VR Logo

Star Family Health Optima Insurance Plan

Objective

This is a family floater health insurance policy that aims to provide adequate cover even after one of the insured members has used the initial sum.


Suited for

Any two or more family members up to 65 years of age can take this policy on a floating sum basis.


What does it do?

This policy requires at least two family members to initiate the cover. The policy is different from others due to its automatic restoration facility wherein, the insurance company reinstates entire sum insured if it is exhausted by any of the members during a policy year. This restoration benefit is not available only on covers of value higher than Rs 2 lakh. Also, the restored benefit cannot be used for treatment of illness for which the claim was made.


Pros

A sufficient sum is available for other family members even after a member has used the amount. Policy pays a no-claim bonus up to 35 per cent.
One can avail 5 per cent discount on premium if the policy is bought online.
Premium paid under this policy qualifies for deduction under section 80D of Income Tax Act.


Cons

Restored benefit amount cannot be used for same illness by same member again.
There is a co-payment clause for each admissible claim for members between 61 years and 65 years, which is a drawback.


Our View

Automatic restoration benefit is a great feature for family floater policies where single sum insured is shared among many members. It ensures that other members are not deprived of insurance cover if a member has exhausted the initial cover. We recommend this policy.

Eligibility
Entry Age (years) 
Minimum5 months
Maximum65
Maximum Policy Renewal Age (years)65
Coverage TypeFamily floater
Sum Insured (Rs) 
Maximum15 lakh
Minimum1 lakh
Policy Term (years)1
Tax BenefitPremium paid is eligible for tax benefit under section 80D of the Income Tax Act
No Claim Bonus5% to 35% in event of a claim free year
Pre Policy Medical Check UpRequired for person above 45 years of age at company's cost
Grace Period for Policy Renewal15 days
Policy TerminationInsurer may cancel the policy by giving a 30 days notice. The policyholder is allowed to cancel the policy too by giving a 30 day notice. The company shall refund a part of premium on basis of elapsed policy period provided no claim has been made during such period
Customer Service 
AddressStar Health and Allied Insurance Company Limited
Corporate Office: No.1, New Tank Street,
Valluvar Kottam High Road, Nungambakkam,
Chennai - 600034.
Mail to[email protected], [email protected]
Call to1800 425 2255/ / 044 2826 3300
SMSSTAR to 56677
Additions to the Plan
No Claim Bonus
Basic Sum Insured (R)First RenewalSecond RenewalMaximum Bonus Allowable
1000000.10.050.15
2000000.10.050.15
3000000.250.10.35
4000000.250.10.35
5000000.250.10.35
10000000.250.10.35
15000000.250.10.35
The Bonus will be reduced by 50% in the event of a claim. If there is a claim in the successive year also the bonus will become zero. The basic sum insured shall however not be reduced.
Exclusions and Waiting Period
Automatic Restoration of Sum InsuredRestored Sum Insured can be utilized for illness/disease unrelated to the illness/diseases for which claim's was/were made.
Pre existing diseasescovered after 48 months
No claim periodAny disease contracted during the first 30 days of commencement of the policy
Waiting PeriodCertain diseases such as cataract, Varicose veins and Varicose ulcers etc shall be covered after a waiting period of 2 year.Certain diseases such as hernia, piles, sinusitis and related disorders etc. will be covered after a period of 1 year.
Copayment20% of each and every admissible claim for person aged between 61 to 65 years at entry level
General ExclusionsNaturopathy treatment and any treatment other than allopathyCosmetic, beauty or slimming treatment
Scope of Cover
Cashless facilityAvailable at empanelled hospitals in India
Re-imbursementAvailable at non empanelled network of hospitals
Pre hospitalisationCovered; upto maximum of 30 days prior to hospitalisation
Post Hospitalisationlumpsum calculated at 7% of the hospitalization expenses (excluding room charges) subject to a maximum of Rs.5,000
In-patient hospitalisationCovered
Room rent, boarding and nursing expenses2% of sum insured,subject to a maximum of Rs.5000/- per day in Class A cities and 1% of Sum Insured upto a maximum of Rs 3000 per day in Class B cities and 1% of Sum Insured subject to a amximum of Rs 1000 per day in other cities
Surgeon's fees, Consultant's fees, Anaesthetist's and Specialist's fees, Cost of medicines and drugsCovered
Emergency AmbulanceRs 750 per hospitalisation upto maximum of Rs 1500 per policy period
Day Care Procedurescovers 101 procedures
Cataract TreatmentRs 12000 per policy perisod for Sum Insured upto Rs 2 lakhRs 20000 in respect of one eye and Rs30000 for entire policy period for Sum Insured ranging between Rs 3 lakh to Rs 5 lakhRs 30000 in respect of one eye and Rs 40000 for the entire policy period for Sum Insured above Rs 5 lakh
Annual Premium Option for Rs 1 lakh Sum Insured for Mumbai, Delhi and Gujarat region
Age (in years)Family Size
