In today’s fast-paced world, medical expenses can surprise anyone. Hospital bills, surgery costs, and treatments for chronic illnesses can quickly become overwhelming. This is where a reliable health insurance policy comes into play. One of the best options in India is the Star Health Assure Insurance Policy. This plan provides comprehensive coverage for individuals and families, making healthcare accessible and stress-free. In this blog, we’ll explain its features, benefits, costs, examples, and everything you need to know to make the right decision.
What is Star Health Assure Insurance Policy?
The Star Health Assure Insurance Policy is a comprehensive health insurance plan that covers hospitalization expenses due to illness or accidents. You can opt for an individual policy (covering one person) or a floater policy (covering the whole family). It provides coverage for hospital bills, medical tests, surgeries, maternity, home care, and wellness programs.
This policy is offered by Star Health and Allied Insurance Company, one of India’s leading health insurers, known for fast claim settlement and wide network hospitals.
Key Features of Star Health Assure
Here’s a detailed look at the features that make this policy valuable:
1. Hospitalization Coverage
- Covers room rent, nursing charges, ICU, surgery fees, consultation fees, and medicines.
- Pre-hospitalization: Covers expenses for up to 60 days before hospital admission.
- Post-hospitalization: Covers expenses for up to 180 days after discharge.
- Example: If you were hospitalized for ₹1,50,000, and you spent ₹10,000 on pre-hospitalization tests and ₹15,000 on post-hospitalization medications, the total claim amount would be ₹1,75,000.
2. Family Floater Coverage
- Covers self, spouse, children, parents, and parents-in-law.
- Up to 9 members can be covered under one policy.
- Example: A family of 4 (parents + 2 children) taking a ₹10 lakh floater policy can share the coverage among all members for any hospitalization.
3. Automatic Restoration of Sum Insured
- If the sum insured is used up during a policy year, it is restored automatically, unlimited times.
- Example: If you have a sum insured of ₹5 lakh and a claim of ₹5 lakh is made, another ₹5 lakh will be restored for future claims in the same year.
4. No Pre-Medical Screening
- Most applicants do not need a medical test before purchasing the policy, making it fast and hassle-free.
5. Home Care Treatment
- Medical treatment received at home for certain conditions is covered.
- Example: If a patient cannot go to the hospital, home treatment expenses up to 10% of sum insured are reimbursed.
6. Maternity and Newborn Coverage
- Covers delivery costs, cesarean sections, and hospital expenses for newborns.
- Example: For a sum insured of ₹5 lakh, maternity coverage may cover delivery expenses up to ₹50,000 depending on policy terms.
7. Ambulance Coverage
- Road ambulance: Transportation to/from hospital.
- Air ambulance: Up to 10% of sum insured per year.
- Example: For ₹10 lakh sum insured, air ambulance costs up to ₹1 lakh are covered if hospitalization is needed.
8. Wellness Benefits
- Policyholders can earn wellness points for healthy activities, which may reduce renewal premiums.
- Discounts: Up to 20% based on wellness points.
9. Cumulative Bonus
- If no claim is made in a year, sum insured increases by 25% for the next year.
- Example: ₹5 lakh sum insured increases to ₹6.25 lakh next year without extra premium.
10. Organ Donor Expenses
- Covers hospitalization costs for organ donors in case of transplantation.
- Expenses are over and above the insured sum.
Sum Insured Options
Star Health Assure offers flexible sum insured options:
- ₹5 lakh, ₹10 lakh, ₹15 lakh, ₹20 lakh, ₹25 lakh, ₹50 lakh, ₹75 lakh, ₹1 crore, ₹2 crore.
- Policies above 65 years have maximum coverage up to ₹50 lakh.
Example of calculation:
If a 35-year-old buys a ₹10 lakh policy:
- Annual premium: ₹15,000 (approx.)
- Hospitalization claim: ₹5 lakh
- Remaining coverage: ₹5 lakh + automatic restoration: ₹10 lakh total remaining for the year.
Eligibility
- Individual Policy: Age 91 days – 75 years.
- Floater Policy: Adults 18–75 years, children 16 days – 25 years.
- Children above 25 years can remain covered if single.
- Covers self, spouse, children, parents, parents-in-law.
Policy Term & Discounts
- Terms: 1 year, 2 years, or 3 years.
- Floater Discounts:
- Child discount: 40%
- Parent/Parent-in-law discount: 10% each
- Long Term Discount:
- 2-year policy: 10% discount on 2nd-year premium
- 3-year policy: 10% discount on 2nd & 3rd-year premium
Example of discount calculation:
- 2-year premium: ₹15,000/year
- Discount for 2nd year: 10% → ₹1,500
- Total for 2 years: ₹15,000 + ₹13,500 = ₹28,500
Exclusions
- Cosmetic surgeries
- Obesity treatments
- Drug/alcohol rehabilitation
- Experimental treatments
- Non-covered OPD
- Treatments outside India
Claim Process
- Cashless Claims: Available in network hospitals.
- Reimbursement Claims: Submit bills and documents for reimbursement if treated outside network.
Example
- Hospital bill: ₹2 lakh
- Cashless claim: Pay nothing upfront
- Reimbursement: Submit bills; company reimburses ₹2 lakh.
Real-Life Example
Imagine Mr. Sharma, 40 years old, with a family of 4:
- Sum Insured: ₹10 lakh (floater)
- Hospitalization: Child’s appendicitis surgery costs ₹4 lakh
- Remaining coverage: ₹6 lakh + restoration = ₹10 lakh for future claims
- Maternity not claimed this year, eligible for wellness discount next year
Tax Benefits
- Premium paid is eligible for tax deduction under Section 80D.
- Example: Premium ₹15,000 → Reduce taxable income by ₹15,000.
Benefits Summary Table
| Feature | Coverage/Limit | Example |
| Hospitalization | Pre & post + surgery | ₹1,75,000 claim example |
| Floater Family Cover | Up to 9 members | ₹10 lakh shared coverage |
| Restoration | Unlimited | ₹5 lakh claim restored |
| Ambulance | Road & Air | ₹1 lakh air ambulance for ₹10 lakh policy |
| Wellness Bonus | Up to 20% discount | Reduced renewal premium |
| Maternity | Up to limits | ₹50,000 delivery cost |
Also Read: Mediclaim Policy for Senior Citizens: A Complete Guide
Final Thoughts
The Star Health Assure Insurance Policy is one of the most comprehensive plans in India. It offers:
- Coverage for hospitalization, maternity, home care, and organ donors
- Family floater options
- Automatic sum restoration
- Wellness and cumulative bonuses
- Tax benefits under Section 80D
It’s suitable for individuals and families looking for financial security against medical emergencies.
Before purchasing, check premium costs, sum insured, exclusions, and network hospitals. Compare with other policies for the best fit.