97.00 mm 97.00 mm 100.00 mm 100.

00 mm

v Portability (Applicable for Section I): The insured person will have the option to port the ü Upon the death of the Insured Person. This also means that in case of family floater
policy to other insurers by applying to such insurer to port the entire policy along with all the policy, cover for the other surviving members of the family will continue, subject to other
members of the family, if any, at least 45 days before, but not earlier than 60 days from the terms of the policy
policy renewal date as per IRDAI guidelines related to portability. lf such person is presently ü Upon exhaustion of the sum insured under the policy
covered and has been continuously covered without any lapses under any health insurance v Claims Procedure
policy with an lndian General/Health insurer, the proposed insured person will get the accrued · For assistance call 24 hours help-line 044-69006900 or Toll Free No. 1800 425 2255.
continuity benefits in waiting periods as per IRDAI guidelines on portability. For details contact Senior Citizens may call at 044-40020888
“portability@[Link]” or call Telephone No +91-044-28288869.
· In case of planned hospitalization, inform 24 hours prior to admission in the hospital
For Detailed Guidelines on portability, kindly refer the link
· In case of emergency hospitalization information to be given within 24 hours after
[Link]
hospitalization
v Revision in Sum Insured: Any revision in sum insured is permissible only at the time of · Cashless facility wherever possible in network hospital
renewal. The Insured Person can propose such revision and may be allowed subject to
Company's approval and payment of appropriate premium. · In non-network hospitals payment must be made up-front and then reimbursement will
be effected on submission of documents
v Possibility of Revision of Terms of the Policy including the Premium Rates: The Company,
with prior approval of lRDAl, may revise or modify the terms of the policy including the premium · KYC (Identity proof with Address) of the proposer, as per AML Guidelines
rates. The insured person shall be notified three months before the changes are effected. v Disclosure to information norms: The policy shall become void and all premium paid
v Free Look Period: The Free Look Period shall be applicable on new individual health thereon shall be forfeited to the Company, in the event of mis-representation, mis description
insurance policies and not on renewals or at the time of porting/migrating the policy. or non-disclosure of any material fact by the policy holder.
The insured person shall be allowed free look period of fifteen days from date of receipt of the v Star Advantages
policy document to review the terms and conditions of the policy, and to return the same if not · No Third Party Administrator, direct in-house claims settlement
acceptable. · Faster and hassle – free claim settlement
lf the insured has not made any claim during the Free Look Period, the insured shall be entitled to; · Cashless hospitalization
i. a refund of the premium paid less any expenses incurred by the Company on medical v The Company: Star Health and Allied Insurance Co. Ltd., commenced its operations in 2006 as
examination of the insured person and the stamp duty charges or India's first Standalone Health Insurance provider. As an exclusive Health Insurer, the Company
ii. where the risk has already commenced and the option of return of the policy is exercised by is providing sterling services in Health, Personal Accident & Overseas Travel Insurance and is
the insured person, a deduction towards the proportionate risk premium for period of cover or committed to setting international benchmarks in service and personal caring.
iii. where only a part of the insurance coverage has commenced, such proportionate v Tax Benefits: Payment of premium by any mode other than cash for this insurance is eligible
premium commensurate with the insurance coverage during such period for relief under Section 80D of the Income Tax Act 1961.
v Withdrawal of the policy v TAXES ARE SUBJECT TO CHANGES IN TAX LAWS
i. In the likelihood of this product being withdrawn in future, the Company will intimate the v Prohibition of Rebates: Section 41 of Insurance Act 1938 (Prohibition of rebates): No person
insured person about the same 90 days prior to expiry of the policy shall allow or offer to allow, either directly or indirectly, as an inducement to any person to take out
210.00 mm

ii. lnsured Person will have the option to migrate to similar health insurance product or renew or continue an insurance in respect of any kind of risk relating to lives or property in
available with the Company at the time of renewal with all the accrued continuity benefits India, any rebate of the whole or part of the commission payable or any rebate of the premium
such as cumulative bonus, waiver of waiting period as per IRDAI guidelines, provided the
policy has been maintained without a break
shown on the policy, nor shall any person taking out or renewing or continuing a policy accept any
rebate, except such rebate as may be allowed in accordance with the published prospectuses or
The information provided in this brochure is only indicative.
For more details on the risk factors, terms and conditions, Striking the right
v Automatic Termination: The insurance under this policy with respect to each relevant tables of the insurer. Any person making default in complying with the provisions of this section please read the policy wordings before concluding sale
insured person shall terminate immediately on the earlier of the following events; shall be liable for a penalty which may extend to ten lakhs rupees. Or
Visit our website [Link]
balance between
Coverage opted on individual basis covering
Benefit Illustration in respect of policies offered on individual and family floater basis
Coverage opted on individual basis covering
insurance and tax
Coverage opted on family floater basis with overall Sum insured
each member of the family separately multiple members of the family under a single policy
Age (at a single point of time) (Sum insured is available for each member of the family)
(Only one sum insured is available for the entire family)
benefits
of the Premium or
Members Premium consolidated Premium
insured Floater
Premium Sum Insured Premium Discount, After Sum Insured premium for After Sum Insured
(in yrs) Discount,
(Rs.) (Rs.) (Rs.) (if any) Discount (Rs.) all members Discount (Rs.)
(if any)

Star Health Gain

(Rs.) of family (Rs.)
(Rs.)
Illustration 1
64 15,000 1,00,000 15,000
Nil
15,000 1,00,000
30,000 15,000 15,000 1,00,000
IRDAI IS NOT INVOLVED IN ACTIVITIES LIKE SELLING INSURANCE POLICIES,
Insurance Policy

Insurance is the subject ma er of solicita on

58 15,000 1,00,000 15,000 15,000 1,00,000 ANNOUNCING BONUS OR INVESTMENT OF PREMIUMS. PUBLIC RECEIVING
SUCH PHONE CALLS ARE REQUESTED TO LODGE A POLICE COMPLAINT
Total Premium for all members of the family is Rs.30,000/-, Total Premium for all members of the family is Rs.30,000/-, Total Premium when policy is opted on floater basis is Rs.15,000/-,
when each member is covered separately. when they are covered under a single policy.
Sum insured available for each individual is Rs.1,00,000/- Sum insured available for each family member is Rs.1,00,000/-
Illustration 2
Sum insured of Rs.1,00,000/- is available for the entire family (2A)
Star Health Gain Insurance Policy
Unique Identification No.: SHAHLIP21262V032021
47 15,000 1,00,000 15,000 15,000 1,00,000 Buy this insurance online at [Link]

BRO / GAIN / V.12 / 2023

44 15,000 1,00,000 15,000 Nil 15,000 1,00,000 45,000 30,000 15,000 1,00,000
19 15,000 1,00,000 15,000 15,000 1,00,000 STAR HEALTH AND ALLIED INSURANCE CO LTD
Total Premium for all members of the family is Rs.45,000/-, Total Premium for all members of the family is Rs.45,000/-, Total Premium when policy is opted on floater basis is Rs.15,000/- Regd. & Corporate Office: No.1, New Tank Street,
when each member is covered separately. when they are covered under a single policy. Valluvar Kottam High Road, Nungambakkam, Chennai - 600 034.
Sum insured available for each individual is Rs.1,00,000/- Sum insured available for each family member is Rs.1,00,000/- Sum insured of Rs.1,00,000/- is available for the entire family (2A+1C) Customer Care Number: 044 69006900 | Toll free: 1800 425 2255
Note: Premium rates specified in the above illustration are standard premium rates without considering any loading. Also, the premium rates are exclusive of taxes applicable. Chat: +91 9597652225 | sms: STAR to 56677 | Email: support@[Link]
CIN: L66010TN2005PLC056649 | IRDAI Regn. No: 129
A-Adult | C-Child