2Adults2Adults + 1Child2Adults + 2Children2Adults + 3Children1Adult + 1Child1Adult + 2Children1Adult + 3Children
5 months-353890NANANA32504150NA
36-453890NANANA38754700NA
46-50NANANANANANANA
51-55NANANANANANANA
56-60NANANANANANANA
61-65NANANANANANANA
for other cities
5 months-353600NANANA32503850NA
36-453600NANANA37004300NA
46-50NANANANANANANA
51-55NANANANANANANA
56-60NANANANANANANA
61-65NANANANANANANA
Figures are indicative premium for appropriate sum insured for each age band excluding service tax
Annual Premium Option for Rs 2 lakh Sum Insured for Mumbai, Delhi and Gujarat region
Age (in years)Family Size
2Adults2Adults + 1Child2Adults + 2Children2Adults + 3Children1Adult + 1Child1Adult + 2Children1Adult + 3Children
5 months-353950462061106510350043105200
36-454675517068757975395049055960
46-5078708580942510625580074008975
51-5581458855980011200622575759735
56-609400963510840118407225820011000
61-65NANANANANANANA
for other cities
5 months-353850425554506300350041005200
36-454465493565657415387548305410
46-507515819089959845530072108530
51-5577758455926010110600073008790
56-6085159195987010720700582009030
61-65NANANANANANANA
Figures are indicative premium for appropriate sum insured for each age band excluding service tax
Annual Premium Option for Rs 3 lakh Sum Insured for Mumbai, Delhi and Gujarat region
Age (in years)Family Size
2Adults2Adults + 1Child2Adults + 2Children2Adults + 3Children1Adult + 1Child1Adult + 2Children1Adult + 3Children
5 months-354300540068757975387549105940
36-455320590072458195427553656005
46-509515110701188012980701079809725
51-5597901135012155132557335891010100
56-60126751344014030151308995999511445
61-6520500NANANANANANA
for other cities
5 months-354200530065657465387549105670
36-455170555567757675427551005670
46-509085105651134012240701078109555
51-559345108301160512505733587709800
56-60120901283013390142908645951011225
61-6518750NANANANANANA
Figures are indicative premium for appropriate sum insured for each age band excluding service tax
Annual Premium Option for Rs 4 lakh Sum Insured for Mumbai, Delhi and Gujarat region
Age (in years)Family Size
2Adults2Adults + 1Child2Adults + 2Children2Adults + 3Children1Adult + 1Child1Adult + 2Children1Adult + 3Children
5 months-355300682583009500464058657385
36-456510773089159715516562357590
46-50120001390015270165708570956511960
51-551320014925161001689090901111012985
56-6016000180751883520035101351266514420
61-6528500NANANANANANA
for other cities
5 months-355300661079208820464056407050
36-456350737585259425500560007245
46-50120001320014665155658375934511730
51-551300014250151851588586851087512650
56-601550017255179801888098651244014100
61-6523200NANANANANANA
Figures are indicative premium for appropriate sum insured for each age band excluding service tax
Annual Premium Option for Rs 5 lakh Sum Insured for Mumbai, Delhi and Gujarat region
Age (in years)Family Size
2Adults2Adults + 1Child2Adults + 2Children2Adults + 3Children1Adult + 1Child1Adult + 2Children1Adult + 3Children
5 months-3568858080965510955651077858800
36-45800091251009011390722580109000
46-501497016080165101781099951424015610
51-5515300164001684018140121001470015930
56-6020050211802207523375148851690020590
61-6530315NANANANANANA
for other cities
5 months-3568857710921010210651074358560
36-4576408710963510635722576508630
46-501429015350157601676095651400014895
51-5514600156651607517075118501445015215
56-6019145202252107022070145001633519650
61-6525750NANANANANANA
Figures are indicative premium for appropriate sum insured for each age band excluding service tax
Annual Premium Option for Rs 10 lakh Sum Insured for Mumbai, Delhi and Gujarat region
Age (in years)Family Size
2Adults2Adults + 1Child2Adults + 2Children2Adults + 3Children1Adult + 1Child1Adult + 2Children1Adult + 3Children
5 months-35911011665134451640587001077513575
36-451135013450162001950599001199515010
46-5020500218002355526780163301775022100
51-5522100248002790032665176802287526860
56-6030300323403621039500240002697030010
61-6540500NANANANANANA
for other cities
5 months-35890011000128001590085001010012575
36-451100012875153801810097001100013895
46-5018750209902280025710150001690020100
51-5521000227002644028850168102100025660
56-6028800303253508037500230002609027775
61-6538500NANANANANANA
Figures are indicative premium for appropriate sum insured for each age band excluding service tax
Annual Premium Option for Rs 15 lakh Sum Insured for Mumbai, Delhi and Gujarat region
Age (in years)Family Size
2Adults2Adults + 1Child2Adults + 2Children2Adults + 3Children1Adult + 1Child1Adult + 2Children1Adult + 3Children
5 months-3510885139901778020780105401345016770
36-4513865158001970022700119951440018000
46-5025650299103210035100198752188027030
51-5531125377504178044780240002902033770
56-6039500436604920552205308903291037990
61-6550500NANANANANANA
for other cities
5 months-3510100127701666019310100001245015875
36-4512500145001830020950112401375016550
46-5024400275003165034300190302100025010
51-5529895350004070043350228752805030080
56-6036500412004781050460288803200034700
61-6541135NANANANANANA
Figures are indicative premium for appropriate sum insured for each age band excluding service tax

Learn the basics

The underlying data is not available.

Calculate SIP Returns