Star Insurance

download Star Insurance

of 29

Transcript of Star Insurance

  • 7/30/2019 Star Insurance

    1/29

    INTRODUCTION

    In your search for the perfect health insurance policy in India, you would have definitely come across the

    brand name of Star. In this Star Health Insurance review we will try to help you figure out whether this

    provider and its policies are worth paying premium for or not.

    Star Health is basically a joint venture between the Oman Insurance Company, the ETA ASCON group, and

    a number of other smaller insurers in the country. The venture now has over 140 branches all over India.

    This provider is among the other standalone private companies in India, such as Apollo Munich and Max

    Bupa. This provider in particular is recognized as a premier institution for individuals and families to

    begin an insurance policy for their health.

    With a wide range of policies for almost every disease and condition imaginable, this company has

    distinguished itself in the eyes of the Indian consumer.

    Lets take a look at some of the popular and noteworthy policies that this provider offers to Indian men,

    women and families:

    STAR HEALTH AND ALLIED INSURANCE, is a specialist in Health Insurance and provides quality service

    at the best rates. As the country's first stand alone health insurance company in India, it is committed to

    the service of the insured. There is no Third Party Administrator involved in claims settlement, which

    means better service, in shorter time and no hassles...

    Our Vision is PROTECTING HEALTH, PROMOTING HEALTH

    Our Mission IsUltimate Customer SatisfactionWe believe that along with the essentials of honesty and integrity, a strong customer focus and reliability

    are key to our success.

    Led by stalwarts of the insurance industry, the team blends vast industry expertise with high service

    standards to provide you the best of healthcare options.

    To create an environment that will continuously spark innovation and maintain customer satisfaction

    and which will prove irresistibly attractive to the best talent of the Insurance Sector.

    We are committed to become a STAR in health and related insurance by offering our clients the utmost

    flexibility to create a plan that's right for them. And by offering affordable financial protection that

    effectively addresses their long term health needs. Our excellence in customer services consistently backs

    our industry expertise.

    Star Health and Allied Insurance Company Limited (Star Health) has a capital base of Rs.303 crores, more

    than sufficient to form a General Insurance Company. However, Star Health has chosen to be in the field

    of Health. It is India's first stand-alone Health Insurance Company in India and deals in Personal Accident,

    Mediclaim and Overseas Travel Insurance.

    Total Premium upto the month of March 2010 is Rs. 960 crore

  • 7/30/2019 Star Insurance

    2/29

    TRAVEL INSURANCE

    Travel Plans Individuals

    All of us tackle problems well when you are in an alien land, dealing in home currency, and are braving a

    very different climate, any problem starts to seem like a daunting challenge. During travel, you are

    adapting to the weather, the time zone change, the pronunciation, and the food among other things. So for

    a gamut of risks you have to face up to, you need the Star Health Individual Travel Protect Policy, whether

    it's business or leisure that takes you abroad.

    Features of the individual travel insurance plan

    When you travel abroad on business or holiday Star Travel Protect insurance policy provides you

    coverage for the following exigency:

    Emergency medical expensesRepatriation in case of medical emergency

    Repatriation of mortal remains

    Any dental emergency expenses following an accident

    Compensation following accidental injuries

    Loss of your checked in baggage(up to the limits)

    Reasonable expenses incurred for obtaining new passport

    Flight delay

    Missed departure/connection

    Hijack distress

    Expenses on emergency purchases of consumables due to any delay in handing over your checked in

    baggage by the carrier for more than 12 hoursPecuniary loss on cancellation of your trip due to any accidental bodily injury/death of a family member

    Any Legal Liability that maybe fastened upon you, if you cause any bodily injury or property damage to

    any third party

    Eligibility

    Any person normally residing in India aged between 6 months to 80 years traveling outside India on

    business or holiday can take this individual insurance. Coverage beyond 80 years shall be considered on acase-to-case basis.

    Is it necessary to undergo medical tests?

    Not normally required. However, if the medical history as revealed in the proposal is adverse and for

    persons who are above 60 years - ECG, Fasting & Postprandial Blood Sugar, Cholesterol Profile and Urine

    Strip Test Plan reports are required to be submitted along with the proposal. The upper age limit for

    medical tests may be relaxed on a case-to-case basis.

