre existing diseases in terms
• Legally adopted child: Intimation about the adoption should be given within 45 days from the date of of the policy
adoption 5) The unutilized amount under this benefit cannot be carried forward
• New born baby: Intimation about the new born baby should be given within 90 days from the date of birth. utomatic Restoration of Basic Sum Insured: The basic sum insured shall be automatically restored by
A
The cover for new born commences from 91st day of its birth 100% subject to the following;
Special conditions 1. The automatic restoration shall be immediately upon partial/full utilization of the limit of coverage
a) Waiting periods as stated in the policy will be applicable from the date of inclusion of such newly 2. Such Restored basic sum insured can be utilized for all claims during the policy period
married/wedded spouse, new born baby, legally adopted child 3. The maximum liability of the Company in a Single claim under a policy year shall not exceed the limit of
b) Such midterm inclusion will be subject to underwriter’s approval coverage
4. The unutilized restored sum insured cannot be carried forward
Pre-acceptance medical screening: No Pre-acceptance medical screening. 5. This Benefit is not available for Modern Treatment
Day Care Procedures: All Day Care Procedures are covered. Cumulative Bonus: The insured person will be eligible for Cumulative bonus calculated at 20% of the basic
Coverage(Applicable for both Silver and Gold Plan) sum insured for each claim free year subject to a maximum of 100% of the basic sum insured;
Special Conditions
A. Room (Single Private A/C room), Boarding and Nursing Expenses as provided by the Hospital
1. The Cumulative bonus will be calculated on the expiring Basic Sum Insured
Note: Hospitalisation expenses which vary based on the room rent occupied by the insured
2. If the insured opts to reduce the Basic Sum Insured at the subsequent renewal, the limit of indemnity by
person will be considered in proportion to the room rent limit / room category stated in the policy
way of such Cumulative bonus shall not exceed such reduced basic sum insured.
or actuals whichever is less.
3. In the event of a claim resulting in;
B. Surgeon, Anesthetist, Medical Practitioner, Consultants, Specialist Fees
a. Partial utilization of Basic Sum Insured, such cumulative bonus so granted will be reduced at the
C. Anesthesia, Blood, Oxygen, Operation Theatre charges, ICU charges, Surgical Appliances, Medicines
same rate at which it has accrued
and Drugs, Diagnostic Materials and X-ray, diagnostic imaging modalities, Dialysis, Chemotherapy,
b. Full utilization of Basic Sum Insured and nil utilization of cumulative bonus accrued, such cumulative
Radiotherapy, cost of Pacemaker, stent and such other similar expenses With regard to coronary
bonus so granted will be reduced at the same rate at which it has accrued
stenting, the Company will pay cost of stent as per the Drug Price Control Order (DPCO) / National
c. Full utilization of Basic Sum Insured and partial utilization of cumulative bonus accrued, the
Pharmaceuticals Pricing Authority (NPPA) Capping
cumulative bonus granted on renewal will be the balance cumulative bonus available and will be
D. Emergency Road Ambulance: Subject to an admissible hospitalization claim, Emergency Road
reduced at the same rate at which it has accrued.
Ambulance expenses incurred for the following are payable;
d. Full utilization of Basic Sum Insured and full utilization of cumulative bonus accrued, the cumulative
i. for transportation of the insured person by private ambulance service to go to hospital when this is
bonus granted on renewal will be “nil”
needed for medical reasons
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dditional Basic Sum Insured for Road Traffic Accident (RTA): If the insured person meets with a Road
A pecial Features (Applicable for both Silver and Gold Plan): If the Insured person avails this policy before
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Traffic Accident resulting in in-patient hospitalization, then the Basic Sum Insured shall be increased by 25% the age of 36 years and has continuously renewed without any break, then, on completion of 40 years of age
subject to a maximum of Rs.10,00,000/- and subject to the following; the insured person will be offered a discount of 10% on the premium applicable at renewal at the age of 40
• It is evidenced that the insured person was wearing helmet and was either riding or travelling as pillion years for the sum insured opted at the inception of this policy. This discount is available for all the subsequent
rider in a two wheeler at the time of accident as evidenced by Police record and Hospital record renewals. The discount is not cumulative. This discount will not be given if the insured person migrates to any
other policy offered by the Company. If an individual policy is converted into family floater policy at the time of
• The additional Basic Sum Insured shall be available only once during the policy period renewal, then the discount is available on the family floater policy only if the age of the insured person added
• The additional Basic Sum Insured shall be available after exhaustion of the limit of coverage under the family floater policy is less than the age of 36 years. If individual members are covered for different
• he additional Basic Sum Insured can be utilized only for that particular hospitalization following the
T sum insureds, then the discount is available on the premium paid for the lowest of all the sum insureds at the
Road Traffic Accident first inception of the policy.
