With the perfect balance between insurance and tax benefit – Star Health Gain Insurance is the policy just for you. Despite a reassuringly low premium, it offers both outpatient and inpatient hospitalization expenses cover with maximum tax benefits. Sure enough, the best of both worlds is now yours.
Major Product Features
- Flat amount of Rs 14,725 only irrespective of the sum insured or age of the persons or number of persons covered.
- Coverage for both inpatient and outpatient treatments under one policy.
- Any unutilized amount under outpatient benefit can be carried forward to the next one year.
Policy Benefits
- Expenses in a hospital for inpatient hospitalization (minimum 24-hour stay).
- Expenses under the following heads are payable:
-
- Room rent or boarding upto 2% of the sum insured, subject to a maximum of Rs 4000 per day in Class A cities; 1% of the sum insured, subject to a maximum of Rs 3000 per day in Class B cities; 1% of the sum insured, subject to a maximum of Rs 1000 per day in subject to a maximum of Rs 1000 per day in other locations.
- b) Nursing charges.
- Surgeons, consultants and anaesthetists fees.
- Blood, oxygen, diagnostic expenses, cost of pacemakers and similar expenses.
- Drugs and medicines.
- Emergency ambulance charges for transporting the patient to the hospital upto a sum of Rs 750 per hospitalization and overall policy limit of Rs 1500.
- Pre-hospitalization expenses upto 30 days prior to the date of admission in hospital/nursing home.
- Post-hospitalization expenses calculated @7% of the hospitalization expenses (excluding room rent), subject to a maximum of Rs 5000 (benefit-based).
Eligibility
- Any person aged between 5 months and 60 years can be covered under this insurance.
Policy Premium
- Low premium of just Rs 14,725 inclusive of Service Tax.
Tax Benefit
- Premium paid for this insurance is eligible for relief under Section 80D of the IT Act.
Limit of Outpatient Benefits for Individuals
| Individual | Limit of Outpatient Benefits for Individuals Sum | ||||
|---|---|---|---|---|---|
| Sum insured for IP (Rs) | 1,00,000 | 2,00,000 | 3,00,000 | 4,00,000 | 5,00,000 |
| 5mths-45yr | 8,700 | 7,750 | 7,000 | 6,250 | 5,750 |
| 46-55yr | 7,900 | 6,350 | 5,200 | 3,000 | NA |
| 56-60yr | 7,900 | 5,800 | 3,700 | NA | NA |
Maximum Outpatient Treatment Benefit for Various Family Sizes
| Family Size | Limit of Outpatient Benefits for Individuals Sum | ||||||
|---|---|---|---|---|---|---|---|
| Sum insured for IP (Rs) |
1,00,000 | 2,00,000 | 3,00,000 | 4,00,000 | 5,00,000 | ||
| 2A | 5mths-35yr | 8400 | 7400 | 6750 | 5900 | 5250 | |
| 36y-45y | 8400 | 7400 | 6500 | 5500 | 4900 | ||
| 46-55y | NA | 5650 | 4000 | 2000 | NA | ||
| 56-60y | NA | 5000 | 2250 | NA | NA | ||
| 1A+1C | 5mths-35yr | 8500 | 7700 | 6950 | 5750 | 5500 | |
| 36y-45y | 8500 | 7500 | 6750 | 5750 | 5250 | ||
| 46-55y | NA | 5850 | 4500 | 2400 | NA | ||
| 56-60y | NA | 5200 | 2250 | NA | NA | ||
| 1A+2C | 5mths-35yr | 8450 | 7500 | 6900 | 6000 | 5500 | |
| 36y-45y | 8450 | 7250 | 6650 | 5750 | 5000 | ||
| 46-55y | NA | 5750 | 4450 | 2250 | NA | ||
| 56-60y | NA | 5150 | 2250 | NA | NA | ||
| 1A+3C | 5mths-35yr | 8350 | 7400 | 6650 | 5750 | 5250 | |
| 36y-45y | 8350 | 7200 | 6450 | 5500 | 4750 | ||
| 46-55y | NA | 5500 | 4000 | NA | NA | ||
| 56-60y | NA | 4750 | 2250 | NA | NA | ||
| 2A+1C | 5mths-35yr | 8250 | 7250 | 6600 | 5750 | 5000 | |
| 36y-45y | 8250 | 7000 | 6150 | 5450 | 4500 | ||
| 46-55y | NA | 5250 | 3750 | NA | NA | ||
| 56-60y | NA | 4500 | 1500 | NA | NA | ||
| 2A+2C | 5mths-35yr | 8250 | 7000 | 6500 | 5500 | 4650 | |
| 36y-45y | 8250 | 7000 | 5950 | 5000 | 3750 | ||
| 46-55y | NA | 5000 | 3500 | NA | NA | ||
| 56-60y | NA | 4250 | 1500 | NA | NA | ||
| 2A+3C | 5mths-35yr | 8250 | 7000 | 6250 | 5250 | 4250 | |
| 36y-45y | 8250 | 6700 | 5750 | 4900 | 3700 | ||
| 46-55y | NA | 4750 | 3250 | NA | NA | ||
| 56-60y | NA | 4000 | 1150 | NA | NA | ||
| A - Adult C - Child IP - Inpatient NA - Plan Not Available | |||||||
Claims Procedure
- Inform the ID 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
How to buy this insurance?
- Please contact us through our numbers or mail
- M-9890662895
- ph-020-65108308
- E-mail : This e-mail address is being protected from spambots. You need JavaScript enabled to view it