394.00 mm
 100.00 mm 100.00 mm 97.00 mm 97.00 mm

v EXCLUSIONS: The Company shall not be liable to make any payments under this policy in respect 6. Obesity/Weight Control - Code Excl 06: Expenses related to the surgical treatment of 26. Expenses incurred on Enhanced External Counter Pulsation Therapy and related
Star Health Gain Insurance Policy of any expenses what so ever incurred by the insured person in connection with or in respect of;
1. Pre-Existing Diseases - Code Excl 01
obesity that does not fulfill all the below conditions;
A. Surgery to be conducted is upon the advice of the Doctor
therapies, Chelation therapy, Hyperbaric Oxygen Therapy, Rotational Field Quantum
Magnetic Resonance Therapy, VAX-D, Low level laser therapy, Photodynamic therapy
Unique Identification No.: SHAHLIP21262V032021
A. Expenses related to the treatment of a pre-existing Disease (PED) and its direct B. The surgery/Procedure conducted should be supported by clinical protocols and such other similar therapies - Code Excl 26
v Features complications shall be excluded until the expiry of 48 months of continuous coverage C. The member has to be 18 years of age or older and 27. Unconventional, Untested, Experimental therapies - Code Excl 27
— Complete flexibility in choosing Sum Insured you need, premium you wish to pay and family after the date of inception of the first policy with insurer D. Body Mass Index (BMI); 28. Chondrocyte Implantation, Procedures using Platelet Rich plasma and Intra articular
size you would like to opt for B. In case of enhancement of sum insured the exclusion shall apply afresh to the extent of 1. greater than or equal to 40 or injection therapy - Code Excl 28
— Ideal for your health care needs and a perfect Tax Saver sum insured increase 29. Biologicals, except when administered as an in-patient, when clinically indicated and
2. greater than or equal to 35 in conjunction with any of the following severe
C. If the Insured Person is continuously covered without any break as defined under the hospitalization warranted - Code Excl 29
v Eligibility portability norms of the extant IRDAI (Health Insurance) Regulations, then waiting co-morbidities following failure of less invasive methods of weight loss;
— Any person aged between 18 years and 65 years, residing in India, can take this insurance period for the same would be reduced to the extent of prior coverage a. Obesity-related cardiomyopathy 30. All Treatment for erectile dysfunctions - Code Excl 30
— Family: Proposer, spouse, dependent children from 91 days up to 25 years (children those D. Coverage under the policy after the expiry of 48 months for any pre-existing disease is b. Coronary heart disease 31. Inoculation or Vaccination (except for post–bite treatment and for medical treatment for
who are economically dependent on their parents) subject to the same being declared at the time of application and accepted by Insurer c. Severe Sleep Apnea therapeutic reasons - Code Excl 31
v Policy Term: 1 year 2. Specified disease / procedure waiting period - Code Excl 02 d. Uncontrolled Type2 Diabetes 32. Dental treatment or surgery unless necessitated due to accidental injuries and requiring
A. Expenses related to the treatment of the following listed Conditions, surgeries / 7. Change-of-Gender treatments - Code Excl 07 Expenses related to any treatment, including hospitalization.(Dental implants are not payable) - Code Excl 32
v Sum Insured Type options: Individual and Floater
treatments shall be excluded until the expiry of 24 months of continuous coverage after surgical management, to change characteristics of the body to those of the opposite sex. 33. Medical and / or surgical treatment of Sleep apnea, treatment for endocrine disorders -
v Premium / Sum Insured Options (Excluding Tax) the date of inception of the first policy with us. This exclusion shall not be applicable for Code Excl 33
8. Cosmetic or plastic Surgery - Code Excl 08 Expenses for cosmetic or plastic surgery
Options Premium Rs. Sum Insured Rs. claims arising due to an accident or any treatment to change appearance unless for reconstruction following an Accident, 34. Hospital registration charges, admission charges, record charges, telephone charges
Option 1 15,000/- B. In case of enhancement of sum insured the exclusion shall apply afresh to the extent of Burn(s) or Cancer or as part of medically necessary treatment to remove a direct and and such other charges - Code Excl 34
sum insured increase immediate health risk to the insured. For this to be considered a medical necessity, it 35. Cochlear implants and procedure related hospitalization expenses - Code Excl 35
Option 2 20,000/- C. If any of the specified disease/procedure falls under the waiting period specified for must be certified by the attending Medical Practitioner.
1,00,000/- 2,00,000/- 3,00,000/- 4,00,000/- 5,00,000/- 36. Any hospitalizations which are not Medically Necessary - Code Excl 36
Option 3 25,000/- pre-existing diseases, then the longer of the two waiting periods shall apply 9. Hazardous or Adventure sports - Code Excl 09 Expenses related to any treatment 37. Other Excluded Expenses as detailed in the website [Link] - Code Excl 37
Option 4 30,000/- D. The waiting period for listed conditions shall apply even if contracted after the policy or necessitated due to participation as a professional in hazardous or adventure sports,
declared and accepted without a specific exclusion 38. Existing disease/s, disclosed by the insured and mentioned in the policy schedule (based
Out-Patient benefit will vary depending on the premium and sum insured options. Please refer the Out including but not limited to, para-jumping, rock climbing, mountaineering, rafting, motor on insured's consent), for specified ICD codes - Code Excl 38
E. If the Insured Person is continuously covered without any break as defined under the racing, horse racing or scuba diving, hand gliding, sky diving, deep-sea diving.
Patient benefit chart for details applicable norms on portability stipulated by IRDAI, then waiting period for the same 39. Expenses incurred for treatment of diseases/illness/accidental injuries by systems of
would be reduced to the extent of prior coverage 10. Breach of law - Code Excl 10 Expenses for treatment directly arising from or consequent medicine other than allopathy - Code Excl 39
v Coverage upon any Insured Person committing or attempting to commit a breach of law with criminal Note: Exclusion Nos. 15, 17,18, 31, 32, 33, 35, and 39 are not applicable for Section -2.
F. List of specific diseases/procedures; intent.
Section I In-patient Hospitalisation 1. Treatment of Cataract and diseases of the anterior and posterior chamber of the v Moratorium Period: After completion of eight continuous years under the policy no look back to
Eye, Diseases of ENT, Diseases related to Thyroid, Benign diseases of the breast 11. Excluded Providers - Code Excl 11: Expenses incurred towards treatment in any be applied. This period of eight years is called as moratorium period. The moratorium would be
Outpatient expenses* hospital or by any Medical Practitioner or any other provider specifically excluded by the
Section II 2. Subcutaneous Benign Lumps, Sebaceous cyst, Dermoid cyst, Mucous cyst lip / applicable for the sums insured of the first policy and subsequently completion of 8 continuous
*Your selection of Sum Insured & Premium shall decide your outpatient expenses limit Insurer and disclosed in its website / notified to the policyholders are not admissible.
cheek, Carpal Tunnel Syndrome, Trigger Finger, Lipoma, Neurofibroma, years would be applicable from date of enhancement of sums insured only on the enhanced
v Section I: In-patient Hospitalisation Fibroadenoma, Ganglion and similar pathology However, in case of life threatening situations following an accident, expenses up to the limits. After the expiry of Moratorium Period no health insurance claim shall be contestable except
a) Room, Boarding, Nursing Expenses all inclusive as provided by the Hospital / Nursing Home 3. All treatments (Conservative, Operative treatment) and all types of intervention for stage of stabilization are payable but not the complete claim. for proven fraud and permanent exclusions specified in the policy contract. The policies would
210.00 mm