  • 7/30/2019 Star Insurance

    3/29

  • 7/30/2019 Star Insurance

    4/29

  • 7/30/2019 Star Insurance

    5/29

    SENIOR CITIZEN INSURANCE

    Turning sixty is a major milestone. On the one hand, people tend to find more time for matters they

    couldn't adequately attend to during their years of career preoccupation. On the other, there is mounting

    anxiety about health. Yet, health insurance policies have hardly been available to address their needs.Star Health is proud to introduce India's first health insurance policy as a salute to our senior citizens. It

    provides cover for anyone over the age of 60 and permits entry right up to the age of 69 with continuing

    cover after that. It is our way of caring for a generation that has done so much to build the country.

    Major Product Features

    This Health Insurance Plan from Star Health is unique among Senior Health Insurance Policies and

    extends benefits of Hospitalisation Cover as well as Post Hospitalisation Cover.

    For people aged between 60 and 69 years

    Guaranteed renewals beyond 69 years

    No pre-insurance medical test required

    Treatment at network hospitals only

    All pre-existing diseases are covered from first year, except those for which treatment or advice was

    recommended by or received during the immediately preceding 12 months from the date of proposal

    Disease for which treatment or advice was recommended by or received during the immediately

    preceding 12 months from the date of proposal will be covered from second year onwards

    Policy Premium Including Service Tax

    Sum Insured(Rs) Premium (Rs)

    1,00,000 4,908

    2,00,000 9,326

    3,00,000 14,229

    4,00,000 17,097

    5,00,000 19,854

  • 7/30/2019 Star Insurance

    6/29

    Senior Health Insurance Policy Red Carpet Benefits

    Hospitalization Cover: In-patient hospitalization expenses for a minimum of 24 hours. Includes roomrent and boarding @1% of sum insured subject to a maximum of Rs. 4,000/- per day.

    ICU expenses per day @ 2% of sum insured

    Nursing expenses

    Surgeon's fees, consultant's fees, Anesthetist's and specialist's fees, per illness @ 25% of sum

    insuredCost of blood, oxygen, pacemaker

    Cost of drugs and diagnostic tests @ 50% of sum insured per hospitalization

    Cataract (both eyes included), up to Rs.15,000/-

    Emergency Ambulance Charges for transporting the Insured Person to the Hospital @ Rs.600/- per

    hospitalisation and Rs.1200/- per Policy period

    Sum Insured(Rs) Limit of Companys Liability (Rs.)

    Treatment for Cardiovascular Diseases / Cerebrovascular Accident/Cancer and

    breakage of Bones Renal Complications All other MajorSurgeries

    1,00,000 75,000 75,000 60,000

    2,00,000 1,50,000 1,50,000 1,20,000

    3,00,000 1,60,000 1,60,000 1,30,000

    4,00,000 1,70,000 1,70,000 1,40,000

    5,00,000 1,80,000 1,80,000 1,50,000

  • 7/30/2019 Star Insurance

    7/29

    Post-Hospitalization

    Post-hospitalization - a lumpsum calculated at 7% of the hospitalization expenses (excluding room

    charges), subject to a maximum of Rs 5,000 is payable.

    Tax benefits in Senior Health Insurance

    Amount paid by any mode other than cash is eligible for relief as provided under Section 80 D of the

    Income Tax Act

    Claims Procedure

    Call the 24-hour helpline 1800 425 2255 for assistance Inform the ID number/policy number for easy

    reference In case of a planned hospitalisation, please inform 24 hours prior to admission into the hospital

    In case of emergency hospitalisation, information to be given within 24 hours after hospitalization At

    non-network hospitals, payments must be made upfront and then reimbursement will be effected on the

    submission of documents

    Star Advantages

    No Third Party Administrator; direct in-house claims settlement Faster & hassle-free claim settlement

    Cashless hospitalization, Network of more than 4700 hospitals across India

    24x7 Toll- free Helpline

    Free General Physician Consultation over phone. Doctors on duty 24x7. By quoting the policy number

    any person can contact our Doctor on the toll free number 1800 425 2255 for medical advices. Free

    Health magazines are issued to policy holders at regular intervals

  • 7/30/2019 Star Insurance

    8/29

  • 7/30/2019 Star Insurance

    9/29

  • 7/30/2019 Star Insurance

    10/29

    MEDI CLASSIC

    The comforts and luxuries of today's life come at a price-the price of uncertainties. Of the uncertainties,

    health of oneself and one's family is of prime concern. Add to this, the fact that medical expenses are

    getting dearer. One ailment is all it takes to wipe out years of savings that was meant to realize your

    dreams.

