Women Care Insurance Policy Brochure
Women Care Insurance Policy Brochure
Women Care Insurance Policy Brochure
50 mm
MORATORIUM PERIOD Cancellation table applicable for Policy Term 2 Year with instalment option of Half-yearly premium Cancellation table applicable for Policy Term 3 Year with instalment option of Quarterly premium ii. Renewal shall not be denied on the ground that the insured person had made a claim or claims in the preceding policy
After completion of eight continuous years under the policy no look back to be applied. This period of eight years is called UTILIZATION OF SUM INSURED
payment frequency payment frequency years
as moratorium period. The moratorium would be applicable for the sums insured of the first policy and subsequently iii. Request for renewal along with requisite premium shall be received by the Company before the end of the policy The sequence of utilization of the Sum Insured in this Policy will be as follows
Period on risk Rate of premium to be retained Period on risk Rate of premium to be retained
completion of 8 continuous years would be applicable from date of enhancement of sums insured only on the enhanced period
limits. After the expiry of Moratorium Period no health insurance claim shall be contestable except for proven fraud and Up to 1 Mth 45% of the total premium received Up to 1 mth 87.5% of the total premium received ● Basic Sum Insured
Exceeding one mth up to 4 mths 87.5% of the total premium received iv. At the end of the policy period, the policy shall terminate and can be renewed within the Grace Period of 30 days to
permanent exclusions specified in the policy contract. The policies would however be subject to all limits, sub limits, co- Exceeding 1 mth up to 3 mths 100% of the total premium received ● Cumulative Bonus (if applicable)
Exceeding 4 mths up to 6 mths 100% of the total premium received maintain continuity of benefits without break in policy. Coverage is not available during the grace period.
payments, deductibles as per the policy contract. Exceeding 3 mths up to 4mths 87.5% of the total premium received
Exceeding 6 mths up to 7 mths 65% of the total premium received v. No loading shall apply on renewals based on individual claims experience ● Automatic Restoration of Sum Insured triggers on utilization of the Limit of Coverage in whole or in part.
CLAIM PROCEDURE Exceeding 4 mths up to 6 mths 100% of the total premium received
· Call the 24 hour help-line for assistance - 1800 425 2255 / 1800 102 4477. Senior Citizens may call at 044-69007500 Exceeding 7 mths up to 10 mths 85% of the total premium received POSSIBILITY OF REVISION OF TERMS OF THE POLICY INCLUDING THE PREMIUM RATES Illustration for Utilization of Sum Insured
Exceeding 10 mths up to 12 mths 100% of the total premium received Exceeding 6 mths up to 7 mths 85% of the total premium received The Company, with prior approval of lRDAl, may revise or modify the terms of the policy including the premium rates. The
· In case of planned hospitalization, inform 24 hours prior to admission in the hospital Illustration 1
Exceeding 12 mths up to 15 mths 90% of the total premium received Exceeding 7 mths up to 9 mths 100% of the total premium received insured person shall be notified three months before the changes are effected
· In case of emergency hospitalization information to be given within 24 hours after hospitalization
Exceeding 15 mths up to 18 mths 100% of the total premium received Exceeding 9 mths up to 10 mths 85% of the total premium received PREMIUM PAYMENT IN INSTALMENTS An Insured Person with Star Women Care Insurance Policy, Tenure 1 year, Third year in progress,
· Cashless facility wherever possible in network hospital Exceeding 18 mths up to 21 mths 90% of the total premium received lf the insured person has opted for Payment of Premium on an instalment basis i.e. Half Yearly or Quarterly as mentioned Basic Sum Insured Rs.5,00,000/-
· In non-network hospitals payment must be made up-front and then reimbursement will be effected on submission of Exceeding 10 mths up to 12 mths 100% of the total premium received in the policy Schedule/Certificate of lnsurance, the following Conditions shall apply (notwithstanding any terms contrary
Exceeding 21 mths 100% of the total premium received Available Benefit Limit
documents subject to terms and conditions of the policy Cancellation table applicable for Policy Term 2 Year with instalment option of Quarterly premium Exceeding 12 mths up to 13 mths 97.5% of the total premium received elsewhere in the policy)
DISCLOSURE OF INFORMATION payment frequency Exceeding 13 mths up to 15 mths 100% of the total premium received i. Grace Period of 7 days would be given to pay the instalment premium due for the policy. Number of Claim amount Automatic Admissible
Utilization of
A Special
The policy shall become void and all premium paid thereon shall be forfeited to the Company in the event of ii. During such grace period, coverage will not be available from the due date of instalment premium till the date of receipt Basic Sum Restoration of claim amount
Claims (Rs.) Sum Insured
misrepresentation, mis description or non-disclosure of any material fact by the policy holder
Period on risk Rate of premium to be retained Exceeding 15 mths up to 16 mths 95% of the total premium received
of premium by Company. Insured (Rs.)
Bonus (Rs.)
Sum Insured (Rs.) Cover for
Up to 1 Mth 87.5% of the total premium received Exceeding 16 mths up to 18 mths 100% of the total premium received
CANCELLATION iii. The insured person will get the accrued continuity benefit in respect of the "Waiting Periods", "Specific Waiting (Rs.)
i. The policyholder may cancel this policy by giving 15 days' written notice and in such an event, the Company shall
Exceeding 1 mth up to 3mths 100% of the total premium received
Exceeding 18 mths up to 19 mths 95% of the total premium received Periods" in the event of payment of premium within the stipulated grace Period
the Women
Exceeding 3 mths up to 4 mths 87.5% of the total premium received 1st Claim 5,00,000 5,00,000 2,00,000 - 5,00,000 Basic SI (Full)
refund premium for the unexpired policy period as detailed below;
Exceeding 4 mths up to 6 mths 100% of the total premium received Exceeding 19 mths up to 21 mths 100% of the total premium received iv. No interest will be charged lf the instalment premium is not paid on due date
Bonus (full) + We Admire
Cancellation table applicable for Policy Term 1 Year without instalment option Exceeding 6 mths up to 7 mths 85% of the total premium received Exceeding 21 mths up to 22 mths 92.5% of the total premium received v. ln case of instalment premium due not received within the grace period, the policy will get cancelled 2nd Claim 7,00,000 - 2,00,000 5,00,000 7,00,000 Automatic
Exceeding 7 mths up to 9 mths 100% of the total premium received Exceeding 22 mths up to 24 mths 100% of the total premium received vi. ln the event of a claim, all subsequent premium instalments shall immediately become due and payable Restore (Full)
Period on risk Rate of premium to be retained
Exceeding 9 mths up to 10 mths 85% of the total premium received Exceeding 24 mths up to 25 mths 97.5% of the total premium received vii. The company has the right to recover and deduct all the pending installments from the claim amount due under the
Up to one mth 22.5% of the policy premium policy Illustration 2
Exceeding 10 mths up to 12 mths 100% of the total premium received
Exceeding one mth up to 3 mths 37.5% of the policy premium Exceeding 25 mths up to 27 mths 100% of the total premium received
Exceeding 12 mths up to 13 mths 97.5% of the total premium received FREE LOOK PERIOD An Insured Person with Star Women Care Insurance Policy, Tenure 1 year, Second year in progress,
Exceeding 3 mths up to 6 mths 57.5% of the policy premium Exceeding 13 mths up to 15 mths 100% of the total premium received Exceeding 27 mths up to 28 mths 97.5% of the total premium received The Free Look Period shall be applicable on new individual health insurance policies and not on renewals or at the time of Basic Sum Insured Rs.5,00,000/-
Exceeding 6 mths up to 9 mths 80% of the policy premium Exceeding 15 mths up to 16 mths 95% of the total premium received Exceeding 28 mths up to 30 mths 100% of the total premium received porting/migrating the policy. Available Benefit Limit
Exceeding 9 mths Full of the policy premium Exceeding 16 mths up to 18 mths 100% of the total premium received Exceeding 30 mths up to 31 mths 95% of the total premium received The insured person shall be allowed free look period of fifteen days from date of receipt of the policy document to review
Automatic Admissible
Exceeding 18 mths up to 19 mths 95% of the total premium received the terms and conditions of the policy, and to return the same if not acceptable. Number of Claim amount Utilization of
Cancellation table applicable for Policy Term 1 Year with instalment option of Half-yearly premium Exceeding 31 mths up to 33 mths 100% of the total premium received Basic Sum Restoration of claim amount
Exceeding 19 mths up to 21 mths 100% of the total premium received lf the insured has not made any claim during the Free Look Period, the insured shall be entitled to; Claims (Rs.) Bonus (Rs.) Sum Insured
210.00 mm
payment frequency Exceeding 33 mths up to 34 mths 95% of the total premium received Insured (Rs.) Sum Insured (Rs.)
Exceeding 21 mths up to 22 mths 92.5% of the total premium received i. a refund of the premium paid less any expenses incurred by the Company on medical examination of the insured
Period on risk Rate of premium to be retained Exceeding 34 mths 100% of the total premium received (Rs.)
Exceeding 22 mths 100% of the total premium received person and the stamp duty charges or
Up to 1 Mth 45% of the total premium received Cancellation table applicable for Policy Term 3 Year without instalment option ii. where the risk has already commenced and the option of return of the policy is exercised by the insured person, a Basic SI
Notwithstanding anything contained herein or otherwise, no refunds of premium shall be made in respect of 1st Claim 3,00,000 5,00,000 1,00,000 - 3,00,000
Exceeding one mth up to 4 mths 87.5% of the total premium received deduction towards the proportionate risk premium for period of cover or (partial)
Period on risk Rate of premium to be retained Cancellation where, any claim has been admitted or has been lodged or any benefit has been availed by the insured
Exceeding 4 mths up to 6 mths 100% of the total premium received iii. where only a part of the insurance coverage has commenced, such proportionate premium commensurate with the
Up to 1 Mth 17.5% of the policy premium person under the policy. insurance coverage during such period; Basic (balance)
Exceeding 6 mths up to 7 mths 65% of the total premium received Exceeding one mth up to 3 mths 22.5% of the policy premium ii. The Company may cancel the policy at any time on grounds of misrepresentation, non-disclosure of material facts, + Bonus (full)+
REVISION OF SUM INSURED
Exceeding 7 mths up to 10 mths 85% of the total premium received Exceeding 3 mths up to 6 mths 30% of the policy premium fraud by the insured person by giving 15 days' written notice. There would be no refund of premium on cancellation on 2nd Claim 6,00,000 2,00,000 1,00,000 3,00,000 6,00,000 Automatic
Reduction or enhancement of Sum Insured is permissible only at the time of renewal. The acceptance for enhancement
Exceeding 10 mths 100% of the total premium received Exceeding 6 mths up to 9 mths 37.5% of the policy premium grounds of misrepresentation, non-disclosure of material facts or fraud Restoration
and the amount of enhancement will be at the discretion of the Company and subject to Exclusion Code Excl 01,
Exceeding 9 mths up to 12 mths 42.5% of the policy premium AUTOMATIC TERMINATION (partial)
Cancellation table applicable for Policy Term 1 Year with instalment option of Quarterly premium Exclusion Code Excl 02 and Exclusion Code Excl 03.
payment frequency Exceeding 12 mths up to 15 mths 50% of the policy premium The insurance under this policy with respect to each relevant Insured Person policy shall expire immediately on the earlier WITHDRAWAL OF POLICY Automatic
Exceeding 15 mths up to 18 mths 57.5% of the policy premium of the following events
Period on risk Rate of premium to be retained i. In the likelihood of this product being withdrawn in future, the Company will intimate the insured person about the 3rd Claim 2,00,000 - - 2,00,000 2,00,000 Restoration
Exceeding 18 mths up to 21 mths 65% of the policy premium ü Upon the death of the Insured Person this means that, the cover for the surviving members of the family will continue, same 90 days prior to expiry of the policy. (Balance)
Up to 1 Mth 87.5% of the total premium received Exceeding 21 mths up to 24 mths 72.5% of the policy premium subject to other terms of the policy. ii. lnsured Person will have the option to migrate to similar health insurance product available with the Company at the
Exceeding one mth up to 3 mths 100% of the total premium received Exceeding 24 mths up to 27 mths 80% of the policy premium ü Upon exhaustion of the Sum Insured, Limit of Coverage, Limit of Coverage plus Restore Sum Insured. time of renewal with all the accrued continuity benefits such as cumulative bonus, waiver of waiting period. as per
Exceeding 3 mths up to 4 mths 87.5% of the total premium received Exceeding 27 mths up to 30 mths 85% of the policy premium MIGRATION IRDAI guidelines, provided the policy has been maintained without a break
Exceeding 30 mths up to 33 mths 92.5% of the policy premium The insured person will have the option to migrate the policy to other health insurance products/plans offered by the
Exceeding 4 mths up to 6 mths 100% of the total premium received THE COMPANY
Exceeding 33 mths Full of the policy premium company by applying for migration of the Policy atleast 30 days before the policy renewal date as per IRDAI guidelines on
Exceeding 6 mths up to 7 mths 85% of the total premium received Star Health and Allied Insurance Co. Ltd., commenced its operations in 2006 as India's first Standalone Health Insurance The information provided in this brochure is only indicative.
Cancellation table applicable for Policy Term 3 Year with instalment option of Half-yearly premium Migration. lf such person is presently covered and has been continuously covered without any lapses under any health
Exceeding 7 mths up to 9 mths 100% of the total premium received payment frequency provider. As an exclusive Health Insurer, the Company is providing sterling services in Health, Personal Accident & For more details on the risk factors, terms and conditions,
insurance product/plan offered by the company, the insured person will get the accrued continuity benefits in waiting Overseas Travel Insurance and is committed to setting international benchmarks in service and personal caring.
Exceeding 9 mths up to 10 mths 85% of the total premium received Period on risk Rate of premium to be retained periods as per IRDAI guidelines on migration. please read the policy wordings before concluding sale
Exceeding 10 mths 100% of the total premium received Up to 1 mth 45% of the total premium received For Detailed Guidelines on migration, kindly refer the link STAR ADVANTAGES
· No Third Party Administrator, direct in-house claims settlement Or
Cancellation table applicable for Policy Term 2 Year without instalment option Exceeding 1 mth up to 4 mths 87.5% of the total premium received https://www.irdai.gov.in/ADMINCMS/cms/frmGuidelines_Layout.aspx?page=PageNo3987
Exceeding 4 mths up to 6 mths 100% of the total premium received · Faster and hassle – free claim settlement Visit our website www.starhealth.in
735.00 mm
127.50 mm 127.50 mm 120.00 mm 120.00 mm 120.00 mm 120.00 mm
b. Full utilization of Sum Insured and nil utilization of The following table shows the discount on premium 2. The surgery/Procedure conducted should be ii. Assisted Reproduction services including artificial
STARWOMENCAREINSURANCEPOLICY
9. Pre-hospitalization Expenses: Medical expenses 21. In Utero Fetal Surgery/Repair: The Company will pay 23. Miscarriage due to Accident: The Company will pay 26. Expenses of Medical Consultations as an 2. Specified disease / procedure waiting period - Waiting period for the following benefits are as follows:
incurred up to 60 days immediately before the insured cumulative bonus accrued, such cumulative bonus the expenses incurred for In Utero Fetal Surgeries and the lumpsum amount as per the table given below Outpatient up to the limits mentioned in the table below available under the Wellness Program Code Excl 02 a. Bariatric Surgery: A waiting period of 24 months supported by clinical protocols insemination and advanced reproductive
Unique Identification No.: SHAHLIP22217V012122 person is hospitalized. so granted will not be reduced Procedures mentioned below after the waiting period: towards miscarriage arising due to accident subject to a are payable. a) Expenses related to the treatment of the listed from the date of first commencement of this policy 3. The member has to be 18 years of age or older and technologies such as IVF, ZIFT, GIFT, ICSI
Wellness Points Earned Discount in Premium and continuous renewal thereof.
10. Post Hospitalization Expenses: Medical expenses c. Full utilization of Sum Insured and partial utilization Payment under this benefit forms part of the sum waiting period. Conditions, surgeries/ treatments shall be excluded 4. Body Mass Index (BMI); iii. Gestational Surrogacy
Limit per policy year
Star Women Care Insurance Policy is an exclusive health product designed to meet the needs of today's women and her family, by incurred up to 90 days immediately after the insured person of cumulative bonus accrued, the cumulative bonus insured and will impact the Bonus Sum Insured (Rs.) 200 to 350 2% until the expiry of 24 months of continuous coverage b. Assisted Reproduction Treatment: A waiting a. greater than or equal to 40 or iv. Reversal of sterilization
Sum Insured (Rs.) Limit of liability (Rs.) up to (Rs.)
the way of providing cover for regular hospitalization and comprehensive maternity-related benefits. This product comes with a host of is discharged from the hospital. granted on renewal will be the balance cumulative Types of in utero-surgeries covered after the date of inception of the first policy with us. period of 36 months from the date of first inception of b. greater than or equal to 35 in conjunction with any 18. Maternity (Except to the extent covered under
5,00,000/- to 15,00,000/- 2,500/- 351 to 600 5% this policy with the Company
special features such as no pre-acceptance medical screening, entry during pregnancy and instalment option in premium payment. 11. Organ Donor Expenses: In patient hospitalization bonus available and will be reduced at the same rate 1) Open Fetal Surgery 5,00,000/- to 15,00,000/- 25,000/- This exclusion shall not be applicable for claims of the following severe co-morbidities following Delivery Expenses) - Code Excl 18
expenses incurred for organ transplantation from the Donor at which it has accrued 2) Fetendo Fetal Surgery 20,00,000/- and 25,00,000/- 3,500/- 601 to 750 7% arising due to an accident. c. Voluntary Sterilization: A waiting period of failure of less invasive methods of weight loss: i. Medical treatment expenses traceable to childbirth
20,00,000/- and 25,00,000/- 35,000/-
to the Recipient Insured Person are payable provided the d. Full utilization of Sum Insured and full utilization of 3) Fetal Image-Guided Surgery (FIGS-IT) 751 to 1000 10% b) In case of enhancement of sum insured the 24 months from the date of first inception of this policy i. Obesity-related cardiomyopathy (including complicated deliveries and caesarean
ELIGIBILITY COVERAGE 50,00,000/- and 1,00,00,000/- 5,000/-
claim for transplantation is payable. In addition, the cumulative bonus accrued, the cumulative bonus on 4) EXIT procedure 50,00,000/- and 1,00,00,000/- 40,000/- exclusion shall apply afresh to the extent of sum d. Ante natal care: For sum insured option of ii. Coronary heart disease
Individual Sum Insured: Only females aged between 18 years 1. Room, Boarding and Nursing Expenses up to 1% of sum Please refer website www.starhealth.in for more details sections incurred during hospitalization) except
expenses incurred by the Donor, (if any) for the renewal will be “nil” Types of in utero-surgeries/procedures covered Note: This benefit is available only once in lifetime Note insured increase. Rs.5 lakhs and Rs.10 lakhs – A waiting period of iii. Severe Sleep Apnea ectopic pregnancy;
to 75 years. insured or maximum up to Rs.20,000/-per day as provided
complications that necessitate a Redo Surgery / ICU 17. Shared accommodation: If the Insured person occupies, a 1. This benefit is available only for female insured 29. Lump sum on diagnosis of Cancer (Optional Cover - c) If any of the specified disease/procedure falls under 24 months from the date of first inception of this iv. Uncontrolled Type2 Diabetes
Floater Sum Insured: Adults 18 years to 75 years (at least one by the Hospital / Nursing Home Type of 24. Delivery Expenses: Expenses for a Delivery including ii. Expenses towards miscarriage (unless due to an
admission will also be covered. shared accommodation during in-patient hospitalization, Description Surgeries person Available on payment of additional premium): If the the waiting period specified for pre-existing policy. For sum insured option of Rs.15 lakhs and
adult female should be there in the family) Note: Expenses relating to hospitalization will be Intervention Delivery by Caesarean section (including pre-natal and 7. Change-of-Gender treatments - Code Excl 07: accident) and lawful medical termination of
The coverage limit under this section is over and above the 2. Unlimited Gynecologist Consultation through Star insured person shall contract Cancer as a first above – A waiting period of 12 months from the date
Dependent Children: 91 days to 25 years for all children. considered in proportion to the eligible room rent/room then a sum of Rs.2,000/- per day subject to a maximum of 7 post natal expenses) up-to the limits given below is diseases, then the longer of the two waiting periods Expenses related to any treatment, including surgical pregnancy during the policy period.
CPAM - Lobectomy tele health app is available incidence, then Company will pay the sum insured of first inception of this policy.
Daughter Can Continue as a dependent child if Un-married category stated in the policy schedule or actuals whichever Limit of Coverage and upto the Sum Insured. This days(per hospitalization) will be payable for each payable, subject to the following; shall apply. management, to change characteristics of the body to Specific Exclusions
additional Sum Insured can be utilized by the Donor SCT - Resection Payment of any claim under this section shall not be opted for Lump sum. e. In Utero Fetal surgery / Repair: For sum insured those of the opposite sex.
and/or Un-employed beyond 25 yrs and max up to 30 yrs, and is less. Proportionate deductions are not applied in respect continuous and completed period of 24 hours of stay in such 1. This benefit is available only for a maximum of d) The waiting period for listed conditions shall apply 19. Circumcision (unless necessary for treatment of a disease
MMC - Repair Note option of Rs.5 lakhs and Rs.10 lakhs – A waiting
beyond 30 yrs she will be treated as an Adult. of the hospitals which do not follow differential billing or for and not by the Insured. shared accommodation. 2 deliveries in the life time under this policy. construed as a waiver of Company's right to repudiate even if contracted after the policy or declared and 8. Cosmetic or plastic Surgery - Code Excl 08: not excluded under this policy or necessitated due to an
OPEN Cervical Teratoma - 1. This benefit is available only for the insured persons period of 24 months from the date of first inception of
Note: Proposer Should be a Female those expenses in respect of which differential billing is not Note: Limit of Coverage means Sum Insured plus 18. Rehabilitation and Pain Management: The company will Hysterotomy 2. Pre-hospitalisation and Post Hospitalization any claim on grounds of non disclosure of material fact accepted without a specific exclusion. this policy. For sum insured option of Rs.15 lakhs Expenses for cosmetic or plastic surgery or any accident), Preputioplasty, Frenuloplasty, Preputial
SURGERY Resection EXIT named in the schedule.
adopted based on the room category. Cumulative bonus earned wherever applicable pay the medical expenses for Rehabilitation and Pain expenses are not applicable for this section. or pre-existing disease, for hospitalization expenses e) If the Insured Person is continuously covered and above – A waiting period of 12 months from the treatment to change appearance unless for Dilatation and Removal of SMEGMA - Code Excl 19
FAMILY Tracheal occlusion
12. AYUSH Treatment: In patient Hospitalization Expenses Management up to the sub-limit (or) maximum up to 10% of under hospitalization provisions of the policy contract 2. The available sum insured options under this without any break as defined under the applicable date of first inception of this policy. reconstruction following an Accident, Burn(s) or Cancer
Self, Spouse and 3 dependent children (2A+ 3C). 2. Star Mother Cover Neck tumors Limit per Delivery 20. Congenital External Condition / Defects / Anomalies
incurred for treatment of diseases / illness / accidental the sum insured whichever is less, per policy year. Sum Insured (Rs.) benefit cover 5/10/15/20 and 25 lacs only norms on portability stipulated by IRDAI, then or as part of medically necessary treatment to remove a
Pregnant women can also buy this policy by submitting the a. Where the insured person is a child age less than CDH (EXIT to ECMO) up to (Rs.) 27. Preventive Health Check Up: Expenses incurred f. Delivery expenses: For sum insured option of (except to the extent covered under Hospitalization
injuries by system of medicines other than allopathic up to Rehabilitation: The company will pay the expenses for 3. This benefit is available on individual sum insured waiting period for the same would be reduced to the direct and immediate health risk to the insured. For this
scan reports taken at Star Health specified scan centres 12 years, the Company will provide for expenses up to 5,00,000/- 25,000/- towards cost of preventive health check-up for the Rs.5 lakhs and Rs.10 lakhs – A waiting period of expenses for treatment of New Born Baby) - Code Excl 20
the Sum Insured per year. rehabilitation, if availed at authorized centres as an Balloon Occlusion of basis only. extent of prior coverage. to be considered a medical necessity, it must be
during their 12th and 20th Week of their pregnancy period. The Single Private A/c room for stay of the mother in the tests mentioned in the table up to the limits for each 24 months from the date of first inception of this 21. Convalescence, general debility, run-down condition,
Note: Yoga and Naturopathy systems of treatments are In-patient/Out-patient, and if there is an admissible claim for Trachea (for CDH) 10,00,000/-, 15,00,000/-, 4. Available only once in lifetime. certified by the attending Medical Practitioner.
cost of such scan shall be borne by the insured. hospital provided, 50,000/- policy year is payable. f) List of specific diseases/procedures policy. For sum insured option of Rs.15 lakhs and Nutritional deficiency states -Code Excl 21
excluded from the scope of coverage under AYUSH In-patient hospitalization for an injury, disease or illness Laser Ablation of Vessels 20,00,000/- 5. Once a claim has been paid under this optional 1. Treatment of Cataract and diseases of the above – A waiting period of 12 months from the date 9. Hazardous or Adventure sports - Code Excl 09:
In case if we accept this proposal and issue the policy, the new 1. Insured child is under treatment In ICU (for TTTS) Expenses related to any treatment necessitated due to 22. Intentional self -injury - Code Excl 22
2. There is an admissible claim for hospitalization of treatment. specified below; Fetoscopic 25,00,000/- and 50,00,000/- 75,000/- Limit per cover, the optional cover cannot be renewed further. anterior and posterior chamber of the Eye, of first inception of this policy.
born will be covered immediately after its birth till the end of the FETENDO Cord Ligation/Division Benefit participation as a professional in hazardous or 23. Injury/disease caused by or arising from or attributable
policy period (including for congenital defects) up to the new child 13. Bariatric Surgery: Expenses incurred on hospitalization 1. Poly Trauma Surgery Gender policy year Tests 6. On payment of claim under the optional cover, the Diseases of ENT, Diseases related to Thyroid, g. Miscarriage due to Accident: For sum insured
Cystoscopic Ablation 100,00,000/- 1,00,000/- Description adventure sports, including but not limited to, para- to war, invasion, act of foreign enemy, warlike operations
born sub limits mentioned in the Delivery section b. This benefit is available only for the period the insured for bariatric surgical procedure and its complications thereof 2. Head injury up to (Rs.) optional cover will cease and the policy will continue Benign diseases of the breast. option of Rs.5 lakhs and Rs.10 lakhs – A waiting
Valves (Urinary jumping, rock climbing, mountaineering, rafting, motor (whether war be declared or not) - Code Excl 24
child was under treatment In ICU. are payable subject to limits mentioned in the table given 3. Diseases of the spine Obstruction) 25. Hospitalization expenses for treatment of New for the balance period without this optional cover. 2. Subcutaneous Benign Lumps, Sebaceous cyst, period of 24 months from the date of first inception of
After renewal new born will be covered up to the sum insured racing, horse racing or scuba diving, hand gliding, sky 24. Injury or disease caused by or contributed to by nuclear
below, during the policy period. This maximum limit of 4. Stroke Born Baby Adolescent Subsequently on renewal, the policy will be Dermoid cyst, Mucous cyst lip / cheek, Carpal this policy. For sum insured option of Rs.15 lakhs
(including the congenital defects), if the premium is paid for the c. If the room is not available in the same hospital, the Amniotic Bands Release USG diving, deep-sea diving.