• Automatic Restoration of Basic Sum Insured shall not apply for this benefit xclusions (Applicable for both Silver and Gold Plan): The Company shall not be liable to make any
E
payments under this policy in respect of any expenses what so ever incurred by the insured person in
• This benefit shall not be applicable for day care treatment connection with or in respect of;
• The unutilized balance cannot be carried forward for the remaining policy period or for renewal 1. Pre-Existing Diseases - Code Excl 01
• Claim under this benefit will impact the Cumulative bonus A. Expenses related to the treatment of a pre-existing Disease (PED) and its direct complications shall
tar Wellness Program: This program intends to promote, incentivize and to reward the Insured Persons’
S be excluded until the expiry of 12 months of continuous coverage after the date of inception of the
healthy life style through various wellness activities. The wellness activities as detailed in the website are first policy with insurer
designed to help the Insured person to earn wellness reward points which will be tracked and monitored by the B. In case of enhancement of sum insured the exclusion shall apply afresh to the extent of sum insured
Company. The wellness points earned by the Insured Person(s) under the wellness program, can be utilized increase
to get discount in premium. C. If the Insured Person is continuously covered without any break as defined under the applicable
The following table shows the discount on premium available under the Wellness Program; norms on portability stipulated by IRDAI, then waiting period for the same would be reduced to the
Wellness Points Earned Discount in Premium extent of prior coverage
200 to 350 2% D. Coverage under the policy after the expiry of 12 months for any pre-existing disease is subject to
the same being declared at the time of application and accepted by Insurer
351 to 600 5%
2. Specified disease / procedure waiting period - Code Excl 02
601 to 750 7% A. Expenses related to the treatment of the following listed Conditions, surgeries/treatments shall be
excluded until the expiry of 12 months of continuous coverage after the date of inception of the first
751 to 1000 10%
policy with us. This exclusion shall not be applicable for claims arising due to an accident
For more information, Please visit our website : www.starhealth.in.
B. In case of enhancement of sum insured the exclusion shall apply afresh to the extent of sum insured
Coverage available only under Gold Plan
increase
¾ Delivery Expenses: Expenses for a Delivery including Delivery by Caesarean section (including pre-
C. If any of the specified disease/procedure falls under the waiting period specified for pre-existing
natal and post natal expenses) up-to Rs.30,000/- per delivery is payable, subject to the following;
diseases, then the longer of the two waiting periods shall apply
1. This benefit is available only for a maximum of 2 deliveries during the life time under this policy
D. The waiting period for listed conditions shall apply even if contracted after the policy or declared and
2. This Benefit is subject to a waiting period of 36 months from the date of first commencement of
accepted without a specific exclusion
Young Star Insurance Policy and its continuous renewal thereof with the Company
E. If the Insured Person is continuously covered without any break as defined under the applicable
3. A waiting period of 24 months will apply afresh following a claim under this benefit
norms on portability stipulated by IRDAI, then waiting period for the same would be reduced to the
4. Pre-hospitalisation and Post Hospitalization expenses and Hospital Cash Benefit are not applicable extent of prior coverage
for this section.
F. List of specific diseases/procedures;
5. This cover is available only when;
i. Diseases of ENT and Thyroid
i. both Self and Spouse are covered under this policy either on floater basis or on individual basis ii. All types of Hydrocele, Hernia, Varicocele, Piles, Fistula, and Fissure in Ano
ii. both Self and Spouse have been covered for a continuous period of 36 months under Young iii. Diseases of Female Reproductive system
Star Insurance Policy iv. Calculus diseases of the Gall Bladder, Kidney and Urinary Tract
iii. the policy covering the self and spouse are in force when this benefit becomes payable 3. 30-day waiting period - Code Excl 03
A. Expenses related to the treatment of any illness within 30 days from the first policy commencement
6. Claims under this section will not reduce the Basic Sum Insured
date shall be excluded except claims arising due to an accident, provided the same are covered
7. Claim under this section will impact the Cumulative bonus
B. This exclusion shall not, however, apply if the Insured Person has continuous coverage for more
¾ ospital Cash Benefit: The Company will pay a Cash Benefit of Rs 1000/-for each completed day
H than twelve months
of hospitalization subject to a maximum of 7 days per hospitalization and 14 days per policy period,
C. The within referred waiting period is made applicable to the enhanced sum insured in the event of
provided, there is a valid claim for hospitalization under this policy.
granting higher sum insured subsequently
Note:
1. This benefit is subject to 1 day Deductible 4. Investigation & Evaluation - Code Excl 04
A. Expenses related to any admission primarily for diagnostics and evaluation purposes only are excluded
2. Payment under this benefit does not form part of the Basic sum insured
B. Any diagnostic expenses which are not related or not incidental to the current diagnosis and
3. Claim under this section will impact the Cumulative bonus treatment are excluded
¾ Add-on cover: Young Star Extra Protect – Rest Cure, rehabilitation and respite care - Code Excl 05: Expenses related to any admission
5.
