Star Health and Allied Insurance

Star Health and Allied Insurance – Plans, Coverage & Claim Process

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Overview of Star Health and Allied Insurance

Star Health and Allied Insurance is India’s first standalone health insurance company, focused exclusively on health and personal accident insurance. The company serves individual customers, families, senior citizens, and corporate groups across the country.

Star Health is known for its strong retail presence, specialised senior citizen plans, and extensive hospital network, making it a widely chosen health insurer in India.

Care Senior Health Plan Specifications

investkraft

2024
Continued expansion of senior citizen and retail health insurance portfolio

2023
Strengthening of hospital network and claim settlement systems

2022
Growth in individual and family health insurance customer base

2021
Expansion of specialised health insurance products

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Key Features of Star Health and Allied Insurance

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Star Health and Allied Insurance Add-on Riders

 

What’s Covered and Not Covered in Star Health and Allied Insurance

Star Health and Allied Insurance Inclusions

  • In-patient hospitalization for illness or injury
  • Room rent, ICU charges, and doctor’s fees
  • Pre-hospitalization and post-hospitalization expenses
  • Day-care treatments
  • Emergency ambulance services
  • AYUSH treatments as per policy terms
     

Star Health and Allied Insurance Exclusions

  • Pre-existing diseases during the waiting period
  • Self-inflicted injuries
  • Alcohol or drug-related treatments
  • Cosmetic or aesthetic procedures unless medically necessary
  • Infertility treatments and IVF
  • War, riot, or nuclear-related events
 

Claim Process Of Star Health and Allied Insurance

More than 14,000+ network hospitals offer cashless treatment through Star Health and Allied Insurance across India. For planned hospitalisation, pre-authorization should be initiated in advance, while in the case of an emergency, intimation must be provided within the prescribed timeframe after admission. Cashless claim approval is subject to policy terms, coverage limits, and the insurer’s agreement with the treating hospital.

Cashless Claims Process

  1. Visit a Star Health network hospital
  2. Inform the hospital insurance desk about your policy
  3. Hospital submits a pre-authorization request
  4. Claim is reviewed and approved
  5. Treatment begins after approval
  6. Hospital and insurer settle the bill directly

Reimbursement Claims Process

  1. Inform Star Health and Allied Insurance about hospitalization within required timelines
  2. Pay hospital expenses upfront
  3. Submit claim form and supporting documents
  4. Claim is assessed by the insurer
  5. Approved amount is reimbursed to the policyholder
 
 

Documents Required for Buying a Health Insurance

  • Valid ID proof like an Aadhar card, voter ID, PAN card, or passport is required.
  • Accepted address proofs include utility bills, rent agreements, and bank statements.
  • Insurance providers must do CDD for new policyholders using provided KYC documents.

Documents Required for Health Insurance Claim Process

  • Filled and signed claim form with name, policy number, illness details and address.
  • Include all medical test reports and relevant documentation.
  • Original hospital bills, discharge summaries and payment receipts are crucial for claim verification.
  • Attach pharmacy bills and corresponding prescriptions for medication used during treatment.
  • Include police FIR and post-mortem report (if applicable) for accident claims.

 

Best Health Insurance Plans in India

The following are some of the best health insurance plans in India that you can buy from InvestKraft:

Insurance Provider Plan Name Coverage Type Sum Insured Range Age Limit (Adults) Important Parameters
Care Advantage Health Insurance Plan Individual & Family Floater ₹2 Lakh - ₹6 Crore 18-65 years
  • Extensive network hospitals
  • Customizable coverage options
  • Wellness programs
Check Premium
ICICI Elevate Health Insurance Policy Individual & Family Floater ₹2 Lakh - ₹6 Crore 18-65 years
  • Extensive network hospitals
  • Customizable coverage options
  • Wellness programs
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IFFCO Tokio Family Health Protector Policy Individual & Family Floater ₹2 Lakh - ₹6 Crore 18-65 years
  • Extensive network hospitals
  • Customizable coverage options
  • Wellness programs
Check Premium
Niva Bupa Aspire Policy Individual & Family Floater ₹2 Lakh - ₹6 Crore 18-65 years
  • Extensive network hospitals
  • Customizable coverage options
  • Wellness programs
Check Premium
Arogya Supreme Policy Individual & Family Floater ₹2 Lakh - ₹6 Crore 18-65 years
  • Extensive network hospitals
  • Customizable coverage options
  • Wellness programs
Check Premium
TATA AIG Medicare Lite Policy Individual & Family Floater ₹2 Lakh - ₹6 Crore 18-65 years
  • Extensive network hospitals
  • Customizable coverage options
  • Wellness programs
Check Premium

Frequently Asked Questions (FAQs)

A.

Star Health and Allied Insurance is a standalone health insurance company in India offering medical insurance products for individuals, families, senior citizens, and groups.

A.

Star Health and Allied Insurance Company is promoted by a group of shareholders and is backed by experienced professionals from the insurance and healthcare sectors.

A.

Some plans may have higher premiums for senior citizens, sub-limits on certain treatments, and waiting periods for specific illnesses, depending on the policy chosen.

A.

स्टार हेल्थ एंड अलाइड इंश्योरेंस कंपनी एक स्वतंत्र स्वास्थ्य बीमा कंपनी है, जिसे अनुभवी प्रमोटर्स और निवेशकों द्वारा संचालित किया जाता है।

A.

कुछ प्लान्स में वेटिंग पीरियड, ट्रीटमेंट सब-लिमिट्स और उम्र बढ़ने पर प्रीमियम अधिक हो सकता है।

A.

Yes, Star Health is widely known for its senior citizen health insurance plans, including options without mandatory pre-policy medical tests for certain age groups.

A.

Yes, Star Health offers cashless hospitalization at a large network of hospitals across India, subject to policy terms and approval.

A.

Star Health offers individual plans, family floater plans, senior citizen plans, critical illness covers, personal accident insurance, and group health policies.

A.

Yes, Star Health provides family floater plans that cover multiple family members under a single sum insured.

A.

Star Health provides both cashless and reimbursement claim options with a structured process through network hospitals and customer support channels.

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