Special Care Gold Policy by Star Health Insurance is a unique product designed for individuals, specifically handicapped individuals and individuals being positive. This policy aligns with the mission of Star Health to provide quality healthcare to all, with some affected by some of the most neglected diseases and disabled.
According to the rights of 2016 with the Disability Act, the policy corresponds to meet the needs of persons with disabilities. Additionally, the company is starting a recruitment initiative to train and hire blind persons as insurance agents.
Admission age and yoga were assured – The term policy is 1 year, and it is available as a personal policy. The age of entry for adults ranges from 18 to 65 years, while dependent children can be covered with newborns till the age of 17. There are yoga options available under this scheme 4 lakhs and 5 lakhs.
Eligibility – The scheme is designed for disabled persons and individuals diagnosed with HIV/AIDS. More information about the same is given here.
Pre-policy medical check – No medical examination is required regardless of age. However, the previous medical records, including treatment details, should be submitted with a proposal.
After being hospitalized before and after hospital The policy includes 30 days before the entry (in the pre-hospital) and 60 days of discharge (in post-hospital) consultation fee, clinical fee and 30 days of medical expenses including prescribed medicines.
Prior to medical check-up- No medical testing is required regardless of age. However, the previous medical records, including treatment details, should be submitted with a proposal.
Pre -and Post Hospitalized Cover – The policy includes 30 days before the entry into the hospital (in the pre-hospital) and 30 days of medical expenses including consultation fee, clinical fee and prescribed drugs for 60 days since discharge (in post-hospital).
Co-devotionT – Under this policy, 20% co -coordination applies to each claim. However, this co-paying can be waived by paying an additional premium, subject to policy terms and conditions. However, room fares, boarding, nursing expenses, and ICU/ICCU charges are extended to 1% and 2% per day, according to hospital provisions.
treatment – Modern treatment is covered up to 50% of the insured amount, while cataract is covered for treatment 40,000 per eye per policy. However, AYUSH treatment is also covered up to 50% of each policy year insured.
Unstable coverage for HIV/AIDS – If the policy holder falls below the CD4 count 150, the company will pay a lump sum amount equal to 100% of the amount of insured or the remaining amount, which is less. This payment will be made from the start of the policy after the 90-day waiting period from the onset of the policy and is limited to a claim per lifetime, which is independent of any in-post hospitalized claims under the policy.
waiting period – Star Health Special Care Gold Policy includes four types of waiting period:
Pre -existing diseases:
- For disability/HIV/AIDS other conditions -Pre-existing conditions and their direct complications are covered after a continuous 48-month waiting period from the policy start date.
- For HIV/AIDS – Treatment for HIV/AIDS and its direct complications are covered after a 90-day waiting period from the policy start date.
- For the disabled – Pre-existing disability and their direct complications have been covered after a 24-month waiting period from the policy start date.
Specific disease – After a 24 -month waiting period from the onset of the policy, the cost of treatment for some specified conditions, surgery and procedures is covered.
Initial waiting period – The cost of treatment for any disease is excluded for any disease during the 30 days before the date of starting the policy, except for the claims resulting from accidents.
Installment Payment Options – The premium can be paid on quarterly, semi-annual or annual basis. Please note that for installment payment, the following additional fees are applied: quarterly payment: 3% loading and half-yearly payment: 2% loading.
Day care treatment – Day care treatment is also covered, which means that if you are hospitalized for less than 24 hours for a small procedure or surgical procedures, the insurer will still cover the related costs.
Emergency road ambulance – Ambulance expenses are covered up to maximum 2,000 per hospital hospitals.
What is not planR – This policy now does not offer any type of bonus, maternity benefit, out -patient counseling, any type of special discounts and international coverage.
Amendment of insured yoga – Adjustment to insured amount, whether increase or decrease, is allowed only during policy renewal. Approval for any increase, including the amount, is at the company’s discretion and is subject to some exclusion.
Tax benefits under Section 80-D – The insured person is eligible for tax relief under Section 80-D of the Income Tax Act for the premium paid through any mode other than cash.
Finally, Star Health Special Care Gold Policy is a commendable initiative that prefer health services of disabled individuals and health services of people affected by HIV/AIDS.
This policy not only ensures comprehensive coverage, by aligning the rights of individuals with the Disability Act, 2016 and the rights of individuals with human immunodeficiency virus, by acquiring the immune reduction syndrome (prevention and control) Act, 2017, this policy not only ensures broad coverage.
Through this tilated approach, special care gold strengthens groups of these margins, providing them with the support and resources required to live a healthy life.
Rohit Ganchandani Nandi is the Managing Director in Investment Private Limited
