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Star-Health-Cardiac-Care-Insurance-Policy

Star Health Cardiac Care Insurance Policy

Star Cardiac Care is a health insurance policy designed for people who have undergone heart related treatment. After a heart attack you cannot buy health insurance it means cardiac related issues is an exclusion in health insurance. Star health insurance company have special plans for Heart Patients that covers cardiac related issues. This Health insurance plan includes medical emergency for normal hospitalization and that arises due to heart related issues also. Cardiac care health insurance plan makes sure that it provides proper medical treatment to an insured person without worrying at the time of financial emergency. Cardiac care health insurance plan is the best key to full fill the heavy hospital bills at the time of hospitalization. Cardiac health insurance policy helps in financial emergencies. Health care costs have increased drastically over few years and any medical treatment can burn your savings but with the help of these special health Cardiac care insurance plans, an individual can get extra financial support even after the First Heart Attack.

Who Can Buy Star Health Cardiac Care Insurance Policy?

  1. Undergone Percutaneous Transluminal Coronary Angioplasty – PTCA or Coronary Artery Bypass Graft (CABG) – Within 7 years
  2. Atrial Septal Defect – ASD or Ventricular Septal Defect – VSD – Corrected
  3. Patent Ductus Arteriosus (PAD) – Treated
  4. RF Ablation or RF Ablation done to correct Cardiac Condition
  5. Angiogram done – But intervention not found necessary

About Star Health Cardiac Care Insurance Policy (Individual):

Entry age

10 Years to 65 years

Sum Insured

3 Lac and 4 Lac

Policy Period

One year

Type of plan

Individual

Variants

There are two types of plans: Gold plan & Silver plan

Renewal

Lifelong renewal

Benefits of Star Health Cardiac Care Insurance Policy:

Section – 1

Regular Hospitalisations – Other than Cardiac related

Room Rent, Boarding and Nursing
Expenses

Rs. 5000 per day

Professional Fees

Surgeon, Anaesthetist, Medical Practitioner, Consultant, Specialist Fees – Actual

Other Medical Expenses

Anaesthesia, Blood, Oxygen, OT Charges, Surgical Appliances, Medicines and Drugs, Diagnostic materials, Xray, Diagnostic Imaging, Dialysis, Chemotherapy, Radiotherapy etc –
Actual

Ambulance Charges

Rs. 750 per hospitalisation – Rs. 1500 per policy year

Pre – Hospitalisation

30 days prior to the date of hospitalisation – Actual

Post – Hospitalisation

60 days – (7% of nursing expenses, Surgeon/consultant Fees, Diagnostic Charges, Cost of medicines and drugs with Max Rs. 5000)

Section – 2 – Gold

1. Cardiac related Complications – resulting in Surgery or intervention
2. Cardiac Medical Management

Section – 2 – Silver

Cardiac related Complications – resulting in Surgery or intervention only
Cardiac Medical Management not covered

Both Gold and Silver
a. Room Rent, Boarding and Nursing Expenses
b. Professional Fees
c. Other Medical Expenses
d. Ambulance Charges
e. Pre-Hospitalisation
f. Post – Hospitalisation

Same as Section 1

Section – 3

Out Patient Consultation – Max. Rs. 500 per consultation
Max – Rs. 1500 per policy year – Pay-out forms part of Sum Insured

Section – 4

Personal Accident – Death Cover – Accident Cover Sum Insured Equivalent to Health Sum
Insured

Day – Care Treatment

405 – Day Care Procedures

Sublimit for Cataract

Max Rs. 20,000 per hospitalisation – Max Rs. 30,000 for policy period

Treatment on Package Charges basis

80% of Package Charges paid – for Section 1 hospitalisations only

30 days – Waiting Period

Any Disease Contracted by the insured

90 days – Waiting Period

PEDs related to Cardiac ailments

24 Months – Waiting Period

Like – Cataract, ENT, Thyroid, prolapse of intervertebral Disc (Non-Accidental), Varicose- veins & Ulcers, Prostate Disease, Hernia, Fistula/Fissure, Congenital Internal Disease, – For full
list refer product broacher

48 Months – Waiting Period

PEDs – Other than Cardiac related PED – Declared in Proposal and Endorsed in Policy

Permanent Exclusions

Like – Congenital External defects, Dental Treatments (Non-Accidental), Psychiatric treatment, Venereal diseases, Intentional Self Injury, Pregnancy and child birth related, Weight Control, Cosmetic treatments, Plastic Surgery – For full list refer product broacher

Pre-Acceptance Medical Screening

Not Required – But all the past medical records of the proposed insured to be submitted

Co Payment

10% on every Hospitalisation – Under Section 1 only – For Age above 60 years at ENTRY

Premium of Star Health Cardiac Care Insurance Policy Individual Plan:

Sum Insured Rs.

3,00,000/-

4,00,000/-

Plan/Age – Band in Yrs.

Silver Plan

Gold Plan

Silver Plan

Gold Plan

10-60 yrs.

14,095

18,790

16,110

21,475

61-65 yrs.

16,210

21,610

18,525

24,695

66-70 yrs.

18,640

24,850

21,300

28,400

71-80 yrs.

20,505

27,335

23,430

31,240

Above 80 yrs.

22,555

30,070

25,775

34,365

Documents for Star Health Cardiac Care Insurance Policy:

  • Filled in a Proposal form
  • Pass Port Size Colour Photo
  • Old Medical Reports
  • Age proof of each family member
  • Address proof
  • Bank Details of Proposer
Claims Procedure:
  • Call the 24-hour help-line for assistance – 1800 425 2255 / 1800 102 4477
  • In case of planned hospitalization, inform 24 hours prior to admission in the hospital.
  • In case of emergency hospitalization information to be given within 24 hours after hospitalization.
  • Cashless facility wherever possible in network hospital
  • In non-network hospitals payment must be made up-front and then reimbursement will be affected on submission of documents.
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