Rs.2,50,000/- and Rs.5,00,000/- are inclusive of Pain Management treatment: Cover for treatement of pain Female Puberty 1,000/- renewed without the optional cover Tunnel Syndrome, Trigger Finger, Lipoma, and above – A waiting period of 12 months from the weapons/ materials - Code Excl 25
new born Company will reimburse Rs.2,500/- per day subject to A. Birth of New born baby during the policy year: Abdomen 10. Breach of law - Code Excl 10: Expenses for treatment
pre-hospitalization and post-hospitalization expenses. management subject to the limits Amnioreduction/Infusion Age: 13 - 19 yrs 7. This cover should be opted only at the time of first Neurofibroma, Fibroadenoma, Ganglion and date of first inception of this policy. 25. Expenses incurred on Enhanced External Counter
210.00 mm
POLICY TERM maximum of 7 days per hospitalization towards stay of In-patient hospitalization expenses (Including directly arising from or consequent upon any Insured
Important Note: Rehabilitation and/or Pain management Fetal Blood Sampling inception of this policy and cannot be opted at the similar pathology 3. 30-day waiting period - Code Excl 03 (Not Pulsation Therapy and related therapies, Chelation
One year / Two years / Three years. the mother in the Hotel room if the hotel room is within 2 Sum Insured (Rs.) Limit per policy period (Rs.) Congenital Internal and External defects / Thyroid Person committing or attempting to commit a breach of
treatment can be taken only at the Authorized centres Fetal Image RFA Anomalous Twins 3. All treatments (Conservative, Operative Applicable for Accidents) therapy, Hyperbaric Oxygen Therapy, Rotational Field
kms from the hospital. FIGS Guided anomalies) are covered from day 1 subject to a Adult profile, PAP, time of renewal. law with criminal intent.
For policies more than one year, the Basic Sum Insured is for 5,00,000/- to 15,00,000/- 2,50,000/- mentioned in our website – www.starhealth.in Vesico/Pleuro Amniotic A. Expenses related to the treatment of any illness Quantum Magnetic Resonance Therapy, VAX-D, Low
3. Surgeon, Anesthetist, Medical Practitioner, Consultants, Surgery maximum of 25% of the sum insured (including Female Reproductive 3,000/- Vitamin D, 8. This optional cover is available only for female treatment) and all types of intervention for 11. Excluded Providers - Code Excl 11: Expenses
each year, without any carry over benefit thereof. Shunts within 30 days from the first policy commencement level laser therapy, Photodynamic therapy and such
Specialist Fees. Above 15,00,000/- 5,00,000/- 19. Assisted Reproduction Treatment: The Company will medical and surgical treatment expenses, neonatal Age: 20-39 yrs USG insured persons who is aged between 91 days to Diseases related to Tendon, Ligament, Fascia, incurred towards treatment in any hospital or by any
LONG TERM DISCOUNT Balloon Dilation Aortic date shall be excluded except claims arising due to other therapies similar to those mentioned herein under
4. Anesthesia, Blood, Oxygen, Operation theatre charges, reimburse medical expenses incurred on Assisted Stenosis and Postnatal surgery/repair). Abdomen 65 years. Bones and Joint Including Arthroscopy and Medical Practitioner or any other provider specifically
10% discount on 2 year premium and 11.25% on 2 and 3 year Note: Claims under this benefit shall be processed only on an accident, provided the same are covered this exclusion - Code Excl 26
ICU charges, Surgical appliances, Medicines and Drugs, Reproduction Treatment, where indicated, for sub-fertility B. In the subsequent year (on payment of Dexa Scan, 9. Enhancement of sum insured under this benefit is Arthroplasty / Joint Replacement [other than excluded by the Insurer and disclosed in its website /
premium. cashless basis. CHAOS B. This exclusion shall not, however, apply if the 26. Unconventional, Untested, Experimental therapies -
Diagnostic materials and X-ray, Diagnostic imaging subject to: applicable premium for New born): In-patient Middle Aged Sonomamog subject to underwriting caused by accident]. notified to the policyholders are not admissible.
SUM INSURED OPTIONS 14. Coverage for Modern Treatment: Expenses are subject to Planned Removal of the CDH Insured Person has continuous coverage for more Code Excl 27
1. A waiting period of 36 months from the date of first EXIT hospitalization expenses (Including Congenital Female Menopausal 5,000/- ram, PAP, Waiting Period: An initial waiting period of 180 days is 4. All types of treatment for Degenerative disc and However, in case of life threatening situations or
Rs.5,00,000/-, Rs.10,00,000/-, Rs.15,00,000/-, Rs.20,00,000/- modalities, dialysis, chemotherapy, radiotherapy, cost of the limits. (For details please refer website: Specialized Tracheal Occlusion Balloon than twelve months
inception of this policy with the Company for the insured procedure Internal and External defects/anomalies) are applicable from the date of commencement of this Vertebral diseases including Replacement of following an accident, expenses up to the stage of 27. Autologous derived Stromal vascular fraction,
, Rs.25,00,000/-, Rs.50,00,000/- and Rs.1,00,00,000/- pacemaker, stent and similar expenses. With regard to www.starhealth.in) Delivery Pulmonary Sequestration Age: 40 - 59 yrs USG C. The within referred waiting period is made
person covered up to 100% of the sum insured. Abdomen policy. In case of enhancement of sum insured this bones and joints and Degenerative diseases of stabilization are payable but not the complete claim. Chondrocyte Implantation, Procedures using Platelet Rich
coronary stenting, Implants and such other similar items the 15. Automatic Restoration of Sum Insured: There shall be CCAM applicable to the enhanced sum insured in the event
PRE-ACCEPTANCE MEDICAL SCREENING 2. Company will pay one Assisted Reproduction Treatment C. Vaccination Expenses: Vaccination expenses for waiting period shall apply afresh to the extent of sum the Musculo-skeletal system, Prolapse of 12. Treatment for Alcoholism, drug or substance abuse or plasma and Intra articular injection therapy - Code Excl 28
Company will pay cost of stent as per the Drug Price Control automatic restoration of the Sum Insured once by 100% Sr Citizens Dexa Scan, of granting higher sum insured subsequently
There is no Pre-acceptance medical screening. cycle for each policy year List of procedures covered under in utero-surgeries the new born baby are payable up to the 12 months insured increase Intervertebral Disc (other than caused by any addictive condition and consequences thereof - 28. Biologicals, except when administered as an in-patient,
Order (DPCO) / National Pharmaceuticals Pricing Authority subject to the following; Female Age: 60 yrs and 4,000/- PAP, USG 4. Investigation & Evaluation - Code Excl 04
INSTALMENT FACILITY AVAILABLE 3. For the purpose of claiming under this benefit, in- patient · Amniotic band syndrome from the birth of the new born. The Company's accident), Code Excl 12 when clinically indicated and hospitalization warranted -
(NPPA) Capping. 1. The automatic restoration shall be immediately upon above Abdomen A. Expenses related to any admission primarily for
Premium can be paid Quarterly and Half-yearly treatment is not mandatory · Bronchopulmonary sequestration of the lung liability for vaccination is as per the limits mentioned 5. All treatments (conservative, interventional, diagnostics and evaluation purposes only are 13. Treatments received in health hydros, nature cure Code Excl 29
5. All day care procedures are covered. partial / full utilization of the limit of coverage. The Company shall not be liable to make any payments
Premium can also be paid Annual, Biennial and Triennial Limit of Liability of the in the table below; Male Any age 1,000/- Any tests laparoscopic and open) related to Hepato- excluded clinics, spas or similar establishments or private beds 29. Inoculation or Vaccination (except to the extent covered
6. Coverage for Non-medical Items: Covered subject to an 2. Such Restored Sum Insured can be utilized for all claims · Congenital cystic adenomatoid malformation under this policy in respect of any expenses what so ever
For instalment mode of payment, there will be loading as given Sum Insured (Rs.) Company for each pancreato-biliary diseases including Gall bladder B. Any diagnostic expenses which are not related or registered as a nursing home attached to such under Vaccination Expenses and for post–bite
admissible claim under the policy. (For details please refer for subsequent hospitalisation during the policy period. (CCAM) of the lung Sum Insured (Rs.) Limit (Rs.) The above limit is inclusive of cost of Vaccination incurred by the insured person in connection with or in
below: policy year (Rs.) and Pancreatic calculi. All types of management not incidental to the current diagnosis and treatment establishments or where admission is arranged wholly treatment and for medical treatment for therapeutic
website: www.starhealth.in) 3. The maximum liability of the Company in a Single claim · Congenital diaphragmatic hernia (CDH) respect of:-
· Quarterly: 3% 5,00,000/- and 10,00,000/- 2,500/- Note: Payment of any claim under this section shall not for Kidney calculi and Genitourinary tract calculi. are excluded or partly for domestic reasons - Code Excl 13 reasons) - Code Excl 31
7. Road ambulance expenses: Subject to an admissible under a policy year shall not exceed the limit of 5,00,000 50,000 · Congenital high airway obstruction syndrome Standard Exclusions
· Half Yearly: 2% be construed as a waiver of Company's right to 6. All types of Hernia, 5. Rest Cure, rehabilitation (except to the extent 14. Dietary supplements and substances that can be 30. Dental treatment or surgery unless necessitated due to
hospitalization claim, road ambulance expenses incurred coverage. (CHAOS) 15,00,000/- and above 3,500/- 1. Pre-Existing Diseases - Code Excl 01
10,00,000 1,00,000 repudiate any claim on grounds of non disclosure of 7. Desmoid Tumor, Umbilical Granuloma, covered under Rehabilitation and Pain purchased without prescription, including but not limited to accidental injuries and requiring hospitalization.
Note: This loading will be applied on annual premium for the following are payable; 4. The unutilized restored sum insured cannot be carried A. Expenses related to the treatment of a pre-existing
· Fetal anemia D. Metabolic Screening: Test for New Born is payable Umbilical Sinus, Umbilical Fistula, Vitamins, minerals and organic substances unless (Dental implants are not payable) - Code Excl 32
MIDTERM INCLUSION 15,00,000 1,50,000 material fact or pre-existing disease, for hospitalization Disease (PED) and its direct complications shall be Management) and respite care - Code Excl 05:
i. for transportation of the insured person by private forward · Lower urinary tract obstruction (LUTO) once for each new born subject to a limit of 8. All treatments (conservative, interventional, prescribed by a medical practitioner as part of
Permissible on payment of proportionate premium subject to expenses under hospitalization provisions of the policy excluded until the expiry of 24 months of continuous Expenses related to any admission primarily for 31. Medical and / or surgical treatment of Sleep apnea,
ambulance service to go to hospital when this is needed 16. Cumulative Bonus: In respect of a claim free year of 20,00,000 and 25,00,000 2,00,000 · Mediastinal teratoma Rs.3,500/- laparoscopic and open) related to all Diseases of hospitalization claim or day care procedure - Code Excl 14
the following; contract coverage after the date of inception of the first policy enforced bed rest and not for receiving treatment. This treatment for endocrine disorders - Code Excl 33
for medical reasons Insurance, the insured would be entitled to benefit of bonus E. Pediatrician Consultation up to 4 consultations Cervix, Uterus, Fallopian tubes, Ovaries, also includes: 15. Refractive Error - Code Excl 15: Expenses related to
a. Newly Married / Wedded spouse and/or legally adopted 50,00,000 2,50,000 · Neck mass 28. Star Wellness Program: This program intends to with insurer. 32. Hospital registration charges, admission charges,
or of 20% of the expiring Sum Insured from the second year per year are payable up to 12 year of age subject to Uterine Bleeding, Pelvic Inflammatory Diseases i. Custodial care either at home or in a nursing facility for the treatment for correction of eye sight due to
child: Intimation about the marriage/adoption should be ii. for transportation of the insured person by private 1,00,00,000 3,00,000 · Sacrococcygeal teratoma (SCT) promote, incentivize and to reward the Insured B. In case of enhancement of sum insured the record charges, telephone charges and such other
onwards. The maximum allowable bonus shall not exceed policy is in force. The Company's liability for each 9. All Diseases of Prostate, Stricture Urethra, all personal care such as help with activities of daily refractive error less than 7. 5 dioptres.
given within 45 days from the date of marriage or date of ambulance service from one hospital to another hospital 100%. · Spina bifida (myelomeningocele) Persons' healthy life style through various wellness exclusion shall apply afresh to the extent of sum charges - Code Excl 34
consultation is up to Rs.500/-. Obstructive Uropathies, living such as bathing, dressing, moving around either 16. Unproven Treatments - Code Excl 16: Expenses
adoption. for better medical treatment Special Conditions 20. Ante-Natal Care (Pregnancy Care): Company pays the · Twin reversed arterial perfusion (TRAP) sequence Note: Expenses for treatment of new born baby is activities. The wellness activities are designed to help insured increase. 10. Benign Tumours of Epididymis, Spermatocele, 33. Cost of spectacles and contact lens, hearing aids,
by skilled nurses or assistant or non-skilled persons. related to any unproven treatment, services and
b. New born baby: Intimation about the new born baby should or 1. The Cumulative bonus will be calculated on the expiring expenses for Ante-natal care after confirmation of · Twin-twin transfusion syndrome (TTTS) covered subject to the Insured person to earn wellness reward points C. If the Insured Person is continuously covered Varicocele, Hydrocele, Cochlear implants and procedures, walkers and
ii. Any services for people who are terminally ill to supplies for or in connection with any treatment.
be given within 90 days from the date of birth. The cover for iii. for transportation of the insured person from the hospital Sum Insured Pregnancy, incurred as an Out-patient up to the limits given 22. Voluntary Sterilization Expenses: The Company will a) Admissible delivery claim or which will be tracked and monitored by the Company. without any break as defined under the portability 11. Fistula, Fissure in Ano, Hemorrhoids, Pilonidal address physical, social, emotional and spiritual Unproven treatments are treatments, procedures or crutches, wheel chairs, CPAP, BIPAP, Continuous
new born commences from 91st day of its birth where treatment is taken to their place of residence 2. If the insured opts to reduce the Sum Insured at the below. pay the expenses incurred for Voluntary Sterilization b) At the time of inception of the policy, if the mother The wellness points earned by the Insured Person(s) norms of the extant IRDAI (Health Insurance) Sinus and Fistula, Rectal Prolapse, Stress needs. supplies that lack significant medical documentation to Ambulatory Peritoneal Dialysis, infusion pump and
Special conditions provided the requirement of an ambulance to the subsequent renewal, the limit of indemnity by way of Sum Insured (Rs.) Limit per policy year (Tubectomy / Vasectomy), after a waiting period of has submitted the Scan reports taken during 12th under the wellness program, can be utilized to get Regulations, then waiting period for the same would Incontinence 6. Obesity/ Weight Control (Except to the extent support their effectiveness. such other similar aids - Code Excl 35
a. Waiting periods as stated in the policy will be applicable residence is certified by the medical practitioner. such Cumulative bonus shall not exceed such reduced 24 months from the date of first inception of this policy, and 20th week of her pregnancy and the same has discount in premium. be reduced to the extent of prior coverage. 12. Varicose veins and Varicose ulcers covered under Bariatric Surgery) - Code Excl 06: 17. Sterility and Infertility (Except to the extent 34. Any hospitalization which are not medically necessary /
from the date of inclusion of such newly married/wedded 5,00,000/-,10,00,000/-, This Wellness Program is enabled and administered D. Coverage under the policy after the expiry of does not warrant hospitalization - Code Excl 36
8. Air Ambulance charges up to 10% of the Sum Insured per sum insured Rs. 2,500/- provided if Insured is a Married Person and his/ her age been accepted by the Company for issuance of the 13. All types of transplant and related surgeries. Expenses related to the surgical treatment of obesity covered under Assisted Reproduction Treatment) -
spouse, new born baby, legally adopted child. 15,00,000/-
year is payable. 3. In the event of a claim resulting in; is 22 years and above. policy. In such case, the new born baby will be online through Star Wellness Platform through Star 24 months for any pre-existing disease is subject to 14. Congenital Internal disease / defect (except to that does not fulfill all the below conditions; Code Excl 17: Expenses related to sterility and 35. Existing disease/s, disclosed by the insured and
b. Such midterm inclusion will be subject to underwriter's Note: This benefit is available for sum insured options of a. Partial utilization of Sum Insured, such cumulative 20,00,000/-, 25,00,000/-, Note: Expenses incurred for Reversal of Sterilization covered (Including Congenital Internal and External Health customer mobile app “Star Power” and through the same being declared at the time of application the extent covered under Hospitalization 1. Surgery to be conducted is upon the advice of the infertility. This includes; mentioned in the policy schedule (based on insured's
Rs. 5,000/-
approval Rs.10,00,000/- and above only. bonus so granted will not be reduced 50,00,000/-, 1,00,00,000/- are not payable. defects/anomalies) without any waiting period. “Star Health Customer Portal (digital platform)” and accepted by Insurer. expenses for treatment of New Born Baby) Doctor i. Any type of contraception, sterilization consent), for specified ICD codes - Code Excl 38
1 2 3 4 5 6
735.00 mm
127.50 mm 127.50 mm 120.00 mm 120.00 mm 120.00 mm 120.00 mm
b. Full utilization of Sum Insured and nil utilization of The following table shows the discount on premium 2. The surgery/Procedure conducted should be ii. Assisted Reproduction services including artificial
STARWOMENCAREINSURANCEPOLICY
9. Pre-hospitalization Expenses: Medical expenses 21. In Utero Fetal Surgery/Repair: The Company will pay 23. Miscarriage due to Accident: The Company will pay 26. Expenses of Medical Consultations as an 2. Specified disease / procedure waiting period - Waiting period for the following benefits are as follows:
incurred up to 60 days immediately before the insured cumulative bonus accrued, such cumulative bonus the expenses incurred for In Utero Fetal Surgeries and the lumpsum amount as per the table given below Outpatient up to the limits mentioned in the table below available under the Wellness Program Code Excl 02 a. Bariatric Surgery: A waiting period of 24 months supported by clinical protocols insemination and advanced reproductive
Unique Identification No.: SHAHLIP22217V012122 person is hospitalized. so granted will not be reduced Procedures mentioned below after the waiting period: towards miscarriage arising due to accident subject to a are payable. a) Expenses related to the treatment of the listed from the date of first commencement of this policy 3. The member has to be 18 years of age or older and technologies such as IVF, ZIFT, GIFT, ICSI
Wellness Points Earned Discount in Premium and continuous renewal thereof.
10. Post Hospitalization Expenses: Medical expenses c. Full utilization of Sum Insured and partial utilization Payment under this benefit forms part of the sum waiting period. Conditions, surgeries/ treatments shall be excluded 4. Body Mass Index (BMI); iii. Gestational Surrogacy
Limit per policy year
Star Women Care Insurance Policy is an exclusive health product designed to meet the needs of today's women and her family, by incurred up to 90 days immediately after the insured person of cumulative bonus accrued, the cumulative bonus insured and will impact the Bonus Sum Insured (Rs.) 200 to 350 2% until the expiry of 24 months of continuous coverage b. Assisted Reproduction Treatment: A waiting a. greater than or equal to 40 or iv. Reversal of sterilization
Sum Insured (Rs.) Limit of liability (Rs.) up to (Rs.)
the way of providing cover for regular hospitalization and comprehensive maternity-related benefits. This product comes with a host of is discharged from the hospital. granted on renewal will be the balance cumulative Types of in utero-surgeries covered after the date of inception of the first policy with us. period of 36 months from the date of first inception of b. greater than or equal to 35 in conjunction with any 18. Maternity (Except to the extent covered under
5,00,000/- to 15,00,000/- 2,500/- 351 to 600 5% this policy with the Company
special features such as no pre-acceptance medical screening, entry during pregnancy and instalment option in premium payment. 11. Organ Donor Expenses: In patient hospitalization bonus available and will be reduced at the same rate 1) Open Fetal Surgery 5,00,000/- to 15,00,000/- 25,000/- This exclusion shall not be applicable for claims of the following severe co-morbidities following Delivery Expenses) - Code Excl 18
expenses incurred for organ transplantation from the Donor at which it has accrued 2) Fetendo Fetal Surgery 20,00,000/- and 25,00,000/- 3,500/- 601 to 750 7% arising due to an accident. c. Voluntary Sterilization: A waiting period of failure of less invasive methods of weight loss: i. Medical treatment expenses traceable to childbirth
20,00,000/- and 25,00,000/- 35,000/-
to the Recipient Insured Person are payable provided the d. Full utilization of Sum Insured and full utilization of 3) Fetal Image-Guided Surgery (FIGS-IT) 751 to 1000 10% b) In case of enhancement of sum insured the 24 months from the date of first inception of this policy i. Obesity-related cardiomyopathy (including complicated deliveries and caesarean
ELIGIBILITY COVERAGE 50,00,000/- and 1,00,00,000/- 5,000/-
claim for transplantation is payable. In addition, the cumulative bonus accrued, the cumulative bonus on 4) EXIT procedure 50,00,000/- and 1,00,00,000/- 40,000/- exclusion shall apply afresh to the extent of sum d. Ante natal care: For sum insured option of ii. Coronary heart disease
Individual Sum Insured: Only females aged between 18 years 1. Room, Boarding and Nursing Expenses up to 1% of sum Please refer website www.starhealth.in for more details sections incurred during hospitalization) except
expenses incurred by the Donor, (if any) for the renewal will be “nil” Types of in utero-surgeries/procedures covered Note: This benefit is available only once in lifetime Note insured increase. Rs.5 lakhs and Rs.10 lakhs – A waiting period of iii. Severe Sleep Apnea ectopic pregnancy;
to 75 years. insured or maximum up to Rs.20,000/-per day as provided
complications that necessitate a Redo Surgery / ICU 17. Shared accommodation: If the Insured person occupies, a 1. This benefit is available only for female insured 29. Lump sum on diagnosis of Cancer (Optional Cover - c) If any of the specified disease/procedure falls under 24 months from the date of first inception of this iv. Uncontrolled Type2 Diabetes
Floater Sum Insured: Adults 18 years to 75 years (at least one by the Hospital / Nursing Home Type of 24. Delivery Expenses: Expenses for a Delivery including ii. Expenses towards miscarriage (unless due to an
admission will also be covered. shared accommodation during in-patient hospitalization, Description Surgeries person Available on payment of additional premium): If the the waiting period specified for pre-existing policy. For sum insured option of Rs.15 lakhs and
adult female should be there in the family) Note: Expenses relating to hospitalization will be Intervention Delivery by Caesarean section (including pre-natal and 7. Change-of-Gender treatments - Code Excl 07: accident) and lawful medical termination of
The coverage limit under this section is over and above the 2. Unlimited Gynecologist Consultation through Star insured person shall contract Cancer as a first above – A waiting period of 12 months from the date
Dependent Children: 91 days to 25 years for all children. considered in proportion to the eligible room rent/room then a sum of Rs.2,000/- per day subject to a maximum of 7 post natal expenses) up-to the limits given below is diseases, then the longer of the two waiting periods Expenses related to any treatment, including surgical pregnancy during the policy period.
CPAM - Lobectomy tele health app is available incidence, then Company will pay the sum insured of first inception of this policy.