up to 1% of the sum insured per day Diseases related to Tendon, Ligament, Fascia, Bones and Joint Including 12. Treatment for Alcoholism, drug or abuse or any addictive condition and consequences however be subject to all limits, sub limits, co-payments, deductibles as per the policy contract.
b) Surgeon, Anaesthetist, Medical Practitioner, Consultants, Specialist fee Arthroscopy and Arthroplasty / Joint Replacement [other than caused by accident] thereof - Code Excl 12 v Renewal: The policy shall ordinarily be renewable except on grounds of fraud,
c) Anaesthesia, Blood, Oxygen, Operation Theatre charges, ICU charges, diagnostic 4. All types of treatment for Degenerative disc and Vertebral diseases including 13. Treatments received in health hydros, nature cure clinics, spas or similar establishments misrepresentation by the Insured Person;
Replacement of bones and joints and Degenerative diseases of the Musculo- or private beds registered as a nursing home attached to such establishments or where 1. The Company shall endeavor to give notice for renewal. However, the Company is not
materials, Cost of Pacemaker and such other similar expenses skeletal system, Prolapse of Intervertebral Disc (other than caused by accident) admission is arranged wholly or partly for domestic reasons - Code Excl 13 under obligation to give any notice for renewal
d) Cost of medicines, drugs 5. All treatments (conservative, interventional, laparoscopic and open) related to
e) Emergency Ambulance charges for transporting the patient to the hospital upto a sum of 14. Dietary supplements and substances that can be purchased without prescription, including 2. Renewal shall not be denied on the ground that the insured person had made a claim or
Hepato-pancreato-biliary diseases including Gall bladder and Pancreatic but not limited to Vitamins, minerals and organic substances unless prescribed by a claims in the preceding policy years
Rs.750/- per hospitalization and overall limit of Rs.1500/- per policy period calculi. All types of management for Kidney and Genitourinary tract calculi medical practitioner as part of hospitalization claim or day care procedure - Code Excl 14 3. Request for renewal along with requisite premium shall be received by the Company
f) Coverage for Modern Treatments: Expenses are subject to the limits 6. All types of Hernia 15. Refractive Error - Code Excl 15: Expenses related to the treatment for correction of eye before the end of the policy period
(For details please refer website: [Link]) 7. Desmoid Tumor, Umbilical Granuloma, Umbilical Sinus, Umbilical Fistula sight due to refractive error less than 7. 5 dioptres. 4. At the end of the policy period, the policy shall terminate and can be renewed within the
Note: Expenses relating to hospitalization will be considered in proportion to the eligible 8. All treatments (conservative, interventional, laparoscopic and open) related to all Grace Period of 30 days to maintain continuity of benefits without break in policy
room rent stated in the policy or actual whichever is less. 16. Unproven Treatments - Code Excl 16: Expenses related to any unproven treatment,
Diseases of Cervix, Uterus, Fallopian tubes, Ovaries, Uterine Bleeding, Pelvic 5. Coverage is not available during the grace period
Inflammatory Diseases services and supplies for or in connection with any treatment. Unproven treatments are
v Day Care Procedures: All day care procedures are covered. treatments, procedures or supplies that lack significant medical documentation to 6. No loading shall apply on renewals based on individual claims experience
v Limits for Cataract: Expenses incurred on treatment of Cataract is subject to the limits as per the 9. All Diseases of Prostate, Stricture Urethra, all Obstructive Uropathies
support their effectiveness. v Cancellation
following table; 10. Benign Tumours of Epididymis, Spermatocele, Varicocele, Hydrocele
17. Sterility and Infertility - Code Excl 17: Expenses related to sterility and infertility. This 1. The policyholder may cancel this policy by giving 15 days written notice and in such an
11. Fistula, Fissure in Ano, Hemorrhoids, Pilonidal Sinus and Fistula, Rectal
Sum Insured Rs Limit per eye (in Rs.) Limit per policy period (in Rs. Prolapse, Stress Incontinence includes; event, the Company shall refund premium for the unexpired policy period as detailed below;
a. Any type of contraception, sterilization
1,00,000/- and 2,00,000/- Up to 12,000/- per eye, per policy period 12. Varicose veins and Varicose ulcers PERIOD ON RISK RATE OF PREMIUM TO BE RETAINED
b. Assisted Reproduction services including artificial insemination and advanced
3,00,000/- Up to 25,000/- Up to 35,000/- 13. All types of transplant and related surgeries Up to one-month 25% of annual premium
reproductive technologies such as IVF, ZIFT, GIFT, ICSI
14. Congenital Internal disease / defect
4,00,000/- Up to 30,000/- Up to 45,000/- c. Gestational Surrogacy Exceeding one month and Up to three months 40% of annual premium
3. 30-day waiting period - Code Excl 03
5,00,000/- Up to 40,000/- Up to 60,000/- d. Reversal of sterilization Exceeding three months and Up to six months 60% of annual premium
A. Expenses related to the treatment of any illness within 30 days from the first policy
commencement date shall be excluded except claims arising due to an accident, 18. Maternity - Code Excl 18 Exceeding six months and Up to nine months 80% of annual premium
v Pre hospitalization: Medical expenses incurred up to 30 days prior to the date of admission in to a. Medical treatment expenses traceable to childbirth (including complicated deliveries
provided the same are covered Exceeding nine months Full annual premium
hospital are payable. and caesarean sections incurred during hospitalization) except ectopic pregnancy
B. This exclusion shall not, however, apply if the Insured Person has continuous
v Post hospitalization: Medical expenses incurred up to 60 days after discharge from the hospital coverage for more than twelve months b. Expenses towards miscarriage (unless due to an accident) and lawful medical Notwithstanding anything contained herein or otherwise, no refunds of premium shall be
are payable. C. The within referred waiting period is made applicable to the enhanced sum insured in termination of pregnancy during the policy period made in respect of Cancellation where, any claim has been admitted or has been lodged
v Co-payment (Applicable for Section I only): This policy is subject to co-payment of 20% of each the event of granting higher sum insured subsequently 19. Circumcision(unless necessary for treatment of a disease not excluded under this policy or any benefit has been availed by the insured person under the policy
and every claim amount for fresh as well as renewal policies for insured persons whose age at the 4. Investigation & Evaluation - Code Excl 04 or necessitated due to an accident), Preputioplasty, Frenuloplasty, Preputial Dilatation 2. The Company may cancel the policy at any time on grounds of misrepresentation,
time of entry is 61 years and above. A. Expenses related to any admission primarily for diagnostics and evaluation purposes and Removal of SMEGMA - Code Excl 19 non-disclosure of material facts, fraud by the insured person by giving 15 days written
only are excluded 20. Congenital External Condition / Defects / Anomalies - Code Excl 20 notice. There would be no refund of premium on cancellation on grounds of
v Section II: Outpatient Benefit: Covers cost of treatment incurred as an outpatient at any misrepresentation, non-disclosure of material facts or fraud
Networked Facility in India. The unutilized amount under this benefit can be carried forward to the B. Any diagnostic expenses which are not related or not incidental to the current 21. Convalescence general debility, run-down condition, Nutritional deficiency states - Code Excl 21
diagnosis and treatment are excluded 22. Intentional self injury - Code Excl 22 v Migration (Applicable for Section I): The insured person will have the option to migrate the
next policy year on renewal. The maximum period of such carry over shall be limited to one
5. Rest Cure, rehabilitation and respite care - Code Excl 05: Expenses related to any policy to other health insurance products/plans offered by the company by applying for migration
immediately succeeding year only. 23. Venereal Disease and Sexually Transmitted Diseases (Other than HIV) - Code Excl 23 of the Policy atleast 30 days before the policy renewal date as per IRDAI guidelines on
admission primarily for enforced bed rest and not for receiving treatment. This also includes:
Note 1 for Section II: Admission of a claim under this section II will not prejudice the Company's 24. Injury/disease directly or indirectly caused by or arising from or attributable to war, Migration. lf such person is presently covered and has been continuously covered without any
1. Custodial care either at home or in a nursing facility for personal care such as help with
right to reject a claim under Section I. activities of daily living such as bathing, dressing, moving around either by skilled invasion, act of foreign enemy, warlike operations (whether war be declared or not) - lapses under any health insurance product/plan offered by the company, the insured person will
Note 2 for Section II: Payment of any claim under this section shall not be construed as a waiver of nurses or assistant or non-skilled persons Code Excl 24 get the accrued continuity benefits in waiting periods as per IRDAI guidelines on migration.
Company's right to repudiate any claim on grounds of non disclosure of material fact or pre-existing 2. Any services for people who are terminally ill to address physical, social, emotional 25. Injury or disease directly or indirectly caused by or contributed to by nuclear For Detailed Guidelines on migration, kindly refer the link
disease, for hospitalization expenses under hospitalization provisions of the policy contract. and spiritual needs weapons/materials - Code Excl 25 [Link]
1 2 3 4