Add on cover | UIN: SHAHLIA23171V012223 and its subsequent revisions. primarily for enforced bed rest and not for receiving treatment. This also includes;
This Add on cover can be availed along with this Product. Please ask for the Prospectus and Proposal 1. Custodial care either at home or in a nursing facility for personal care such as help with
Form of the same at the time of purchase. All terms and conditions of the Add-on cover will apply. activities of daily living such as bathing, dressing, moving around either by skilled nurses or
assistant or non-skilled persons
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2. Any services for people who are terminally ill to address physical, social, emotional and spiritual needs 19. Circumcision(unless necessary for treatment of a disease not excluded under this policy or necessitated due
6. Obesity/ Weight Control - Code Excl 06: Expenses related to the surgical treatment of obesity that does not to an accident), Preputioplasty, Frenuloplasty, Preputial Dilatation and Removal of SMEGMA - Code Excl 19
fulfill all the below conditions; 20. Congenital External Disease / Defects / Anomalies - Code Excl 20
A. Surgery to be conducted is upon the advice of the Doctor 21. Convalescence, general debility, run-down condition, Nutritional deficiency states - Code Excl 21
B. The surgery/Procedure conducted should be supported by clinical protocols 22. Intentional self injury - Code Excl 22
C. The member has to be 18 years of age or older and 23. Venereal Disease and Sexually Transmitted Diseases(Other than HIV) - Code Excl 23
D. Body Mass Index (BMI); 24. Injury/disease directly or indirectly caused by or arising from or attributable to war, invasion, act of foreign
1. greater than or equal to 40 or enemy, warlike operations (whether war be declared or not) - Code Excl 24
2. greater than or equal to 35 in conjunction with any of the following severe co-morbidities following 25. Injury or disease directly or indirectly caused by or contributed to by nuclear weapons/materials - Code Excl 25
failure of less invasive methods of weight loss;
26. Expenses incurred on Enhanced External Counter Pulsation Therapy and related therapies, Chelation therapy,
a. Obesity-related cardiomyopathy Hyperbaric Oxygen Therapy, Rotational Field Quantum Magnetic Resonance Therapy, VAX-D, Low level laser
b. Coronary heart disease therapy, Photodynamic therapy and such other therapies - Code Excl 26
c. Severe Sleep Apnea 27. Unconventional, Untested, Experimental therapies - Code Excl 27
d. Uncontrolled Type2 Diabetes 28. Autologous derived Stromal vascular fraction, Chondrocyte Implantation, Procedures using Platelet Rich
plasma and Intra articular injection therapy and other such similar therapies - Code Excl 28
7. Change-of-Gender treatments - Code Excl 07: Expenses related to any treatment, including surgical
29. Biologicals, except when administered as an in-patient, when clinically indicated and hospitalization warranted
management, to change characteristics of the body to those of the opposite sex.
- Code Excl 29
8. Cosmetic or plastic Surgery - Code Excl 08: Expenses for cosmetic or plastic surgery or any treatment to
30. All treatment for Priapism and erectile dysfunctions - Code Excl 30
change appearance unless for reconstruction following an Accident, Burn(s) or Cancer or as part of medically
necessary treatment to remove a direct and immediate health risk to the insured. For this to be considered a 31. Inoculation or Vaccination (except for post–bite treatment and for medical treatment for therapeutic reasons) -
medical necessity, it must be certified by the attending Medical Practitioner. Code Excl 31
9. Hazardous or Adventure sports - Code Excl 09: Expenses related to any treatment necessitated due to 32. Dental treatment or surgery unless necessitated due to accidental injuries and requiring hospitalization. (Dental
participation as a professional in hazardous or adventure sports, including but not limited to, para-jumping, implants are not payable) - Code Excl 32
rock climbing, mountaineering, rafting, motor racing, horse racing or scuba diving, hand gliding, sky diving, 33. Medical and / or surgical treatment of endocrine disorders - Code Excl 33
deep-sea diving.
34. Hospital registration charges, admission charges, record charges, telephone charges and such other charges
10. Breach of law - Code Excl 10: Expenses for treatment directly arising from or consequent upon any Insured - Code Excl 34
Person committing or attempting to commit a breach of law with criminal intent.
35. Cost of spectacles and contact lens, hearing aids, Cochlear implants and procedure related hospitalization
11. Excluded Providers - Code Excl 11: Expenses incurred towards treatment in any hospital or by any Medical expenses, walkers and crutches, wheel chairs, CPAP, BIPAP, Continuous Ambulatory Peritoneal Dialysis,
Practitioner or any other provider specifically excluded by the Insurer and disclosed in its website / notified to infusion pump and such other similar aids - Code Excl 35
the policyholders are not admissible. However, in case of life threatening situations or following an accident,
36. Any hospitalizations which are not Medically Necessary / does not warrant Hospitalization - Code Excl 36
expenses up to the stage of stabilization are payable but not the complete claim.