Daughter Can Continue as a dependent child if Un-married category stated in the policy schedule or actuals whichever Limit of Coverage and upto the Sum Insured. This days(per hospitalization) will be payable for each payable, subject to the following; shall apply. management, to change characteristics of the body to Specific Exclusions
additional Sum Insured can be utilized by the Donor SCT - Resection Payment of any claim under this section shall not be opted for Lump sum. e. In Utero Fetal surgery / Repair: For sum insured those of the opposite sex.
and/or Un-employed beyond 25 yrs and max up to 30 yrs, and is less. Proportionate deductions are not applied in respect continuous and completed period of 24 hours of stay in such 1. This benefit is available only for a maximum of d) The waiting period for listed conditions shall apply 19. Circumcision (unless necessary for treatment of a disease
MMC - Repair Note option of Rs.5 lakhs and Rs.10 lakhs – A waiting
beyond 30 yrs she will be treated as an Adult. of the hospitals which do not follow differential billing or for and not by the Insured. shared accommodation. 2 deliveries in the life time under this policy. construed as a waiver of Company's right to repudiate even if contracted after the policy or declared and 8. Cosmetic or plastic Surgery - Code Excl 08: not excluded under this policy or necessitated due to an
OPEN Cervical Teratoma - 1. This benefit is available only for the insured persons period of 24 months from the date of first inception of
Note: Proposer Should be a Female those expenses in respect of which differential billing is not Note: Limit of Coverage means Sum Insured plus 18. Rehabilitation and Pain Management: The company will Hysterotomy 2. Pre-hospitalisation and Post Hospitalization any claim on grounds of non disclosure of material fact accepted without a specific exclusion. this policy. For sum insured option of Rs.15 lakhs Expenses for cosmetic or plastic surgery or any accident), Preputioplasty, Frenuloplasty, Preputial
SURGERY Resection EXIT named in the schedule.
adopted based on the room category. Cumulative bonus earned wherever applicable pay the medical expenses for Rehabilitation and Pain expenses are not applicable for this section. or pre-existing disease, for hospitalization expenses e) If the Insured Person is continuously covered and above – A waiting period of 12 months from the treatment to change appearance unless for Dilatation and Removal of SMEGMA - Code Excl 19
FAMILY Tracheal occlusion
12. AYUSH Treatment: In patient Hospitalization Expenses Management up to the sub-limit (or) maximum up to 10% of under hospitalization provisions of the policy contract 2. The available sum insured options under this without any break as defined under the applicable date of first inception of this policy. reconstruction following an Accident, Burn(s) or Cancer
Self, Spouse and 3 dependent children (2A+ 3C). 2. Star Mother Cover Neck tumors Limit per Delivery 20. Congenital External Condition / Defects / Anomalies
incurred for treatment of diseases / illness / accidental the sum insured whichever is less, per policy year. Sum Insured (Rs.) benefit cover 5/10/15/20 and 25 lacs only norms on portability stipulated by IRDAI, then or as part of medically necessary treatment to remove a
Pregnant women can also buy this policy by submitting the a. Where the insured person is a child age less than CDH (EXIT to ECMO) up to (Rs.) 27. Preventive Health Check Up: Expenses incurred f. Delivery expenses: For sum insured option of (except to the extent covered under Hospitalization
injuries by system of medicines other than allopathic up to Rehabilitation: The company will pay the expenses for 3. This benefit is available on individual sum insured waiting period for the same would be reduced to the direct and immediate health risk to the insured. For this
scan reports taken at Star Health specified scan centres 12 years, the Company will provide for expenses up to 5,00,000/- 25,000/- towards cost of preventive health check-up for the Rs.5 lakhs and Rs.10 lakhs – A waiting period of expenses for treatment of New Born Baby) - Code Excl 20
the Sum Insured per year. rehabilitation, if availed at authorized centres as an Balloon Occlusion of basis only. extent of prior coverage. to be considered a medical necessity, it must be
during their 12th and 20th Week of their pregnancy period. The Single Private A/c room for stay of the mother in the tests mentioned in the table up to the limits for each 24 months from the date of first inception of this 21. Convalescence, general debility, run-down condition,
Note: Yoga and Naturopathy systems of treatments are In-patient/Out-patient, and if there is an admissible claim for Trachea (for CDH) 10,00,000/-, 15,00,000/-, 4. Available only once in lifetime. certified by the attending Medical Practitioner.
cost of such scan shall be borne by the insured. hospital provided, 50,000/- policy year is payable. f) List of specific diseases/procedures policy. For sum insured option of Rs.15 lakhs and Nutritional deficiency states -Code Excl 21
excluded from the scope of coverage under AYUSH In-patient hospitalization for an injury, disease or illness Laser Ablation of Vessels 20,00,000/- 5. Once a claim has been paid under this optional 1. Treatment of Cataract and diseases of the above – A waiting period of 12 months from the date 9. Hazardous or Adventure sports - Code Excl 09:
In case if we accept this proposal and issue the policy, the new 1. Insured child is under treatment In ICU (for TTTS) Expenses related to any treatment necessitated due to 22. Intentional self -injury - Code Excl 22
2. There is an admissible claim for hospitalization of treatment. specified below; Fetoscopic 25,00,000/- and 50,00,000/- 75,000/- Limit per cover, the optional cover cannot be renewed further. anterior and posterior chamber of the Eye, of first inception of this policy.
born will be covered immediately after its birth till the end of the FETENDO Cord Ligation/Division Benefit participation as a professional in hazardous or 23. Injury/disease caused by or arising from or attributable
policy period (including for congenital defects) up to the new child 13. Bariatric Surgery: Expenses incurred on hospitalization 1. Poly Trauma Surgery Gender policy year Tests 6. On payment of claim under the optional cover, the Diseases of ENT, Diseases related to Thyroid, g. Miscarriage due to Accident: For sum insured
Cystoscopic Ablation 100,00,000/- 1,00,000/- Description adventure sports, including but not limited to, para- to war, invasion, act of foreign enemy, warlike operations
born sub limits mentioned in the Delivery section b. This benefit is available only for the period the insured for bariatric surgical procedure and its complications thereof 2. Head injury up to (Rs.) optional cover will cease and the policy will continue Benign diseases of the breast. option of Rs.5 lakhs and Rs.10 lakhs – A waiting
Valves (Urinary jumping, rock climbing, mountaineering, rafting, motor (whether war be declared or not) - Code Excl 24
child was under treatment In ICU. are payable subject to limits mentioned in the table given 3. Diseases of the spine Obstruction) 25. Hospitalization expenses for treatment of New for the balance period without this optional cover. 2. Subcutaneous Benign Lumps, Sebaceous cyst, period of 24 months from the date of first inception of
After renewal new born will be covered up to the sum insured racing, horse racing or scuba diving, hand gliding, sky 24. Injury or disease caused by or contributed to by nuclear
below, during the policy period. This maximum limit of 4. Stroke Born Baby Adolescent Subsequently on renewal, the policy will be Dermoid cyst, Mucous cyst lip / cheek, Carpal this policy. For sum insured option of Rs.15 lakhs
(including the congenital defects), if the premium is paid for the c. If the room is not available in the same hospital, the Amniotic Bands Release USG diving, deep-sea diving.
Rs.2,50,000/- and Rs.5,00,000/- are inclusive of Pain Management treatment: Cover for treatement of pain Female Puberty 1,000/- renewed without the optional cover Tunnel Syndrome, Trigger Finger, Lipoma, and above – A waiting period of 12 months from the weapons/ materials - Code Excl 25
new born Company will reimburse Rs.2,500/- per day subject to A. Birth of New born baby during the policy year: Abdomen 10. Breach of law - Code Excl 10: Expenses for treatment
pre-hospitalization and post-hospitalization expenses. management subject to the limits Amnioreduction/Infusion Age: 13 - 19 yrs 7. This cover should be opted only at the time of first Neurofibroma, Fibroadenoma, Ganglion and date of first inception of this policy. 25. Expenses incurred on Enhanced External Counter
210.00 mm
POLICY TERM maximum of 7 days per hospitalization towards stay of In-patient hospitalization expenses (Including directly arising from or consequent upon any Insured
Important Note: Rehabilitation and/or Pain management Fetal Blood Sampling inception of this policy and cannot be opted at the similar pathology 3. 30-day waiting period - Code Excl 03 (Not Pulsation Therapy and related therapies, Chelation
One year / Two years / Three years. the mother in the Hotel room if the hotel room is within 2 Sum Insured (Rs.) Limit per policy period (Rs.) Congenital Internal and External defects / Thyroid Person committing or attempting to commit a breach of
treatment can be taken only at the Authorized centres Fetal Image RFA Anomalous Twins 3. All treatments (Conservative, Operative Applicable for Accidents) therapy, Hyperbaric Oxygen Therapy, Rotational Field
kms from the hospital. FIGS Guided anomalies) are covered from day 1 subject to a Adult profile, PAP, time of renewal. law with criminal intent.
For policies more than one year, the Basic Sum Insured is for 5,00,000/- to 15,00,000/- 2,50,000/- mentioned in our website – www.starhealth.in Vesico/Pleuro Amniotic A. Expenses related to the treatment of any illness Quantum Magnetic Resonance Therapy, VAX-D, Low
3. Surgeon, Anesthetist, Medical Practitioner, Consultants, Surgery maximum of 25% of the sum insured (including Female Reproductive 3,000/- Vitamin D, 8. This optional cover is available only for female treatment) and all types of intervention for 11. Excluded Providers - Code Excl 11: Expenses
each year, without any carry over benefit thereof. Shunts within 30 days from the first policy commencement level laser therapy, Photodynamic therapy and such
Specialist Fees. Above 15,00,000/- 5,00,000/- 19. Assisted Reproduction Treatment: The Company will medical and surgical treatment expenses, neonatal Age: 20-39 yrs USG insured persons who is aged between 91 days to Diseases related to Tendon, Ligament, Fascia, incurred towards treatment in any hospital or by any
LONG TERM DISCOUNT Balloon Dilation Aortic date shall be excluded except claims arising due to other therapies similar to those mentioned herein under
4. Anesthesia, Blood, Oxygen, Operation theatre charges, reimburse medical expenses incurred on Assisted Stenosis and Postnatal surgery/repair). Abdomen 65 years. Bones and Joint Including Arthroscopy and Medical Practitioner or any other provider specifically
10% discount on 2 year premium and 11.25% on 2 and 3 year Note: Claims under this benefit shall be processed only on an accident, provided the same are covered this exclusion - Code Excl 26
ICU charges, Surgical appliances, Medicines and Drugs, Reproduction Treatment, where indicated, for sub-fertility B. In the subsequent year (on payment of Dexa Scan, 9. Enhancement of sum insured under this benefit is Arthroplasty / Joint Replacement [other than excluded by the Insurer and disclosed in its website /
premium. cashless basis. CHAOS B. This exclusion shall not, however, apply if the 26. Unconventional, Untested, Experimental therapies -
Diagnostic materials and X-ray, Diagnostic imaging subject to: applicable premium for New born): In-patient Middle Aged Sonomamog subject to underwriting caused by accident]. notified to the policyholders are not admissible.
SUM INSURED OPTIONS 14. Coverage for Modern Treatment: Expenses are subject to Planned Removal of the CDH Insured Person has continuous coverage for more Code Excl 27
1. A waiting period of 36 months from the date of first EXIT hospitalization expenses (Including Congenital Female Menopausal 5,000/- ram, PAP, Waiting Period: An initial waiting period of 180 days is 4. All types of treatment for Degenerative disc and However, in case of life threatening situations or
Rs.5,00,000/-, Rs.10,00,000/-, Rs.15,00,000/-, Rs.20,00,000/- modalities, dialysis, chemotherapy, radiotherapy, cost of the limits. (For details please refer website: Specialized Tracheal Occlusion Balloon than twelve months
inception of this policy with the Company for the insured procedure Internal and External defects/anomalies) are applicable from the date of commencement of this Vertebral diseases including Replacement of following an accident, expenses up to the stage of 27. Autologous derived Stromal vascular fraction,
, Rs.25,00,000/-, Rs.50,00,000/- and Rs.1,00,00,000/- pacemaker, stent and similar expenses. With regard to www.starhealth.in) Delivery Pulmonary Sequestration Age: 40 - 59 yrs USG C. The within referred waiting period is made
person covered up to 100% of the sum insured. Abdomen policy. In case of enhancement of sum insured this bones and joints and Degenerative diseases of stabilization are payable but not the complete claim. Chondrocyte Implantation, Procedures using Platelet Rich
coronary stenting, Implants and such other similar items the 15. Automatic Restoration of Sum Insured: There shall be CCAM applicable to the enhanced sum insured in the event
PRE-ACCEPTANCE MEDICAL SCREENING 2. Company will pay one Assisted Reproduction Treatment C. Vaccination Expenses: Vaccination expenses for waiting period shall apply afresh to the extent of sum the Musculo-skeletal system, Prolapse of 12. Treatment for Alcoholism, drug or substance abuse or plasma and Intra articular injection therapy - Code Excl 28
Company will pay cost of stent as per the Drug Price Control automatic restoration of the Sum Insured once by 100% Sr Citizens Dexa Scan, of granting higher sum insured subsequently
There is no Pre-acceptance medical screening. cycle for each policy year List of procedures covered under in utero-surgeries the new born baby are payable up to the 12 months insured increase Intervertebral Disc (other than caused by any addictive condition and consequences thereof - 28. Biologicals, except when administered as an in-patient,
Order (DPCO) / National Pharmaceuticals Pricing Authority subject to the following; Female Age: 60 yrs and 4,000/- PAP, USG 4. Investigation & Evaluation - Code Excl 04
INSTALMENT FACILITY AVAILABLE 3. For the purpose of claiming under this benefit, in- patient · Amniotic band syndrome from the birth of the new born. The Company's accident), Code Excl 12 when clinically indicated and hospitalization warranted -
(NPPA) Capping. 1. The automatic restoration shall be immediately upon above Abdomen A. Expenses related to any admission primarily for
Premium can be paid Quarterly and Half-yearly treatment is not mandatory · Bronchopulmonary sequestration of the lung liability for vaccination is as per the limits mentioned 5. All treatments (conservative, interventional, diagnostics and evaluation purposes only are 13. Treatments received in health hydros, nature cure Code Excl 29
5. All day care procedures are covered. partial / full utilization of the limit of coverage. The Company shall not be liable to make any payments
Premium can also be paid Annual, Biennial and Triennial Limit of Liability of the in the table below; Male Any age 1,000/- Any tests laparoscopic and open) related to Hepato- excluded clinics, spas or similar establishments or private beds 29. Inoculation or Vaccination (except to the extent covered
6. Coverage for Non-medical Items: Covered subject to an 2. Such Restored Sum Insured can be utilized for all claims · Congenital cystic adenomatoid malformation under this policy in respect of any expenses what so ever
For instalment mode of payment, there will be loading as given Sum Insured (Rs.) Company for each pancreato-biliary diseases including Gall bladder B. Any diagnostic expenses which are not related or registered as a nursing home attached to such under Vaccination Expenses and for post–bite
admissible claim under the policy. (For details please refer for subsequent hospitalisation during the policy period. (CCAM) of the lung Sum Insured (Rs.) Limit (Rs.) The above limit is inclusive of cost of Vaccination incurred by the insured person in connection with or in
below: policy year (Rs.) and Pancreatic calculi. All types of management not incidental to the current diagnosis and treatment establishments or where admission is arranged wholly treatment and for medical treatment for therapeutic
website: www.starhealth.in) 3. The maximum liability of the Company in a Single claim · Congenital diaphragmatic hernia (CDH) respect of:-
· Quarterly: 3% 5,00,000/- and 10,00,000/- 2,500/- Note: Payment of any claim under this section shall not for Kidney calculi and Genitourinary tract calculi. are excluded or partly for domestic reasons - Code Excl 13 reasons) - Code Excl 31
7. Road ambulance expenses: Subject to an admissible under a policy year shall not exceed the limit of 5,00,000 50,000 · Congenital high airway obstruction syndrome Standard Exclusions
· Half Yearly: 2% be construed as a waiver of Company's right to 6. All types of Hernia, 5. Rest Cure, rehabilitation (except to the extent 14. Dietary supplements and substances that can be 30. Dental treatment or surgery unless necessitated due to
hospitalization claim, road ambulance expenses incurred coverage. (CHAOS) 15,00,000/- and above 3,500/- 1. Pre-Existing Diseases - Code Excl 01
10,00,000 1,00,000 repudiate any claim on grounds of non disclosure of 7. Desmoid Tumor, Umbilical Granuloma, covered under Rehabilitation and Pain purchased without prescription, including but not limited to accidental injuries and requiring hospitalization.
Note: This loading will be applied on annual premium for the following are payable; 4. The unutilized restored sum insured cannot be carried A. Expenses related to the treatment of a pre-existing
· Fetal anemia D. Metabolic Screening: Test for New Born is payable Umbilical Sinus, Umbilical Fistula, Vitamins, minerals and organic substances unless (Dental implants are not payable) - Code Excl 32
MIDTERM INCLUSION 15,00,000 1,50,000 material fact or pre-existing disease, for hospitalization Disease (PED) and its direct complications shall be Management) and respite care - Code Excl 05:
i. for transportation of the insured person by private forward · Lower urinary tract obstruction (LUTO) once for each new born subject to a limit of 8. All treatments (conservative, interventional, prescribed by a medical practitioner as part of
Permissible on payment of proportionate premium subject to expenses under hospitalization provisions of the policy excluded until the expiry of 24 months of continuous Expenses related to any admission primarily for 31. Medical and / or surgical treatment of Sleep apnea,
ambulance service to go to hospital when this is needed 16. Cumulative Bonus: In respect of a claim free year of 20,00,000 and 25,00,000 2,00,000 · Mediastinal teratoma Rs.3,500/- laparoscopic and open) related to all Diseases of hospitalization claim or day care procedure - Code Excl 14
the following; contract coverage after the date of inception of the first policy enforced bed rest and not for receiving treatment. This treatment for endocrine disorders - Code Excl 33
for medical reasons Insurance, the insured would be entitled to benefit of bonus E. Pediatrician Consultation up to 4 consultations Cervix, Uterus, Fallopian tubes, Ovaries, also includes: 15. Refractive Error - Code Excl 15: Expenses related to
a. Newly Married / Wedded spouse and/or legally adopted 50,00,000 2,50,000 · Neck mass 28. Star Wellness Program: This program intends to with insurer. 32. Hospital registration charges, admission charges,
or of 20% of the expiring Sum Insured from the second year per year are payable up to 12 year of age subject to Uterine Bleeding, Pelvic Inflammatory Diseases i. Custodial care either at home or in a nursing facility for the treatment for correction of eye sight due to
child: Intimation about the marriage/adoption should be ii. for transportation of the insured person by private 1,00,00,000 3,00,000 · Sacrococcygeal teratoma (SCT) promote, incentivize and to reward the Insured B. In case of enhancement of sum insured the record charges, telephone charges and such other
onwards. The maximum allowable bonus shall not exceed policy is in force. The Company's liability for each 9. All Diseases of Prostate, Stricture Urethra, all personal care such as help with activities of daily refractive error less than 7. 5 dioptres.
given within 45 days from the date of marriage or date of ambulance service from one hospital to another hospital 100%. · Spina bifida (myelomeningocele) Persons' healthy life style through various wellness exclusion shall apply afresh to the extent of sum charges - Code Excl 34
consultation is up to Rs.500/-. Obstructive Uropathies, living such as bathing, dressing, moving around either 16. Unproven Treatments - Code Excl 16: Expenses
adoption. for better medical treatment Special Conditions 20. Ante-Natal Care (Pregnancy Care): Company pays the · Twin reversed arterial perfusion (TRAP) sequence Note: Expenses for treatment of new born baby is activities. The wellness activities are designed to help insured increase. 10. Benign Tumours of Epididymis, Spermatocele, 33. Cost of spectacles and contact lens, hearing aids,
by skilled nurses or assistant or non-skilled persons. related to any unproven treatment, services and
b. New born baby: Intimation about the new born baby should or 1. The Cumulative bonus will be calculated on the expiring expenses for Ante-natal care after confirmation of · Twin-twin transfusion syndrome (TTTS) covered subject to the Insured person to earn wellness reward points C. If the Insured Person is continuously covered Varicocele, Hydrocele, Cochlear implants and procedures, walkers and
ii. Any services for people who are terminally ill to supplies for or in connection with any treatment.
be given within 90 days from the date of birth. The cover for iii. for transportation of the insured person from the hospital Sum Insured Pregnancy, incurred as an Out-patient up to the limits given 22. Voluntary Sterilization Expenses: The Company will a) Admissible delivery claim or which will be tracked and monitored by the Company. without any break as defined under the portability 11. Fistula, Fissure in Ano, Hemorrhoids, Pilonidal address physical, social, emotional and spiritual Unproven treatments are treatments, procedures or crutches, wheel chairs, CPAP, BIPAP, Continuous
new born commences from 91st day of its birth where treatment is taken to their place of residence 2. If the insured opts to reduce the Sum Insured at the below. pay the expenses incurred for Voluntary Sterilization b) At the time of inception of the policy, if the mother The wellness points earned by the Insured Person(s) norms of the extant IRDAI (Health Insurance) Sinus and Fistula, Rectal Prolapse, Stress needs. supplies that lack significant medical documentation to Ambulatory Peritoneal Dialysis, infusion pump and
Special conditions provided the requirement of an ambulance to the subsequent renewal, the limit of indemnity by way of Sum Insured (Rs.) Limit per policy year (Tubectomy / Vasectomy), after a waiting period of has submitted the Scan reports taken during 12th under the wellness program, can be utilized to get Regulations, then waiting period for the same would Incontinence 6. Obesity/ Weight Control (Except to the extent support their effectiveness. such other similar aids - Code Excl 35
a. Waiting periods as stated in the policy will be applicable residence is certified by the medical practitioner. such Cumulative bonus shall not exceed such reduced 24 months from the date of first inception of this policy, and 20th week of her pregnancy and the same has discount in premium. be reduced to the extent of prior coverage. 12. Varicose veins and Varicose ulcers covered under Bariatric Surgery) - Code Excl 06: 17. Sterility and Infertility (Except to the extent 34. Any hospitalization which are not medically necessary /
from the date of inclusion of such newly married/wedded 5,00,000/-,10,00,000/-, This Wellness Program is enabled and administered D. Coverage under the policy after the expiry of does not warrant hospitalization - Code Excl 36
8. Air Ambulance charges up to 10% of the Sum Insured per sum insured Rs. 2,500/- provided if Insured is a Married Person and his/ her age been accepted by the Company for issuance of the 13. All types of transplant and related surgeries. Expenses related to the surgical treatment of obesity covered under Assisted Reproduction Treatment) -
spouse, new born baby, legally adopted child. 15,00,000/-
year is payable. 3. In the event of a claim resulting in; is 22 years and above. policy. In such case, the new born baby will be online through Star Wellness Platform through Star 24 months for any pre-existing disease is subject to 14. Congenital Internal disease / defect (except to that does not fulfill all the below conditions; Code Excl 17: Expenses related to sterility and 35. Existing disease/s, disclosed by the insured and
b. Such midterm inclusion will be subject to underwriter's Note: This benefit is available for sum insured options of a. Partial utilization of Sum Insured, such cumulative 20,00,000/-, 25,00,000/-, Note: Expenses incurred for Reversal of Sterilization covered (Including Congenital Internal and External Health customer mobile app “Star Power” and through the same being declared at the time of application the extent covered under Hospitalization 1. Surgery to be conducted is upon the advice of the infertility. This includes; mentioned in the policy schedule (based on insured's
Rs. 5,000/-
approval Rs.10,00,000/- and above only. bonus so granted will not be reduced 50,00,000/-, 1,00,00,000/- are not payable. defects/anomalies) without any waiting period. “Star Health Customer Portal (digital platform)” and accepted by Insurer. expenses for treatment of New Born Baby) Doctor i. Any type of contraception, sterilization consent), for specified ICD codes - Code Excl 38
1 2 3 4 5 6
735.00 mm
127.50 mm 127.50 mm 120.00 mm 120.00 mm 120.00 mm 120.00 mm
b. Full utilization of Sum Insured and nil utilization of The following table shows the discount on premium 2. The surgery/Procedure conducted should be ii. Assisted Reproduction services including artificial
STARWOMENCAREINSURANCEPOLICY
9. Pre-hospitalization Expenses: Medical expenses 21. In Utero Fetal Surgery/Repair: The Company will pay 23. Miscarriage due to Accident: The Company will pay 26. Expenses of Medical Consultations as an 2. Specified disease / procedure waiting period - Waiting period for the following benefits are as follows:
incurred up to 60 days immediately before the insured cumulative bonus accrued, such cumulative bonus the expenses incurred for In Utero Fetal Surgeries and the lumpsum amount as per the table given below Outpatient up to the limits mentioned in the table below available under the Wellness Program Code Excl 02 a. Bariatric Surgery: A waiting period of 24 months supported by clinical protocols insemination and advanced reproductive
Unique Identification No.: SHAHLIP22217V012122 person is hospitalized. so granted will not be reduced Procedures mentioned below after the waiting period: towards miscarriage arising due to accident subject to a are payable. a) Expenses related to the treatment of the listed from the date of first commencement of this policy 3. The member has to be 18 years of age or older and technologies such as IVF, ZIFT, GIFT, ICSI
Wellness Points Earned Discount in Premium and continuous renewal thereof.