394.00 mm
 100.00 mm 100.00 mm 97.00 mm 97.00 mm

v EXCLUSIONS: The Company shall not be liable to make any payments under this policy in respect 6. Obesity/Weight Control - Code Excl 06: Expenses related to the surgical treatment of 26. Expenses incurred on Enhanced External Counter Pulsation Therapy and related
Star Health Gain Insurance Policy of any expenses what so ever incurred by the insured person in connection with or in respect of;
1. Pre-Existing Diseases - Code Excl 01
obesity that does not fulfill all the below conditions;
A. Surgery to be conducted is upon the advice of the Doctor
therapies, Chelation therapy, Hyperbaric Oxygen Therapy, Rotational Field Quantum
Magnetic Resonance Therapy, VAX-D, Low level laser therapy, Photodynamic therapy
Unique Identification No.: SHAHLIP21262V032021
A. Expenses related to the treatment of a pre-existing Disease (PED) and its direct B. The surgery/Procedure conducted should be supported by clinical protocols and such other similar therapies - Code Excl 26
v Features complications shall be excluded until the expiry of 48 months of continuous coverage C. The member has to be 18 years of age or older and 27. Unconventional, Untested, Experimental therapies - Code Excl 27
— Complete flexibility in choosing Sum Insured you need, premium you wish to pay and family after the date of inception of the first policy with insurer D. Body Mass Index (BMI); 28. Chondrocyte Implantation, Procedures using Platelet Rich plasma and Intra articular
size you would like to opt for B. In case of enhancement of sum insured the exclusion shall apply afresh to the extent of 1. greater than or equal to 40 or injection therapy - Code Excl 28
— Ideal for your health care needs and a perfect Tax Saver sum insured increase 29. Biologicals, except when administered as an in-patient, when clinically indicated and
2. greater than or equal to 35 in conjunction with any of the following severe
C. If the Insured Person is continuously covered without any break as defined under the hospitalization warranted - Code Excl 29
v Eligibility portability norms of the extant IRDAI (Health Insurance) Regulations, then waiting co-morbidities following failure of less invasive methods of weight loss;
— Any person aged between 18 years and 65 years, residing in India, can take this insurance period for the same would be reduced to the extent of prior coverage a. Obesity-related cardiomyopathy 30. All Treatment for erectile dysfunctions - Code Excl 30
— Family: Proposer, spouse, dependent children from 91 days up to 25 years (children those D. Coverage under the policy after the expiry of 48 months for any pre-existing disease is b. Coronary heart disease 31. Inoculation or Vaccination (except for post–bite treatment and for medical treatment for
who are economically dependent on their parents) subject to the same being declared at the time of application and accepted by Insurer c. Severe Sleep Apnea therapeutic reasons - Code Excl 31
v Policy Term: 1 year 2. Specified disease / procedure waiting period - Code Excl 02 d. Uncontrolled Type2 Diabetes 32. Dental treatment or surgery unless necessitated due to accidental injuries and requiring
A. Expenses related to the treatment of the following listed Conditions, surgeries / 7. Change-of-Gender treatments - Code Excl 07 Expenses related to any treatment, including hospitalization.(Dental implants are not payable) - Code Excl 32
v Sum Insured Type options: Individual and Floater
treatments shall be excluded until the expiry of 24 months of continuous coverage after surgical management, to change characteristics of the body to those of the opposite sex. 33. Medical and / or surgical treatment of Sleep apnea, treatment for endocrine disorders -
v Premium / Sum Insured Options (Excluding Tax) the date of inception of the first policy with us. This exclusion shall not be applicable for Code Excl 33
8. Cosmetic or plastic Surgery - Code Excl 08 Expenses for cosmetic or plastic surgery
Options Premium Rs. Sum Insured Rs. claims arising due to an accident or any treatment to change appearance unless for reconstruction following an Accident, 34. Hospital registration charges, admission charges, record charges, telephone charges
Option 1 15,000/- B. In case of enhancement of sum insured the exclusion shall apply afresh to the extent of Burn(s) or Cancer or as part of medically necessary treatment to remove a direct and and such other charges - Code Excl 34
sum insured increase immediate health risk to the insured. For this to be considered a medical necessity, it 35. Cochlear implants and procedure related hospitalization expenses - Code Excl 35
Option 2 20,000/- C. If any of the specified disease/procedure falls under the waiting period specified for must be certified by the attending Medical Practitioner.
1,00,000/- 2,00,000/- 3,00,000/- 4,00,000/- 5,00,000/- 36. Any hospitalizations which are not Medically Necessary - Code Excl 36
Option 3 25,000/- pre-existing diseases, then the longer of the two waiting periods shall apply 9. Hazardous or Adventure sports - Code Excl 09 Expenses related to any treatment 37. Other Excluded Expenses as detailed in the website [Link] - Code Excl 37
Option 4 30,000/- D. The waiting period for listed conditions shall apply even if contracted after the policy or necessitated due to participation as a professional in hazardous or adventure sports,
declared and accepted without a specific exclusion 38. Existing disease/s, disclosed by the insured and mentioned in the policy schedule (based
Out-Patient benefit will vary depending on the premium and sum insured options. Please refer the Out including but not limited to, para-jumping, rock climbing, mountaineering, rafting, motor on insured's consent), for specified ICD codes - Code Excl 38
E. If the Insured Person is continuously covered without any break as defined under the racing, horse racing or scuba diving, hand gliding, sky diving, deep-sea diving.
Patient benefit chart for details applicable norms on portability stipulated by IRDAI, then waiting period for the same 39. Expenses incurred for treatment of diseases/illness/accidental injuries by systems of
would be reduced to the extent of prior coverage 10. Breach of law - Code Excl 10 Expenses for treatment directly arising from or consequent medicine other than allopathy - Code Excl 39
v Coverage upon any Insured Person committing or attempting to commit a breach of law with criminal Note: Exclusion Nos. 15, 17,18, 31, 32, 33, 35, and 39 are not applicable for Section -2.
F. List of specific diseases/procedures; intent.
Section I In-patient Hospitalisation 1. Treatment of Cataract and diseases of the anterior and posterior chamber of the v Moratorium Period: After completion of eight continuous years under the policy no look back to
Eye, Diseases of ENT, Diseases related to Thyroid, Benign diseases of the breast 11. Excluded Providers - Code Excl 11: Expenses incurred towards treatment in any be applied. This period of eight years is called as moratorium period. The moratorium would be
Outpatient expenses* hospital or by any Medical Practitioner or any other provider specifically excluded by the
Section II 2. Subcutaneous Benign Lumps, Sebaceous cyst, Dermoid cyst, Mucous cyst lip / applicable for the sums insured of the first policy and subsequently completion of 8 continuous
*Your selection of Sum Insured & Premium shall decide your outpatient expenses limit Insurer and disclosed in its website / notified to the policyholders are not admissible.
cheek, Carpal Tunnel Syndrome, Trigger Finger, Lipoma, Neurofibroma, years would be applicable from date of enhancement of sums insured only on the enhanced
v Section I: In-patient Hospitalisation Fibroadenoma, Ganglion and similar pathology However, in case of life threatening situations following an accident, expenses up to the limits. After the expiry of Moratorium Period no health insurance claim shall be contestable except
a) Room, Boarding, Nursing Expenses all inclusive as provided by the Hospital / Nursing Home 3. All treatments (Conservative, Operative treatment) and all types of intervention for stage of stabilization are payable but not the complete claim. for proven fraud and permanent exclusions specified in the policy contract. The policies would
210.00 mm