37. Other Excluded Expenses as detailed in the website www.starhealth.in - Code Excl 37
12. Treatment for Alcoholism, drug or substance abuse or any addictive condition and consequences thereof -
Code Excl 12 38. Existing disease/s, disclosed by the Insured and mentioned in the policy schedule under Permanent Exclusion
13. Treatments received in health hydros, nature cure clinics, spas or similar establishments or private beds (based on Insured’s consent) - Code Excl 38
registered as a nursing home attached to such establishments or where admission is arranged wholly or partly Moratorium Period: After completion of sixty continuous months of coverage (including portability and
for domestic reasons - Code Excl 13 migration) in health insurance policy, no policy and claim shall be contestable by the insurer on grounds of non-
14. Dietary supplements and substances that can be purchased without prescription, including but not limited to disclosure, misrepresentation, except on grounds of established fraud. This period of sixty continuous months
Vitamins, minerals and organic substances unless prescribed by a medical practitioner as part of hospitalization is called as moratorium period. The moratorium would be applicable for the sums insured of the first policy.
claim or day care procedure - Code Excl 14 Wherever, the Sum Insured is enhanced, completion of sixty continuous months would be applicable from the
date of enhancement of sums insured only on the enhanced limits.
15.
Refractive Error: Expenses related to the treatment for correction of eye sight due to refractive error less than
7. 5 dioptres - Code Excl 15 � Renewal: The policy shall be renewable provided the product is not withdrawn, except in case of established
fraud or non-disclosure or misrepresentation by the Policyholder. If the product is withdrawn, the policyholder
16. U
nproven Treatments - Code Excl 16: Expenses related to any unproven treatment, services and supplies
shall be provided with suitable options to migrate as per the procedure stated under “withdrawal clause”
for or in connection with any treatment. Unproven treatments are treatments, procedures or supplies that lack
significant medical documentation to support their effectiveness. i. At the end of the policy period, the policy shall terminate and can be renewed within the Grace Period of
30 days.
17. Sterility and Infertility - Code Excl 17: Expenses related to sterility and infertility. This includes;
a Any type of contraception, sterilization ii. While coverage is not available during the Grace Period, if the policy is renewed during the Grace Period,
all the credits (Sum Insured, No Claim Bonus, Specific Waiting Periods, Waiting period for Pre-Existing
b. Assisted Reproduction services including artificial insemination and advanced reproductive technologies
Diseases, Moratorium period etc.) accrued under the policy shall be protected.
such as IVF, ZIFT, GIFT, ICSI
c. Gestational Surrogacy Discounts: Wellness Discount upto 10% is available on the Renewal Premiums.
d. Reversal of sterilization ossibility of Revision of Terms of the Policy lncluding the Premium Rates: The Company, may revise or
P
18. Maternity - Code Excl 18: (Except to the extent covered under Delivery Section – Gold plan) modify the terms of the policy including the premium rates, as per the extant Guidelines. The insured person
a. Medical treatment expenses traceable to childbirth (including complicated deliveries and caesarean shall be notified thirty days before the changes are effected.
sections incurred during hospitalization) except ectopic pregnancy Revision in Sum Insured: Any revision in sum insured is permissible only at the time of renewal. The Insured
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b. Expenses towards miscarriage (unless due to an accident) and lawful medical termination of pregnancy Person can propose such revision and may be allowed subject to Company’s approval and payment of
during the policy period appropriate premium.
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edical Underwriting Loading: Company may apply a risk loading on the premium payable (based upon the
M This discount is available for all the subsequent renewals. The discount is not cumulative. This discount will
declarations made in the proposal form and the health status of the persons proposed for insurance). not be given if the insured person migrates to any other policy offered by the Company. If an individual policy
is converted into family floater policy at the time of renewal, then the discount is available on the family floater
• The quantum of loading / discount shall be applied as per the extant of U/W guidelines
policy only if the age of the insured person added under the family floater policy is less than the age of 36
• This loading is applied from the Commencement Date of the Policy including subsequent renewal(s) years. Note: If individual members are covered for different sum insureds, then the discount is available on the
with the Company. premium paid for the lowest of all the sum insureds at the first inception of the policy.
• Company will inform about the applicable risk loading or exclusion or both as the case may be through
B. Premium Payment in Installments: lf the Policyholder has opted for Payment of Premium on an installment
a counter offer.
basis i.e. Half Yearly or Quarterly or Monthly as mentioned in the Policy Schedule/Certificate of Insurance, the
• The Insured need to revert to the Company with consent and additional premium (if any), within 7 days following conditions shall apply (notwithstanding any terms contrary elsewhere in the policy)
of the receipt of such counter offer. i. For monthly instalment option: Grace Period of 15 days would be given to pay the instalment premium
• In case, the Insured neither accept the counter offer nor revert to the Company within 7 days, the due for the policy.
