Plan

Senior Citizens Red Carpet Health Insurance Policy

Senior Citizens Red Carpet Health Insurance Policy from Yedelli Srinivas

Plan Details

Senior Citizens Red Carpet Health Insurance Policy

Keeping in mind the health risks, Star Health's Senior Citizens Red Carpet Health Insurance Policy covers the pre-existing diseases from the 2nd year onwards

Senior Citizens Red Carpet Health Insurance Policy

Star Red Carpet Plan is a health insurance plan offered by Star Health Insurance Company that is specially designed for people in their sixties to offer them a hassle-free smooth retirement life so that they can live the golden days of their life without any worries. The policy has come up with a sack full of benefits and facilities to offer them financial security against the different medical risks, ailments, and diseases that they are exposed to. Keeping in mind the health risks, Star Health’s Senior Citizens Red Carpet Health Insurance Policy covers the pre-existing diseases from the 2nd year onwards, and also to avail of this policy, you do not have to go through pre-policy medical check-ups. This is a very flexible plan that can be customized according to your needs.

Eligibility Criteria

Parameters	Criteria
Entry age	Minimum – 60 years Maximum – 75 years
Renewability	Lifelong
Policy term	1, 2, and 3 years
Policy type	Individual sum insured basis Floater sum insured basis
Sum insured option	On an individual basis – Rs. 1 lakh, Rs. 2 lakhs, Rs. 3 lakhs, Rs. 4 lakhs, Rs. 5 lakhs, and Rs. 7.5 lakhs On an individual and 0floater basis – Rs. 1 lakh, Rs. 1.5 lakhs, Rs. 2 lakhs, and Rs. 2.5 lakhs
Premium installment facility	Quarterly, Half-yearly, Annually, Biennial (Once in 2 years), and Triennial (Once in 3 years).

Star Red Carpet Plan Details

As the Star Carpet Red plan has come up with lots of benefits, the details of the plan are discussed in the following table.

Benefits

Details

Hospitalization cover (Room, Boarding, and Nursing expenses as given here)

Sum insured

Room rent limit (per day)

Rs.1,00,000/- to Rs.5,00,000/-

Up to 1% of the sum insured.

Rs.7,50,000/- and Rs.10,00,000/-

Up to Rs.6,000/-

Rs.15,00,000/-

Up to Rs. 7000

Rs. 20,00,000

Up to Rs. 8,500

Rs. 25,00,000

Up to Rs. 10,000

ICU Charges

Sum insured

Limit per day

Rs.1,00,000/- to Rs.10,00,000/-

Up to 2% of the sum insured.

Rs.15,00,000/- to Rs.25,00,000/-

Actuals

Surgeon, Anaesthetist, Medical Practitioner, Consultants, and Specialist’s fees

Up to 25% of the sum insured per hospitalization

Anesthesia, Blood, Oxygen, Operation Theatre charges, Cost of Pacemaker, etc.

Up to 50% of the sum insured per hospitalization

Emergency ambulance charges as per the table for transporting the insured person by private ambulance services to the hospital

Sum insured

Limit per hospitalization

Limit per policy period

Rs. 1,00,000/- to Rs. 4,00,000/-

Rs. 600

Rs. 1200

Rs. 5,00,000/- to Rs. 10,00,000/-

Rs. 1000

Rs. 2000

Rs. 15,00,000/- to Rs. 25,00,000/-

Rs. 1500

Rs. 3000

Pre-hospitalization medical expenses for disease/illness, an injury sustained following an admissible claim for hospitalization under the policy

For a period not exceeding 30 days prior to the date of hospitalization,

Post-Hospitalization medical expenses equivalent to 7% of the hospitalization expenses comprising Nursing Charges, Surgeon or Consultant fees, Diagnostic charges, Medicines, and drugs

expenses, subject to a maximum limit as per the table given here

Sum insured

Limits per occurrence

Rs. 1,00,000/- to Rs. Rs. 50,000/-

Rs. 5000

Rs. 10,00,000/- and Rs. 15,00,000/-

Rs. 7000

Rs. 20,00,000/- and Rs. 25,00,000/-

Rs. 10,000

Expenses on Medical Consultations as an Out Patient incurred in

Network hospitals up to the limits mentioned in the table given here with a limit of Rs.200/- per consultation.

Sum insured

Limit per person per policy period

for a policy with Sum Insured on

Individual Basis

For a policy with a sum insured on a floater basis

Limit per person

Limit per policy period

Rs. 1 lakh

Not available

Rs. 2 lakhs

Rs. 3 lakhs

Rs. 600

Rs. 4 lakhs

Rs. 800

Rs. 5 lakhs

Rs. 1000

Rs. 7.5 lakhs

Rs. 1200

Rs. 10 lakhs

Rs. 1400

Rs. 2400

Rs. 15 lakhs

Rs. 1800

Rs. 3000

Rs. 20 lakhs

Rs. 2200

Rs. 3800

Rs. 25 lakhs

Rs. 2600

Rs. 4400

Cost of health check-up

Sum insured

Limit per person per policy period

for a policy with a Sum Insured on

Individual Basis

For floater policies

Limit per person

Limit per policy period

Rs. 1,00,000/- to 4,00,000/-

Not available

Rs. 5,00,000 and Rs. 7,50,000

Rs. 1000

Not available

Rs.10,00,000 and Rs. 15,00,000

Rs. 2000

Rs. 3500

Rs. 20,00,000 and Rs. 25,00,000

Rs. 2500

Rs. 4500

Co-payment

30% for all claims

Claim Illustration for Sublimit and Co-pay: Treatment for Cerebral Vascular Accident (Individual