    Mediclassic Insurance from Star Health is a policy that aims to provide reimbursement of hospitalization

    expenses incurred as a result of illness/disease/sickness and/or accidental injuries, so that you can keep

    your dreams alive.

    Pre- Medical screeningCompulsory medical check up is done for persons above 50 years of age at the cost of the company

    Pre-Existing Diseases / Illness

    Are covered after 48 months of continuous insurance with us

    Policy Benefits

    Hospitalisation Cover : In-patient hospitalisation expenses for a minimum of 24 hours.Includes room rent

    and boarding @2% of sum insured,subject to a maximum of Rs.4000/- per dayNursing expenses

    Surgeon's fees, Consultant's fees, Anaesthetist's and Specialist's fees

    Cost of medicines and drugs

    Emergency ambulance charges for transporting the insured patient to the hospital upto a sum of Rs 750/-

    per hospitalisation and overall limit of Rs 1500/- per policy period

    Pre-Hospitalization & Post-Hospitalization

    Pre-hospitalisation medical expenses upto 30 days prior to date of admission

    Post-hospitalization - a lumpsum calculated at 7% of the hospitalization (excluding room charges)

    subject to a maximum of Rs.5000 is payable

    No-Claim Discount

    Discount ranging from 5%- 25% for every claim-free year (except for the Family Package Plan)

  • 7/30/2019 Star Insurance

    11/29

    How much to pay

    Sum Insured

    (in Rs) 5 mths - 35 yrs 36 yrs - 45 yrs 46 yrs - 55 yrs 56 yrs -

    65 yrs 66 yrs - 70 yrs 71 yrs - 75 yrs 76 yrs - 80 yrs

    50000 575 700 1320 NA NA NA NA

    100000 1200 1350 2447 3000 4547 4872 6029

    150000 1800 2000 3400 4200 6717 7284 9284

    200000 2350 2600 4583 5300 8768 9574 12420

    250000 2800 3150 5548 7200 10696 11744 15433

    300000 3300 3650 6170 8200 12625 13914 18449

    350000 3750 4150 7408 10196 15964 15964 21341400000 4200 4500 8700 11451 16242 18015 24236

    500000 4900 5400 10700 13958 19859 22113 30023

    1000000* 7465 7965 13265 16525 NA NA NA

    Service Tax extra

    *Renewal upto 65 years for Rs. 10,00,000/- Sum Insured Option.

    Rating for Family Package

    (Available for persons below 45yrs. The sum insured is apportioned equally among insured family

    members)Sum Insured Rs 200000 Sum Insured Rs.300000

    2Adults 2348 3400

    2Adults+1Child 2238 3825

    2Adults+2Children 2320 4080

    1Adult+1Child 2168 3230

    1Adult+2Children 2206 3280

    For GroupsGroup Size % of discount on Premium (excluding

    add-on covers & service tax)

    Upto 500 persons NIL

    501-1000 2.5%

    1001-3000 5.0%

    3001-7000 7.5%

    7001-10000 10%

    > 10000 12%

  • 7/30/2019 Star Insurance

    12/29

    Optional Benefits On Payment Of Additional Premium

    Hospital Cash: Provides for payment of Rs.500 for each completed day of hospitalisation. Maximum

    per day is Rs500 and maximum per hospitalization is Rs1500/-. Maximum payable during the entirepolicy period is Rs3000. This benefit is payable only following an admissible hospitalization claim.

    Applicable for persons between 21 yrs and 60 yrs.

    Premium ranging from Rs.200 to Rs. 350 per person, depending upon the age.

    Patient Care: Available for persons above 65 years. It pays for the attendant charges after discharge

    from the hospital @ Rs 400 per day to a maximum of 5 days per hospitalization.