Company shall cancel the Insured’s proposal and refund the premium.
ii. For Quarterly and Half yearly instalment option: Grace Period of 30 days would be given to pay the
• The Company will issue Policy only after getting Insured’s consent and additional premium (if any). instalment premium due for the policy.
Free Look Period: The Free Look Period shall be applicable on new individual health insurance policies and
iii. lf the Policyholder has opted for Payment of Premium on an installment basis i.e. Half Yearly or Quarterly
not on renewals or at the time of porting/migrating the policy.
or Monthly or Annual (if Annual instalment mode is available) or as mentioned in the Policy Schedule/
The Policyholder shall be allowed free look period of thirty days from date of receipt of the policy document Certificate of Insurance, the following conditions shall apply (notwithstanding any terms contrary
whether electronically or otherwise to review the terms and conditions of the policy. If the Policyholder is not elsewhere in the policy)
satisfied with any of the terms and conditions and has not made any claim, the Policyholder has the option to
cancel his/her policy. This option is available in case of policies with a term of one year or more. iv. No interest will be charged lf the instalment premium is not paid on due date
The Policyholder shall be entitled to a refund of the premium paid subject only to a deduction of a proportionate v. ln case of instalment premium due not received within the grace period, the policy will get cancelled
risk premium for the period of cover and the expenses, if any incurred by the Insurer on medical examination vi. ln the event of a claim, all subsequent premium instalments shall immediately become due and payable
of the proposer and stamp duty charges
vii. The company has the right to recover and deduct all the pending installments from the claim amount due
Redressal of Grievance: Incase of any grievance the insured person may contact the Company through under the policy
Website : www.starhealth.in
E-mail : gro@starhealth.in, grievances@starhealth.in viii. For premium paid in instalments during the policy period, coverage is available during the grace period also
Ph. No. : 044-69006900 Migration: In case of migration of one policy to another with the same insurer, the Policyholder (including all
Senior Citizens may call at 044-69007500 members under family cover and group insurance policies) can transfer the credits gained to the extent of the
Courier : 4th Floor, Balaji Complex, No.15, Whites Lane, Whites Road, Royapettah, Chennai - 600014 Sum Insured, No Claim Bonus, Specific Waiting Periods, Waiting period for Pre-Existing Diseases, Moratorium
lnsured person may also approach the grievance cell at any of the company’s branches with the details of period etc. in the previous policy to the migrated policy.
grievance. Portability:
lf lnsured person is not satisfied with the redressal of grievance through one of the above methods, insured
A. The Policyholder has the choice to port his / her policy from one Insurer to another by applying to
person may contact the grievance officer at 044-43664600.
such Insurer to port the entire policy along with all the members of the family, if any, at least 30 days
For updated details of grievance officer, kindly refer the link before, but not earlier than 60 days from the policy renewal date as per IRDAI guidelines related to
https://www.starhealth.in/grievance-redressal portability.
lf lnsured person is not satisfied with the redressal of grievance through above methods, the insured person B. The Policyholder is entitled to transfer the credits gained to the extent of the Sum Insured, No Claim
may also approach the office of lnsurance Ombudsman of the respective area/region for redressal of grievance Bonus, Specific Waiting Periods, Waiting period for Pre-Existing Diseases, Moratorium period etc.
as per lnsurance Ombudsman Rules 20 17, as amended from time to time from the existing Insurer to the Acquiring Insurer in the previous policy.
Grievance may also be lodged at IRDAI lntegrated Grievance Management System - Withdrawal of the policy
https://bimabharosa.irdai.gov.in/
In the likelihood of this product being withdrawn in future, the Company will intimate the Policyholder about the
isclosure to information norms: The policy shall become void and all premium paid thereon shall be
D same 90 days prior to expiry of the policy.
forfeited to the Company, in the event of mis-representation, mis description or non-disclosure of any material
I. A one-time option to renew the existing product, if renewal falls within the 90 days from the date of
fact by the policy holder.
withdrawal of the product, or
� Cancellation:
II. Policyholder will have the option to migrate to similar health insurance product available with the Company
i. The Policyholder may cancel his policy any time during the term by giving 7 days written notice. In such
at the time of renewal. Policyholder can transfer the credits gained (to the extent of Sum Insured, No Claim
an event, The Company shall
Bonus, Specific Waiting Periods, Waiting period for Pre-Existing Diseases, Moratorium period etc.) in the
a. refund proportionate premium for unexpired policy period, if policy term is upto one year and there is no
previous policy to the migrated policy, provided the policy has been maintained without a break
claim (s) made during the policy period.