Basis);

Sum insured

Rs. 15 lakhs

Actual claim amount

Rs. 10 lakhs

Submit for CVA

Rs. 4 lakhs

Admissible claim amount

Rs. 8 lakhs

(After considering

1. Limit for room rent,

2. Limit for ICU Charges,

3. Limit for medical practitioner fee [25% of the Sum

Insured],

4. Limit for Anaesthesia / OT Charges [50% of the Sum

Insured]) – A

Less: co-pay 30%

Rs. 2,40,000

(30% co-pay on admissible claim amount) – B

Claim amount payable after 30% co-pay

Rs. 5,60,000

A (-) B

Final settled amount

Rs. 4 lakhs

The Claim amount payable is greater than the sub-limit.

Hence Company’s liability is up to the sub-limit

General Terms of Star Red Carpet Plan

The plan has presented certain general terms regarding the policy which must be kept in mind to have a transparent concept of the plan. To know more, follow the below mentions.

Pre- Acceptance Medical screening:

Though there is no pre-acceptance medical screening, however, if the following medical records of the person proposed for insurance are submitted, a discount of 10% is allowed.

Stress Thallium Report
BP Report
Sugar (blood & urine) (Fasting / Postprandial)
Blood urea & creatinine

Tax Benefits:

If the insured person pays an amount by any mode other than by cash for this insurance, then he or she is eligible for a tax relief under Section 80D of the Income Tax Act.

Free Look Period:

To find out the terms and conditions of the policy, the company offers you a free look period of 15 days. If the plan is not suitable for you, you can return it within the free look period. In such a case, the premium refund shall be as follows:

If the Insured has not made any claim during the free look period, the Insured shall be entitled to –

A refund of the premium paid less any expenses incurred by the Insurer on medical examination of the insured persons and the stamp duty charges or
Where the risk has already commenced and the option of return of the policy is exercised by the policyholder, a deduction towards the proportionate risk premium for the period on the cover or
Where only a part of the insurance coverage has commenced, such proportionate premium is commensurate with the insurance coverage during such period.

Note: Free look period shall not be applicable at the time of renewal. Renewal premium, terms, and conditions are subject to change with prior approval from IRDAI.

Premium Calculation Of Star Red Carpet

For your better understanding of the premium calculation of the Star Red Carpet Plan, here is an example.

Mr. Sharma a 60-years old businessman has bought Star Red Carpet Policy for himself. Let us find out how much premium amount he has to pay for different sum insured options.

Policy type	Policy term	Age	Insurance cover	Premium payment option	Premium amount (including tax)
Individual	2 years	60 years	Rs. 15 lakhs	Full	Rs. 66,512
			Rs. 20 lakhs		Rs. 74,493
			Rs. 25 lakhs		Rs. 81,952

General Exclusions Of Star Red Carpet Plan

Though this plan offers a wide range of benefits and facilities, it also has cert.

Ain exclusions, which are important to keep in knowledge to avoid future complexities. The general exclusions of this plan are as follows.

Expenses related to the treatment of the pre-specified, listed conditions, surgeries, or treatments will not be included until the expiry of 24 months of continuous coverage after the date of inception of the first policy.
This plan does not cover any diagnostic expenses which are not related or not incidental to the current diagnosis and treatment.
Custodial care either at home or in a nursing facility for personal care such as help with activities of daily living such as bathing, dressing, and moving around either by skilled nurses or assistants or non-skilled persons will fall under the exclusions.
If the obesity or the weight control treatment does not follow the standard and approved protocols, then the policy will not cover the expenses arising due to the same.
Any cost due to the treatment change of gender, plastic surgery, etc. will not be covered by the plan.
If you participate in any hazardous and adventurous sports such as scuba diving, mountaineering, para-jumping, rock climbing, etc. then the policy does not take any responsibility for the medical expenses arising out of it.
If you receive any non-standard, unauthorized treatment for any ailment or condition, you will not be compensated.
Treatment for alcoholism, drug or substance abuse or any addictive condition and consequences will not be covered by the policy.
Any type of contraception or fertility treatment will not be covered.
Self-inflicted injuries, suicide attempts or suicide fall under the category of exclusion.
Injury or disease directly or indirectly caused by or contributed to by nuclear weapons or materials will not be covered.
Expenses related to the treatment for correction of eyesight due to refractive error less than 7. 5 dioptres are also not covered by the policy.

Senior Citizens Red Carpet Health Insurance Policy

Senior Citizens Red Carpet Health Insurance Policy

Senior Citizens Red Carpet Health Insurance Policy

Eligibility Criteria

Star Red Carpet Plan Details

General Terms of Star Red Carpet Plan

Premium Calculation Of Star Red Carpet

General Exclusions Of Star Red Carpet Plan

Leave a comment