    The engagement of such attendant must be recommended by the attending physician.

    A waiting period of 2 days is applicable.

    Premium Rs 300 per person.

    New Born Baby cover: Available with Family package plan and provides for your new-born from birth

    up to 5 months. Thereafter the baby can be covered as a regular person. The sum insured is restricted to

    10% of the sum insured in respect of the mother. This cover is not available for immunization expenses /

    post-natal expenses.

    Premium 10% of policy premium.

    Tax Benefits

    Amount paid by any mode other than by cash for this insurance is eligible for relief under Section 80D

    of the Income Tax Act

    What cannot be claimed?Treatment of illness/disease/sickness contracted by the insured person during the first 30 days from

    the commencement date of the policy

    First Two Years Exclusions: Cataract, Hysterectomy for Menorrhagia or Fibromyoma, Replacement

    surgery for knee and/or joint(other than caused by an accident), Prolapse of intervertebral disc (other

    than caused by accident), Varicose Veins and Varicose Ulcers

    First Year Exclusions: Benign Prostate Hypertrophy, Hernia, Hydrocele, Fistula in anus, Piles, inusitis

    and related disorders, Congenital internal disease/defect, removal of gallstones and renal stone

    Naturopathy treatment

    Expenses which are purely diagnostic in nature with no positive existence of any disease

    Treatment of Congenitall external disease/defects/anomalies

    Expenses which are mainly cosmetic in nature

    Claims Procedure

    Call the 24-hour helpline 1800 425 2255 for assistance

    Inform the ID number / policy number for easy reference

    In case of planned hospitalization, please inform 24 hours prior to admission into the hospital

    In case of emergency hospitalization, information to be given within 24 hours after hospitalization

    In non-network hospitals, payment must be made upfront and then reimbursement will be effected on

    the submission of documents

  • 7/30/2019 Star Insurance

    13/29

  • 7/30/2019 Star Insurance

    14/29

  • 7/30/2019 Star Insurance

    15/29

    Family Health Optima

    While choosing a health insurance plan, make sure you consider Family Health Optima. This is anexclusive insurance plan for the entire family under a single roof- one family one policy one premium and

    one sum insured that floats among the persons insured net result : considerable flexibility and economy.

    A Super Saver Policy among Family Health Insurance Plans

    Single Sum Insured

    Coverage for entire family

    Single Premium

    Considerable saving in premium as the family is covered under one policy

    Who can take this Insurance?

    Any person aged between 5 months and 60 years residing in India can take this insurance. Dependent

    children up to 25 yrs can be covered

    Family Includes

    Proposer, spouse, dependent children upto 25 years, who are economically dependent on their parents

    Pre- Medical screening

    Compulsory medical check up is done for persons above 50 years of age at the cost of the company

    Pre-Existing Diseases / Illness

    Are covered after 48 months of continuous insurance with us

    Policy Benefits

    Hospitalisation Cover: Protects the insured person for in-patient hospitalisation expenses for aminimum of 24 hours. These expenses include room and boarding charges as per policy conditions

    Nursing expenses

    Surgeon's fees, Consultant's fees, Anesthetist's and Specialist's fees

    Emergency ambulance charges for transporting the insured patient to the hospital upto a sum of

    Rs.750/- per hospitalization and overall limit of Rs.1500/- per policy period

  • 7/30/2019 Star Insurance

    16/29

    Pre and Post Hospitalisation Cover

    Pre-hospitalisation medical expenses upto 30 days prior to the date of admission

    Post-hospitalisation calculated at 7% of the hospitalisation expenses (excluding room charges), subject

    to a maximum of Rs.5000 is payable

    How much to pay?

