
Health Cover Designed for Your Heart
82.31%
Claim Settlement Ratio
14,000+
Network Hospitals
2/10
Plan Rating
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Our Verdict
Expert Review: Star Cardiac Care Platinum
Final Verdict
About
What Is Cardiac Care Platinum?
The policy has three sections: Section 1 covers accidents and non-cardiac illnesses, Section 2 covers heart-related hospitalisation, and Section 3 covers out-patient expenses, including vaccination, at network facilities. Both hospitalisation sections include a single private AC room, ICU, doctor fees, medicines, emergency ambulance, 30 days of pre-hospitalisation and 60 days of post-hospitalisation cover.
For heart care, the plan covers cardiac devices up to 50% of the Sum Insured, conventional coronary angiograms up to ₹20,000 or ₹25,000, and heart transplantation after a 24-month waiting period. Cardiac pre-existing conditions are covered after 30 days; non-cardiac pre-existing diseases have a 36-month waiting period.
Other benefits include a 10% cumulative bonus per claim-free year up to 100%, once-a-year 100% restoration for unrelated non-cardiac illnesses, an annual health check-up, rehabilitation and pain management, e-medical opinion, and a wellness programme with up to 10% off the renewal premium.
Platinum Ratings
Platinum
Insurer Rating
7.07
out of 10
Insurance Rating
2
out of 10
No Room Rent Limit
No
Consumables Covered
No
No Co-payment
Yes
Loyalty Bonus >= 500%
Yes
No Disease Sublimits
No
Unlimited Restoration
No
Additional Benefits (Informational Only — Not part of score)
PED Waiting <= 2 Years
No
Maternity Available
No
Waiting Period Waiver
No
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Inclusions and Exclusions
Star Cardiac Care Platinum Inclusions and Exclusions
Room Rent
Single Private A/C Room; proportionate deduction applies for a higher room category, except where the hospital does not use differential billing.
ICU Charges
Covered as part of hospitalisation expenses up to Sum Insured in Sections 1 and 2; no separate ICU cap stated.
Cumulative Bonus
10% of the Basic Sum Insured for each claim-free year, up to 100%; not applicable to Section 3 OPD.
Consumable Cover
Not mentioned as a separate benefit in the policy documents.
Specific Waiting Period
24 months for listed diseases and procedures in Section 1; 24 months for heart transplantation.
PED Waiting Period
36 months for non-cardiac pre-existing diseases in Section 1; 30 days for cardiac pre-existing diseases in Section 2.
Annual Health Checkup
Covered every policy year irrespective of claims at network facilities: ₹2,000 for SI ₹5L and ₹7.5L, ₹3,000 for ₹10L, and ₹4,000 for ₹15L; in addition to the Sum Insured.
Post-Hospitalisation
Up to 60 days after discharge.
Outpatient Department Cover (OPD Expense)
Covered at network facilities, including vaccination, on a reimbursement basis: ₹2,500 / ₹3,000 / ₹3,500 / ₹5,000 per policy period for SI ₹5L / ₹7.5L / ₹10L / ₹15L. In addition to the Sum Insured. Cardiac treatment is payable under Section 2, not under OPD.
Deductible Option
Not available or mentioned in the policy documents.
Coverage Options
Sum Insured ₹5L, ₹7.5L, ₹10L, or ₹15L. Entry age 7–70 years with a past cardiac ailment treated by surgical intervention or procedure. Policy term 1, 2, or 3 years; lifelong renewal.
Maternity Cover
Not covered; maternity is excluded under Code Excl 18.
Pre-Hospitalisation
Up to 30 days before admission.
Claim Settlement Ratio
92.16% of claims settled by number in FY 2025–26.
Disease-wise sublimits
Cataract: ₹30,000 per eye (maximum ₹40,000 per year) for SI ₹5L; ₹40,000 per eye (maximum ₹60,000 per year) for higher SI. Cardiac devices up to 50% of SI; conventional coronary angiogram ₹20,000 for SI up to ₹7.5L or ₹25,000 above; rehabilitation and pain management up to 10% of SI; modern treatment sublimits apply; coronary stents are subject to DPCO/NPPA caps.
Restoration Benefit
Automatic restoration of 100% of Basic Sum Insured once per policy period under Section 1 only, for unrelated illness; not available for cardiac ailments or modern treatments.
Modern Treatment
Covered under Sections 1 and 2, subject to treatment-wise sublimits by Sum Insured. Examples: robotic surgery ₹2.5L–₹4L; oral chemotherapy ₹1.25L–₹2.5L; immunotherapy ₹2.5L–₹5L. Bronchial thermoplasty, prostate vaporisation and IONM are covered up to the Sum Insured. These benefits are part of the Sum Insured.
Co-payment
No co-payment clause found in the policy documents.
Initial Waiting Period
30 days for illness under Section 1; accidents are covered from day 1. Section 2 cardiac cover also has a 30-day waiting period.
Cashless Healthcare Providers
Cashless treatment is available at Star Health network hospitals for Sections 1 and 2. Reimbursement is available at non-network hospitals; network hospital count requires verification.
Daycare Treatment
All Day care procedures are covered.
AYUSH Treatment
In-patient AYUSH treatment is covered up to the Sum Insured under Sections 1 and 2. Yoga and Naturopathy require prior approval.
Exclusions
Congenital external conditions, defects, or anomalies
Convalescence, general debility, run-down conditions, and nutritional deficiency states
Intentional self-injury
Injuries or diseases resulting from nuclear weapons or materials
Unconventional, untested, or experimental treatments and therapies
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About the company
About Star
A cashless hospital network of over 14,000 hospitals nationwide is the big number that helps to keep Star Health's reputation; that way, customers can gain access to quality treatment and services without having to give any upfront payments. As per the plan, treatment can include hospitalization, along with pre-and post-hospitalization expenses, day-care procedures, AYUSH treatments, ambulance charges, and maternity benefits, etc. Policyholders also enjoy benefits such as no-claim bonuses, automatic sum insured restoration, and preventive health check-ups.
Focusing on their customers' convenience, the insurer provides online policy management, claim tracking, and immediate claim settlement. Star Health looks forward to becoming the provider of financial security against medical emergencies while promoting health and well-being among individuals, families, and corporate clients, making it one of the trusted names in India's health insurance band.
FAQs
Frequently Asked Questions
This content has been reviewed by J Isaac Samuel, Insurance Advisor | BQP code: 39540
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