Automatic Expiry: The insurance under this policy with respect to each relevant Insured Person shall expire
b. refund premium for the unexpired policy period, in respect of policies with policy term more than 1 year
immediately on the earlier of the following events;
and risk coverage for such policy years has not commenced.
ii. The Company may cancel the policy at any time on grounds of misrepresentation, non-disclosure of Upon the death of the Insured Person. This also means that in case of family floater policy, cover for the
material facts, fraud by the Insured Person by giving 15 days’ written notice. There would be no refund of other surviving members of the family will continue, subject to other terms of the policy
premium on cancellation on grounds of misrepresentation, non-disclosure of material facts or fraud Upon exhaustion of the Limit of Coverage Plus Restored Basic Sum Insured under the policy
Note: Incase of long term policies the refund will be given after adjusting the long term discount availed by the Claim Procedure
insured/ policyholder. a. For assistance call 24 hours help-line 044-69006900 or Toll Free No. 1800 425 2255.
Senior Citizens may call at 044-40020888
Special Conditions
b. Inform the ID number for easy reference
A. If the Insured person avails this policy before the age of 36 years and has continuously renewed without any c. On admission in the hospital, produce the ID Card issued by the Company at the Hospital Helpdesk
break, then, on completion of 40 years of age the insured person will be offered a discount of 10% on the d. Obtain the Pre-authorisation Form from the Hospital Help Desk, complete the Patient Information and
premium applicable at renewal at the age of 40 years for the sum insured opted at the inception of this policy. resubmit to the Hospital Help Desk
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e. In case of emergency hospitalization, information to be given within 24 hours after hospitalization ax Benefits: Payment of premium by any mode other than cash for this insurance is eligible for relief under
T
f. In non-network hospitals payment must be made up-front and then reimbursement will be effected on Section 80D of the Income Tax Act 1961.
submission of documents TAXES ARE SUBJECT TO CHANGES IN TAX LAWS
g. KYC (Identity proof with Address) of the proposer, as per AML Guidelines
h. NEFT documents viz., Customer name, Bank Account No., Name of the Bank, IFSC code rohibition of rebates: (Section 41 of Insurance Act 1938): No person shall allow or offer to allow, either
P
i. CKYC No. of the proposer (if available) directly or indirectly, as an inducement to any person to take out or renew or continue an insurance in respect
of any kind of risk relating to lives or property in India, any rebate of the whole or part of the commission
The Company: Star Health and Allied Insurance Co. Ltd., commenced its operations in 2006 as India’s first payable or any rebate of the premium shown on the policy, nor shall any person taking out or renewing or
Standalone Health Insurance provider. As an exclusive Health Insurer, the Company is providing sterling continuing a policy accept any rebate, except such rebate as may be allowed in accordance with the published
services in Health, Personal Accident & Overseas Travel Insurance and is committed to setting international prospectuses or tables of the insurer. Any person making default in complying with the provisions of this section
benchmarks in service and personal caring. shall be liable for a penalty which may extend to ten lakhs rupees.
Star Advantages
• No Third Party Administrator, direct in-house claims settlement
• Faster and hassle – free claim settlement
• Cashless hospitalization
Benefit Illustration in respect of policies offered on individual and family floater basis
Coverage opted on
individual basis covering Coverage opted on individual basiscovering multiple Coverage opted on family floater basis with overall Sum
each member of the members of thefamily under a single policy (Sum insured
family separately (at a insured is available for each member of the family) (Only one sum insured is available for the entire family)
Age of the single point of time)
Members
insured (in yrs) Premium or
Premium
Sum Sum consolidated Floater Premium Sum
Premium Premium Discount, if after
insured insured premium for discount, if after discount insured
(Rs.) (Rs.) any discount
(Rs.) (Rs.) all members of any (Rs.) (Rs.)
(Rs.)
family (Rs.)
Illustration 1 - For Gold Plan
31 6,992 5,00,000 6,992 6,992 5,00,000
Nil 13,455 3,329 10,126 5,00,000
28 6,463 5,00,000 6,463 6,463 5,00,000
Total Premium for all members of the family Total Premium for all members of the family is Rs.13,455/- Total Premium when policy is opted on floater basis is
is Rs.13,455/-, when each member is covered , when they are covered under a single policy. Rs.10,126/-
separately. Sum insured available for each Sum insured available for each family member is
Sum insured of Rs.5,00,000/-,
individual is Rs. 5,00,000/- Rs.5,00,000/-
is available for the entire family (2A)
Illustration 2 - For Gold Plan
46 10,827 5,00,000 10,827 10,827 5,00,000
44 9,269 5,00,000 9,269 Nil 9,269 5,00,000 26,559 6,491 20,068 5,00,000
18 6,463 5,00,000 6,463 6,463 5,00,000
Total Premium for all members of the family Total Premium for all members of the family is Rs.26,559/- Total Premium when policy is opted on floater basis is 20,068
is Rs.26,559/-, when each member is covered , when they are covered under a single policy. Sum insured of Rs.5,00,000/-, is available for the entire family
separately. Sum insured available for each family member is (2A+1C)
Sum insured available for each individual is Rs.5,00,000/-
Rs. 5,00,000/-
Note: Premium rates specified in the above illustration are standard premium rates without considering any loading. Also, the premium rates are exclusive of taxes
applicable. Floater discount shown here is difference between Premium applicable for Individual Sum Insured and Floater Sum Insured.