10. Post Hospitalization Expenses: Medical expenses c. Full utilization of Sum Insured and partial utilization Payment under this benefit forms part of the sum waiting period. Conditions, surgeries/ treatments shall be excluded 4. Body Mass Index (BMI); iii. Gestational Surrogacy
Limit per policy year
Star Women Care Insurance Policy is an exclusive health product designed to meet the needs of today's women and her family, by incurred up to 90 days immediately after the insured person of cumulative bonus accrued, the cumulative bonus insured and will impact the Bonus Sum Insured (Rs.) 200 to 350 2% until the expiry of 24 months of continuous coverage b. Assisted Reproduction Treatment: A waiting a. greater than or equal to 40 or iv. Reversal of sterilization
Sum Insured (Rs.) Limit of liability (Rs.) up to (Rs.)
the way of providing cover for regular hospitalization and comprehensive maternity-related benefits. This product comes with a host of is discharged from the hospital. granted on renewal will be the balance cumulative Types of in utero-surgeries covered after the date of inception of the first policy with us. period of 36 months from the date of first inception of b. greater than or equal to 35 in conjunction with any 18. Maternity (Except to the extent covered under
5,00,000/- to 15,00,000/- 2,500/- 351 to 600 5% this policy with the Company
special features such as no pre-acceptance medical screening, entry during pregnancy and instalment option in premium payment. 11. Organ Donor Expenses: In patient hospitalization bonus available and will be reduced at the same rate 1) Open Fetal Surgery 5,00,000/- to 15,00,000/- 25,000/- This exclusion shall not be applicable for claims of the following severe co-morbidities following Delivery Expenses) - Code Excl 18
expenses incurred for organ transplantation from the Donor at which it has accrued 2) Fetendo Fetal Surgery 20,00,000/- and 25,00,000/- 3,500/- 601 to 750 7% arising due to an accident. c. Voluntary Sterilization: A waiting period of failure of less invasive methods of weight loss: i. Medical treatment expenses traceable to childbirth
20,00,000/- and 25,00,000/- 35,000/-
to the Recipient Insured Person are payable provided the d. Full utilization of Sum Insured and full utilization of 3) Fetal Image-Guided Surgery (FIGS-IT) 751 to 1000 10% b) In case of enhancement of sum insured the 24 months from the date of first inception of this policy i. Obesity-related cardiomyopathy (including complicated deliveries and caesarean
ELIGIBILITY COVERAGE 50,00,000/- and 1,00,00,000/- 5,000/-
claim for transplantation is payable. In addition, the cumulative bonus accrued, the cumulative bonus on 4) EXIT procedure 50,00,000/- and 1,00,00,000/- 40,000/- exclusion shall apply afresh to the extent of sum d. Ante natal care: For sum insured option of ii. Coronary heart disease
Individual Sum Insured: Only females aged between 18 years 1. Room, Boarding and Nursing Expenses up to 1% of sum Please refer website www.starhealth.in for more details sections incurred during hospitalization) except
expenses incurred by the Donor, (if any) for the renewal will be “nil” Types of in utero-surgeries/procedures covered Note: This benefit is available only once in lifetime Note insured increase. Rs.5 lakhs and Rs.10 lakhs – A waiting period of iii. Severe Sleep Apnea ectopic pregnancy;
to 75 years. insured or maximum up to Rs.20,000/-per day as provided
complications that necessitate a Redo Surgery / ICU 17. Shared accommodation: If the Insured person occupies, a 1. This benefit is available only for female insured 29. Lump sum on diagnosis of Cancer (Optional Cover - c) If any of the specified disease/procedure falls under 24 months from the date of first inception of this iv. Uncontrolled Type2 Diabetes
Floater Sum Insured: Adults 18 years to 75 years (at least one by the Hospital / Nursing Home Type of 24. Delivery Expenses: Expenses for a Delivery including ii. Expenses towards miscarriage (unless due to an
admission will also be covered. shared accommodation during in-patient hospitalization, Description Surgeries person Available on payment of additional premium): If the the waiting period specified for pre-existing policy. For sum insured option of Rs.15 lakhs and
adult female should be there in the family) Note: Expenses relating to hospitalization will be Intervention Delivery by Caesarean section (including pre-natal and 7. Change-of-Gender treatments - Code Excl 07: accident) and lawful medical termination of
The coverage limit under this section is over and above the 2. Unlimited Gynecologist Consultation through Star insured person shall contract Cancer as a first above – A waiting period of 12 months from the date
Dependent Children: 91 days to 25 years for all children. considered in proportion to the eligible room rent/room then a sum of Rs.2,000/- per day subject to a maximum of 7 post natal expenses) up-to the limits given below is diseases, then the longer of the two waiting periods Expenses related to any treatment, including surgical pregnancy during the policy period.
CPAM - Lobectomy tele health app is available incidence, then Company will pay the sum insured of first inception of this policy.
Daughter Can Continue as a dependent child if Un-married category stated in the policy schedule or actuals whichever Limit of Coverage and upto the Sum Insured. This days(per hospitalization) will be payable for each payable, subject to the following; shall apply. management, to change characteristics of the body to Specific Exclusions
additional Sum Insured can be utilized by the Donor SCT - Resection Payment of any claim under this section shall not be opted for Lump sum. e. In Utero Fetal surgery / Repair: For sum insured those of the opposite sex.
and/or Un-employed beyond 25 yrs and max up to 30 yrs, and is less. Proportionate deductions are not applied in respect continuous and completed period of 24 hours of stay in such 1. This benefit is available only for a maximum of d) The waiting period for listed conditions shall apply 19. Circumcision (unless necessary for treatment of a disease
MMC - Repair Note option of Rs.5 lakhs and Rs.10 lakhs – A waiting
beyond 30 yrs she will be treated as an Adult. of the hospitals which do not follow differential billing or for and not by the Insured. shared accommodation. 2 deliveries in the life time under this policy. construed as a waiver of Company's right to repudiate even if contracted after the policy or declared and 8. Cosmetic or plastic Surgery - Code Excl 08: not excluded under this policy or necessitated due to an
OPEN Cervical Teratoma - 1. This benefit is available only for the insured persons period of 24 months from the date of first inception of
Note: Proposer Should be a Female those expenses in respect of which differential billing is not Note: Limit of Coverage means Sum Insured plus 18. Rehabilitation and Pain Management: The company will Hysterotomy 2. Pre-hospitalisation and Post Hospitalization any claim on grounds of non disclosure of material fact accepted without a specific exclusion. this policy. For sum insured option of Rs.15 lakhs Expenses for cosmetic or plastic surgery or any accident), Preputioplasty, Frenuloplasty, Preputial
SURGERY Resection EXIT named in the schedule.
adopted based on the room category. Cumulative bonus earned wherever applicable pay the medical expenses for Rehabilitation and Pain expenses are not applicable for this section. or pre-existing disease, for hospitalization expenses e) If the Insured Person is continuously covered and above – A waiting period of 12 months from the treatment to change appearance unless for Dilatation and Removal of SMEGMA - Code Excl 19
FAMILY Tracheal occlusion
12. AYUSH Treatment: In patient Hospitalization Expenses Management up to the sub-limit (or) maximum up to 10% of under hospitalization provisions of the policy contract 2. The available sum insured options under this without any break as defined under the applicable date of first inception of this policy. reconstruction following an Accident, Burn(s) or Cancer
Self, Spouse and 3 dependent children (2A+ 3C). 2. Star Mother Cover Neck tumors Limit per Delivery 20. Congenital External Condition / Defects / Anomalies
incurred for treatment of diseases / illness / accidental the sum insured whichever is less, per policy year. Sum Insured (Rs.) benefit cover 5/10/15/20 and 25 lacs only norms on portability stipulated by IRDAI, then or as part of medically necessary treatment to remove a
Pregnant women can also buy this policy by submitting the a. Where the insured person is a child age less than CDH (EXIT to ECMO) up to (Rs.) 27. Preventive Health Check Up: Expenses incurred f. Delivery expenses: For sum insured option of (except to the extent covered under Hospitalization
injuries by system of medicines other than allopathic up to Rehabilitation: The company will pay the expenses for 3. This benefit is available on individual sum insured waiting period for the same would be reduced to the direct and immediate health risk to the insured. For this
scan reports taken at Star Health specified scan centres 12 years, the Company will provide for expenses up to 5,00,000/- 25,000/- towards cost of preventive health check-up for the Rs.5 lakhs and Rs.10 lakhs – A waiting period of expenses for treatment of New Born Baby) - Code Excl 20
the Sum Insured per year. rehabilitation, if availed at authorized centres as an Balloon Occlusion of basis only. extent of prior coverage. to be considered a medical necessity, it must be
during their 12th and 20th Week of their pregnancy period. The Single Private A/c room for stay of the mother in the tests mentioned in the table up to the limits for each 24 months from the date of first inception of this 21. Convalescence, general debility, run-down condition,
Note: Yoga and Naturopathy systems of treatments are In-patient/Out-patient, and if there is an admissible claim for Trachea (for CDH) 10,00,000/-, 15,00,000/-, 4. Available only once in lifetime. certified by the attending Medical Practitioner.
cost of such scan shall be borne by the insured. hospital provided, 50,000/- policy year is payable. f) List of specific diseases/procedures policy. For sum insured option of Rs.15 lakhs and Nutritional deficiency states -Code Excl 21
excluded from the scope of coverage under AYUSH In-patient hospitalization for an injury, disease or illness Laser Ablation of Vessels 20,00,000/- 5. Once a claim has been paid under this optional 1. Treatment of Cataract and diseases of the above – A waiting period of 12 months from the date 9. Hazardous or Adventure sports - Code Excl 09:
In case if we accept this proposal and issue the policy, the new 1. Insured child is under treatment In ICU (for TTTS) Expenses related to any treatment necessitated due to 22. Intentional self -injury - Code Excl 22
2. There is an admissible claim for hospitalization of treatment. specified below; Fetoscopic 25,00,000/- and 50,00,000/- 75,000/- Limit per cover, the optional cover cannot be renewed further. anterior and posterior chamber of the Eye, of first inception of this policy.
born will be covered immediately after its birth till the end of the FETENDO Cord Ligation/Division Benefit participation as a professional in hazardous or 23. Injury/disease caused by or arising from or attributable
policy period (including for congenital defects) up to the new child 13. Bariatric Surgery: Expenses incurred on hospitalization 1. Poly Trauma Surgery Gender policy year Tests 6. On payment of claim under the optional cover, the Diseases of ENT, Diseases related to Thyroid, g. Miscarriage due to Accident: For sum insured
Cystoscopic Ablation 100,00,000/- 1,00,000/- Description adventure sports, including but not limited to, para- to war, invasion, act of foreign enemy, warlike operations
born sub limits mentioned in the Delivery section b. This benefit is available only for the period the insured for bariatric surgical procedure and its complications thereof 2. Head injury up to (Rs.) optional cover will cease and the policy will continue Benign diseases of the breast. option of Rs.5 lakhs and Rs.10 lakhs – A waiting
Valves (Urinary jumping, rock climbing, mountaineering, rafting, motor (whether war be declared or not) - Code Excl 24
child was under treatment In ICU. are payable subject to limits mentioned in the table given 3. Diseases of the spine Obstruction) 25. Hospitalization expenses for treatment of New for the balance period without this optional cover. 2. Subcutaneous Benign Lumps, Sebaceous cyst, period of 24 months from the date of first inception of
After renewal new born will be covered up to the sum insured racing, horse racing or scuba diving, hand gliding, sky 24. Injury or disease caused by or contributed to by nuclear
below, during the policy period. This maximum limit of 4. Stroke Born Baby Adolescent Subsequently on renewal, the policy will be Dermoid cyst, Mucous cyst lip / cheek, Carpal this policy. For sum insured option of Rs.15 lakhs
(including the congenital defects), if the premium is paid for the c. If the room is not available in the same hospital, the Amniotic Bands Release USG diving, deep-sea diving.
Rs.2,50,000/- and Rs.5,00,000/- are inclusive of Pain Management treatment: Cover for treatement of pain Female Puberty 1,000/- renewed without the optional cover Tunnel Syndrome, Trigger Finger, Lipoma, and above – A waiting period of 12 months from the weapons/ materials - Code Excl 25
new born Company will reimburse Rs.2,500/- per day subject to A. Birth of New born baby during the policy year: Abdomen 10. Breach of law - Code Excl 10: Expenses for treatment
pre-hospitalization and post-hospitalization expenses. management subject to the limits Amnioreduction/Infusion Age: 13 - 19 yrs 7. This cover should be opted only at the time of first Neurofibroma, Fibroadenoma, Ganglion and date of first inception of this policy. 25. Expenses incurred on Enhanced External Counter
210.00 mm
POLICY TERM maximum of 7 days per hospitalization towards stay of In-patient hospitalization expenses (Including directly arising from or consequent upon any Insured
Important Note: Rehabilitation and/or Pain management Fetal Blood Sampling inception of this policy and cannot be opted at the similar pathology 3. 30-day waiting period - Code Excl 03 (Not Pulsation Therapy and related therapies, Chelation
One year / Two years / Three years. the mother in the Hotel room if the hotel room is within 2 Sum Insured (Rs.) Limit per policy period (Rs.) Congenital Internal and External defects / Thyroid Person committing or attempting to commit a breach of
treatment can be taken only at the Authorized centres Fetal Image RFA Anomalous Twins 3. All treatments (Conservative, Operative Applicable for Accidents) therapy, Hyperbaric Oxygen Therapy, Rotational Field
kms from the hospital. FIGS Guided anomalies) are covered from day 1 subject to a Adult profile, PAP, time of renewal. law with criminal intent.
For policies more than one year, the Basic Sum Insured is for 5,00,000/- to 15,00,000/- 2,50,000/- mentioned in our website – www.starhealth.in Vesico/Pleuro Amniotic A. Expenses related to the treatment of any illness Quantum Magnetic Resonance Therapy, VAX-D, Low
3. Surgeon, Anesthetist, Medical Practitioner, Consultants, Surgery maximum of 25% of the sum insured (including Female Reproductive 3,000/- Vitamin D, 8. This optional cover is available only for female treatment) and all types of intervention for 11. Excluded Providers - Code Excl 11: Expenses
each year, without any carry over benefit thereof. Shunts within 30 days from the first policy commencement level laser therapy, Photodynamic therapy and such
Specialist Fees. Above 15,00,000/- 5,00,000/- 19. Assisted Reproduction Treatment: The Company will medical and surgical treatment expenses, neonatal Age: 20-39 yrs USG insured persons who is aged between 91 days to Diseases related to Tendon, Ligament, Fascia, incurred towards treatment in any hospital or by any
LONG TERM DISCOUNT Balloon Dilation Aortic date shall be excluded except claims arising due to other therapies similar to those mentioned herein under
4. Anesthesia, Blood, Oxygen, Operation theatre charges, reimburse medical expenses incurred on Assisted Stenosis and Postnatal surgery/repair). Abdomen 65 years. Bones and Joint Including Arthroscopy and Medical Practitioner or any other provider specifically
10% discount on 2 year premium and 11.25% on 2 and 3 year Note: Claims under this benefit shall be processed only on an accident, provided the same are covered this exclusion - Code Excl 26
ICU charges, Surgical appliances, Medicines and Drugs, Reproduction Treatment, where indicated, for sub-fertility B. In the subsequent year (on payment of Dexa Scan, 9. Enhancement of sum insured under this benefit is Arthroplasty / Joint Replacement [other than excluded by the Insurer and disclosed in its website /
premium. cashless basis. CHAOS B. This exclusion shall not, however, apply if the 26. Unconventional, Untested, Experimental therapies -
Diagnostic materials and X-ray, Diagnostic imaging subject to: applicable premium for New born): In-patient Middle Aged Sonomamog subject to underwriting caused by accident]. notified to the policyholders are not admissible.
SUM INSURED OPTIONS 14. Coverage for Modern Treatment: Expenses are subject to Planned Removal of the CDH Insured Person has continuous coverage for more Code Excl 27
1. A waiting period of 36 months from the date of first EXIT hospitalization expenses (Including Congenital Female Menopausal 5,000/- ram, PAP, Waiting Period: An initial waiting period of 180 days is 4. All types of treatment for Degenerative disc and However, in case of life threatening situations or
Rs.5,00,000/-, Rs.10,00,000/-, Rs.15,00,000/-, Rs.20,00,000/- modalities, dialysis, chemotherapy, radiotherapy, cost of the limits. (For details please refer website: Specialized Tracheal Occlusion Balloon than twelve months
inception of this policy with the Company for the insured procedure Internal and External defects/anomalies) are applicable from the date of commencement of this Vertebral diseases including Replacement of following an accident, expenses up to the stage of 27. Autologous derived Stromal vascular fraction,
, Rs.25,00,000/-, Rs.50,00,000/- and Rs.1,00,00,000/- pacemaker, stent and similar expenses. With regard to www.starhealth.in) Delivery Pulmonary Sequestration Age: 40 - 59 yrs USG C. The within referred waiting period is made
person covered up to 100% of the sum insured. Abdomen policy. In case of enhancement of sum insured this bones and joints and Degenerative diseases of stabilization are payable but not the complete claim. Chondrocyte Implantation, Procedures using Platelet Rich
coronary stenting, Implants and such other similar items the 15. Automatic Restoration of Sum Insured: There shall be CCAM applicable to the enhanced sum insured in the event
PRE-ACCEPTANCE MEDICAL SCREENING 2. Company will pay one Assisted Reproduction Treatment C. Vaccination Expenses: Vaccination expenses for waiting period shall apply afresh to the extent of sum the Musculo-skeletal system, Prolapse of 12. Treatment for Alcoholism, drug or substance abuse or plasma and Intra articular injection therapy - Code Excl 28
Company will pay cost of stent as per the Drug Price Control automatic restoration of the Sum Insured once by 100% Sr Citizens Dexa Scan, of granting higher sum insured subsequently
There is no Pre-acceptance medical screening. cycle for each policy year List of procedures covered under in utero-surgeries the new born baby are payable up to the 12 months insured increase Intervertebral Disc (other than caused by any addictive condition and consequences thereof - 28. Biologicals, except when administered as an in-patient,
Order (DPCO) / National Pharmaceuticals Pricing Authority subject to the following; Female Age: 60 yrs and 4,000/- PAP, USG 4. Investigation & Evaluation - Code Excl 04
INSTALMENT FACILITY AVAILABLE 3. For the purpose of claiming under this benefit, in- patient · Amniotic band syndrome from the birth of the new born. The Company's accident), Code Excl 12 when clinically indicated and hospitalization warranted -
(NPPA) Capping. 1. The automatic restoration shall be immediately upon above Abdomen A. Expenses related to any admission primarily for
Premium can be paid Quarterly and Half-yearly treatment is not mandatory · Bronchopulmonary sequestration of the lung liability for vaccination is as per the limits mentioned 5. All treatments (conservative, interventional, diagnostics and evaluation purposes only are 13. Treatments received in health hydros, nature cure Code Excl 29
5. All day care procedures are covered. partial / full utilization of the limit of coverage. The Company shall not be liable to make any payments
Premium can also be paid Annual, Biennial and Triennial Limit of Liability of the in the table below; Male Any age 1,000/- Any tests laparoscopic and open) related to Hepato- excluded clinics, spas or similar establishments or private beds 29. Inoculation or Vaccination (except to the extent covered
6. Coverage for Non-medical Items: Covered subject to an 2. Such Restored Sum Insured can be utilized for all claims · Congenital cystic adenomatoid malformation under this policy in respect of any expenses what so ever
For instalment mode of payment, there will be loading as given Sum Insured (Rs.) Company for each pancreato-biliary diseases including Gall bladder B. Any diagnostic expenses which are not related or registered as a nursing home attached to such under Vaccination Expenses and for post–bite
admissible claim under the policy. (For details please refer for subsequent hospitalisation during the policy period. (CCAM) of the lung Sum Insured (Rs.) Limit (Rs.) The above limit is inclusive of cost of Vaccination incurred by the insured person in connection with or in
below: policy year (Rs.) and Pancreatic calculi. All types of management not incidental to the current diagnosis and treatment establishments or where admission is arranged wholly treatment and for medical treatment for therapeutic
website: www.starhealth.in) 3. The maximum liability of the Company in a Single claim · Congenital diaphragmatic hernia (CDH) respect of:-
· Quarterly: 3% 5,00,000/- and 10,00,000/- 2,500/- Note: Payment of any claim under this section shall not for Kidney calculi and Genitourinary tract calculi. are excluded or partly for domestic reasons - Code Excl 13 reasons) - Code Excl 31
7. Road ambulance expenses: Subject to an admissible under a policy year shall not exceed the limit of 5,00,000 50,000 · Congenital high airway obstruction syndrome Standard Exclusions
· Half Yearly: 2% be construed as a waiver of Company's right to 6. All types of Hernia, 5. Rest Cure, rehabilitation (except to the extent 14. Dietary supplements and substances that can be 30. Dental treatment or surgery unless necessitated due to
hospitalization claim, road ambulance expenses incurred coverage. (CHAOS) 15,00,000/- and above 3,500/- 1. Pre-Existing Diseases - Code Excl 01
10,00,000 1,00,000 repudiate any claim on grounds of non disclosure of 7. Desmoid Tumor, Umbilical Granuloma, covered under Rehabilitation and Pain purchased without prescription, including but not limited to accidental injuries and requiring hospitalization.
Note: This loading will be applied on annual premium for the following are payable; 4. The unutilized restored sum insured cannot be carried A. Expenses related to the treatment of a pre-existing
· Fetal anemia D. Metabolic Screening: Test for New Born is payable Umbilical Sinus, Umbilical Fistula, Vitamins, minerals and organic substances unless (Dental implants are not payable) - Code Excl 32
MIDTERM INCLUSION 15,00,000 1,50,000 material fact or pre-existing disease, for hospitalization Disease (PED) and its direct complications shall be Management) and respite care - Code Excl 05:
i. for transportation of the insured person by private forward · Lower urinary tract obstruction (LUTO) once for each new born subject to a limit of 8. All treatments (conservative, interventional, prescribed by a medical practitioner as part of
Permissible on payment of proportionate premium subject to expenses under hospitalization provisions of the policy excluded until the expiry of 24 months of continuous Expenses related to any admission primarily for 31. Medical and / or surgical treatment of Sleep apnea,
ambulance service to go to hospital when this is needed 16. Cumulative Bonus: In respect of a claim free year of 20,00,000 and 25,00,000 2,00,000 · Mediastinal teratoma Rs.3,500/- laparoscopic and open) related to all Diseases of hospitalization claim or day care procedure - Code Excl 14
the following; contract coverage after the date of inception of the first policy enforced bed rest and not for receiving treatment. This treatment for endocrine disorders - Code Excl 33
for medical reasons Insurance, the insured would be entitled to benefit of bonus E. Pediatrician Consultation up to 4 consultations Cervix, Uterus, Fallopian tubes, Ovaries, also includes: 15. Refractive Error - Code Excl 15: Expenses related to
a. Newly Married / Wedded spouse and/or legally adopted 50,00,000 2,50,000 · Neck mass 28. Star Wellness Program: This program intends to with insurer. 32. Hospital registration charges, admission charges,
or of 20% of the expiring Sum Insured from the second year per year are payable up to 12 year of age subject to Uterine Bleeding, Pelvic Inflammatory Diseases i. Custodial care either at home or in a nursing facility for the treatment for correction of eye sight due to
child: Intimation about the marriage/adoption should be ii. for transportation of the insured person by private 1,00,00,000 3,00,000 · Sacrococcygeal teratoma (SCT) promote, incentivize and to reward the Insured B. In case of enhancement of sum insured the record charges, telephone charges and such other
onwards. The maximum allowable bonus shall not exceed policy is in force. The Company's liability for each 9. All Diseases of Prostate, Stricture Urethra, all personal care such as help with activities of daily refractive error less than 7. 5 dioptres.
given within 45 days from the date of marriage or date of ambulance service from one hospital to another hospital 100%. · Spina bifida (myelomeningocele) Persons' healthy life style through various wellness exclusion shall apply afresh to the extent of sum charges - Code Excl 34
consultation is up to Rs.500/-. Obstructive Uropathies, living such as bathing, dressing, moving around either 16. Unproven Treatments - Code Excl 16: Expenses
adoption. for better medical treatment Special Conditions 20. Ante-Natal Care (Pregnancy Care): Company pays the · Twin reversed arterial perfusion (TRAP) sequence Note: Expenses for treatment of new born baby is activities. The wellness activities are designed to help insured increase. 10. Benign Tumours of Epididymis, Spermatocele, 33. Cost of spectacles and contact lens, hearing aids,
by skilled nurses or assistant or non-skilled persons. related to any unproven treatment, services and
b. New born baby: Intimation about the new born baby should or 1. The Cumulative bonus will be calculated on the expiring expenses for Ante-natal care after confirmation of · Twin-twin transfusion syndrome (TTTS) covered subject to the Insured person to earn wellness reward points C. If the Insured Person is continuously covered Varicocele, Hydrocele, Cochlear implants and procedures, walkers and
ii. Any services for people who are terminally ill to supplies for or in connection with any treatment.