up to 1% of the sum insured per day Diseases related to Tendon, Ligament, Fascia, Bones and Joint Including 12. Treatment for Alcoholism, drug or abuse or any addictive condition and consequences however be subject to all limits, sub limits, co-payments, deductibles as per the policy contract.
b) Surgeon, Anaesthetist, Medical Practitioner, Consultants, Specialist fee Arthroscopy and Arthroplasty / Joint Replacement [other than caused by accident] thereof - Code Excl 12 v Renewal: The policy shall ordinarily be renewable except on grounds of fraud,
c) Anaesthesia, Blood, Oxygen, Operation Theatre charges, ICU charges, diagnostic 4. All types of treatment for Degenerative disc and Vertebral diseases including 13. Treatments received in health hydros, nature cure clinics, spas or similar establishments misrepresentation by the Insured Person;
Replacement of bones and joints and Degenerative diseases of the Musculo- or private beds registered as a nursing home attached to such establishments or where 1. The Company shall endeavor to give notice for renewal. However, the Company is not
materials, Cost of Pacemaker and such other similar expenses skeletal system, Prolapse of Intervertebral Disc (other than caused by accident) admission is arranged wholly or partly for domestic reasons - Code Excl 13 under obligation to give any notice for renewal
d) Cost of medicines, drugs 5. All treatments (conservative, interventional, laparoscopic and open) related to
e) Emergency Ambulance charges for transporting the patient to the hospital upto a sum of 14. Dietary supplements and substances that can be purchased without prescription, including 2. Renewal shall not be denied on the ground that the insured person had made a claim or
Hepato-pancreato-biliary diseases including Gall bladder and Pancreatic but not limited to Vitamins, minerals and organic substances unless prescribed by a claims in the preceding policy years
Rs.750/- per hospitalization and overall limit of Rs.1500/- per policy period calculi. All types of management for Kidney and Genitourinary tract calculi medical practitioner as part of hospitalization claim or day care procedure - Code Excl 14 3. Request for renewal along with requisite premium shall be received by the Company
f) Coverage for Modern Treatments: Expenses are subject to the limits 6. All types of Hernia 15. Refractive Error - Code Excl 15: Expenses related to the treatment for correction of eye before the end of the policy period
(For details please refer website: [Link]) 7. Desmoid Tumor, Umbilical Granuloma, Umbilical Sinus, Umbilical Fistula sight due to refractive error less than 7. 5 dioptres. 4. At the end of the policy period, the policy shall terminate and can be renewed within the
Note: Expenses relating to hospitalization will be considered in proportion to the eligible 8. All treatments (conservative, interventional, laparoscopic and open) related to all Grace Period of 30 days to maintain continuity of benefits without break in policy
room rent stated in the policy or actual whichever is less. 16. Unproven Treatments - Code Excl 16: Expenses related to any unproven treatment,
Diseases of Cervix, Uterus, Fallopian tubes, Ovaries, Uterine Bleeding, Pelvic 5. Coverage is not available during the grace period
Inflammatory Diseases services and supplies for or in connection with any treatment. Unproven treatments are
v Day Care Procedures: All day care procedures are covered. treatments, procedures or supplies that lack significant medical documentation to 6. No loading shall apply on renewals based on individual claims experience
v Limits for Cataract: Expenses incurred on treatment of Cataract is subject to the limits as per the 9. All Diseases of Prostate, Stricture Urethra, all Obstructive Uropathies
support their effectiveness. v Cancellation
following table; 10. Benign Tumours of Epididymis, Spermatocele, Varicocele, Hydrocele
17. Sterility and Infertility - Code Excl 17: Expenses related to sterility and infertility. This 1. The policyholder may cancel this policy by giving 15 days written notice and in such an
11. Fistula, Fissure in Ano, Hemorrhoids, Pilonidal Sinus and Fistula, Rectal
Sum Insured Rs Limit per eye (in Rs.) Limit per policy period (in Rs. Prolapse, Stress Incontinence includes; event, the Company shall refund premium for the unexpired policy period as detailed below;
a. Any type of contraception, sterilization
1,00,000/- and 2,00,000/- Up to 12,000/- per eye, per policy period 12. Varicose veins and Varicose ulcers PERIOD ON RISK RATE OF PREMIUM TO BE RETAINED
b. Assisted Reproduction services including artificial insemination and advanced
3,00,000/- Up to 25,000/- Up to 35,000/- 13. All types of transplant and related surgeries Up to one-month 25% of annual premium
reproductive technologies such as IVF, ZIFT, GIFT, ICSI
14. Congenital Internal disease / defect
4,00,000/- Up to 30,000/- Up to 45,000/- c. Gestational Surrogacy Exceeding one month and Up to three months 40% of annual premium
3. 30-day waiting period - Code Excl 03
5,00,000/- Up to 40,000/- Up to 60,000/- d. Reversal of sterilization Exceeding three months and Up to six months 60% of annual premium
A. Expenses related to the treatment of any illness within 30 days from the first policy
commencement date shall be excluded except claims arising due to an accident, 18. Maternity - Code Excl 18 Exceeding six months and Up to nine months 80% of annual premium
v Pre hospitalization: Medical expenses incurred up to 30 days prior to the date of admission in to a. Medical treatment expenses traceable to childbirth (including complicated deliveries
provided the same are covered Exceeding nine months Full annual premium
hospital are payable. and caesarean sections incurred during hospitalization) except ectopic pregnancy
B. This exclusion shall not, however, apply if the Insured Person has continuous
v Post hospitalization: Medical expenses incurred up to 60 days after discharge from the hospital coverage for more than twelve months b. Expenses towards miscarriage (unless due to an accident) and lawful medical Notwithstanding anything contained herein or otherwise, no refunds of premium shall be
are payable. C. The within referred waiting period is made applicable to the enhanced sum insured in termination of pregnancy during the policy period made in respect of Cancellation where, any claim has been admitted or has been lodged
v Co-payment (Applicable for Section I only): This policy is subject to co-payment of 20% of each the event of granting higher sum insured subsequently 19. Circumcision(unless necessary for treatment of a disease not excluded under this policy or any benefit has been availed by the insured person under the policy
and every claim amount for fresh as well as renewal policies for insured persons whose age at the 4. Investigation & Evaluation - Code Excl 04 or necessitated due to an accident), Preputioplasty, Frenuloplasty, Preputial Dilatation 2. The Company may cancel the policy at any time on grounds of misrepresentation,
time of entry is 61 years and above. A. Expenses related to any admission primarily for diagnostics and evaluation purposes and Removal of SMEGMA - Code Excl 19 non-disclosure of material facts, fraud by the insured person by giving 15 days written
only are excluded 20. Congenital External Condition / Defects / Anomalies - Code Excl 20 notice. There would be no refund of premium on cancellation on grounds of
v Section II: Outpatient Benefit: Covers cost of treatment incurred as an outpatient at any misrepresentation, non-disclosure of material facts or fraud
Networked Facility in India. The unutilized amount under this benefit can be carried forward to the B. Any diagnostic expenses which are not related or not incidental to the current 21. Convalescence general debility, run-down condition, Nutritional deficiency states - Code Excl 21
diagnosis and treatment are excluded 22. Intentional self injury - Code Excl 22 v Migration (Applicable for Section I): The insured person will have the option to migrate the
next policy year on renewal. The maximum period of such carry over shall be limited to one
5. Rest Cure, rehabilitation and respite care - Code Excl 05: Expenses related to any policy to other health insurance products/plans offered by the company by applying for migration
immediately succeeding year only. 23. Venereal Disease and Sexually Transmitted Diseases (Other than HIV) - Code Excl 23 of the Policy atleast 30 days before the policy renewal date as per IRDAI guidelines on
admission primarily for enforced bed rest and not for receiving treatment. This also includes:
Note 1 for Section II: Admission of a claim under this section II will not prejudice the Company's 24. Injury/disease directly or indirectly caused by or arising from or attributable to war, Migration. lf such person is presently covered and has been continuously covered without any
1. Custodial care either at home or in a nursing facility for personal care such as help with
right to reject a claim under Section I. activities of daily living such as bathing, dressing, moving around either by skilled invasion, act of foreign enemy, warlike operations (whether war be declared or not) - lapses under any health insurance product/plan offered by the company, the insured person will
Note 2 for Section II: Payment of any claim under this section shall not be construed as a waiver of nurses or assistant or non-skilled persons Code Excl 24 get the accrued continuity benefits in waiting periods as per IRDAI guidelines on migration.
Company's right to repudiate any claim on grounds of non disclosure of material fact or pre-existing 2. Any services for people who are terminally ill to address physical, social, emotional 25. Injury or disease directly or indirectly caused by or contributed to by nuclear For Detailed Guidelines on migration, kindly refer the link
disease, for hospitalization expenses under hospitalization provisions of the policy contract. and spiritual needs weapons/materials - Code Excl 25 [Link]
1 2 3 4

394.00 mm
 97.00 mm 97.00 mm 100.00 mm 100.00 mm

v Portability (Applicable for Section I): The insured person will have the option to port the ü Upon the death of the Insured Person. This also means that in case of family floater
policy to other insurers by applying to such insurer to port the entire policy along with all the policy, cover for the other surviving members of the family will continue, subject to other
members of the family, if any, at least 45 days before, but not earlier than 60 days from the terms of the policy
policy renewal date as per IRDAI guidelines related to portability. lf such person is presently ü Upon exhaustion of the sum insured under the policy
covered and has been continuously covered without any lapses under any health insurance v Claims Procedure
policy with an lndian General/Health insurer, the proposed insured person will get the accrued · For assistance call 24 hours help-line 044-69006900 or Toll Free No. 1800 425 2255.
continuity benefits in waiting periods as per IRDAI guidelines on portability. For details contact Senior Citizens may call at 044-40020888
“portability@[Link]” or call Telephone No +91-044-28288869.
· In case of planned hospitalization, inform 24 hours prior to admission in the hospital
For Detailed Guidelines on portability, kindly refer the link
· In case of emergency hospitalization information to be given within 24 hours after
[Link]
hospitalization
v Revision in Sum Insured: Any revision in sum insured is permissible only at the time of · Cashless facility wherever possible in network hospital
renewal. The Insured Person can propose such revision and may be allowed subject to
Company's approval and payment of appropriate premium. · In non-network hospitals payment must be made up-front and then reimbursement will
be effected on submission of documents
v Possibility of Revision of Terms of the Policy including the Premium Rates: The Company,
with prior approval of lRDAl, may revise or modify the terms of the policy including the premium · KYC (Identity proof with Address) of the proposer, as per AML Guidelines
rates. The insured person shall be notified three months before the changes are effected. v Disclosure to information norms: The policy shall become void and all premium paid
v Free Look Period: The Free Look Period shall be applicable on new individual health thereon shall be forfeited to the Company, in the event of mis-representation, mis description
insurance policies and not on renewals or at the time of porting/migrating the policy. or non-disclosure of any material fact by the policy holder.
The insured person shall be allowed free look period of fifteen days from date of receipt of the v Star Advantages
policy document to review the terms and conditions of the policy, and to return the same if not · No Third Party Administrator, direct in-house claims settlement
acceptable. · Faster and hassle – free claim settlement
lf the insured has not made any claim during the Free Look Period, the insured shall be entitled to; · Cashless hospitalization
i. a refund of the premium paid less any expenses incurred by the Company on medical v The Company: Star Health and Allied Insurance Co. Ltd., commenced its operations in 2006 as
examination of the insured person and the stamp duty charges or India's first Standalone Health Insurance provider. As an exclusive Health Insurer, the Company
ii. where the risk has already commenced and the option of return of the policy is exercised by is providing sterling services in Health, Personal Accident & Overseas Travel Insurance and is
the insured person, a deduction towards the proportionate risk premium for period of cover or committed to setting international benchmarks in service and personal caring.
iii. where only a part of the insurance coverage has commenced, such proportionate v Tax Benefits: Payment of premium by any mode other than cash for this insurance is eligible
premium commensurate with the insurance coverage during such period for relief under Section 80D of the Income Tax Act 1961.
v Withdrawal of the policy v TAXES ARE SUBJECT TO CHANGES IN TAX LAWS
i. In the likelihood of this product being withdrawn in future, the Company will intimate the v Prohibition of Rebates: Section 41 of Insurance Act 1938 (Prohibition of rebates): No person
insured person about the same 90 days prior to expiry of the policy shall allow or offer to allow, either directly or indirectly, as an inducement to any person to take out
210.00 mm

ii. lnsured Person will have the option to migrate to similar health insurance product or renew or continue an insurance in respect of any kind of risk relating to lives or property in
available with the Company at the time of renewal with all the accrued continuity benefits India, any rebate of the whole or part of the commission payable or any rebate of the premium
such as cumulative bonus, waiver of waiting period as per IRDAI guidelines, provided the
policy has been maintained without a break
shown on the policy, nor shall any person taking out or renewing or continuing a policy accept any
rebate, except such rebate as may be allowed in accordance with the published prospectuses or
The information provided in this brochure is only indicative.
For more details on the risk factors, terms and conditions, Striking the right
v Automatic Termination: The insurance under this policy with respect to each relevant tables of the insurer. Any person making default in complying with the provisions of this section please read the policy wordings before concluding sale
insured person shall terminate immediately on the earlier of the following events; shall be liable for a penalty which may extend to ten lakhs rupees. Or
Visit our website [Link]
balance between
Coverage opted on individual basis covering
Benefit Illustration in respect of policies offered on individual and family floater basis
Coverage opted on individual basis covering
insurance and tax
Coverage opted on family floater basis with overall Sum insured
each member of the family separately multiple members of the family under a single policy
Age (at a single point of time) (Sum insured is available for each member of the family)
(Only one sum insured is available for the entire family)
benefits
of the Premium or
Members Premium consolidated Premium
insured Floater
Premium Sum Insured Premium Discount, After Sum Insured premium for After Sum Insured
(in yrs) Discount,
(Rs.) (Rs.) (Rs.) (if any) Discount (Rs.) all members Discount (Rs.)
(if any)