A-Adult, C-Child
10 11
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The information provided in this brochure is only indicative. For more details on the
risk factors, terms and conditions, please read the policy wordings before
concluding sale
Or
Visit our website www.starhealth.in
Insurance is the subject matter of solicitation
12
PREMIUM CHART – YOUNG STAR INSURANCE POLICY – SILVER PLAN
UIN No. SHAHLIP25035V052425 - BRO / YSI / V.10 / 2025
1-Year Premium Chart - Excluding GST (Premium in Rs.)
Silver Plan – Sum Insured Rs.3,00,000/-*
Age (In yrs)/ Family Size 18-30 31-35 36-40 41-45 46-50 51-55 56-60 61-65 Above 65
1A 3,841 4,215 4,876 5,836 6,946 8,648 10,316 12,817 16,572
*3 lakhs sum insured is not applicable for floater policy
Silver Plan Sum Insured Rs.5,00,000/-
Age Band/ Family Size 1A 1A+1C 1A+2C 1A+3C 2A 2A+1C 2A+2C 2A+3C
18-30 5,238 8,096 9,723 11,891 8,297 11,034 12,662 14,841
31-35 5,762 8,648 10,293 12,483 9,137 11,903 13,547 15,744
36-40 6,687 9,752 11,506 13,840 10,615 13,559 15,312 17,658
41-45 8,044 11,178 12,972 15,370 12,805 15,813 17,612 20,004
46-50 9,597 12,834 14,697 17,175 15,295 18,406 20,269 22,747
51-55 11,983 15,249 17,124 19,625 19,113 22,253 24,127 26,628
56-60 14,318 17,584 19,458 21,959 22,845 25,984 27,859 30,360
61-65 17,819 21,085 22,960 25,461 28,445 31,585 33,459 35,961
Above 65 23,069 26,335 28,210 30,711 36,846 39,986 41,860 44,361
Silver Plan Sum Insured Rs.10,00,000/-
Age Band/ Family Size 1A 1A+1C 1A+2C 1A+3C 2A 2A+1C 2A+2C 2A+3C
18-30 6,801 10,659 12,814 15,677 10,935 14,541 16,689 19,564
31-35 7,493 11,391 13,562 16,453 12,049 15,688 17,859 20,756
36-40 8,713 12,848 15,165 18,248 13,995 17,876 20,194 23,288
41-45 10,513 14,743 17,117 20,278 16,898 20,863 23,237 26,404
46-50 12,566 16,931 19,389 22,663 20,183 24,289 26,747 30,021
51-55 15,722 20,115 22,596 25,898 25,223 29,363 31,843 35,145
56-60 18,799 23,198 25,678 28,980 30,156 34,296 36,771 40,073
61-65 23,423 27,821 30,302 33,604 37,553 41,693 44,168 47,469
Above 65 30,358 34,757 37,232 40,539 48,645 52,785 55,266 58,568
Silver Plan Sum Insured Rs.15,00,000/-
Age Band/ Family Size 1A 1A+1C 1A+2C 1A+3C 2A 2A+1C 2A+2C 2A+3C
18-30 8,297 12,808 15,390 18,827 13,140 17,466 20,042 23,490
31-35 9,135 13,680 16,290 19,755 14,473 18,838 21,443 24,924
36-40 10,598 15,435 18,214 21,915 16,813 21,465 24,244 27,956
41-45 12,758 17,708 20,554 24,356 20,295 25,054 27,906 31,703
46-50 15,221 20,340 23,288 27,214 24,238 29,166 32,113 36,045
51-55 19,007 24,159 27,135 31,095 30,291 35,258 38,228 42,193
56-60 22,703 27,861 30,831 34,796 36,208 41,175 44,145 48,111
61-65 28,249 33,407 36,377 40,343 45,084 50,051 53,021 56,987
Above 65 36,574 41,726 44,702 48,662 58,399 63,366 66,336 70,301
Silver Plan Sum Insured Rs.20,00,000/-
Age Band/ Family Size 1A 1A+1C 1A+2C 1A+3C 2A 2A+1C 2A+2C 2A+3C
18-30 9,461 14,614 17,584 21,533 15,002 19,969 22,933 26,899
31-35 10,423 15,621 18,619 22,607 16,538 21,549 24,548 28,547
36-40 12,105 17,634 20,829 25,088 19,226 24,576 27,771 32,034