be given within 90 days from the date of birth. The cover for iii. for transportation of the insured person from the hospital Sum Insured Pregnancy, incurred as an Out-patient up to the limits given 22. Voluntary Sterilization Expenses: The Company will a) Admissible delivery claim or which will be tracked and monitored by the Company. without any break as defined under the portability 11. Fistula, Fissure in Ano, Hemorrhoids, Pilonidal address physical, social, emotional and spiritual Unproven treatments are treatments, procedures or crutches, wheel chairs, CPAP, BIPAP, Continuous
new born commences from 91st day of its birth where treatment is taken to their place of residence 2. If the insured opts to reduce the Sum Insured at the below. pay the expenses incurred for Voluntary Sterilization b) At the time of inception of the policy, if the mother The wellness points earned by the Insured Person(s) norms of the extant IRDAI (Health Insurance) Sinus and Fistula, Rectal Prolapse, Stress needs. supplies that lack significant medical documentation to Ambulatory Peritoneal Dialysis, infusion pump and
Special conditions provided the requirement of an ambulance to the subsequent renewal, the limit of indemnity by way of Sum Insured (Rs.) Limit per policy year (Tubectomy / Vasectomy), after a waiting period of has submitted the Scan reports taken during 12th under the wellness program, can be utilized to get Regulations, then waiting period for the same would Incontinence 6. Obesity/ Weight Control (Except to the extent support their effectiveness. such other similar aids - Code Excl 35
a. Waiting periods as stated in the policy will be applicable residence is certified by the medical practitioner. such Cumulative bonus shall not exceed such reduced 24 months from the date of first inception of this policy, and 20th week of her pregnancy and the same has discount in premium. be reduced to the extent of prior coverage. 12. Varicose veins and Varicose ulcers covered under Bariatric Surgery) - Code Excl 06: 17. Sterility and Infertility (Except to the extent 34. Any hospitalization which are not medically necessary /
from the date of inclusion of such newly married/wedded 5,00,000/-,10,00,000/-, This Wellness Program is enabled and administered D. Coverage under the policy after the expiry of does not warrant hospitalization - Code Excl 36
8. Air Ambulance charges up to 10% of the Sum Insured per sum insured Rs. 2,500/- provided if Insured is a Married Person and his/ her age been accepted by the Company for issuance of the 13. All types of transplant and related surgeries. Expenses related to the surgical treatment of obesity covered under Assisted Reproduction Treatment) -
spouse, new born baby, legally adopted child. 15,00,000/-
year is payable. 3. In the event of a claim resulting in; is 22 years and above. policy. In such case, the new born baby will be online through Star Wellness Platform through Star 24 months for any pre-existing disease is subject to 14. Congenital Internal disease / defect (except to that does not fulfill all the below conditions; Code Excl 17: Expenses related to sterility and 35. Existing disease/s, disclosed by the insured and
b. Such midterm inclusion will be subject to underwriter's Note: This benefit is available for sum insured options of a. Partial utilization of Sum Insured, such cumulative 20,00,000/-, 25,00,000/-, Note: Expenses incurred for Reversal of Sterilization covered (Including Congenital Internal and External Health customer mobile app “Star Power” and through the same being declared at the time of application the extent covered under Hospitalization 1. Surgery to be conducted is upon the advice of the infertility. This includes; mentioned in the policy schedule (based on insured's
Rs. 5,000/-
approval Rs.10,00,000/- and above only. bonus so granted will not be reduced 50,00,000/-, 1,00,00,000/- are not payable. defects/anomalies) without any waiting period. “Star Health Customer Portal (digital platform)” and accepted by Insurer. expenses for treatment of New Born Baby) Doctor i. Any type of contraception, sterilization consent), for specified ICD codes - Code Excl 38
1 2 3 4 5 6
735.00 mm
120.00 mm 120.00 mm 120.00 mm 120.00 mm 127.50 mm 127.50 mm
MORATORIUM PERIOD Cancellation table applicable for Policy Term 2 Year with instalment option of Half-yearly premium Cancellation table applicable for Policy Term 3 Year with instalment option of Quarterly premium ii. Renewal shall not be denied on the ground that the insured person had made a claim or claims in the preceding policy
After completion of eight continuous years under the policy no look back to be applied. This period of eight years is called UTILIZATION OF SUM INSURED
payment frequency payment frequency years
as moratorium period. The moratorium would be applicable for the sums insured of the first policy and subsequently iii. Request for renewal along with requisite premium shall be received by the Company before the end of the policy The sequence of utilization of the Sum Insured in this Policy will be as follows
Period on risk Rate of premium to be retained Period on risk Rate of premium to be retained
completion of 8 continuous years would be applicable from date of enhancement of sums insured only on the enhanced period
limits. After the expiry of Moratorium Period no health insurance claim shall be contestable except for proven fraud and Up to 1 Mth 45% of the total premium received Up to 1 mth 87.5% of the total premium received ● Basic Sum Insured
Exceeding one mth up to 4 mths 87.5% of the total premium received iv. At the end of the policy period, the policy shall terminate and can be renewed within the Grace Period of 30 days to
permanent exclusions specified in the policy contract. The policies would however be subject to all limits, sub limits, co- Exceeding 1 mth up to 3 mths 100% of the total premium received ● Cumulative Bonus (if applicable)
Exceeding 4 mths up to 6 mths 100% of the total premium received maintain continuity of benefits without break in policy. Coverage is not available during the grace period.
payments, deductibles as per the policy contract. Exceeding 3 mths up to 4mths 87.5% of the total premium received
Exceeding 6 mths up to 7 mths 65% of the total premium received v. No loading shall apply on renewals based on individual claims experience ● Automatic Restoration of Sum Insured triggers on utilization of the Limit of Coverage in whole or in part.
CLAIM PROCEDURE Exceeding 4 mths up to 6 mths 100% of the total premium received
· Call the 24 hour help-line for assistance - 1800 425 2255 / 1800 102 4477. Senior Citizens may call at 044-69007500 Exceeding 7 mths up to 10 mths 85% of the total premium received POSSIBILITY OF REVISION OF TERMS OF THE POLICY INCLUDING THE PREMIUM RATES Illustration for Utilization of Sum Insured
Exceeding 10 mths up to 12 mths 100% of the total premium received Exceeding 6 mths up to 7 mths 85% of the total premium received The Company, with prior approval of lRDAl, may revise or modify the terms of the policy including the premium rates. The
· In case of planned hospitalization, inform 24 hours prior to admission in the hospital Illustration 1
Exceeding 12 mths up to 15 mths 90% of the total premium received Exceeding 7 mths up to 9 mths 100% of the total premium received insured person shall be notified three months before the changes are effected
· In case of emergency hospitalization information to be given within 24 hours after hospitalization
Exceeding 15 mths up to 18 mths 100% of the total premium received Exceeding 9 mths up to 10 mths 85% of the total premium received PREMIUM PAYMENT IN INSTALMENTS An Insured Person with Star Women Care Insurance Policy, Tenure 1 year, Third year in progress,
· Cashless facility wherever possible in network hospital Exceeding 18 mths up to 21 mths 90% of the total premium received lf the insured person has opted for Payment of Premium on an instalment basis i.e. Half Yearly or Quarterly as mentioned Basic Sum Insured Rs.5,00,000/-
· In non-network hospitals payment must be made up-front and then reimbursement will be effected on submission of Exceeding 10 mths up to 12 mths 100% of the total premium received in the policy Schedule/Certificate of lnsurance, the following Conditions shall apply (notwithstanding any terms contrary
Exceeding 21 mths 100% of the total premium received Available Benefit Limit
documents subject to terms and conditions of the policy Cancellation table applicable for Policy Term 2 Year with instalment option of Quarterly premium Exceeding 12 mths up to 13 mths 97.5% of the total premium received elsewhere in the policy)
DISCLOSURE OF INFORMATION payment frequency Exceeding 13 mths up to 15 mths 100% of the total premium received i. Grace Period of 7 days would be given to pay the instalment premium due for the policy. Number of Claim amount Automatic Admissible
Utilization of
A Special
The policy shall become void and all premium paid thereon shall be forfeited to the Company in the event of ii. During such grace period, coverage will not be available from the due date of instalment premium till the date of receipt Basic Sum Restoration of claim amount
Claims (Rs.) Sum Insured
misrepresentation, mis description or non-disclosure of any material fact by the policy holder
Period on risk Rate of premium to be retained Exceeding 15 mths up to 16 mths 95% of the total premium received
of premium by Company. Insured (Rs.)
Bonus (Rs.)
Sum Insured (Rs.) Cover for
Up to 1 Mth 87.5% of the total premium received Exceeding 16 mths up to 18 mths 100% of the total premium received
CANCELLATION iii. The insured person will get the accrued continuity benefit in respect of the "Waiting Periods", "Specific Waiting (Rs.)
i. The policyholder may cancel this policy by giving 15 days' written notice and in such an event, the Company shall
Exceeding 1 mth up to 3mths 100% of the total premium received
Exceeding 18 mths up to 19 mths 95% of the total premium received Periods" in the event of payment of premium within the stipulated grace Period
the Women
Exceeding 3 mths up to 4 mths 87.5% of the total premium received 1st Claim 5,00,000 5,00,000 2,00,000 - 5,00,000 Basic SI (Full)
refund premium for the unexpired policy period as detailed below;
Exceeding 4 mths up to 6 mths 100% of the total premium received Exceeding 19 mths up to 21 mths 100% of the total premium received iv. No interest will be charged lf the instalment premium is not paid on due date
Bonus (full) + We Admire
Cancellation table applicable for Policy Term 1 Year without instalment option Exceeding 6 mths up to 7 mths 85% of the total premium received Exceeding 21 mths up to 22 mths 92.5% of the total premium received v. ln case of instalment premium due not received within the grace period, the policy will get cancelled 2nd Claim 7,00,000 - 2,00,000 5,00,000 7,00,000 Automatic
Exceeding 7 mths up to 9 mths 100% of the total premium received Exceeding 22 mths up to 24 mths 100% of the total premium received vi. ln the event of a claim, all subsequent premium instalments shall immediately become due and payable Restore (Full)
Period on risk Rate of premium to be retained
Exceeding 9 mths up to 10 mths 85% of the total premium received Exceeding 24 mths up to 25 mths 97.5% of the total premium received vii. The company has the right to recover and deduct all the pending installments from the claim amount due under the
Up to one mth 22.5% of the policy premium policy Illustration 2
Exceeding 10 mths up to 12 mths 100% of the total premium received
Exceeding one mth up to 3 mths 37.5% of the policy premium Exceeding 25 mths up to 27 mths 100% of the total premium received
Exceeding 12 mths up to 13 mths 97.5% of the total premium received FREE LOOK PERIOD An Insured Person with Star Women Care Insurance Policy, Tenure 1 year, Second year in progress,
Exceeding 3 mths up to 6 mths 57.5% of the policy premium Exceeding 13 mths up to 15 mths 100% of the total premium received Exceeding 27 mths up to 28 mths 97.5% of the total premium received The Free Look Period shall be applicable on new individual health insurance policies and not on renewals or at the time of Basic Sum Insured Rs.5,00,000/-
Exceeding 6 mths up to 9 mths 80% of the policy premium Exceeding 15 mths up to 16 mths 95% of the total premium received Exceeding 28 mths up to 30 mths 100% of the total premium received porting/migrating the policy. Available Benefit Limit
Exceeding 9 mths Full of the policy premium Exceeding 16 mths up to 18 mths 100% of the total premium received Exceeding 30 mths up to 31 mths 95% of the total premium received The insured person shall be allowed free look period of fifteen days from date of receipt of the policy document to review
Automatic Admissible
Exceeding 18 mths up to 19 mths 95% of the total premium received the terms and conditions of the policy, and to return the same if not acceptable. Number of Claim amount Utilization of
Cancellation table applicable for Policy Term 1 Year with instalment option of Half-yearly premium Exceeding 31 mths up to 33 mths 100% of the total premium received Basic Sum Restoration of claim amount
Exceeding 19 mths up to 21 mths 100% of the total premium received lf the insured has not made any claim during the Free Look Period, the insured shall be entitled to; Claims (Rs.) Bonus (Rs.) Sum Insured
210.00 mm
payment frequency Exceeding 33 mths up to 34 mths 95% of the total premium received Insured (Rs.) Sum Insured (Rs.)
Exceeding 21 mths up to 22 mths 92.5% of the total premium received i. a refund of the premium paid less any expenses incurred by the Company on medical examination of the insured
Period on risk Rate of premium to be retained Exceeding 34 mths 100% of the total premium received (Rs.)
Exceeding 22 mths 100% of the total premium received person and the stamp duty charges or
Up to 1 Mth 45% of the total premium received Cancellation table applicable for Policy Term 3 Year without instalment option ii. where the risk has already commenced and the option of return of the policy is exercised by the insured person, a Basic SI
Notwithstanding anything contained herein or otherwise, no refunds of premium shall be made in respect of 1st Claim 3,00,000 5,00,000 1,00,000 - 3,00,000
Exceeding one mth up to 4 mths 87.5% of the total premium received deduction towards the proportionate risk premium for period of cover or (partial)
Period on risk Rate of premium to be retained Cancellation where, any claim has been admitted or has been lodged or any benefit has been availed by the insured
Exceeding 4 mths up to 6 mths 100% of the total premium received iii. where only a part of the insurance coverage has commenced, such proportionate premium commensurate with the
Up to 1 Mth 17.5% of the policy premium person under the policy. insurance coverage during such period; Basic (balance)
Exceeding 6 mths up to 7 mths 65% of the total premium received Exceeding one mth up to 3 mths 22.5% of the policy premium ii. The Company may cancel the policy at any time on grounds of misrepresentation, non-disclosure of material facts, + Bonus (full)+
REVISION OF SUM INSURED
Exceeding 7 mths up to 10 mths 85% of the total premium received Exceeding 3 mths up to 6 mths 30% of the policy premium fraud by the insured person by giving 15 days' written notice. There would be no refund of premium on cancellation on 2nd Claim 6,00,000 2,00,000 1,00,000 3,00,000 6,00,000 Automatic
Reduction or enhancement of Sum Insured is permissible only at the time of renewal. The acceptance for enhancement
Exceeding 10 mths 100% of the total premium received Exceeding 6 mths up to 9 mths 37.5% of the policy premium grounds of misrepresentation, non-disclosure of material facts or fraud Restoration
and the amount of enhancement will be at the discretion of the Company and subject to Exclusion Code Excl 01,
Exceeding 9 mths up to 12 mths 42.5% of the policy premium AUTOMATIC TERMINATION (partial)
Cancellation table applicable for Policy Term 1 Year with instalment option of Quarterly premium Exclusion Code Excl 02 and Exclusion Code Excl 03.
payment frequency Exceeding 12 mths up to 15 mths 50% of the policy premium The insurance under this policy with respect to each relevant Insured Person policy shall expire immediately on the earlier WITHDRAWAL OF POLICY Automatic
Exceeding 15 mths up to 18 mths 57.5% of the policy premium of the following events
Period on risk Rate of premium to be retained i. In the likelihood of this product being withdrawn in future, the Company will intimate the insured person about the 3rd Claim 2,00,000 - - 2,00,000 2,00,000 Restoration
Exceeding 18 mths up to 21 mths 65% of the policy premium ü Upon the death of the Insured Person this means that, the cover for the surviving members of the family will continue, same 90 days prior to expiry of the policy. (Balance)
Up to 1 Mth 87.5% of the total premium received Exceeding 21 mths up to 24 mths 72.5% of the policy premium subject to other terms of the policy. ii. lnsured Person will have the option to migrate to similar health insurance product available with the Company at the
Exceeding one mth up to 3 mths 100% of the total premium received Exceeding 24 mths up to 27 mths 80% of the policy premium ü Upon exhaustion of the Sum Insured, Limit of Coverage, Limit of Coverage plus Restore Sum Insured. time of renewal with all the accrued continuity benefits such as cumulative bonus, waiver of waiting period. as per
Exceeding 3 mths up to 4 mths 87.5% of the total premium received Exceeding 27 mths up to 30 mths 85% of the policy premium MIGRATION IRDAI guidelines, provided the policy has been maintained without a break
Exceeding 30 mths up to 33 mths 92.5% of the policy premium The insured person will have the option to migrate the policy to other health insurance products/plans offered by the
Exceeding 4 mths up to 6 mths 100% of the total premium received THE COMPANY
Exceeding 33 mths Full of the policy premium company by applying for migration of the Policy atleast 30 days before the policy renewal date as per IRDAI guidelines on
Exceeding 6 mths up to 7 mths 85% of the total premium received Star Health and Allied Insurance Co. Ltd., commenced its operations in 2006 as India's first Standalone Health Insurance The information provided in this brochure is only indicative.
Cancellation table applicable for Policy Term 3 Year with instalment option of Half-yearly premium Migration. lf such person is presently covered and has been continuously covered without any lapses under any health
Exceeding 7 mths up to 9 mths 100% of the total premium received payment frequency provider. As an exclusive Health Insurer, the Company is providing sterling services in Health, Personal Accident & For more details on the risk factors, terms and conditions,
insurance product/plan offered by the company, the insured person will get the accrued continuity benefits in waiting Overseas Travel Insurance and is committed to setting international benchmarks in service and personal caring.
Exceeding 9 mths up to 10 mths 85% of the total premium received Period on risk Rate of premium to be retained periods as per IRDAI guidelines on migration. please read the policy wordings before concluding sale
Exceeding 10 mths 100% of the total premium received Up to 1 mth 45% of the total premium received For Detailed Guidelines on migration, kindly refer the link STAR ADVANTAGES
· No Third Party Administrator, direct in-house claims settlement Or
Cancellation table applicable for Policy Term 2 Year without instalment option Exceeding 1 mth up to 4 mths 87.5% of the total premium received https://www.irdai.gov.in/ADMINCMS/cms/frmGuidelines_Layout.aspx?page=PageNo3987
Exceeding 4 mths up to 6 mths 100% of the total premium received · Faster and hassle – free claim settlement Visit our website www.starhealth.in
735.00 mm
120.00 mm 120.00 mm 120.00 mm 120.00 mm 127.50 mm 127.50 mm
MORATORIUM PERIOD Cancellation table applicable for Policy Term 2 Year with instalment option of Half-yearly premium Cancellation table applicable for Policy Term 3 Year with instalment option of Quarterly premium ii. Renewal shall not be denied on the ground that the insured person had made a claim or claims in the preceding policy
After completion of eight continuous years under the policy no look back to be applied. This period of eight years is called UTILIZATION OF SUM INSURED
payment frequency payment frequency years
as moratorium period. The moratorium would be applicable for the sums insured of the first policy and subsequently iii. Request for renewal along with requisite premium shall be received by the Company before the end of the policy The sequence of utilization of the Sum Insured in this Policy will be as follows
Period on risk Rate of premium to be retained Period on risk Rate of premium to be retained
completion of 8 continuous years would be applicable from date of enhancement of sums insured only on the enhanced period
limits. After the expiry of Moratorium Period no health insurance claim shall be contestable except for proven fraud and Up to 1 Mth 45% of the total premium received Up to 1 mth 87.5% of the total premium received ● Basic Sum Insured
Exceeding one mth up to 4 mths 87.5% of the total premium received iv. At the end of the policy period, the policy shall terminate and can be renewed within the Grace Period of 30 days to
permanent exclusions specified in the policy contract. The policies would however be subject to all limits, sub limits, co- Exceeding 1 mth up to 3 mths 100% of the total premium received ● Cumulative Bonus (if applicable)
Exceeding 4 mths up to 6 mths 100% of the total premium received maintain continuity of benefits without break in policy. Coverage is not available during the grace period.
payments, deductibles as per the policy contract. Exceeding 3 mths up to 4mths 87.5% of the total premium received
Exceeding 6 mths up to 7 mths 65% of the total premium received v. No loading shall apply on renewals based on individual claims experience ● Automatic Restoration of Sum Insured triggers on utilization of the Limit of Coverage in whole or in part.
CLAIM PROCEDURE Exceeding 4 mths up to 6 mths 100% of the total premium received
· Call the 24 hour help-line for assistance - 1800 425 2255 / 1800 102 4477. Senior Citizens may call at 044-69007500 Exceeding 7 mths up to 10 mths 85% of the total premium received POSSIBILITY OF REVISION OF TERMS OF THE POLICY INCLUDING THE PREMIUM RATES Illustration for Utilization of Sum Insured
Exceeding 10 mths up to 12 mths 100% of the total premium received Exceeding 6 mths up to 7 mths 85% of the total premium received The Company, with prior approval of lRDAl, may revise or modify the terms of the policy including the premium rates. The
· In case of planned hospitalization, inform 24 hours prior to admission in the hospital Illustration 1
Exceeding 12 mths up to 15 mths 90% of the total premium received Exceeding 7 mths up to 9 mths 100% of the total premium received insured person shall be notified three months before the changes are effected
· In case of emergency hospitalization information to be given within 24 hours after hospitalization
Exceeding 15 mths up to 18 mths 100% of the total premium received Exceeding 9 mths up to 10 mths 85% of the total premium received PREMIUM PAYMENT IN INSTALMENTS An Insured Person with Star Women Care Insurance Policy, Tenure 1 year, Third year in progress,
· Cashless facility wherever possible in network hospital Exceeding 18 mths up to 21 mths 90% of the total premium received lf the insured person has opted for Payment of Premium on an instalment basis i.e. Half Yearly or Quarterly as mentioned Basic Sum Insured Rs.5,00,000/-
· In non-network hospitals payment must be made up-front and then reimbursement will be effected on submission of Exceeding 10 mths up to 12 mths 100% of the total premium received in the policy Schedule/Certificate of lnsurance, the following Conditions shall apply (notwithstanding any terms contrary
Exceeding 21 mths 100% of the total premium received Available Benefit Limit
documents subject to terms and conditions of the policy Cancellation table applicable for Policy Term 2 Year with instalment option of Quarterly premium Exceeding 12 mths up to 13 mths 97.5% of the total premium received elsewhere in the policy)
DISCLOSURE OF INFORMATION payment frequency Exceeding 13 mths up to 15 mths 100% of the total premium received i. Grace Period of 7 days would be given to pay the instalment premium due for the policy. Number of Claim amount Automatic Admissible
Utilization of
A Special
The policy shall become void and all premium paid thereon shall be forfeited to the Company in the event of ii. During such grace period, coverage will not be available from the due date of instalment premium till the date of receipt Basic Sum Restoration of claim amount
Claims (Rs.) Sum Insured
misrepresentation, mis description or non-disclosure of any material fact by the policy holder
Period on risk Rate of premium to be retained Exceeding 15 mths up to 16 mths 95% of the total premium received
of premium by Company. Insured (Rs.)
Bonus (Rs.)
Sum Insured (Rs.) Cover for
Up to 1 Mth 87.5% of the total premium received Exceeding 16 mths up to 18 mths 100% of the total premium received
CANCELLATION iii. The insured person will get the accrued continuity benefit in respect of the "Waiting Periods", "Specific Waiting (Rs.)
i. The policyholder may cancel this policy by giving 15 days' written notice and in such an event, the Company shall
Exceeding 1 mth up to 3mths 100% of the total premium received
Exceeding 18 mths up to 19 mths 95% of the total premium received Periods" in the event of payment of premium within the stipulated grace Period
the Women
Exceeding 3 mths up to 4 mths 87.5% of the total premium received 1st Claim 5,00,000 5,00,000 2,00,000 - 5,00,000 Basic SI (Full)
refund premium for the unexpired policy period as detailed below;
Exceeding 4 mths up to 6 mths 100% of the total premium received Exceeding 19 mths up to 21 mths 100% of the total premium received iv. No interest will be charged lf the instalment premium is not paid on due date
Bonus (full) + We Admire
Cancellation table applicable for Policy Term 1 Year without instalment option Exceeding 6 mths up to 7 mths 85% of the total premium received Exceeding 21 mths up to 22 mths 92.5% of the total premium received v. ln case of instalment premium due not received within the grace period, the policy will get cancelled 2nd Claim 7,00,000 - 2,00,000 5,00,000 7,00,000 Automatic
Exceeding 7 mths up to 9 mths 100% of the total premium received Exceeding 22 mths up to 24 mths 100% of the total premium received vi. ln the event of a claim, all subsequent premium instalments shall immediately become due and payable Restore (Full)
Period on risk Rate of premium to be retained
Exceeding 9 mths up to 10 mths 85% of the total premium received Exceeding 24 mths up to 25 mths 97.5% of the total premium received vii. The company has the right to recover and deduct all the pending installments from the claim amount due under the
Up to one mth 22.5% of the policy premium policy Illustration 2
Exceeding 10 mths up to 12 mths 100% of the total premium received
Exceeding one mth up to 3 mths 37.5% of the policy premium Exceeding 25 mths up to 27 mths 100% of the total premium received
Exceeding 12 mths up to 13 mths 97.5% of the total premium received FREE LOOK PERIOD An Insured Person with Star Women Care Insurance Policy, Tenure 1 year, Second year in progress,
Exceeding 3 mths up to 6 mths 57.5% of the policy premium Exceeding 13 mths up to 15 mths 100% of the total premium received Exceeding 27 mths up to 28 mths 97.5% of the total premium received The Free Look Period shall be applicable on new individual health insurance policies and not on renewals or at the time of Basic Sum Insured Rs.5,00,000/-
Exceeding 6 mths up to 9 mths 80% of the policy premium Exceeding 15 mths up to 16 mths 95% of the total premium received Exceeding 28 mths up to 30 mths 100% of the total premium received porting/migrating the policy. Available Benefit Limit
Exceeding 9 mths Full of the policy premium Exceeding 16 mths up to 18 mths 100% of the total premium received Exceeding 30 mths up to 31 mths 95% of the total premium received The insured person shall be allowed free look period of fifteen days from date of receipt of the policy document to review
Automatic Admissible
Exceeding 18 mths up to 19 mths 95% of the total premium received the terms and conditions of the policy, and to return the same if not acceptable. Number of Claim amount Utilization of
Cancellation table applicable for Policy Term 1 Year with instalment option of Half-yearly premium Exceeding 31 mths up to 33 mths 100% of the total premium received Basic Sum Restoration of claim amount
Exceeding 19 mths up to 21 mths 100% of the total premium received lf the insured has not made any claim during the Free Look Period, the insured shall be entitled to; Claims (Rs.) Bonus (Rs.) Sum Insured
210.00 mm
payment frequency Exceeding 33 mths up to 34 mths 95% of the total premium received Insured (Rs.) Sum Insured (Rs.)