Star Health Gain

(Rs.) of family (Rs.)
(Rs.)
Illustration 1
64 15,000 1,00,000 15,000
Nil
15,000 1,00,000
30,000 15,000 15,000 1,00,000
IRDAI IS NOT INVOLVED IN ACTIVITIES LIKE SELLING INSURANCE POLICIES,
Insurance Policy

Insurance is the subject ma er of solicita on

58 15,000 1,00,000 15,000 15,000 1,00,000 ANNOUNCING BONUS OR INVESTMENT OF PREMIUMS. PUBLIC RECEIVING
SUCH PHONE CALLS ARE REQUESTED TO LODGE A POLICE COMPLAINT
Total Premium for all members of the family is Rs.30,000/-, Total Premium for all members of the family is Rs.30,000/-, Total Premium when policy is opted on floater basis is Rs.15,000/-,
when each member is covered separately. when they are covered under a single policy.
Sum insured available for each individual is Rs.1,00,000/- Sum insured available for each family member is Rs.1,00,000/-
Illustration 2
Sum insured of Rs.1,00,000/- is available for the entire family (2A)
Star Health Gain Insurance Policy
Unique Identification No.: SHAHLIP21262V032021
47 15,000 1,00,000 15,000 15,000 1,00,000 Buy this insurance online at [Link]

BRO / GAIN / V.12 / 2023

44 15,000 1,00,000 15,000 Nil 15,000 1,00,000 45,000 30,000 15,000 1,00,000
19 15,000 1,00,000 15,000 15,000 1,00,000 STAR HEALTH AND ALLIED INSURANCE CO LTD
Total Premium for all members of the family is Rs.45,000/-, Total Premium for all members of the family is Rs.45,000/-, Total Premium when policy is opted on floater basis is Rs.15,000/- Regd. & Corporate Office: No.1, New Tank Street,
when each member is covered separately. when they are covered under a single policy. Valluvar Kottam High Road, Nungambakkam, Chennai - 600 034.
Sum insured available for each individual is Rs.1,00,000/- Sum insured available for each family member is Rs.1,00,000/- Sum insured of Rs.1,00,000/- is available for the entire family (2A+1C) Customer Care Number: 044 69006900 | Toll free: 1800 425 2255
Note: Premium rates specified in the above illustration are standard premium rates without considering any loading. Also, the premium rates are exclusive of taxes applicable. Chat: +91 9597652225 | sms: STAR to 56677 | Email: support@[Link]
CIN: L66010TN2005PLC056649 | IRDAI Regn. No: 129
A-Adult | C-Child

394.00 mm
 Option 1 : Premium Rs.15,000/- Excluding Tax
Star Health Gain Insurance Policy Sum Insured in Rs.
Unique Identification No.: SHAHLIP21262V032021 | BRO / GAIN / V.12 / 2023 Family Age
Size in Yrs 1,00,000 2,00,000 3,00,000 4,00,000 5,00,000
Outpatient Benefit Chart
3mths-35 8,665 8,105 7,210 6,270 5,510
36-45 7,965 7,350 6,370 5,345 4,520
Option 1 : Premium Rs15,000/- Excluding Tax 46-55 6,830 6,120 4,545 3,380 2,440
Family Age Sum Insured in Rs. 56-60 4,395 3,485 1,620 NA NA
Size in Yrs 1,00,000 2,00,000 3,00,000 4,00,000 5,00,000
2A 61-65 1,650 NA NA NA NA
3mths-35 10,865 10,480 9,855 9,175 8,635
66-70 NA NA NA NA NA
36-45 10,410 9,990 9,310 8,575 7,990
46-55 9,670 9,190 7,955 7,135 6,480 71-75 NA NA NA NA NA

56-60 8,085 7,480 6,055 5,045 4,230 76-80 NA NA NA NA NA

1A 61-65 6,305 5,550 3,915 2,685 1,695 Above 80 NA NA NA NA NA
66-70 4,745 3,870 2,045 NA NA 3mths-35 7,090 6,405 5,325 4,190 3,280
71-75 3,215 2,215 NA NA NA 36-45 6,220 5,460 4,275 3,040 2,040
76-80 2,045 NA NA NA NA
46-55 4,800 3,925 2,105 NA NA
Above 80 NA NA NA NA NA
56-60 1,755 NA NA NA NA
3mths-35 9,840 9,375 8,625 7,825 7,185
36-45 9,275 8,765 7,945 7,075 6,380 2A+1C 61-65 NA NA NA NA NA

46-55 8,350 7,765 6,370 5,390 4,605 66-70 NA NA NA NA NA

56-60 6,370 5,625 3,995 2,775 1,795 71-75 NA NA NA NA NA
1A+1C 61-65 4,140 3,215 1,315 NA NA 76-80 NA NA NA NA NA
66-70 2,195 1,115 NA NA NA Above 80 NA NA NA NA NA
71-75 NA NA NA NA NA
3mths-35 5,705 4,905 3,660 2,360 1,310
76-80 NA NA NA NA NA
36-45 4,680 3,795 2,425 1,005 NA
Above 80 NA NA NA NA NA
3mths-35 8,940 8,405 7,545 6,635 5,905 46-55 3,010 1,990 NA NA NA

36-45 8,275 7,680 6,740 5,750 4,955 56-60 NA NA NA NA NA

46-55 7,185 6,505 4,975 3,855 2,950 2A+2C 61-65 NA NA NA NA NA
56-60 4,860 3,990 2,175 NA NA 66-70 NA NA NA NA NA
1A+2C 61-65 2,235 1,155 NA NA NA 71-75 NA NA NA NA NA
66-70 NA NA NA NA NA
76-80 NA NA NA NA NA
71-75 NA NA NA NA NA
Above 80 NA NA NA NA NA
76-80 NA NA NA NA NA
Above 80 NA NA NA NA NA 3mths-35 2,470 1,410 NA NA NA
3mths-35 6,840 6,130 5,020 3,855 2,920 36-45 1,085 NA NA NA NA
36-45 5,935 5,155 3,935 2,665 1,640 46-55 NA NA NA NA NA
46-55 4,470 3,570 1,710 NA NA 56-60 NA NA NA NA NA
56-60 1,325 NA NA NA NA 2A+3C 61-65 NA NA NA NA NA
1A+3C 61-65 NA NA NA NA NA
66-70 NA NA NA NA NA
66-70 NA NA NA NA NA
71-75 NA NA NA NA NA
71-75 NA NA NA NA NA
76-80 NA NA NA NA NA 76-80 NA NA NA NA NA
Above 80 NA NA NA NA NA Above 80 NA NA NA NA NA
A - Adult | C - Child | 2A - Self+Spouse | NA - Policy Not Available Amount in Rs. A - Adult | C - Child | 2A - Self+Spouse | NA - Policy Not Available Amount in Rs.
1 2
 100.00 mm 100.00 mm 97.00 mm 97.00 mm