41-45 14,597 20,256 23,535 27,900 23,237 28,704 31,984 36,349
46-50 17,432 23,282 26,674 31,191 27,771 33,435 36,821 41,344
51-55 21,780 27,675 31,095 35,651 34,729 40,438 43,853 48,414
56-60 26,033 31,933 35,348 39,904 41,535 47,244 50,659 55,215
61-65 32,411 38,312 41,726 46,288 51,739 57,448 60,868 65,424
Above 65 41,979 47,880 51,300 55,856 67,050 72,765 76,179 80,736
Silver Plan Sum Insured Rs.25,00,000/-
Age Band/ Family Size 1A 1A+1C 1A+2C 1A+3C 2A 2A+1C 2A+2C 2A+3C
18-30 10,800 16,695 20,104 24,649 17,145 22,849 26,263 30,814
31-35 11,903 17,854 21,296 25,886 18,906 24,671 28,114 32,715
36-40 13,838 20,166 23,844 28,738 21,999 28,148 31,821 36,726
41-45 16,706 23,186 26,955 31,978 26,618 32,906 36,675 41,693
46-50 19,969 26,668 30,566 35,764 31,832 38,340 42,238 47,436
51-55 24,969 31,719 35,651 40,894 39,831 46,395 50,327 55,569
56-60 29,858 36,613 40,545 45,782 47,661 54,219 58,151 63,394
61-65 37,198 43,948 47,880 53,123 59,394 65,959 69,891 75,133
Above 65 48,201 54,956 58,888 64,125 77,006 83,571 87,503 92,739
Silver Plan - Sum Insured Rs.50,00,000/-
Age Band/ Family Size 1A 1A+1C 1A+2C 1A+3C 2A 2A+1C 2A+2C 2A+3C
18-30 12,853 19,879 23,974 29,430 20,424 27,270 31,365 36,827
31-35 14,175 21,268 25,403 30,909 22,545 29,453 33,587 39,099
36-40 16,498 24,053 28,457 34,335 26,258 33,626 38,031 43,914
41-45 19,946 27,681 32,203 38,228 31,798 39,347 43,864 49,894
46-50 23,861 31,860 36,534 42,773 38,059 45,866 50,546 56,779
51-55 29,858 37,924 42,638 48,926 47,661 55,530 60,249 66,538
56-60 35,730 43,791 48,510 54,799 57,049 64,924 69,638 75,926
61-65 44,533 52,599 57,313 63,602 71,134 79,009 83,728 90,017
Above 65 57,741 65,801 70,521 76,809 92,267 1,00,142 1,04,856 1,11,144
Silver Plan - Sum Insured Rs.75,00,000/-
Age Band/ Family Size 1A 1A+1C 1A+2C 1A+3C 2A 2A+1C 2A+2C 2A+3C
18-30 14,079 21,791 26,297 32,299 22,393 29,919 34,425 40,433
31-35 15,536 23,321 27,872 33,930 24,722 32,321 36,866 42,936
36-40 18,090 26,381 31,230 37,688 28,806 36,911 41,760 48,229
41-45 21,893 30,381 35,353 41,979 34,909 43,206 48,178 54,810
46-50 26,196 34,971 40,118 46,980 41,794 50,383 55,524 62,387
51-55 32,794 41,642 46,834 53,753 52,352 61,014 66,201 73,119
56-60 39,251 48,099 53,291 60,204 62,685 71,342 76,534 83,453
61-65 48,938 57,786 62,972 69,891 78,182 86,839 92,031 98,944
Above 65 63,461 72,315 77,501 84,420 1,01,424 1,10,081 1,15,273 1,22,186
Silver Plan - Sum Insured Rs.1,00,00,000/-
Age Band/ Family Size 1A 1A+1C 1A+2C 1A+3C 2A 2A+1C 2A+2C 2A+3C
18-30 16,110 24,953 30,128 37,029 25,644 34,403 39,471 46,384
31-35 17,786 26,708 31,939 38,903 28,322 37,164 42,283 49,258
36-40 20,723 30,223 35,798 43,228 33,019 42,441 47,908 55,350
41-45 25,099 34,830 40,545 48,173 40,039 49,579 55,299 62,921
46-50 30,049 40,112 46,029 53,916 47,959 57,831 63,748 71,640
51-55 37,637 47,784 53,753 61,706 60,103 70,059 76,028 83,981
56-60 45,062 55,209 61,178 69,131 71,983 81,939 87,908 95,861
61-65 56,199 66,347 72,315 80,269 89,803 99,759 1,05,728 1,13,681
Above 65 72,906 83,053 89,021 96,975 1,16,533 1,26,489 1,32,452 1,40,411