Exceeding 21 mths up to 22 mths 92.5% of the total premium received i. a refund of the premium paid less any expenses incurred by the Company on medical examination of the insured
Period on risk Rate of premium to be retained Exceeding 34 mths 100% of the total premium received (Rs.)
Exceeding 22 mths 100% of the total premium received person and the stamp duty charges or
Up to 1 Mth 45% of the total premium received Cancellation table applicable for Policy Term 3 Year without instalment option ii. where the risk has already commenced and the option of return of the policy is exercised by the insured person, a Basic SI
Notwithstanding anything contained herein or otherwise, no refunds of premium shall be made in respect of 1st Claim 3,00,000 5,00,000 1,00,000 - 3,00,000
Exceeding one mth up to 4 mths 87.5% of the total premium received deduction towards the proportionate risk premium for period of cover or (partial)
Period on risk Rate of premium to be retained Cancellation where, any claim has been admitted or has been lodged or any benefit has been availed by the insured
Exceeding 4 mths up to 6 mths 100% of the total premium received iii. where only a part of the insurance coverage has commenced, such proportionate premium commensurate with the
Up to 1 Mth 17.5% of the policy premium person under the policy. insurance coverage during such period; Basic (balance)
Exceeding 6 mths up to 7 mths 65% of the total premium received Exceeding one mth up to 3 mths 22.5% of the policy premium ii. The Company may cancel the policy at any time on grounds of misrepresentation, non-disclosure of material facts, + Bonus (full)+
REVISION OF SUM INSURED
Exceeding 7 mths up to 10 mths 85% of the total premium received Exceeding 3 mths up to 6 mths 30% of the policy premium fraud by the insured person by giving 15 days' written notice. There would be no refund of premium on cancellation on 2nd Claim 6,00,000 2,00,000 1,00,000 3,00,000 6,00,000 Automatic
Reduction or enhancement of Sum Insured is permissible only at the time of renewal. The acceptance for enhancement
Exceeding 10 mths 100% of the total premium received Exceeding 6 mths up to 9 mths 37.5% of the policy premium grounds of misrepresentation, non-disclosure of material facts or fraud Restoration
and the amount of enhancement will be at the discretion of the Company and subject to Exclusion Code Excl 01,
Exceeding 9 mths up to 12 mths 42.5% of the policy premium AUTOMATIC TERMINATION (partial)
Cancellation table applicable for Policy Term 1 Year with instalment option of Quarterly premium Exclusion Code Excl 02 and Exclusion Code Excl 03.
payment frequency Exceeding 12 mths up to 15 mths 50% of the policy premium The insurance under this policy with respect to each relevant Insured Person policy shall expire immediately on the earlier WITHDRAWAL OF POLICY Automatic
Exceeding 15 mths up to 18 mths 57.5% of the policy premium of the following events
Period on risk Rate of premium to be retained i. In the likelihood of this product being withdrawn in future, the Company will intimate the insured person about the 3rd Claim 2,00,000 - - 2,00,000 2,00,000 Restoration
Exceeding 18 mths up to 21 mths 65% of the policy premium ü Upon the death of the Insured Person this means that, the cover for the surviving members of the family will continue, same 90 days prior to expiry of the policy. (Balance)
Up to 1 Mth 87.5% of the total premium received Exceeding 21 mths up to 24 mths 72.5% of the policy premium subject to other terms of the policy. ii. lnsured Person will have the option to migrate to similar health insurance product available with the Company at the
Exceeding one mth up to 3 mths 100% of the total premium received Exceeding 24 mths up to 27 mths 80% of the policy premium ü Upon exhaustion of the Sum Insured, Limit of Coverage, Limit of Coverage plus Restore Sum Insured. time of renewal with all the accrued continuity benefits such as cumulative bonus, waiver of waiting period. as per
Exceeding 3 mths up to 4 mths 87.5% of the total premium received Exceeding 27 mths up to 30 mths 85% of the policy premium MIGRATION IRDAI guidelines, provided the policy has been maintained without a break
Exceeding 30 mths up to 33 mths 92.5% of the policy premium The insured person will have the option to migrate the policy to other health insurance products/plans offered by the
Exceeding 4 mths up to 6 mths 100% of the total premium received THE COMPANY
Exceeding 33 mths Full of the policy premium company by applying for migration of the Policy atleast 30 days before the policy renewal date as per IRDAI guidelines on
Exceeding 6 mths up to 7 mths 85% of the total premium received Star Health and Allied Insurance Co. Ltd., commenced its operations in 2006 as India's first Standalone Health Insurance The information provided in this brochure is only indicative.
Cancellation table applicable for Policy Term 3 Year with instalment option of Half-yearly premium Migration. lf such person is presently covered and has been continuously covered without any lapses under any health
Exceeding 7 mths up to 9 mths 100% of the total premium received payment frequency provider. As an exclusive Health Insurer, the Company is providing sterling services in Health, Personal Accident & For more details on the risk factors, terms and conditions,
insurance product/plan offered by the company, the insured person will get the accrued continuity benefits in waiting Overseas Travel Insurance and is committed to setting international benchmarks in service and personal caring.
Exceeding 9 mths up to 10 mths 85% of the total premium received Period on risk Rate of premium to be retained periods as per IRDAI guidelines on migration. please read the policy wordings before concluding sale
Exceeding 10 mths 100% of the total premium received Up to 1 mth 45% of the total premium received For Detailed Guidelines on migration, kindly refer the link STAR ADVANTAGES
· No Third Party Administrator, direct in-house claims settlement Or
Cancellation table applicable for Policy Term 2 Year without instalment option Exceeding 1 mth up to 4 mths 87.5% of the total premium received https://www.irdai.gov.in/ADMINCMS/cms/frmGuidelines_Layout.aspx?page=PageNo3987
Exceeding 4 mths up to 6 mths 100% of the total premium received · Faster and hassle – free claim settlement Visit our website www.starhealth.in
735.00 mm
120.00 mm 120.00 mm 120.00 mm 120.00 mm 127.50 mm 127.50 mm
MORATORIUM PERIOD Cancellation table applicable for Policy Term 2 Year with instalment option of Half-yearly premium Cancellation table applicable for Policy Term 3 Year with instalment option of Quarterly premium ii. Renewal shall not be denied on the ground that the insured person had made a claim or claims in the preceding policy
After completion of eight continuous years under the policy no look back to be applied. This period of eight years is called UTILIZATION OF SUM INSURED
payment frequency payment frequency years
as moratorium period. The moratorium would be applicable for the sums insured of the first policy and subsequently iii. Request for renewal along with requisite premium shall be received by the Company before the end of the policy The sequence of utilization of the Sum Insured in this Policy will be as follows
Period on risk Rate of premium to be retained Period on risk Rate of premium to be retained
completion of 8 continuous years would be applicable from date of enhancement of sums insured only on the enhanced period
limits. After the expiry of Moratorium Period no health insurance claim shall be contestable except for proven fraud and Up to 1 Mth 45% of the total premium received Up to 1 mth 87.5% of the total premium received ● Basic Sum Insured
Exceeding one mth up to 4 mths 87.5% of the total premium received iv. At the end of the policy period, the policy shall terminate and can be renewed within the Grace Period of 30 days to
permanent exclusions specified in the policy contract. The policies would however be subject to all limits, sub limits, co- Exceeding 1 mth up to 3 mths 100% of the total premium received ● Cumulative Bonus (if applicable)
Exceeding 4 mths up to 6 mths 100% of the total premium received maintain continuity of benefits without break in policy. Coverage is not available during the grace period.
payments, deductibles as per the policy contract. Exceeding 3 mths up to 4mths 87.5% of the total premium received
Exceeding 6 mths up to 7 mths 65% of the total premium received v. No loading shall apply on renewals based on individual claims experience ● Automatic Restoration of Sum Insured triggers on utilization of the Limit of Coverage in whole or in part.
CLAIM PROCEDURE Exceeding 4 mths up to 6 mths 100% of the total premium received
· Call the 24 hour help-line for assistance - 1800 425 2255 / 1800 102 4477. Senior Citizens may call at 044-69007500 Exceeding 7 mths up to 10 mths 85% of the total premium received POSSIBILITY OF REVISION OF TERMS OF THE POLICY INCLUDING THE PREMIUM RATES Illustration for Utilization of Sum Insured
Exceeding 10 mths up to 12 mths 100% of the total premium received Exceeding 6 mths up to 7 mths 85% of the total premium received The Company, with prior approval of lRDAl, may revise or modify the terms of the policy including the premium rates. The
· In case of planned hospitalization, inform 24 hours prior to admission in the hospital Illustration 1
Exceeding 12 mths up to 15 mths 90% of the total premium received Exceeding 7 mths up to 9 mths 100% of the total premium received insured person shall be notified three months before the changes are effected
· In case of emergency hospitalization information to be given within 24 hours after hospitalization
Exceeding 15 mths up to 18 mths 100% of the total premium received Exceeding 9 mths up to 10 mths 85% of the total premium received PREMIUM PAYMENT IN INSTALMENTS An Insured Person with Star Women Care Insurance Policy, Tenure 1 year, Third year in progress,
· Cashless facility wherever possible in network hospital Exceeding 18 mths up to 21 mths 90% of the total premium received lf the insured person has opted for Payment of Premium on an instalment basis i.e. Half Yearly or Quarterly as mentioned Basic Sum Insured Rs.5,00,000/-
· In non-network hospitals payment must be made up-front and then reimbursement will be effected on submission of Exceeding 10 mths up to 12 mths 100% of the total premium received in the policy Schedule/Certificate of lnsurance, the following Conditions shall apply (notwithstanding any terms contrary
Exceeding 21 mths 100% of the total premium received Available Benefit Limit
documents subject to terms and conditions of the policy Cancellation table applicable for Policy Term 2 Year with instalment option of Quarterly premium Exceeding 12 mths up to 13 mths 97.5% of the total premium received elsewhere in the policy)
DISCLOSURE OF INFORMATION payment frequency Exceeding 13 mths up to 15 mths 100% of the total premium received i. Grace Period of 7 days would be given to pay the instalment premium due for the policy. Number of Claim amount Automatic Admissible
Utilization of
A Special
The policy shall become void and all premium paid thereon shall be forfeited to the Company in the event of ii. During such grace period, coverage will not be available from the due date of instalment premium till the date of receipt Basic Sum Restoration of claim amount
Claims (Rs.) Sum Insured
misrepresentation, mis description or non-disclosure of any material fact by the policy holder
Period on risk Rate of premium to be retained Exceeding 15 mths up to 16 mths 95% of the total premium received
of premium by Company. Insured (Rs.)
Bonus (Rs.)
Sum Insured (Rs.) Cover for
Up to 1 Mth 87.5% of the total premium received Exceeding 16 mths up to 18 mths 100% of the total premium received
CANCELLATION iii. The insured person will get the accrued continuity benefit in respect of the "Waiting Periods", "Specific Waiting (Rs.)
i. The policyholder may cancel this policy by giving 15 days' written notice and in such an event, the Company shall
Exceeding 1 mth up to 3mths 100% of the total premium received
Exceeding 18 mths up to 19 mths 95% of the total premium received Periods" in the event of payment of premium within the stipulated grace Period
the Women
Exceeding 3 mths up to 4 mths 87.5% of the total premium received 1st Claim 5,00,000 5,00,000 2,00,000 - 5,00,000 Basic SI (Full)
refund premium for the unexpired policy period as detailed below;
Exceeding 4 mths up to 6 mths 100% of the total premium received Exceeding 19 mths up to 21 mths 100% of the total premium received iv. No interest will be charged lf the instalment premium is not paid on due date
Bonus (full) + We Admire
Cancellation table applicable for Policy Term 1 Year without instalment option Exceeding 6 mths up to 7 mths 85% of the total premium received Exceeding 21 mths up to 22 mths 92.5% of the total premium received v. ln case of instalment premium due not received within the grace period, the policy will get cancelled 2nd Claim 7,00,000 - 2,00,000 5,00,000 7,00,000 Automatic
Exceeding 7 mths up to 9 mths 100% of the total premium received Exceeding 22 mths up to 24 mths 100% of the total premium received vi. ln the event of a claim, all subsequent premium instalments shall immediately become due and payable Restore (Full)
Period on risk Rate of premium to be retained
Exceeding 9 mths up to 10 mths 85% of the total premium received Exceeding 24 mths up to 25 mths 97.5% of the total premium received vii. The company has the right to recover and deduct all the pending installments from the claim amount due under the
Up to one mth 22.5% of the policy premium policy Illustration 2
Exceeding 10 mths up to 12 mths 100% of the total premium received
Exceeding one mth up to 3 mths 37.5% of the policy premium Exceeding 25 mths up to 27 mths 100% of the total premium received
Exceeding 12 mths up to 13 mths 97.5% of the total premium received FREE LOOK PERIOD An Insured Person with Star Women Care Insurance Policy, Tenure 1 year, Second year in progress,
Exceeding 3 mths up to 6 mths 57.5% of the policy premium Exceeding 13 mths up to 15 mths 100% of the total premium received Exceeding 27 mths up to 28 mths 97.5% of the total premium received The Free Look Period shall be applicable on new individual health insurance policies and not on renewals or at the time of Basic Sum Insured Rs.5,00,000/-
Exceeding 6 mths up to 9 mths 80% of the policy premium Exceeding 15 mths up to 16 mths 95% of the total premium received Exceeding 28 mths up to 30 mths 100% of the total premium received porting/migrating the policy. Available Benefit Limit
Exceeding 9 mths Full of the policy premium Exceeding 16 mths up to 18 mths 100% of the total premium received Exceeding 30 mths up to 31 mths 95% of the total premium received The insured person shall be allowed free look period of fifteen days from date of receipt of the policy document to review
Automatic Admissible
Exceeding 18 mths up to 19 mths 95% of the total premium received the terms and conditions of the policy, and to return the same if not acceptable. Number of Claim amount Utilization of
Cancellation table applicable for Policy Term 1 Year with instalment option of Half-yearly premium Exceeding 31 mths up to 33 mths 100% of the total premium received Basic Sum Restoration of claim amount
Exceeding 19 mths up to 21 mths 100% of the total premium received lf the insured has not made any claim during the Free Look Period, the insured shall be entitled to; Claims (Rs.) Bonus (Rs.) Sum Insured
210.00 mm
payment frequency Exceeding 33 mths up to 34 mths 95% of the total premium received Insured (Rs.) Sum Insured (Rs.)
Exceeding 21 mths up to 22 mths 92.5% of the total premium received i. a refund of the premium paid less any expenses incurred by the Company on medical examination of the insured
Period on risk Rate of premium to be retained Exceeding 34 mths 100% of the total premium received (Rs.)
Exceeding 22 mths 100% of the total premium received person and the stamp duty charges or
Up to 1 Mth 45% of the total premium received Cancellation table applicable for Policy Term 3 Year without instalment option ii. where the risk has already commenced and the option of return of the policy is exercised by the insured person, a Basic SI
Notwithstanding anything contained herein or otherwise, no refunds of premium shall be made in respect of 1st Claim 3,00,000 5,00,000 1,00,000 - 3,00,000
Exceeding one mth up to 4 mths 87.5% of the total premium received deduction towards the proportionate risk premium for period of cover or (partial)
Period on risk Rate of premium to be retained Cancellation where, any claim has been admitted or has been lodged or any benefit has been availed by the insured
Exceeding 4 mths up to 6 mths 100% of the total premium received iii. where only a part of the insurance coverage has commenced, such proportionate premium commensurate with the
Up to 1 Mth 17.5% of the policy premium person under the policy. insurance coverage during such period; Basic (balance)
Exceeding 6 mths up to 7 mths 65% of the total premium received Exceeding one mth up to 3 mths 22.5% of the policy premium ii. The Company may cancel the policy at any time on grounds of misrepresentation, non-disclosure of material facts, + Bonus (full)+
REVISION OF SUM INSURED
Exceeding 7 mths up to 10 mths 85% of the total premium received Exceeding 3 mths up to 6 mths 30% of the policy premium fraud by the insured person by giving 15 days' written notice. There would be no refund of premium on cancellation on 2nd Claim 6,00,000 2,00,000 1,00,000 3,00,000 6,00,000 Automatic
Reduction or enhancement of Sum Insured is permissible only at the time of renewal. The acceptance for enhancement
Exceeding 10 mths 100% of the total premium received Exceeding 6 mths up to 9 mths 37.5% of the policy premium grounds of misrepresentation, non-disclosure of material facts or fraud Restoration
and the amount of enhancement will be at the discretion of the Company and subject to Exclusion Code Excl 01,
Exceeding 9 mths up to 12 mths 42.5% of the policy premium AUTOMATIC TERMINATION (partial)
Cancellation table applicable for Policy Term 1 Year with instalment option of Quarterly premium Exclusion Code Excl 02 and Exclusion Code Excl 03.
payment frequency Exceeding 12 mths up to 15 mths 50% of the policy premium The insurance under this policy with respect to each relevant Insured Person policy shall expire immediately on the earlier WITHDRAWAL OF POLICY Automatic
Exceeding 15 mths up to 18 mths 57.5% of the policy premium of the following events
Period on risk Rate of premium to be retained i. In the likelihood of this product being withdrawn in future, the Company will intimate the insured person about the 3rd Claim 2,00,000 - - 2,00,000 2,00,000 Restoration
Exceeding 18 mths up to 21 mths 65% of the policy premium ü Upon the death of the Insured Person this means that, the cover for the surviving members of the family will continue, same 90 days prior to expiry of the policy. (Balance)
Up to 1 Mth 87.5% of the total premium received Exceeding 21 mths up to 24 mths 72.5% of the policy premium subject to other terms of the policy. ii. lnsured Person will have the option to migrate to similar health insurance product available with the Company at the
Exceeding one mth up to 3 mths 100% of the total premium received Exceeding 24 mths up to 27 mths 80% of the policy premium ü Upon exhaustion of the Sum Insured, Limit of Coverage, Limit of Coverage plus Restore Sum Insured. time of renewal with all the accrued continuity benefits such as cumulative bonus, waiver of waiting period. as per
Exceeding 3 mths up to 4 mths 87.5% of the total premium received Exceeding 27 mths up to 30 mths 85% of the policy premium MIGRATION IRDAI guidelines, provided the policy has been maintained without a break
Exceeding 30 mths up to 33 mths 92.5% of the policy premium The insured person will have the option to migrate the policy to other health insurance products/plans offered by the
Exceeding 4 mths up to 6 mths 100% of the total premium received THE COMPANY
Exceeding 33 mths Full of the policy premium company by applying for migration of the Policy atleast 30 days before the policy renewal date as per IRDAI guidelines on
Exceeding 6 mths up to 7 mths 85% of the total premium received Star Health and Allied Insurance Co. Ltd., commenced its operations in 2006 as India's first Standalone Health Insurance The information provided in this brochure is only indicative.
Cancellation table applicable for Policy Term 3 Year with instalment option of Half-yearly premium Migration. lf such person is presently covered and has been continuously covered without any lapses under any health
Exceeding 7 mths up to 9 mths 100% of the total premium received payment frequency provider. As an exclusive Health Insurer, the Company is providing sterling services in Health, Personal Accident & For more details on the risk factors, terms and conditions,
insurance product/plan offered by the company, the insured person will get the accrued continuity benefits in waiting Overseas Travel Insurance and is committed to setting international benchmarks in service and personal caring.
Exceeding 9 mths up to 10 mths 85% of the total premium received Period on risk Rate of premium to be retained periods as per IRDAI guidelines on migration. please read the policy wordings before concluding sale
Exceeding 10 mths 100% of the total premium received Up to 1 mth 45% of the total premium received For Detailed Guidelines on migration, kindly refer the link STAR ADVANTAGES
· No Third Party Administrator, direct in-house claims settlement Or
Cancellation table applicable for Policy Term 2 Year without instalment option Exceeding 1 mth up to 4 mths 87.5% of the total premium received https://www.irdai.gov.in/ADMINCMS/cms/frmGuidelines_Layout.aspx?page=PageNo3987
Exceeding 4 mths up to 6 mths 100% of the total premium received · Faster and hassle – free claim settlement Visit our website www.starhealth.in
735.00 mm
120.00 mm 120.00 mm 120.00 mm 120.00 mm 127.50 mm 127.50 mm
STARWOMENCAREINSURANCEPOLICY
A-Adult | C-Child
3 Year - Premium Chart (Excluding GST) A-Adult | C-Child 3 Year - Premium Chart (Excluding GST) A-Adult | C-Child
Sum Insured
Coverage opted on family floater basis with overall Sum insured
10,00,000
5,00,000
(Rs.)
PREMIUMCHARTandBENEFITILLUSTRATION
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.
Premium after discount in (Rs.) for 2A – Female & Male Premium after discount in (Rs.) for child
Age upto 25yrs* / SI 5,00,000 10,00,000 15,00,000 20,00,000 25,00,000 50,00,000 1,00,00,000 Unique Identification No.: SHAHLIP22217V012122 | BRO / SWC / V.1 / 2022
Age-band (in yrs) / SI 5,00,000 10,00,000 15,00,000 20,00,000 25,00,000 50,00,000 1,00,00,000
Discount
1 Year - Premium Chart (Excluding GST) A-Adult | C-Child
14,990
34,840
After
(Rs.)
34 34,588 44,992 54,253 60,000 67,751 81,420 99,543 2nd C 9,060 10,462 11,253 11,988 12,612 14,472 16,692
Premium in (Rs.) for 1A – Female only
35 36,612 47,623 57,279 63,391 71,483 86,084 1,05,139 3rd C 8,256 9,518 10,226 10,892 11,461 13,126 15,124 Age-band
5,00,000 10,00,000 15,00,000 20,00,000 25,00,000 50,00,000 1,00,00,000
(in yrs) / SI
36-38 38,892 50,588 60,689 67,211 75,688 91,339 1,11,444 *FEMALE CHILD CAN CONTINUE MAXIMUM UP TO 30 YRS IF UNMARRIED AND UNEMPLOYED
Discount,
18-35 7,965 10,300 12,740 13,955 15,970 18,645 22,680
Floater
(if any)
19,550
4,375
36-40 9,160 11,860 14,530 15,960 18,175 21,405 25,990
39 42,548 55,296 66,081 73,232 82,300 99,566 1,21,286 Premium after discount in (Rs.) for optional cover – Cancer
41-45 11,400 14,720 17,800 19,600 22,165 26,345 31,890
Age-band (in yrs) / SI 5,00,000 10,00,000 15,00,000 20,00,000 25,00,000
Benefit Illustration in respect of policies offered on individual and family floater basis
40 46,205 60,005 71,472 79,254 88,912 1,07,793 1,31,129 46-50 12,825 16,540 19,395 21,575 23,995 29,370 35,565
members of
Premium or
41-43 50,325 65,310 77,547 86,039 96,362 1,17,063 1,42,219
19,365
54,390
family
(Rs.)
56-60 18,150 23,490 26,930 30,220 33,190 41,645 50,395
34 5,337 10,683 16,016 21,362 26,699
44 54,039 70,076 82,571 91,817 1,02,401 1,25,233 1,52,048 61-65 23,230 30,115 34,560 38,780 42,610 53,440 64,565
35 8,190 16,386 24,567 32,762 40,952 66-70 29,935 38,835 44,585 50,010 54,960 68,880 83,095
45 57,753 74,841 87,594 97,594 1,08,441 1,33,402 1,61,877
71-75 38,655 50,170 57,620 64,605 71,020 88,955 1,07,180
10,00,000
10,00,000
10,00,000
10,00,000
36-43 11,405 22,811 34,202 45,607 57,012
5,00,000
5,00,000
(Sum insured is available for each member of the family)
46-48 61,938 80,211 93,254 1,04,104 1,15,246 1,42,607 1,72,952 Above 75 49,985 64,900 74,565 83,585 91,895 1,15,050 1,38,495
(Rs.)
multiple members of the family under a single policy
45 21,523 43,046 64,563 86,086 1,07,609 5,00,000 10,00,000 15,00,000 20,00,000 25,00,000 50,00,000 1,00,00,000
(in yrs) / SI
After Discount
50 69,251 89,761 1,03,425 1,15,864 1,27,618 1,59,470 1,93,356
Illustration 1
Illustration 2
Premium
18-35 11,735 15,265 18,460 20,400 23,070 27,660 33,855
23,490
10,300
10,300
10,300
11,400
46-53 27,223 54,446 81,668 1,08,891 1,36,114
7,965
(Rs.)
51-53 73,371 95,141 1,09,155 1,22,489 1,34,588 1,68,970 2,04,851
36-40 14,015 18,230 21,870 24,220 27,275 32,915 40,160
Rs.10,00,000/-
Rs.5,00,000/-
single policy.
single policy.