    A: Adult C: Children up to 25 yrs. NA: Not Available

    Sum Insured: Rs. 1,00,000

    5 Months - 45 Yrs 46 Yrs- 55 Yrs 56 Yrs- 60 Yrs

    2A 1765 NA NA

    1A + 1C 1515 NA NA

    1A + 2C 1640 NA NA

    1A + 3C 1785 NA NA

    2A + 1C 1890 NA NA

    2A + 2C 2025 NA NA

    2A + 3C 2165 NA NA

    Age of the oldest family member covered should be taken for premium calculation

    Service tax extra

    Discount

    A discount of 10% on Premium is allowed on renewal of the policy if there is no claim in the

    immediately preceding year of the policy. This discount is not cumulative

    Tax Benefits in Family Health Insurance

    Amount paid by any mode other than by cash for this insurance is eligible for relief under Section

    80D of the Income Tax Act

  • 7/30/2019 Star Insurance

    17/29

    What cannot be claimed?

    Treatment of illness/disease/sickness contracted by the insured person during the first 30 days from

    the commencement date of the policy

    First Two Years Exclusions: Cataract, Hysterectomy for Menorrhagia or Fibromyoma, Replacement

    surgery for knee and/or joint (other than caused by an accident), Prolapse of intervertebral disc (other

    than caused by accident),varicose veins and varicose ulcers

    First Year Exclusions: Benign Prostate Hypertrophy, Hernia, Hydrocele, Fistula in anus, Piles, Sinusitis

    and related disorders, congenital internal disease/defects, removal of gallstones and renal stone

    Naturopathy treatment

    Expenses which are purely diagnostic in nature with no positive existence of any disease

    Expenses incurred for non-allopathic treatment

    Treatment of external Congenital disease/defects/anomalies

    Expenses which are mainly cosmetic in nature

    Claims Procedure

    Call the 24-hour helpline 1800 425 2255 for assistance

    Inform the ID number/policy number for easy reference

    In case of a planned hospitalisation, please inform 24 hours prior to admission into the hospital

    In case of emergency hospitalisation, information to be given within 24 hours after hospitalisation

  • 7/30/2019 Star Insurance

    18/29

  • 7/30/2019 Star Insurance

    19/29

  • 7/30/2019 Star Insurance

    20/29

  • 7/30/2019 Star Insurance

    21/29

    STAR ADVANTAGES

    No Third Party Administrator; direct in-house claims settlement

    Faster & hassle-free claim settlement

    Cashless hospitalization

    Network of more than 4600 hospitals across India

    24 x7 Toll- free Helpline

    Free General Physician Consultation over phone. Doctors on

    duty 24x7. By quoting the policy number, any person can contact

    our Doctor on the toll free number 1800 425 2255 for medical

    advices.

  • 7/30/2019 Star Insurance

    22/29

    OTHER PRODUCTS

    Medi Classic Under this particular policy, those insured will be covered for both pre- and post-hospitalization health care expenses. This also includes all expenses incurred for nursing, ambulancecosts, and the cost of medicines, drugs and other necessary medical items used during a procedure. Even

    the fees of your specialist, be it surgeons, neurologists, etc, are covered.

    Medi Premier There are two distinct sections that you will find in this plan. Section 1 deals with thecoverage of unexpected illness, while section 2 concerns itself with guaranteeing those insured with a

    50% assured amount in case of a diagnosis of certain health conditions like cancer, strokes, or renalfailure.This plan is a good idea for those who expect to live a long full life, and would like to cater for as

    much as they can for expected and serious diseases or conditions.

    True ValueThis is the one policy that Star Health has initiated to rope everybody in this one is for themasses of India. You will find that there is a wide range of sum assured options ranging from Rupees

    30-80,000 if you opt for this one.This cover also promises adequate coverage for hospitalization, nursing

    and the cost of blood, oxygen and medicines. Your doctors fees are also covered here.

    Super SurplusThis plan is available in two variationsone for individuals, and another for the entirefamily. It is recognized as a good choice for protection at a significantly low price. The maximum sum

    assured under this cover is of Rupees 10,00,000.

    Senior Citizen Red CarpetAs the name suggests, the coverage found here is applicable for seniorcitizens in India. This means that only men and women over the age of 60 years are allowed to apply.All

    pre-existing conditions and diseases are covered during the first year. You will find that in-patienthospitalization, the cost incurred for nursing, medicines, drugs and doctor consultations are all included

    here.

    Family Health OptimaThis can be considered to be the cheapest option for Indians looking for aprovider that covers an entire family under a single sum assured. Every family member between the age

    of 5 months and 60 years is eligible to benefit from this policys coverage.

