
Arogya Sanjeevani Policy Star Health Plan
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Expert Review: Star Health Insurance
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About
About Star Health Insurance
Inclusions and Exclusions
Inclusions and Exclusions of Star Insurance Company Limited
Room Rent
Normal: Room Rent Limit: Capped at 2% of the sum insured per day, up to a maximum of ₹5,000 per day.ICU Limit: Capped at 5% of the sum insured per day, up to a maximum of ₹10,000 per day.
Advanced Treatments
Coverage includes robotic surgeries, stem cell therapy, organ transplants, modern cancer treatments, bariatric surgery, and advanced cardiac procedures as per policy terms. These treatments are covered up to 50% of the sum insured, ensuring access to cutting-edge medical advancements.
Co-payment
The Star Arogya Sanjeevani Plan includes a 5% copayment, which means the policyholder must pay 5% of the claim amount, while the insurer covers the remaining 95%. This copayment applies to all claims, regardless of age or treatment type
Waiting Period
Initial Waiting Period: 30 days from the policy start date, except for accidental injuries.Pre-Existing Diseases: Covered after 48 months of continuous policy coverage.Specific Illnesses & Treatments: Certain listed conditions (like hernia, cataract, joint replacement) have a 24-month waiting period.Maternity & Newborn Coverage: Not covered under this plan.
Cashless Healthcare Providers
The Star Arogya Sanjeevani Plan offers cashless treatment through Star Health Insurance's extensive network of over 14,000 hospitals across India.
Daycare Treatment
The Star Arogya Sanjeevani Plan covers daycare treatments
AYUSH Treatment
Covered under this policy
Room Rent
Normal: Room Rent Limit: Capped at 2% of the sum insured per day, up to a maximum of ₹5,000 per day.ICU Limit: Capped at 5% of the sum insured per day, up to a maximum of ₹10,000 per day.
Advanced Treatments
Coverage includes robotic surgeries, stem cell therapy, organ transplants, modern cancer treatments, bariatric surgery, and advanced cardiac procedures as per policy terms. These treatments are covered up to 50% of the sum insured, ensuring access to cutting-edge medical advancements.
Co-payment
The Star Arogya Sanjeevani Plan includes a 5% copayment, which means the policyholder must pay 5% of the claim amount, while the insurer covers the remaining 95%. This copayment applies to all claims, regardless of age or treatment type
Exclusions
Pre-existing diseases are covered only after the specified waiting period.
No coverage for maternity expenses, childbirth, or fertility treatments.
Cosmetic or plastic surgery unless medically necessary is excluded.
Injuries or illnesses due to drug abuse, alcohol, or self-inflicted harm are not covered.
Treatment for obesity or weight control procedures is excluded.
Experimental or unproven treatments and alternative therapies not under AYUSH are not covered.
Dental and vision treatments unless due to an accident are excluded.
Non-prescription drugs, supplements, and vitamins are not reimbursed.
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