54 31,212 62,429 93,641 1,24,853 1,56,069 41-45 18,135 23,535 27,945 31,005 34,725 42,185 51,250
54 80,076 1,03,865 1,19,183 1,33,720 1,46,942 1,84,412 2,23,382
55 35,201 70,412 1,05,613 1,40,814 1,76,025 46-50 22,320 28,905 33,605 37,515 41,530 51,390 62,325
55 86,781 1,12,589 1,29,212 1,44,951 1,59,296 1,99,855 2,41,913
Discount,
51-55 26,440 34,285 39,335 44,140 48,500 60,890 73,820
(if any)
Nil
Nil
56-63 39,696 79,407 1,19,103 1,58,799 1,98,510 56-60 33,995 44,115 50,635 56,795 62,420 78,290 94,700
56-58 94,336 1,22,419 1,40,512 1,57,606 1,73,216 2,17,255 2,62,793
61-65 43,740 56,805 65,245 73,170 80,440 1,00,835 1,21,770
64 45,731 91,468 1,37,199 1,82,931 2,28,667
59 1,02,985 1,33,682 1,53,479 1,72,139 1,89,208 2,37,263 2,86,817 66-70 56,515 73,410 84,340 94,555 1,03,965 1,30,245 1,57,060
65 51,766 1,03,529 1,55,295 2,07,062 2,58,824
Premium
1,11,634 1,44,944 1,66,445 1,86,672 2,05,201 2,57,272 3,10,842 71-75 73,125 95,000 1,09,170 1,22,365 1,34,555 1,68,475 2,02,940
23,490
10,300
10,300
10,300
60
11,400
7,965
(Rs.)
Above 75 94,710 1,23,065 1,41,445 1,58,510 1,74,315 2,18,180 2,62,585
Above 65 58,566 1,17,119 1,75,685 2,34,252 2,92,804
61-63 1,21,379 1,57,634 1,81,055 2,03,047 2,23,221 2,79,817 3,37,912
Premium in (Rs.) for child
64 1,32,716 1,72,371 1,98,002 2,22,026 2,44,099 3,05,919 3,69,232 Age upto
covered separately.
covered separately.
69 1,71,571 2,22,874 2,56,080 2,87,072 3,15,652 3,95,359 4,76,560 *FEMALE CHILD CAN CONTINUE MAXIMUM UPTO 30YEARS IF UNMARRIED AND/OR UNEMPLOYED
Rs.10,00,000/-
Rs.5,00,000/-
70 1,86,312 2,42,035 2,78,117 3,11,753 3,42,800 4,29,288 5,17,279
Premium in (Rs.) for optional cover – Cancer
Premium
23,490
10,300
10,300
10,300
11,400
7,965
Age-band
(Rs.)
5,00,000 10,00,000 15,00,000 20,00,000 25,00,000
71-73 2,02,922 2,63,625 3,02,947 3,39,563 3,73,390 4,67,518 5,63,159 (in yrs) / SI
91days-35 895 1,795 2,690 3,590 4,485
74 2,22,079 2,88,533 3,31,591 3,71,642 4,08,677 5,11,631 6,16,093
36-45 4,110 8,220 12,325 16,435 20,545
Members
46-55 9,810 19,620 29,430 39,240 49,050
insured
75 2,41,235 3,13,440 3,60,235 4,03,720 4,43,964 5,55,745 6,69,028
(in yrs)
of the
Age
45
20
56
25
23
18
56-65 14,305 28,615 42,920 57,225 71,535
Above 75 2,62,820 3,41,505 3,92,510 4,39,865 4,83,724 6,05,450 7,28,673 Above 65 21,105 42,205 63,310 84,415 1,05,515
735.00 mm
127.50 mm 127.50 mm 120.00 mm 120.00 mm 120.00 mm 120.00 mm
2 Year - Premium Chart (Excluding GST) A-Adult | C-Child 2 Year - Premium Chart (Excluding GST) A-Adult | C-Child 3 Year - Premium Chart (Excluding GST) A-Adult | C-Child
Premium after discount in (Rs.) for 1A – Female only Premium after discount in (Rs.) for 2A – Female & Male Premium after discount in (Rs.) for 1A – Female only
Age-band (in yrs) / SI 5,00,000 10,00,000 15,00,000 20,00,000 25,00,000 50,00,000 1,00,00,000 Age-band (in yrs) / SI 5,00,000 10,00,000 15,00,000 20,00,000 25,00,000 50,00,000 1,00,00,000 Age-band (in yrs) / SI 5,00,000 10,00,000 15,00,000 20,00,000 25,00,000 50,00,000 1,00,00,000
18 -34 22,297 29,004 35,074 38,760 43,833 52,554 64,325 18-33 22,103 28,583 35,354 38,725 44,317 51,740 62,937
18-34 15,134 19,570 24,206 26,515 30,343 35,426 43,092
35 24,349 31,672 38,143 42,198 47,618 57,284 69,999
34 23,163 29,967 36,942 40,505 46,274 54,189 65,875
36-39 26,629 34,637 41,553 46,018 51,823 62,539 76,304
35 16,209 20,974 25,817 28,319 32,328 37,910 46,071
40 30,337 39,412 47,021 52,125 58,528 70,882 86,285 35 24,224 31,352 38,531 42,284 48,231 56,639 68,812
41-44 34,457 44,717 53,096 58,910 65,978 80,152 97,375 36-38 25,419 32,912 40,321 44,289 50,436 59,399 72,122
36-39 17,404 22,534 27,607 30,324 34,533 40,670 49,381
45 38,223 49,550 58,190 64,769 72,102 88,436 1,07,343
39 27,407 35,450 43,223 47,520 53,977 63,783 77,359
46-49 42,408 54,920 63,850 71,279 78,907 97,641 1,18,418
40 19,420 25,108 30,550 33,600 38,124 45,116 54,691
50 46,116 59,762 69,007 77,241 85,180 1,06,191 1,28,763 40 29,395 37,988 46,125 50,750 57,518 68,167 82,595
41-44 21,660 27,968 33,820 37,240 42,114 50,056 60,591 51-54 50,236 65,142 74,737 83,866 92,150 1,15,691 1,40,258 41-43 31,635 40,848 49,395 54,390 61,508 73,107 88,495
55 57,036 73,989 84,907 95,256 1,04,678 1,31,351 1,59,050
44 32,900 42,463 50,811 56,143 63,132 75,792 91,756
45 22,943 29,606 35,256 39,018 43,761 52,778 63,899 56-59 64,591 83,819 96,207 1,07,911 1,18,598 1,48,751 1,79,930
60 73,361 95,240 1,09,356 1,22,648 1,34,816 1,69,042 2,04,293 45 34,164 44,079 52,226 57,896 64,756 78,477 95,018
46-49 24,368 31,426 36,851 40,993 45,591 55,803 67,574 61-64 83,106 1,07,930 1,23,966 1,39,023 1,52,836 1,91,587 2,31,363 46-48 35,589 45,899 53,821 59,871 66,586 81,502 98,693
65 94,604 1,22,874 1,41,151 1,58,270 1,74,009 2,18,056 2,63,124
49 36,792 47,487 55,241 61,646 68,259 84,289 1,02,123
66-69 1,07,379 1,39,479 1,60,246 1,79,655 1,97,534 2,47,466 2,98,414
210.00 mm
51-54 26,942 34,827 39,891 44,793 49,172 61,769 74,917 71-74 1,38,938 1,80,500 2,07,423 2,32,494 2,55,655 3,20,103 3,85,586 51-53 39,350 50,866 58,261 65,421 71,817 90,215 1,09,418
75 1,58,364 2,05,759 2,36,471 2,65,024 2,91,439 3,64,837 4,39,267
54 42,873 55,445 63,528 71,318 78,305 98,323 1,19,150
55 30,515 39,471 45,232 50,773 55,751 69,991 84,786 Above 75 1,79,949 2,33,824 2,68,746 3,01,169 3,31,199 4,14,542 4,98,912
55 46,396 60,025 68,796 77,216 84,792 1,06,430 1,28,881
Premium after discount in (Rs.) for child
56-59 34,485 44,631 51,167 57,418 63,061 79,126 95,751 56-58 50,366 65,185 74,731 83,861 92,102 1,15,565 1,39,846
Age upto 25yrs* / SI 5,00,000 10,00,000 15,00,000 20,00,000 25,00,000 50,00,000 1,00,00,000
1st C 6,821 7,885 8,484 9,044 9,519 10,935 12,626 59 54,875 71,064 81,502 91,458 1,00,463 1,26,033 1,52,422
60 39,057 50,594 58,034 65,122 71,539 89,741 1,08,504
2nd C 6,204 7,163 7,705 8,208 8,636 9,909 11,429
60 59,383 76,944 88,274 99,055 1,08,823 1,36,501 1,64,998
3rd C 5,653 6,517 7,002 7,458 7,847 8,987 10,355
61-64 44,137 57,219 65,664 73,682 80,959 1,01,536 1,22,674 61-63 64,463 83,569 95,904 1,07,615 1,18,243 1,48,296 1,79,168
*FEMALE CHILD CAN CONTINUE MAXIMUM UP TO 30 YRS IF UNMARRIED AND UNEMPLOYED
64 70,414 91,308 1,04,801 1,17,581 1,29,203 1,61,999 1,95,613
65 50,172 65,067 74,687 83,789 92,074 1,15,432 1,39,351 Premium after discount in (Rs.) for optional cover – Cancer
65 76,365 99,047 1,13,698 1,27,548 1,40,164 1,75,702 2,12,059
Age-band (in yrs) / SI 5,00,000 10,00,000 15,00,000 20,00,000 25,00,000
66-69 56,877 73,787 84,712 95,019 1,04,424 1,30,872 1,57,881 66-68 83,070 1,07,767 1,23,723 1,38,778 1,52,514 1,91,142 2,30,589
91days-34 1,701 3,411 5,111 6,821 8,522
35 4,594 9,193 13,783 18,382 22,976 69 90,809 1,17,827 1,35,292 1,51,731 1,66,767 2,08,959 2,51,964
70 64,725 83,988 96,443 1,08,155 1,18,878 1,48,940 1,79,557
36-44 7,809 15,618 23,418 31,227 39,036
70 98,548 1,27,887 1,46,861 1,64,684 1,81,021 2,26,775 2,73,340
45 12,939 25,878 38,812 51,751 64,690
71-74 73,445 95,323 1,09,478 1,22,750 1,34,938 1,69,015 2,03,642 71-73 1,07,268 1,39,222 1,59,896 1,79,279 1,97,081 2,46,850 2,97,425
46-54 18,639 37,278 55,917 74,556 93,195
55 22,685 45,374 68,058 90,743 1,13,432 74 1,17,323 1,52,295 1,74,934 1,96,124 2,15,607 2,70,009 3,25,217
75 83,642 1,08,580 1,24,729 1,39,832 1,53,726 1,92,500 2,31,826
56-64 27,180 54,369 81,548 1,08,728 1,35,917
75 1,27,378 1,65,368 1,89,973 2,12,968 2,34,134 2,93,169 3,53,009
65 33,300 66,600 99,899 1,33,199 1,66,499
Above 75 94,972 1,23,310 1,41,674 1,58,812 1,74,601 2,18,595 2,63,141
Above 65 40,100 80,190 1,20,289 1,60,389 2,00,479 Above 75 1,38,708 1,80,098 2,06,918 2,31,948 2,55,009 3,19,264 3,84,324
735.00 mm
127.50 mm 127.50 mm 120.00 mm 120.00 mm 120.00 mm 120.00 mm
2 Year - Premium Chart (Excluding GST) A-Adult | C-Child 2 Year - Premium Chart (Excluding GST) A-Adult | C-Child 3 Year - Premium Chart (Excluding GST) A-Adult | C-Child
Premium after discount in (Rs.) for 1A – Female only Premium after discount in (Rs.) for 2A – Female & Male Premium after discount in (Rs.) for 1A – Female only
Age-band (in yrs) / SI 5,00,000 10,00,000 15,00,000 20,00,000 25,00,000 50,00,000 1,00,00,000 Age-band (in yrs) / SI 5,00,000 10,00,000 15,00,000 20,00,000 25,00,000 50,00,000 1,00,00,000 Age-band (in yrs) / SI 5,00,000 10,00,000 15,00,000 20,00,000 25,00,000 50,00,000 1,00,00,000
18 -34 22,297 29,004 35,074 38,760 43,833 52,554 64,325 18-33 22,103 28,583 35,354 38,725 44,317 51,740 62,937
18-34 15,134 19,570 24,206 26,515 30,343 35,426 43,092
35 24,349 31,672 38,143 42,198 47,618 57,284 69,999
34 23,163 29,967 36,942 40,505 46,274 54,189 65,875
36-39 26,629 34,637 41,553 46,018 51,823 62,539 76,304
35 16,209 20,974 25,817 28,319 32,328 37,910 46,071
40 30,337 39,412 47,021 52,125 58,528 70,882 86,285 35 24,224 31,352 38,531 42,284 48,231 56,639 68,812
41-44 34,457 44,717 53,096 58,910 65,978 80,152 97,375 36-38 25,419 32,912 40,321 44,289 50,436 59,399 72,122
36-39 17,404 22,534 27,607 30,324 34,533 40,670 49,381
45 38,223 49,550 58,190 64,769 72,102 88,436 1,07,343
39 27,407 35,450 43,223 47,520 53,977 63,783 77,359
46-49 42,408 54,920 63,850 71,279 78,907 97,641 1,18,418
40 19,420 25,108 30,550 33,600 38,124 45,116 54,691
50 46,116 59,762 69,007 77,241 85,180 1,06,191 1,28,763 40 29,395 37,988 46,125 50,750 57,518 68,167 82,595
41-44 21,660 27,968 33,820 37,240 42,114 50,056 60,591 51-54 50,236 65,142 74,737 83,866 92,150 1,15,691 1,40,258 41-43 31,635 40,848 49,395 54,390 61,508 73,107 88,495
55 57,036 73,989 84,907 95,256 1,04,678 1,31,351 1,59,050
44 32,900 42,463 50,811 56,143 63,132 75,792 91,756
45 22,943 29,606 35,256 39,018 43,761 52,778 63,899 56-59 64,591 83,819 96,207 1,07,911 1,18,598 1,48,751 1,79,930
60 73,361 95,240 1,09,356 1,22,648 1,34,816 1,69,042 2,04,293 45 34,164 44,079 52,226 57,896 64,756 78,477 95,018
46-49 24,368 31,426 36,851 40,993 45,591 55,803 67,574 61-64 83,106 1,07,930 1,23,966 1,39,023 1,52,836 1,91,587 2,31,363 46-48 35,589 45,899 53,821 59,871 66,586 81,502 98,693
65 94,604 1,22,874 1,41,151 1,58,270 1,74,009 2,18,056 2,63,124
49 36,792 47,487 55,241 61,646 68,259 84,289 1,02,123
66-69 1,07,379 1,39,479 1,60,246 1,79,655 1,97,534 2,47,466 2,98,414
210.00 mm
51-54 26,942 34,827 39,891 44,793 49,172 61,769 74,917 71-74 1,38,938 1,80,500 2,07,423 2,32,494 2,55,655 3,20,103 3,85,586 51-53 39,350 50,866 58,261 65,421 71,817 90,215 1,09,418
75 1,58,364 2,05,759 2,36,471 2,65,024 2,91,439 3,64,837 4,39,267
54 42,873 55,445 63,528 71,318 78,305 98,323 1,19,150
55 30,515 39,471 45,232 50,773 55,751 69,991 84,786 Above 75 1,79,949 2,33,824 2,68,746 3,01,169 3,31,199 4,14,542 4,98,912
55 46,396 60,025 68,796 77,216 84,792 1,06,430 1,28,881
Premium after discount in (Rs.) for child
56-59 34,485 44,631 51,167 57,418 63,061 79,126 95,751 56-58 50,366 65,185 74,731 83,861 92,102 1,15,565 1,39,846
Age upto 25yrs* / SI 5,00,000 10,00,000 15,00,000 20,00,000 25,00,000 50,00,000 1,00,00,000
1st C 6,821 7,885 8,484 9,044 9,519 10,935 12,626 59 54,875 71,064 81,502 91,458 1,00,463 1,26,033 1,52,422
60 39,057 50,594 58,034 65,122 71,539 89,741 1,08,504
2nd C 6,204 7,163 7,705 8,208 8,636 9,909 11,429
60 59,383 76,944 88,274 99,055 1,08,823 1,36,501 1,64,998
3rd C 5,653 6,517 7,002 7,458 7,847 8,987 10,355
61-64 44,137 57,219 65,664 73,682 80,959 1,01,536 1,22,674 61-63 64,463 83,569 95,904 1,07,615 1,18,243 1,48,296 1,79,168
*FEMALE CHILD CAN CONTINUE MAXIMUM UP TO 30 YRS IF UNMARRIED AND UNEMPLOYED
64 70,414 91,308 1,04,801 1,17,581 1,29,203 1,61,999 1,95,613
65 50,172 65,067 74,687 83,789 92,074 1,15,432 1,39,351 Premium after discount in (Rs.) for optional cover – Cancer
65 76,365 99,047 1,13,698 1,27,548 1,40,164 1,75,702 2,12,059
Age-band (in yrs) / SI 5,00,000 10,00,000 15,00,000 20,00,000 25,00,000
66-69 56,877 73,787 84,712 95,019 1,04,424 1,30,872 1,57,881 66-68 83,070 1,07,767 1,23,723 1,38,778 1,52,514 1,91,142 2,30,589
91days-34 1,701 3,411 5,111 6,821 8,522
35 4,594 9,193 13,783 18,382 22,976 69 90,809 1,17,827 1,35,292 1,51,731 1,66,767 2,08,959 2,51,964
70 64,725 83,988 96,443 1,08,155 1,18,878 1,48,940 1,79,557
36-44 7,809 15,618 23,418 31,227 39,036
70 98,548 1,27,887 1,46,861 1,64,684 1,81,021 2,26,775 2,73,340
45 12,939 25,878 38,812 51,751 64,690
71-74 73,445 95,323 1,09,478 1,22,750 1,34,938 1,69,015 2,03,642 71-73 1,07,268 1,39,222 1,59,896 1,79,279 1,97,081 2,46,850 2,97,425
46-54 18,639 37,278 55,917 74,556 93,195
55 22,685 45,374 68,058 90,743 1,13,432 74 1,17,323 1,52,295 1,74,934 1,96,124 2,15,607 2,70,009 3,25,217
75 83,642 1,08,580 1,24,729 1,39,832 1,53,726 1,92,500 2,31,826
56-64 27,180 54,369 81,548 1,08,728 1,35,917
75 1,27,378 1,65,368 1,89,973 2,12,968 2,34,134 2,93,169 3,53,009
65 33,300 66,600 99,899 1,33,199 1,66,499
Above 75 94,972 1,23,310 1,41,674 1,58,812 1,74,601 2,18,595 2,63,141
Above 65 40,100 80,190 1,20,289 1,60,389 2,00,479 Above 75 1,38,708 1,80,098 2,06,918 2,31,948 2,55,009 3,19,264 3,84,324
735.00 mm
127.50 mm 127.50 mm 120.00 mm 120.00 mm 120.00 mm 120.00 mm
2 Year - Premium Chart (Excluding GST) A-Adult | C-Child 2 Year - Premium Chart (Excluding GST) A-Adult | C-Child 3 Year - Premium Chart (Excluding GST) A-Adult | C-Child
Premium after discount in (Rs.) for 1A – Female only Premium after discount in (Rs.) for 2A – Female & Male Premium after discount in (Rs.) for 1A – Female only
Age-band (in yrs) / SI 5,00,000 10,00,000 15,00,000 20,00,000 25,00,000 50,00,000 1,00,00,000 Age-band (in yrs) / SI 5,00,000 10,00,000 15,00,000 20,00,000 25,00,000 50,00,000 1,00,00,000 Age-band (in yrs) / SI 5,00,000 10,00,000 15,00,000 20,00,000 25,00,000 50,00,000 1,00,00,000
18 -34 22,297 29,004 35,074 38,760 43,833 52,554 64,325 18-33 22,103 28,583 35,354 38,725 44,317 51,740 62,937
18-34 15,134 19,570 24,206 26,515 30,343 35,426 43,092
35 24,349 31,672 38,143 42,198 47,618 57,284 69,999
34 23,163 29,967 36,942 40,505 46,274 54,189 65,875
36-39 26,629 34,637 41,553 46,018 51,823 62,539 76,304
35 16,209 20,974 25,817 28,319 32,328 37,910 46,071
40 30,337 39,412 47,021 52,125 58,528 70,882 86,285 35 24,224 31,352 38,531 42,284 48,231 56,639 68,812
41-44 34,457 44,717 53,096 58,910 65,978 80,152 97,375 36-38 25,419 32,912 40,321 44,289 50,436 59,399 72,122
36-39 17,404 22,534 27,607 30,324 34,533 40,670 49,381
45 38,223 49,550 58,190 64,769 72,102 88,436 1,07,343
39 27,407 35,450 43,223 47,520 53,977 63,783 77,359
46-49 42,408 54,920 63,850 71,279 78,907 97,641 1,18,418
40 19,420 25,108 30,550 33,600 38,124 45,116 54,691
50 46,116 59,762 69,007 77,241 85,180 1,06,191 1,28,763 40 29,395 37,988 46,125 50,750 57,518 68,167 82,595
41-44 21,660 27,968 33,820 37,240 42,114 50,056 60,591 51-54 50,236 65,142 74,737 83,866 92,150 1,15,691 1,40,258 41-43 31,635 40,848 49,395 54,390 61,508 73,107 88,495
55 57,036 73,989 84,907 95,256 1,04,678 1,31,351 1,59,050
44 32,900 42,463 50,811 56,143 63,132 75,792 91,756
45 22,943 29,606 35,256 39,018 43,761 52,778 63,899 56-59 64,591 83,819 96,207 1,07,911 1,18,598 1,48,751 1,79,930
60 73,361 95,240 1,09,356 1,22,648 1,34,816 1,69,042 2,04,293 45 34,164 44,079 52,226 57,896 64,756 78,477 95,018
46-49 24,368 31,426 36,851 40,993 45,591 55,803 67,574 61-64 83,106 1,07,930 1,23,966 1,39,023 1,52,836 1,91,587 2,31,363 46-48 35,589 45,899 53,821 59,871 66,586 81,502 98,693
65 94,604 1,22,874 1,41,151 1,58,270 1,74,009 2,18,056 2,63,124
49 36,792 47,487 55,241 61,646 68,259 84,289 1,02,123
66-69 1,07,379 1,39,479 1,60,246 1,79,655 1,97,534 2,47,466 2,98,414
210.00 mm
51-54 26,942 34,827 39,891 44,793 49,172 61,769 74,917 71-74 1,38,938 1,80,500 2,07,423 2,32,494 2,55,655 3,20,103 3,85,586 51-53 39,350 50,866 58,261 65,421 71,817 90,215 1,09,418
75 1,58,364 2,05,759 2,36,471 2,65,024 2,91,439 3,64,837 4,39,267
54 42,873 55,445 63,528 71,318 78,305 98,323 1,19,150
55 30,515 39,471 45,232 50,773 55,751 69,991 84,786 Above 75 1,79,949 2,33,824 2,68,746 3,01,169 3,31,199 4,14,542 4,98,912
55 46,396 60,025 68,796 77,216 84,792 1,06,430 1,28,881
Premium after discount in (Rs.) for child
56-59 34,485 44,631 51,167 57,418 63,061 79,126 95,751 56-58 50,366 65,185 74,731 83,861 92,102 1,15,565 1,39,846
Age upto 25yrs* / SI 5,00,000 10,00,000 15,00,000 20,00,000 25,00,000 50,00,000 1,00,00,000
1st C 6,821 7,885 8,484 9,044 9,519 10,935 12,626 59 54,875 71,064 81,502 91,458 1,00,463 1,26,033 1,52,422
60 39,057 50,594 58,034 65,122 71,539 89,741 1,08,504
2nd C 6,204 7,163 7,705 8,208 8,636 9,909 11,429
60 59,383 76,944 88,274 99,055 1,08,823 1,36,501 1,64,998
3rd C 5,653 6,517 7,002 7,458 7,847 8,987 10,355
61-64 44,137 57,219 65,664 73,682 80,959 1,01,536 1,22,674 61-63 64,463 83,569 95,904 1,07,615 1,18,243 1,48,296 1,79,168
*FEMALE CHILD CAN CONTINUE MAXIMUM UP TO 30 YRS IF UNMARRIED AND UNEMPLOYED
64 70,414 91,308 1,04,801 1,17,581 1,29,203 1,61,999 1,95,613
65 50,172 65,067 74,687 83,789 92,074 1,15,432 1,39,351 Premium after discount in (Rs.) for optional cover – Cancer
65 76,365 99,047 1,13,698 1,27,548 1,40,164 1,75,702 2,12,059
Age-band (in yrs) / SI 5,00,000 10,00,000 15,00,000 20,00,000 25,00,000
66-69 56,877 73,787 84,712 95,019 1,04,424 1,30,872 1,57,881 66-68 83,070 1,07,767 1,23,723 1,38,778 1,52,514 1,91,142 2,30,589
91days-34 1,701 3,411 5,111 6,821 8,522
35 4,594 9,193 13,783 18,382 22,976 69 90,809 1,17,827 1,35,292 1,51,731 1,66,767 2,08,959 2,51,964
70 64,725 83,988 96,443 1,08,155 1,18,878 1,48,940 1,79,557
36-44 7,809 15,618 23,418 31,227 39,036
70 98,548 1,27,887 1,46,861 1,64,684 1,81,021 2,26,775 2,73,340
45 12,939 25,878 38,812 51,751 64,690
71-74 73,445 95,323 1,09,478 1,22,750 1,34,938 1,69,015 2,03,642 71-73 1,07,268 1,39,222 1,59,896 1,79,279 1,97,081 2,46,850 2,97,425
46-54 18,639 37,278 55,917 74,556 93,195
55 22,685 45,374 68,058 90,743 1,13,432 74 1,17,323 1,52,295 1,74,934 1,96,124 2,15,607 2,70,009 3,25,217
75 83,642 1,08,580 1,24,729 1,39,832 1,53,726 1,92,500 2,31,826
56-64 27,180 54,369 81,548 1,08,728 1,35,917
75 1,27,378 1,65,368 1,89,973 2,12,968 2,34,134 2,93,169 3,53,009
65 33,300 66,600 99,899 1,33,199 1,66,499
Above 75 94,972 1,23,310 1,41,674 1,58,812 1,74,601 2,18,595 2,63,141
Above 65 40,100 80,190 1,20,289 1,60,389 2,00,479 Above 75 1,38,708 1,80,098 2,06,918 2,31,948 2,55,009 3,19,264 3,84,324
735.00 mm
120.00 mm 120.00 mm 120.00 mm 120.00 mm 127.50 mm 127.50 mm
STARWOMENCAREINSURANCEPOLICY
A-Adult | C-Child
3 Year - Premium Chart (Excluding GST) A-Adult | C-Child 3 Year - Premium Chart (Excluding GST) A-Adult | C-Child
Sum Insured
Coverage opted on family floater basis with overall Sum insured
10,00,000
5,00,000
(Rs.)