    Star Netplus Specially initiated for victims of HIV, this policy has no age limitations for applicants.Only people who are medically diagnosed as being HIV positive in India are considered for coverage.

    Diabetes Safe InsuranceOnly individuals who have Diabetes Mellitus Type II can apply for this plan. Itoffers coverage to these individuals for treating conditions that are common among people suffering

    from this disposition. Conditions included here are:

    1. Diabetic Retinopathy2. Diabetic foot ulcer, and3. Diabetic Nephropathy

  • 7/30/2019 Star Insurance

    23/29

    NEWSPAPER

    ARTICLES

  • 7/30/2019 Star Insurance

    24/29

  • 7/30/2019 Star Insurance

    25/29

  • 7/30/2019 Star Insurance

    26/29

    CONSUMERS VIEWPOINT ABOUT STAR

    Customer Appreciation

    Read what our customers have to say about us.

    Many thanks to make me feel that, "I am part of Star Health Care family and caring like a family

    member at the time of crisis"... happily associated with Star health

    - JitendraVerma

    I am very thankful to you for passing a Cashless hospitalization with a prompt and favorable reply

    from your side for the Family Health optima policy vide no. P/171114/01/2009/002513 &Previous Policy No.P/171114/01/2008/001070.Looking forward for the same cooperation from

    your side. Once again thank you very much. I really appreciate your prompt service

    - D.V.Ramudu,Kurnool, Chennai

    Many thanks for a very prompt claim process. This is the first claim I ever made though I have the

    insurance for the past 4 years and was worried on the time it will take for me to get my claim

    addressed. The star health insurance co- ordinator for our company was very supportive and I got

    the claim settled well before my expected time. Thanks for doing a good work - Karthikeyan V,

    Chennai

    I am very thankful to you for passing a Cashless hospitalization with a prompt and favorable replyfrom your side for the Family Health optima policy vide no. P/171114/01/2009/002513 &

    Previous Policy No. P/171114/01/2008/001070. Looking forward for the same cooperation from

    your side. Once again thank you very much. I really appreciate your prompt service.

    - Ashok L. Ghadi

    I have received the money which has been deposited by me for Insurance by your proper action

    and I am very obliged by your quick proper action which I never got erlier from any one. Thank

    you for your SYMPATHETIC HUMANITARIAN attitude to the people like me.

    - SibnarayanMisra, West Bengal

    Thanks for your prompt action and support. My mom was operated for laparoscopiccholecystectomy and you settled the claim within no time. Thanks for your co-operation and I

    really appreciate it

    - AmitPrabhudesai, Chennai

    Many thanks for settling my claims. I appreciate all the consideration shown and allowing

    maximum benefit. This is indeed a big support at a time of trial for a cancer patient going thru

    very high cost treatment. Let me also thank IRDA for kind follow up

    - Gopalan, Chennai

  • 7/30/2019 Star Insurance

    27/29

    Sr.no TOPIC Pg.no1 INTRODUCTION

    2 TRAVEL INSURANCE

    3 SENIOR CITIZEN INSURANCE

    4 MEDI CLASSIC

    5 FAMILY HEALTH OPTIMA6 STAR ADVANTAGES

    7 OTHER PRODUCTS

    8 NEWS PAPER ARTICLE

    9 CONSUMERS VIEWPOINT

    ABOUT STAR

    10 BIBLIOGRAPHY

    11 ACKNOWLEDGEMENT

    12 PRESENTED BY

    SIGNATURE_________________

  • 7/30/2019 Star Insurance

    28/29

    BIBLIOGRAPHY

    THE INFORMATION OF THE COMPANY WAS DERIVED FROM

    1)www.starhealth.in

    2)www.google.com3) We also approached a insurance agent Mr. Mustansir

    Bootwala

    4)We also visited the company and met Mr. Abhishake

    Bhiya

    http://www.starhealth.in/http://www.starhealth.in/http://www.starhealth.in/http://www.google.com/http://www.google.com/http://www.google.com/http://www.google.com/http://www.starhealth.in/
  • 7/30/2019 Star Insurance

    29/29

    ACKNOWLEDGEMENT