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Showing posts from November, 2019
Star Comprehensive Health Insurance Policy The Star Comprehensive Insurance policy is a health indemnity plan with multiple benefits for the policyholders. The policy provides cover for inpatient treatment, domiciliary hospitalization and day care treatments. Major Benefits Restore Benefit : The plan comes with a restore benefit which adds 100% benefit amount equal to the sum insured during the policy period. This additional amount can be utilized only after the base sum insured has been exhausted. The restored amount does not compensate for any illness for which the base sum insured has been already utilized. This is in marked contrast to Optima Restore (AMHI) which allows for partial claims. And the restored amount can be used for earlier illnesses also. Accidental Death/ Permanent Total Disability Star comprehensive has this wonderful inbuilt feature where amount equal to the sum insured is given to the insured/nominee in case of AD/PTD. No additional prem...
Star Cancer Care Gold This policy is available for persons between the age of 5 months and 65 years who have already been diagnosed with cancer . (Stage 1 or Stage 2) Policy term is one year. No pre acceptance medical tests are required. There are three sections. Section 1 covers recurrence/metastasis and/or a second cancer. Only two options are available: 3 lakhs and five lakhs. Premium for Section 1: Age slab 3,00,000 (sum insured) 5,00,000 (sum insured) 5 months – 29 years 17400 27300 30-39 17800 27900 40-49 18900 29200 50-59 21000 32000 60-65 23200 35100 The major shortcoming of the policy is the waiting period of 30 months for Section 1. The benefit is not substantial as you end up paying three premiums before being eligible for any benefit. Section 2 covers surgical and int...
EXCLUSIONS in a health policy The foremost consideration while buying a health insurance policy should be the benefits provided by the policy? Not Really. We must deliberate on the exclusions.There is an initial 30 days moratorium on all illnesses except accident. Pre- existing diseases are not covered for 3-4 years. Specified diseases like cataract,hernia,fistula, gall bladder and pancreatic stones etc. are covered after 24 months. Illnesses caused by war or nuclear radiation are  precluded. Many policies do not cover non-allopathic treatment. Weight control and cosmetic treatment are debarred. There is no protection available for illnesses caused by use of drugs or alcohol.Some policies cover organ donor expenses, others do not. We must read the policy wordings carefully. Many would not know that while domiciliary treatment is covered, pre or post hospitalization expenses under it, are not compensated.There may a list of diseases(arthritis, laryngitis,etc.) not covered...
What implications do the new health insurance guidelines by  have for policyholders? Plenty it seems. Insurers can no longer deny coverage for illness or injury related with hazardous activities, impairment of cognitive faculties owing to use of medicines prescribed by a doctor, mental illness, puberty and menopause related diseases, congenital or genetic diseases or illness due to  failure to follow prescribed treatment. Also, an insurer cannot reject a claim after a health insurance policy has been in force for eight years except for proven fraud and permanent exclusions. Additionally, pre and post hospitalization expenses cannot be excluded under domiciliary treatment thus bringing it at par with inpatient treatment. While an insurer can still cancel a policy on grounds of non-disclosure, the new guidelines provide more options to the insurer to deal with such a situation. If the non-disclosed condition belongs to the permanent exclusion category,the insurer can ...