Option 1 : Premium Rs.15,000/- Excluding Tax Option 2 : Premium Rs.20,000/- Excluding Tax Option 2 : Premium Rs.20,000/- Excluding Tax Option 3 : Premium Rs.25,000/- Excluding Tax
Family Age Sum Insured in Rs. Family Age Sum Insured in Rs. Family Age Sum Insured in Rs. Family Age Sum Insured in Rs.
Size in Yrs 1,00,000 2,00,000 3,00,000 4,00,000 5,00,000 Size in Yrs 1,00,000 2,00,000 3,00,000 4,00,000 5,00,000 Size in Yrs 1,00,000 2,00,000 3,00,000 4,00,000 5,00,000 Size in Yrs 1,00,000 2,00,000 3,00,000 4,00,000 5,00,000
3mths-35 8,665 8,105 7,210 6,270 5,510 3mths-35 15,865 15,480 14,855 14,175 13,635 3mths-35 13,665 13,105 12,210 11,270 10,510 3mths-35 20,865 20,480 19,855 19,175 18,635
36-45 7,965 7,350 6,370 5,345 4,520 36-45 15,410 14,990 14,310 13,575 12,990 36-45 12,965 12,350 11,370 10,345 9,520 36-45 20,410 19,990 19,310 18,575 17,990
46-55 6,830 6,120 4,545 3,380 2,440 46-55 14,670 14,190 12,955 12,135 11,480 46-55 11,830 11,120 9,545 8,380 7,440 46-55 19,670 19,190 17,955 17,135 16,480
56-60 4,395 3,485 1,620 NA NA 56-60 13,085 12,480 11,055 10,045 9,230 56-60 9,395 8,485 6,620 5,160 3,980 56-60 18,085 17,480 16,055 15,045 14,230
2A 61-65 1,650 NA NA NA NA 1A 61-65 11,305 10,550 8,915 7,685 6,695 2A 61-65 6,650 5,520 3,320 1,535 NA 1A 61-65 16,305 15,550 13,915 12,685 11,695
66-70 NA NA NA NA NA 66-70 9,745 8,870 7,045 5,630 4,485 66-70 4,255 2,930 NA NA NA 66-70 14,745 13,870 12,045 10,630 9,485
71-75 NA NA NA NA NA 71-75 8,215 7,215 5,205 3,610 2,310 71-75 1,900 NA NA NA NA 71-75 13,215 12,215 10,205 8,610 7,310
76-80 NA NA NA NA NA 76-80 7,045 5,950 3,795 2,060 NA 76-80 NA NA NA NA NA 76-80 12,045 10,950 8,795 7,060 5,645
Above 80 NA NA NA NA NA Above 80 5,755 4,555 2,245 NA NA Above 80 NA NA NA NA NA above 80 10,755 9,555 7,245 5,355 3,815
3mths-35 7,090 6,405 5,325 4,190 3,280 3mths-35 14,840 14,375 13,625 12,825 12,185 3mths-35 12,090 11,405 10,325 9,190 8,280 3mths-35 19,840 19,375 18,625 17,825 17,185
36-45 6,220 5,460 4,275 3,040 2,040 36-45 14,275 13,765 12,945 12,075 11,380 36-45 11,220 10,460 9,275 8,040 7,040 36-45 19,275 18,765 17,945 17,075 16,380
46-55 4,800 3,925 2,105 NA NA 46-55 13,350 12,765 11,370 10,390 9,605 46-55 9,800 8,925 7,105 5,700 4,560 46-55 18,350 17,765 16,370 15,390 14,605
56-60 1,755 NA NA NA NA 56-60 11,370 10,625 8,995 7,775 6,795 56-60 6,755 5,635 3,450 1,675 NA 56-60 16,370 15,625 13,995 12,775 11,795
2A+1C 61-65 NA NA NA NA NA 1A+1C 61-65 9,140 8,215 6,315 4,830 3,625 2A+1C 61-65 3,325 1,925 NA NA NA 1A+1C 61-65 14,140 13,215 11,315 9,830 8,625
66-70 NA NA NA NA NA 66-70 7,195 6,115 3,980 2,260 NA 66-70 NA NA NA NA NA 66-70 12,195 11,115 8,980 7,260 5,865
210.00 mm

71-75 NA NA NA NA NA 71-75 5,285 4,045 1,685 NA NA 71-75 NA NA NA NA NA 71-75 10,285 9,045 6,685 4,735 3,145
76-80 NA NA NA NA NA 76-80 3,820 2,460 NA NA NA 76-80 NA NA NA NA NA 76-80 8,820 7,460 4,920 2,795 1,065
Above 80 NA NA NA NA NA Above 80 2,205 NA NA NA NA Above 80 NA NA NA NA NA above 80 7,205 5,715 2,985 NA NA
3mths-35 5,705 4,905 3,660 2,360 1,310 3mths-35 13,940 13,405 12,545 11,635 10,905 3mths-35 10,705 9,905 8,660 7,360 6,310 3mths-35 18,940 18,405 17,545 16,635 15,905
36-45 4,680 3,795 2,425 1,005 NA 36-45 13,275 12,680 11,740 10,750 9,955 36-45 9,680 8,795 7,425 6,005 4,850 36-45 18,275 17,680 16,740 15,750 14,955
46-55 3,010 1,990 NA NA NA 46-55 12,185 11,505 9,975 8,855 7,950 46-55 8,010 6,990 4,955 3,330 2,015 46-55 17,185 16,505 14,975 13,855 12,950
56-60 NA NA NA NA NA 56-60 9,860 8,990 7,175 5,775 4,645 56-60 4,425 3,115 NA NA NA 56-60 14,860 13,990 12,175 10,775 9,645
2A+2C 61-65 NA NA NA NA NA 1A+2C 61-65 7,235 6,155 4,025 2,310 NA 2A+2C 61-65 NA NA NA NA NA 1A+2C 61-65 12,235 11,155 9,025 7,310 5,915
66-70 NA NA NA NA NA 66-70 4,945 3,680 1,280 NA NA 66-70 NA NA NA NA NA 66-70 9,945 8,680 6,280 4,290 2,665
71-75 NA NA NA NA NA 71-75 2,695 1,250 NA NA NA 71-75 NA NA NA NA NA 71-75 7,695 6,250 3,575 1,315 NA
76-80 NA NA NA NA NA 76-80 NA NA NA NA NA 76-80 NA NA NA NA NA 76-80 5,970 4,385 1,505 NA NA
Above 80 NA NA NA NA NA Above 80 NA NA NA NA NA Above 80 NA NA NA NA NA above 80 4,075 2,330 NA NA NA
3mths-35 2,470 1,410 NA NA NA 3mths-35 11,840 11,130 10,020 8,855 7,920 3mths-35 7,470 6,410 4,775 3,085 1,715 3mths-35 16,840 16,130 15,020 13,855 12,920
36-45 1,085 NA NA NA NA 36-45 10,935 10,155 8,935 7,665 6,640 36-45 6,085 4,910 3,110 1,255 NA 36-45 15,935 15,155 13,935 12,665 11,640
46-55 NA NA NA NA NA 46-55 9,470 8,570 6,710 5,265 4,090 46-55 3,830 2,470 NA NA NA 46-55 14,470 13,570 11,710 10,265 9,090
56-60 NA NA NA NA NA 56-60 6,325 5,175 2,935 1,110 NA 56-60 NA NA NA NA NA 56-60 11,325 10,175 7,935 6,110 4,630
2A+3C 61-65 NA NA NA NA NA 1A+3C 61-65 2,785 1,345 NA NA NA 2A+3C 61-65 NA NA NA NA NA 1A+3C 61-65 7,785 6,345 3,680 1,430 NA
66-70 NA NA NA NA NA 66-70 NA NA NA NA NA 66-70 NA NA NA NA NA 66-70 4,695 3,005 NA NA NA
71-75 NA NA NA NA NA 71-75 NA NA NA NA NA 71-75 NA NA NA NA NA 71-75 1,660 NA NA NA NA
76-80 NA NA NA NA NA 76-80 NA NA NA NA NA 76-80 NA NA NA NA NA 76-80 NA NA NA NA NA
Above 80 NA NA NA NA NA Above 80 NA NA NA NA NA Above 80 NA NA NA NA NA above 80 NA NA NA NA NA
A - Adult | C - Child | 2A - Self+Spouse | NA - Policy Not Available Amount in Rs. A - Adult | C - Child | 2A - Self+Spouse | NA - Policy Not Available Amount in Rs. A - Adult | C - Child | 2A - Self+Spouse | NA - Policy Not Available Amount in Rs. A - Adult | C - Child | 2A - Self+Spouse | NA - Policy Not Available Amount in Rs.
2 3 4 5

