100% Lump Sum Payment for Critical illness in additional to Hospitalistiono exp, First Diagnosis of Cancer, Chronic Kidney Disease, Hepatoma, Brain Tumour, Undergoing first time - Major Organ Transplant, Occurrence for the first time of the Cerebro-Vascular Stroke causing Hemiplegia, Acute Myocardial Infarction resulting in Left Ventricular Ejection Fraction of < 25%, irreversible Coma, irreversible Paraplegia, irreversible Quadriplegia
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Star Criticare Plus
1. Star Health and Allied Insurance Company Limited,
P. Dhanasekaran, Mktg – Sales Manager, Contact. 099946 12916, 093628 54443, 090430 32916
Web.: smstarhealth.com, E.mail. smstarhealth@gmail.com, smstarhealth@smstarhealth.com
Star Criticare Plus
Star Criticare Plus 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
and also provides for a lumpsum in case the insured person is diagnosed with a major illness as
listed in the policy for the first time during the policy period. Because illnesses don’t come with a
warning.
Star Criticare Benefits
This policy offers cover to the Insured Person under two sections. Both regular
hospitalization benefits and Major Disease’s benefits are available under one policy
Section I
• Provides for in-patient hospitalization expenses for a minimum stay of 24 hours in the
hospital
• These expenses include room rent up-to a maximum of 2% of the sum insured subject to a
maximum of Rs4000 per day
• Boarding and Nursing expenses,
• Surgeon’s fees Consultant’s fees Anesthetist fees,
• Cost of medicines and drugs
• Cost of blood, oxygen, diagnostic expenses, cost of pace maker and similar expenses
• Emergency ambulance charges for transporting the covered patient to the hospital up-to sum
of Rs.750/- per hospitalization and overall limit of Rs.1500/- per policy period
Section II (Major Diseases cover)
• Provides for payment of lump-sum amount equal to the sum insured opted if the insured
person contracts any one of the Major diseases for the first time.
• Provides for payment of lump-sum amount equal to the sum insured opted if the insured
person contracts any one of the Major diseases for the first time.
Major Diseases covered under the policy
• First Diagnosis of Cancer, Chronic Kidney Disease, Hepatoma, Brain Tumour,
• Undergoing first time - Major Organ Transplant,
• Occurrence for the first time of the following medical events:
Cerebro-Vascular Stroke causing Hemiplegia, Acute Myocardial Infarction resulting
in Left Ventricular Ejection Fraction of < 25%
• Established irreversible Coma,
• Established irreversible Paraplegia,
• Established irreversible Quadriplegia
CORPORATE OFFICE: No.1, New Tank Street, Valluvar Kottam High Road, Nungambakkam, Chennai - 600034.
Ph: 044-28288800
Help Line. 99946 12916, 90430 32916, 93628 54443, 93631 18365
2. Star Health and Allied Insurance Company Limited,
P. Dhanasekaran, Mktg – Sales Manager, Contact. 099946 12916, 093628 54443, 090430 32916
Web.: smstarhealth.com, E.mail. smstarhealth@gmail.com, smstarhealth@smstarhealth.com
How Much to Pay?
Sum 66 yrs - 70 yrs
5 months - 35
Insured 36 yrs - 45 yrs 46 yrs - 55 yrs 56 yrs - 65 yrs [for renewals
yrs
(in Rs) only]
Rs. 2,00,000 3750 4200 6400 7550 11150
Rs. 3,00,000 5400 6000 8900 11600 16200
Rs. 4,00,000 7000 7680 12300 15900 21050
Rs. 5,00,000 8400 9400 15200 19500 25900
Rs. 10,00,000 14600 16100 22600 28200 35350
Service Tax 10.30% extra
IT Benefit
• Premium paid in the name of STAR HEALTH AND ALLIEDS INSURANCE COMPANY
LIMITED by DD or CHEQUE other than cash for this insurance is eligible for relief under
section 80D of the IT Act.
Claims Procedure
• Call the 24 hour help-line for assistance
• Inform the ID number for easy reference
For claims under Section I**
• In case of planned hospitalization inform 24 hours prior to admission in the hospital
• In case of emergency hospitalization information to be given within 24 hours after
hospitalization
• Cashless facility can be availed in all net-work hospitals
• In non-network hospitals payment must be made up-front and then reimbursement will be
effected on submission of documents
For claims under Section II
• Intimate the Company on diagnosis of any of the Major Diseases covered. Further
procedures would be intimated
CORPORATE OFFICE: No.1, New Tank Street, Valluvar Kottam High Road, Nungambakkam, Chennai - 600034.
Ph: 044-28288800
Help Line. 99946 12916, 90430 32916, 93628 54443, 93631 18365
3. Star Health and Allied Insurance Company Limited,
P. Dhanasekaran, Mktg – Sales Manager, Contact. 099946 12916, 093628 54443, 090430 32916
Web.: smstarhealth.com, E.mail. smstarhealth@gmail.com, smstarhealth@smstarhealth.com
Exclusions
For Section I
• All expenses incurred in connection with treatment of any Pre-Existing
disease/illness/condition.
• Treatment of disease/sickness/illness contracted by the Insured Person during the first
30days from the commencement date of the policy.
• Expense incurred in the first two Years of continuous operation of Insurance cover on
treatment for Cataract, Hysterectomy for Menorrhagia or Fibromyoma, Treatment for Knee
or Joint Surgery (other than caused by an accident), Prolapse of intervertebral disc (other
than caused by accident), Varicose veins and Varicose ulcers.
• Expense incurred during the first year of operation of the Insurance on treatment of Benign
Prostate Hypertrophy, Hernia, Hydrocele, Fistula in anus, Piles, Sinusitis and related
disorders, gallstones and renal stones
• Naturopathy treatment
• Expenses which are purely diagnostic in nature with no positive existence of any disease
For Section II
• Expenses incurred for treatment of congenital diseases/ defects/anomalies.
• Manifestation of any of the covered Major Diseases within first 90days from the date of
commencement of the policy. This will not apply when the policy is renewed without any
break (any break up-to 15days from the date of expiry will be condoned for the purpose of
continuity of benefits relating to 30 days waiting period , first year, first two years and Pre-
Existing Diseases exclusion and 90 days waiting period for Section II)
• For a detailed list of exclusions please refer policy conditions
Eligibility
• Any person aged between 18 years and 65 years can take this insurance. The insurance is
renewable up-to 70 years.
How to buy this insurance?
• Please contact us through our Help Line 099946 12916, 093628 54443 / SMS /
CORPORATE OFFICE: No.1, New Tank Street, Valluvar Kottam High Road, Nungambakkam, Chennai - 600034.
Ph: 044-28288800
Help Line. 99946 12916, 90430 32916, 93628 54443, 93631 18365