Star Super Surplus Insurance Policy

Salient Features

Features Basically a regular Health insurance policy, available to

persons between age group of 5 months to 60 yrs only and renewable up to the age of 75yrs.

Pricing advantage to customers by splicing the risky layer from the less risky layer

Coverage advantage for customers as they can have

wider protection at a lesser price. Proposals from persons above 45 yrs, age proof in the

form of DL, Pass Port, Ration Card or School Certificate is required

Contd..

Policy covers hospitalization expenses for sickness/illness/accidental injuries

Minimum 24 hrs hospitalization –MUST Limit for room rent fixed at Rs4000 per day No cap for ICU No cap for medicines/drugs

Contd… No cap for diagnostics/ doctors fees Definition of hospital-no change from Medi-Classic No day-care procedures No Pre Underwriting Medical Examination for persons

50 yrs and above Pre Hospitalisation expenses are not covered Post Hospitalisation Expenses are calculated @ 7%

of the total admissible claim, excl. room rent subject to a max. of Rs.30000/-

Exclusions

30 days for sickness/illness First two year exclusions Pre-Existing Diseases (covers after 3 yrs of

continuous renewal with us, without break) Congenital Diseases Non-Allopathic treatments All other exclusions applicable for Medi-Classic

Contd…. The cover under the policy triggers when the

PER hospitalisation expenses (excluding Pre and Post) exceeds Rs300000 & Rs.500000 depending upon the deductible opted by the insured for Rs.700000 & Rs.1000000 policy respectively

Any expenses exceeding deductible would be paid to the insured as per the terms and conditions of the policy.

Contd ….

The following options are available

Sl. No Scheme Sum Insured Rs. Deductible Rs. Premium

Excl. ST

1 Individual 700000 300000 3000

2 Individual 1000000 300000 4000

3 Individual 1000000 500000 3300

4 Family Floater 1000000 300000 5700

5 Family Floater 1000000 500000 4300

Under Floater Policy, the family size shall be a max. of 2A + 2C only i.e., Self, Spouse & 2 Dependent Children.

The Max. age of the dependent children should not be more than 25 yrs and should be economically dependent on the parents

The sum insured is the maximum limit of liability under the policy.

Even if the family size is less than 2A + 2C the same premium will apply.

No Provision for inclusion & deletion of persons during the currency of the policy

Contd….

Contd….

FAQs X has no health insurance policy at all.

Can X take this policy?

Yes. There is no need to have a basic policy at all. But in the event of any hospitalisation expenses up-to Rs300000 / Rs.500000 will have to be borne by X

FAQs….

X has an individual policy for Rs100000. He has been continuously insuring with another Company for 7 yrs. Can X take this insurance? What will be his benefit?

X can take this policyAny one hospitalization expenses up-to Rs300000/ Rs.500000 will be borne by XSince X has been continuously insuring for 7 yrs the 30 days exclusion / and first two yr exclusion will not apply in his case.

HOWEVER ALL PED WOULD NOT BE COVERED.

Contd….

X has a family floater policy for Rs100000He wants to covera) Himself for the first option of Rs700000b) Cover himself, his spouse and dependent children each for Rs700000

YES. HE CAN TAKE COVER FOR HIMSELF AND THE ENTIRE FAMILY-BUT COVER IS ON INDIVIDUAL BASIS AND NOT FAMILY FLOATER.

COntd…

X has a poolicy with another Company for Rs500000.

The cost of hospitalization for treatment of some disease works out to Rs400000. What is the amount payable under this policy? Will Contribution condition apply?The other Company’s policy would offer protection up-to Rs300000 and the remaining can be recovered from Super Surplus Insurance Policy.

Contd…

Can the policy be given to some one who is already STAR customer?Yes. We can offer this cover to our existing customers.