PREMIUMCHARTandBENEFITILLUSTRATION
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.
Premium after discount in (Rs.) for 2A – Female & Male Premium after discount in (Rs.) for child
Age upto 25yrs* / SI 5,00,000 10,00,000 15,00,000 20,00,000 25,00,000 50,00,000 1,00,00,000 Unique Identification No.: SHAHLIP22217V012122 | BRO / SWC / V.1 / 2022
Age-band (in yrs) / SI 5,00,000 10,00,000 15,00,000 20,00,000 25,00,000 50,00,000 1,00,00,000
Discount
1 Year - Premium Chart (Excluding GST) A-Adult | C-Child
14,990
34,840
After
(Rs.)
34 34,588 44,992 54,253 60,000 67,751 81,420 99,543 2nd C 9,060 10,462 11,253 11,988 12,612 14,472 16,692
Premium in (Rs.) for 1A – Female only
35 36,612 47,623 57,279 63,391 71,483 86,084 1,05,139 3rd C 8,256 9,518 10,226 10,892 11,461 13,126 15,124 Age-band
5,00,000 10,00,000 15,00,000 20,00,000 25,00,000 50,00,000 1,00,00,000
(in yrs) / SI
36-38 38,892 50,588 60,689 67,211 75,688 91,339 1,11,444 *FEMALE CHILD CAN CONTINUE MAXIMUM UP TO 30 YRS IF UNMARRIED AND UNEMPLOYED
Discount,
18-35 7,965 10,300 12,740 13,955 15,970 18,645 22,680
Floater
(if any)
19,550
4,375
36-40 9,160 11,860 14,530 15,960 18,175 21,405 25,990
39 42,548 55,296 66,081 73,232 82,300 99,566 1,21,286 Premium after discount in (Rs.) for optional cover – Cancer
41-45 11,400 14,720 17,800 19,600 22,165 26,345 31,890
Age-band (in yrs) / SI 5,00,000 10,00,000 15,00,000 20,00,000 25,00,000
Benefit Illustration in respect of policies offered on individual and family floater basis
40 46,205 60,005 71,472 79,254 88,912 1,07,793 1,31,129 46-50 12,825 16,540 19,395 21,575 23,995 29,370 35,565
members of
Premium or
41-43 50,325 65,310 77,547 86,039 96,362 1,17,063 1,42,219
19,365
54,390
family
(Rs.)
56-60 18,150 23,490 26,930 30,220 33,190 41,645 50,395
34 5,337 10,683 16,016 21,362 26,699
44 54,039 70,076 82,571 91,817 1,02,401 1,25,233 1,52,048 61-65 23,230 30,115 34,560 38,780 42,610 53,440 64,565
35 8,190 16,386 24,567 32,762 40,952 66-70 29,935 38,835 44,585 50,010 54,960 68,880 83,095
45 57,753 74,841 87,594 97,594 1,08,441 1,33,402 1,61,877
71-75 38,655 50,170 57,620 64,605 71,020 88,955 1,07,180
10,00,000
10,00,000
10,00,000
10,00,000
36-43 11,405 22,811 34,202 45,607 57,012
5,00,000
5,00,000
(Sum insured is available for each member of the family)
46-48 61,938 80,211 93,254 1,04,104 1,15,246 1,42,607 1,72,952 Above 75 49,985 64,900 74,565 83,585 91,895 1,15,050 1,38,495
(Rs.)
multiple members of the family under a single policy
45 21,523 43,046 64,563 86,086 1,07,609 5,00,000 10,00,000 15,00,000 20,00,000 25,00,000 50,00,000 1,00,00,000
(in yrs) / SI
After Discount
50 69,251 89,761 1,03,425 1,15,864 1,27,618 1,59,470 1,93,356
Illustration 1
Illustration 2
Premium
18-35 11,735 15,265 18,460 20,400 23,070 27,660 33,855
23,490
10,300
10,300
10,300
11,400
46-53 27,223 54,446 81,668 1,08,891 1,36,114
7,965
(Rs.)
51-53 73,371 95,141 1,09,155 1,22,489 1,34,588 1,68,970 2,04,851
36-40 14,015 18,230 21,870 24,220 27,275 32,915 40,160
Rs.10,00,000/-
Rs.5,00,000/-
single policy.
single policy.
54 31,212 62,429 93,641 1,24,853 1,56,069 41-45 18,135 23,535 27,945 31,005 34,725 42,185 51,250
54 80,076 1,03,865 1,19,183 1,33,720 1,46,942 1,84,412 2,23,382
55 35,201 70,412 1,05,613 1,40,814 1,76,025 46-50 22,320 28,905 33,605 37,515 41,530 51,390 62,325
55 86,781 1,12,589 1,29,212 1,44,951 1,59,296 1,99,855 2,41,913
Discount,
51-55 26,440 34,285 39,335 44,140 48,500 60,890 73,820
(if any)
Nil
Nil
56-63 39,696 79,407 1,19,103 1,58,799 1,98,510 56-60 33,995 44,115 50,635 56,795 62,420 78,290 94,700
56-58 94,336 1,22,419 1,40,512 1,57,606 1,73,216 2,17,255 2,62,793
61-65 43,740 56,805 65,245 73,170 80,440 1,00,835 1,21,770
64 45,731 91,468 1,37,199 1,82,931 2,28,667
59 1,02,985 1,33,682 1,53,479 1,72,139 1,89,208 2,37,263 2,86,817 66-70 56,515 73,410 84,340 94,555 1,03,965 1,30,245 1,57,060
65 51,766 1,03,529 1,55,295 2,07,062 2,58,824
Premium
1,11,634 1,44,944 1,66,445 1,86,672 2,05,201 2,57,272 3,10,842 71-75 73,125 95,000 1,09,170 1,22,365 1,34,555 1,68,475 2,02,940
23,490
10,300
10,300
10,300
60
11,400
7,965
(Rs.)
Above 75 94,710 1,23,065 1,41,445 1,58,510 1,74,315 2,18,180 2,62,585
Above 65 58,566 1,17,119 1,75,685 2,34,252 2,92,804
61-63 1,21,379 1,57,634 1,81,055 2,03,047 2,23,221 2,79,817 3,37,912
Premium in (Rs.) for child
64 1,32,716 1,72,371 1,98,002 2,22,026 2,44,099 3,05,919 3,69,232 Age upto
covered separately.
covered separately.
69 1,71,571 2,22,874 2,56,080 2,87,072 3,15,652 3,95,359 4,76,560 *FEMALE CHILD CAN CONTINUE MAXIMUM UPTO 30YEARS IF UNMARRIED AND/OR UNEMPLOYED
Rs.10,00,000/-
Rs.5,00,000/-
70 1,86,312 2,42,035 2,78,117 3,11,753 3,42,800 4,29,288 5,17,279
Premium in (Rs.) for optional cover – Cancer
Premium
23,490
10,300
10,300
10,300
11,400
7,965
Age-band
(Rs.)
5,00,000 10,00,000 15,00,000 20,00,000 25,00,000
71-73 2,02,922 2,63,625 3,02,947 3,39,563 3,73,390 4,67,518 5,63,159 (in yrs) / SI
91days-35 895 1,795 2,690 3,590 4,485
74 2,22,079 2,88,533 3,31,591 3,71,642 4,08,677 5,11,631 6,16,093
36-45 4,110 8,220 12,325 16,435 20,545
Members
46-55 9,810 19,620 29,430 39,240 49,050
insured
75 2,41,235 3,13,440 3,60,235 4,03,720 4,43,964 5,55,745 6,69,028
(in yrs)
of the
Age
45
20
56
25
23
18
56-65 14,305 28,615 42,920 57,225 71,535
Above 75 2,62,820 3,41,505 3,92,510 4,39,865 4,83,724 6,05,450 7,28,673 Above 65 21,105 42,205 63,310 84,415 1,05,515
735.00 mm
120.00 mm 120.00 mm 120.00 mm 120.00 mm 127.50 mm 127.50 mm
STARWOMENCAREINSURANCEPOLICY
A-Adult | C-Child
3 Year - Premium Chart (Excluding GST) A-Adult | C-Child 3 Year - Premium Chart (Excluding GST) A-Adult | C-Child
Sum Insured
Coverage opted on family floater basis with overall Sum insured
10,00,000
5,00,000
(Rs.)
PREMIUMCHARTandBENEFITILLUSTRATION
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.
Premium after discount in (Rs.) for 2A – Female & Male Premium after discount in (Rs.) for child
Age upto 25yrs* / SI 5,00,000 10,00,000 15,00,000 20,00,000 25,00,000 50,00,000 1,00,00,000 Unique Identification No.: SHAHLIP22217V012122 | BRO / SWC / V.1 / 2022
Age-band (in yrs) / SI 5,00,000 10,00,000 15,00,000 20,00,000 25,00,000 50,00,000 1,00,00,000
Discount
1 Year - Premium Chart (Excluding GST) A-Adult | C-Child
14,990
34,840
After
(Rs.)
34 34,588 44,992 54,253 60,000 67,751 81,420 99,543 2nd C 9,060 10,462 11,253 11,988 12,612 14,472 16,692
Premium in (Rs.) for 1A – Female only
35 36,612 47,623 57,279 63,391 71,483 86,084 1,05,139 3rd C 8,256 9,518 10,226 10,892 11,461 13,126 15,124 Age-band
5,00,000 10,00,000 15,00,000 20,00,000 25,00,000 50,00,000 1,00,00,000
(in yrs) / SI
36-38 38,892 50,588 60,689 67,211 75,688 91,339 1,11,444 *FEMALE CHILD CAN CONTINUE MAXIMUM UP TO 30 YRS IF UNMARRIED AND UNEMPLOYED
Discount,
18-35 7,965 10,300 12,740 13,955 15,970 18,645 22,680
Floater
(if any)
19,550
4,375
36-40 9,160 11,860 14,530 15,960 18,175 21,405 25,990
39 42,548 55,296 66,081 73,232 82,300 99,566 1,21,286 Premium after discount in (Rs.) for optional cover – Cancer
41-45 11,400 14,720 17,800 19,600 22,165 26,345 31,890
Age-band (in yrs) / SI 5,00,000 10,00,000 15,00,000 20,00,000 25,00,000
Benefit Illustration in respect of policies offered on individual and family floater basis
40 46,205 60,005 71,472 79,254 88,912 1,07,793 1,31,129 46-50 12,825 16,540 19,395 21,575 23,995 29,370 35,565
members of
Premium or
41-43 50,325 65,310 77,547 86,039 96,362 1,17,063 1,42,219
19,365
54,390
family
(Rs.)
56-60 18,150 23,490 26,930 30,220 33,190 41,645 50,395
34 5,337 10,683 16,016 21,362 26,699
44 54,039 70,076 82,571 91,817 1,02,401 1,25,233 1,52,048 61-65 23,230 30,115 34,560 38,780 42,610 53,440 64,565
35 8,190 16,386 24,567 32,762 40,952 66-70 29,935 38,835 44,585 50,010 54,960 68,880 83,095
45 57,753 74,841 87,594 97,594 1,08,441 1,33,402 1,61,877
71-75 38,655 50,170 57,620 64,605 71,020 88,955 1,07,180
10,00,000
10,00,000
10,00,000
10,00,000
36-43 11,405 22,811 34,202 45,607 57,012
5,00,000
5,00,000
(Sum insured is available for each member of the family)
46-48 61,938 80,211 93,254 1,04,104 1,15,246 1,42,607 1,72,952 Above 75 49,985 64,900 74,565 83,585 91,895 1,15,050 1,38,495
(Rs.)
multiple members of the family under a single policy
45 21,523 43,046 64,563 86,086 1,07,609 5,00,000 10,00,000 15,00,000 20,00,000 25,00,000 50,00,000 1,00,00,000
(in yrs) / SI
After Discount
50 69,251 89,761 1,03,425 1,15,864 1,27,618 1,59,470 1,93,356
Illustration 1
Illustration 2
Premium
18-35 11,735 15,265 18,460 20,400 23,070 27,660 33,855
23,490
10,300
10,300
10,300
11,400
46-53 27,223 54,446 81,668 1,08,891 1,36,114
7,965
(Rs.)
51-53 73,371 95,141 1,09,155 1,22,489 1,34,588 1,68,970 2,04,851
36-40 14,015 18,230 21,870 24,220 27,275 32,915 40,160
Rs.10,00,000/-
Rs.5,00,000/-
single policy.
single policy.
54 31,212 62,429 93,641 1,24,853 1,56,069 41-45 18,135 23,535 27,945 31,005 34,725 42,185 51,250
54 80,076 1,03,865 1,19,183 1,33,720 1,46,942 1,84,412 2,23,382
55 35,201 70,412 1,05,613 1,40,814 1,76,025 46-50 22,320 28,905 33,605 37,515 41,530 51,390 62,325
55 86,781 1,12,589 1,29,212 1,44,951 1,59,296 1,99,855 2,41,913
Discount,
51-55 26,440 34,285 39,335 44,140 48,500 60,890 73,820
(if any)
Nil
Nil
56-63 39,696 79,407 1,19,103 1,58,799 1,98,510 56-60 33,995 44,115 50,635 56,795 62,420 78,290 94,700
56-58 94,336 1,22,419 1,40,512 1,57,606 1,73,216 2,17,255 2,62,793
61-65 43,740 56,805 65,245 73,170 80,440 1,00,835 1,21,770
64 45,731 91,468 1,37,199 1,82,931 2,28,667
59 1,02,985 1,33,682 1,53,479 1,72,139 1,89,208 2,37,263 2,86,817 66-70 56,515 73,410 84,340 94,555 1,03,965 1,30,245 1,57,060
65 51,766 1,03,529 1,55,295 2,07,062 2,58,824
Premium
1,11,634 1,44,944 1,66,445 1,86,672 2,05,201 2,57,272 3,10,842 71-75 73,125 95,000 1,09,170 1,22,365 1,34,555 1,68,475 2,02,940
23,490
10,300
10,300
10,300
60
11,400
7,965
(Rs.)
Above 75 94,710 1,23,065 1,41,445 1,58,510 1,74,315 2,18,180 2,62,585
Above 65 58,566 1,17,119 1,75,685 2,34,252 2,92,804
61-63 1,21,379 1,57,634 1,81,055 2,03,047 2,23,221 2,79,817 3,37,912
Premium in (Rs.) for child
64 1,32,716 1,72,371 1,98,002 2,22,026 2,44,099 3,05,919 3,69,232 Age upto
covered separately.
covered separately.
69 1,71,571 2,22,874 2,56,080 2,87,072 3,15,652 3,95,359 4,76,560 *FEMALE CHILD CAN CONTINUE MAXIMUM UPTO 30YEARS IF UNMARRIED AND/OR UNEMPLOYED
Rs.10,00,000/-
Rs.5,00,000/-
70 1,86,312 2,42,035 2,78,117 3,11,753 3,42,800 4,29,288 5,17,279
Premium in (Rs.) for optional cover – Cancer
Premium
23,490
10,300
10,300
10,300
11,400
7,965
Age-band
(Rs.)
5,00,000 10,00,000 15,00,000 20,00,000 25,00,000
71-73 2,02,922 2,63,625 3,02,947 3,39,563 3,73,390 4,67,518 5,63,159 (in yrs) / SI
91days-35 895 1,795 2,690 3,590 4,485
74 2,22,079 2,88,533 3,31,591 3,71,642 4,08,677 5,11,631 6,16,093
36-45 4,110 8,220 12,325 16,435 20,545
Members
46-55 9,810 19,620 29,430 39,240 49,050
insured
75 2,41,235 3,13,440 3,60,235 4,03,720 4,43,964 5,55,745 6,69,028
(in yrs)
of the
Age
45
20
56
25
23
18
56-65 14,305 28,615 42,920 57,225 71,535
Above 75 2,62,820 3,41,505 3,92,510 4,39,865 4,83,724 6,05,450 7,28,673 Above 65 21,105 42,205 63,310 84,415 1,05,515
735.00 mm
120.00 mm 120.00 mm 120.00 mm 120.00 mm 127.50 mm 127.50 mm
STARWOMENCAREINSURANCEPOLICY
A-Adult | C-Child
3 Year - Premium Chart (Excluding GST) A-Adult | C-Child 3 Year - Premium Chart (Excluding GST) A-Adult | C-Child
Sum Insured
Coverage opted on family floater basis with overall Sum insured
10,00,000
5,00,000
(Rs.)
PREMIUMCHARTandBENEFITILLUSTRATION
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.
Premium after discount in (Rs.) for 2A – Female & Male Premium after discount in (Rs.) for child
Age upto 25yrs* / SI 5,00,000 10,00,000 15,00,000 20,00,000 25,00,000 50,00,000 1,00,00,000 Unique Identification No.: SHAHLIP22217V012122 | BRO / SWC / V.1 / 2022
Age-band (in yrs) / SI 5,00,000 10,00,000 15,00,000 20,00,000 25,00,000 50,00,000 1,00,00,000
Discount
1 Year - Premium Chart (Excluding GST) A-Adult | C-Child
14,990
34,840
After
(Rs.)
34 34,588 44,992 54,253 60,000 67,751 81,420 99,543 2nd C 9,060 10,462 11,253 11,988 12,612 14,472 16,692
Premium in (Rs.) for 1A – Female only
35 36,612 47,623 57,279 63,391 71,483 86,084 1,05,139 3rd C 8,256 9,518 10,226 10,892 11,461 13,126 15,124 Age-band
5,00,000 10,00,000 15,00,000 20,00,000 25,00,000 50,00,000 1,00,00,000
(in yrs) / SI
36-38 38,892 50,588 60,689 67,211 75,688 91,339 1,11,444 *FEMALE CHILD CAN CONTINUE MAXIMUM UP TO 30 YRS IF UNMARRIED AND UNEMPLOYED
Discount,
18-35 7,965 10,300 12,740 13,955 15,970 18,645 22,680
Floater
(if any)
19,550
4,375
36-40 9,160 11,860 14,530 15,960 18,175 21,405 25,990
39 42,548 55,296 66,081 73,232 82,300 99,566 1,21,286 Premium after discount in (Rs.) for optional cover – Cancer
41-45 11,400 14,720 17,800 19,600 22,165 26,345 31,890
Age-band (in yrs) / SI 5,00,000 10,00,000 15,00,000 20,00,000 25,00,000
Benefit Illustration in respect of policies offered on individual and family floater basis
40 46,205 60,005 71,472 79,254 88,912 1,07,793 1,31,129 46-50 12,825 16,540 19,395 21,575 23,995 29,370 35,565
members of
Premium or
41-43 50,325 65,310 77,547 86,039 96,362 1,17,063 1,42,219
19,365
54,390
family
(Rs.)
56-60 18,150 23,490 26,930 30,220 33,190 41,645 50,395
34 5,337 10,683 16,016 21,362 26,699
44 54,039 70,076 82,571 91,817 1,02,401 1,25,233 1,52,048 61-65 23,230 30,115 34,560 38,780 42,610 53,440 64,565
35 8,190 16,386 24,567 32,762 40,952 66-70 29,935 38,835 44,585 50,010 54,960 68,880 83,095
45 57,753 74,841 87,594 97,594 1,08,441 1,33,402 1,61,877
71-75 38,655 50,170 57,620 64,605 71,020 88,955 1,07,180
10,00,000
10,00,000
10,00,000
10,00,000
36-43 11,405 22,811 34,202 45,607 57,012
5,00,000
5,00,000
(Sum insured is available for each member of the family)
46-48 61,938 80,211 93,254 1,04,104 1,15,246 1,42,607 1,72,952 Above 75 49,985 64,900 74,565 83,585 91,895 1,15,050 1,38,495
(Rs.)
multiple members of the family under a single policy
45 21,523 43,046 64,563 86,086 1,07,609 5,00,000 10,00,000 15,00,000 20,00,000 25,00,000 50,00,000 1,00,00,000
(in yrs) / SI
After Discount
50 69,251 89,761 1,03,425 1,15,864 1,27,618 1,59,470 1,93,356
Illustration 1
Illustration 2
Premium
18-35 11,735 15,265 18,460 20,400 23,070 27,660 33,855
23,490
10,300
10,300
10,300
11,400
46-53 27,223 54,446 81,668 1,08,891 1,36,114
7,965
(Rs.)
51-53 73,371 95,141 1,09,155 1,22,489 1,34,588 1,68,970 2,04,851
36-40 14,015 18,230 21,870 24,220 27,275 32,915 40,160
Rs.10,00,000/-
Rs.5,00,000/-
single policy.
single policy.
54 31,212 62,429 93,641 1,24,853 1,56,069 41-45 18,135 23,535 27,945 31,005 34,725 42,185 51,250
54 80,076 1,03,865 1,19,183 1,33,720 1,46,942 1,84,412 2,23,382
55 35,201 70,412 1,05,613 1,40,814 1,76,025 46-50 22,320 28,905 33,605 37,515 41,530 51,390 62,325
55 86,781 1,12,589 1,29,212 1,44,951 1,59,296 1,99,855 2,41,913
Discount,
51-55 26,440 34,285 39,335 44,140 48,500 60,890 73,820
(if any)
Nil
Nil
56-63 39,696 79,407 1,19,103 1,58,799 1,98,510 56-60 33,995 44,115 50,635 56,795 62,420 78,290 94,700
56-58 94,336 1,22,419 1,40,512 1,57,606 1,73,216 2,17,255 2,62,793
61-65 43,740 56,805 65,245 73,170 80,440 1,00,835 1,21,770
64 45,731 91,468 1,37,199 1,82,931 2,28,667
59 1,02,985 1,33,682 1,53,479 1,72,139 1,89,208 2,37,263 2,86,817 66-70 56,515 73,410 84,340 94,555 1,03,965 1,30,245 1,57,060
65 51,766 1,03,529 1,55,295 2,07,062 2,58,824
Premium
1,11,634 1,44,944 1,66,445 1,86,672 2,05,201 2,57,272 3,10,842 71-75 73,125 95,000 1,09,170 1,22,365 1,34,555 1,68,475 2,02,940
23,490
10,300
10,300
10,300
60
11,400
7,965
(Rs.)
Above 75 94,710 1,23,065 1,41,445 1,58,510 1,74,315 2,18,180 2,62,585
Above 65 58,566 1,17,119 1,75,685 2,34,252 2,92,804
61-63 1,21,379 1,57,634 1,81,055 2,03,047 2,23,221 2,79,817 3,37,912
Premium in (Rs.) for child
64 1,32,716 1,72,371 1,98,002 2,22,026 2,44,099 3,05,919 3,69,232 Age upto
covered separately.
covered separately.
69 1,71,571 2,22,874 2,56,080 2,87,072 3,15,652 3,95,359 4,76,560 *FEMALE CHILD CAN CONTINUE MAXIMUM UPTO 30YEARS IF UNMARRIED AND/OR UNEMPLOYED
Rs.10,00,000/-
Rs.5,00,000/-
70 1,86,312 2,42,035 2,78,117 3,11,753 3,42,800 4,29,288 5,17,279
Premium in (Rs.) for optional cover – Cancer
Premium
23,490
10,300
10,300
10,300
11,400
7,965
Age-band
(Rs.)
5,00,000 10,00,000 15,00,000 20,00,000 25,00,000
71-73 2,02,922 2,63,625 3,02,947 3,39,563 3,73,390 4,67,518 5,63,159 (in yrs) / SI
91days-35 895 1,795 2,690 3,590 4,485
74 2,22,079 2,88,533 3,31,591 3,71,642 4,08,677 5,11,631 6,16,093
36-45 4,110 8,220 12,325 16,435 20,545
Members
46-55 9,810 19,620 29,430 39,240 49,050
insured
75 2,41,235 3,13,440 3,60,235 4,03,720 4,43,964 5,55,745 6,69,028
(in yrs)
of the
Age
45
20
56
25
23
18
56-65 14,305 28,615 42,920 57,225 71,535
Above 75 2,62,820 3,41,505 3,92,510 4,39,865 4,83,724 6,05,450 7,28,673 Above 65 21,105 42,205 63,310 84,415 1,05,515
735.00 mm