394.00 mm
 Option 3 : Premium Rs.25,000/- Excluding Tax Option 3 : Premium Rs.25,000/- Excluding Tax
Family Age Sum Insured in Rs. Family Age Sum Insured in Rs.
Size in Yrs 1,00,000 2,00,000 3,00,000 4,00,000 5,00,000 Size in Yrs 1,00,000 2,00,000 3,00,000 4,00,000 5,00,000
3mths-35 20,865 20,480 19,855 19,175 18,635 3mths-35 18,665 18,105 17,210 16,270 15,510
36-45 20,410 19,990 19,310 18,575 17,990 36-45 17,965 17,350 16,370 15,345 14,520
46-55 19,670 19,190 17,955 17,135 16,480 46-55 16,830 16,120 14,545 13,380 12,440
56-60 18,085 17,480 16,055 15,045 14,230 56-60 14,395 13,485 11,620 10,160 8,980
1A 61-65 16,305 15,550 13,915 12,685 11,695 2A 61-65 11,650 10,520 8,320 6,535 5,085
66-70 14,745 13,870 12,045 10,630 9,485 66-70 9,255 7,930 5,445 3,375 1,685
71-75 13,215 12,215 10,205 8,610 7,310 71-75 6,900 5,390 2,620 NA NA
76-80 12,045 10,950 8,795 7,060 5,645 76-80 5,095 3,435 NA NA NA
above 80 10,755 9,555 7,245 5,355 3,815 Above 80 3,110 1,290 NA NA NA
3mths-35 19,840 19,375 18,625 17,825 17,185 3mths-35 17,090 16,405 15,325 14,190 13,280
36-45 19,275 18,765 17,945 17,075 16,380 36-45 16,220 15,460 14,275 13,040 12,040
46-55 18,350 17,765 16,370 15,390 14,605 46-55 14,800 13,925 12,105 10,700 9,560
56-60 16,370 15,625 13,995 12,775 11,795 56-60 11,755 10,635 8,450 6,675 5,235
1A+1C 61-65 14,140 13,215 11,315 9,830 8,625 2A+1C 61-65 8,325 6,925 4,330 2,145 NA
66-70 12,195 11,115 8,980 7,260 5,865 66-70 5,330 3,690 NA NA NA
71-75 10,285 9,045 6,685 4,735 3,145 71-75 2,390 NA NA NA NA
76-80 8,820 7,460 4,920 2,795 1,065 76-80 NA NA NA NA NA
above 80 7,205 5,715 2,985 NA NA Above 80 NA NA NA NA NA
3mths-35 18,940 18,405 17,545 16,635 15,905 3mths-35 15,705 14,905 13,660 12,360 11,310
36-45 18,275 17,680 16,740 15,750 14,955 36-45 14,680 13,795 12,425 11,005 9,850
46-55 17,185 16,505 14,975 13,855 12,950 46-55 13,010 11,990 9,955 8,330 7,015
56-60 14,860 13,990 12,175 10,775 9,645 56-60 9,425 8,115 5,650 3,600 1,925
1A+2C 61-65 12,235 11,155 9,025 7,310 5,915 2A+2C 61-65 5,390 3,755 NA NA NA
66-70 9,945 8,680 6,280 4,290 2,665 66-70 1,870 NA NA NA NA
71-75 7,695 6,250 3,575 1,315 NA 71-75 NA NA NA NA NA
76-80 5,970 4,385 1,505 NA NA 76-80 NA NA NA NA NA
above 80 4,075 2,330 NA NA NA Above 80 NA NA NA NA NA
3mths-35 16,840 16,130 15,020 13,855 12,920 3mths-35 12,470 11,410 9,775 8,085 6,715
36-45 15,935 15,155 13,935 12,665 11,640 36-45 11,085 9,910 8,110 6,255 4,750
46-55 14,470 13,570 11,710 10,265 9,090 46-55 8,830 7,470 4,935 2,810 1,080
56-60 11,325 10,175 7,935 6,110 4,630 56-60 3,995 2,245 NA NA NA
1A+3C 61-65 7,785 6,345 3,680 1,430 NA 2A+3C 61-65 NA NA NA NA NA
66-70 4,695 3,005 NA NA NA 66-70 NA NA NA NA NA
71-75 1,660 NA NA NA NA 71-75 NA NA NA NA NA
76-80 NA NA NA NA NA 76-80 NA NA NA NA NA
above 80 NA NA NA NA NA Above 80 NA NA NA NA NA
A - Adult | C - Child | 2A - Self+Spouse | NA - Policy Not Available Amount in Rs. A - Adult | C - Child | 2A - Self+Spouse | NA - Policy Not Available Amount in Rs.
5 6
 97.00 mm 97.00 mm 100.00 mm 100.00 mm

Option 3 : Premium Rs.25,000/- Excluding Tax Option 4 : Premium Rs.30,000/- Excluding Tax Option 4 : Premium Rs.30,000/- Excluding Tax
Sum Insured in Rs. Sum Insured in Rs. Sum Insured in Rs.
Star Health Gain Insurance Policy
Family Age Family Age Family Age Unique Identification No.: SHAHLIP21262V032021 | BRO / GAIN / V.12 / 2023
Size in Yrs 1,00,000 2,00,000 3,00,000 4,00,000 5,00,000 Size in Yrs 1,00,000 2,00,000 3,00,000 4,00,000 5,00,000 Size in Yrs 1,00,000 2,00,000 3,00,000 4,00,000 5,00,000
Outpatient Benefit Chart
3mths-35 18,665 18,105 17,210 16,270 15,510 3mths-35 25,865 25,480 24,855 24,175 23,635 3mths-35 23,665 23,105 22,210 21,270 20,510
36-45 17,965 17,350 16,370 15,345 14,520 36-45 25,410 24,990 24,310 23,575 22,990 36-45 22,965 22,350 21,370 20,345 19,520
46-55 16,830 16,120 14,545 13,380 12,440 46-55 24,670 24,190 22,955 22,135 21,480 46-55 21,830 21,120 19,545 18,380 17,440
Option 1 : Premium Rs15,000/- Excluding Tax
56-60 14,395 13,485 11,620 10,160 8,980 56-60 23,085 22,480 21,055 20,045 19,230 56-60 19,395 18,485 16,620 15,160 13,980 Family Age Sum Insured in Rs.
Size in Yrs 1,00,000 2,00,000 3,00,000 4,00,000 5,00,000
2A 61-65 11,650 10,520 8,320 6,535 5,085 1A 61-65 21,305 20,550 18,915 17,685 16,695 2A 61-65 16,650 15,520 13,320 11,535 10,085
3mths-35 10,865 10,480 9,855 9,175 8,635
66-70 9,255 7,930 5,445 3,375 1,685 66-70 19,745 18,870 17,045 15,630 14,485 66-70 14,255 12,930 10,445 8,375 6,685
36-45 10,410 9,990 9,310 8,575 7,990
71-75 6,900 5,390 2,620 NA NA 71-75 18,215 17,215 15,205 13,610 12,310 71-75 11,900 10,390 7,620 5,265 3,340 46-55 9,670 9,190 7,955 7,135 6,480
76-80 5,095 3,435 NA NA NA 76-80 17,045 15,950 13,795 12,060 10,645 76-80 10,095 8,435 5,450 2,880 NA 56-60 8,085 7,480 6,055 5,045 4,230
Above 80 3,110 1,290 NA NA NA Above 80 15,755 14,555 12,245 10,355 8,815 Above 80 8,110 6,290 3,065 NA NA 1A 61-65 6,305 5,550 3,915 2,685 1,695
3mths-35 17,090 16,405 15,325 14,190 13,280 3mths-35 24,840 24,375 23,625 22,825 22,185 3mths-35 22,090 21,405 20,325 19,190 18,280 66-70 4,745 3,870 2,045 NA NA
36-45 16,220 15,460 14,275 13,040 12,040 36-45 24,275 23,765 22,945 22,075 21,380 36-45 21,220 20,460 19,275 18,040 17,040 71-75 3,215 2,215 NA NA NA
76-80 2,045 NA NA NA NA
46-55 14,800 13,925 12,105 10,700 9,560 46-55 23,350 22,765 21,370 20,390 19,605 46-55 19,800 18,925 17,105 15,700 14,560
Above 80 NA NA NA NA NA
56-60 11,755 10,635 8,450 6,675 5,235 56-60 21,370 20,625 18,995 17,775 16,795 56-60 16,755 15,635 13,450 11,675 10,235
3mths-35 9,840 9,375 8,625 7,825 7,185
2A+1C 61-65 8,325 6,925 4,330 2,145 NA 1A+1C 61-65 19,140 18,215 16,315 14,830 13,625 2A+1C 61-65 13,325 11,925 9,330 7,145 5,360 36-45 9,275 8,765 7,945 7,075 6,380
66-70 5,330 3,690 NA NA NA 66-70 17,195 16,115 13,980 12,260 10,865 66-70 10,330 8,690 5,735 3,190 1,110 46-55 8,350 7,765 6,370 5,390 4,605
210.00 mm

71-75 2,390 NA NA NA NA 71-75 15,285 14,045 11,685 9,735 8,145 71-75 7,390 5,510 2,200 NA NA 56-60 6,370 5,625 3,995 2,775 1,795
76-80 NA NA NA NA NA 76-80 13,820 12,460 9,920 7,795 6,065 76-80 5,135 3,070 NA NA NA 1A+1C 61-65 4,140 3,215 1,315 NA NA
Above 80 NA NA NA NA NA Above 80 12,205 10,715 7,985 5,665 3,775 Above 80 2,650 NA NA NA NA 66-70 2,195 1,115 NA NA NA
71-75 NA NA NA NA NA
3mths-35 15,705 14,905 13,660 12,360 11,310 3mths-35 23,940 23,405 22,545 21,635 20,905 3mths-35 20,705 19,905 18,660 17,360 16,310
76-80 NA NA NA NA NA
36-45 14,680 13,795 12,425 11,005 9,850 36-45 23,275 22,680 21,740 20,750 19,955 36-45 19,680 18,795 17,425 16,005 14,850
Above 80 NA NA NA NA NA
46-55 13,010 11,990 9,955 8,330 7,015 46-55 22,185 21,505 19,975 18,855 17,950 46-55 18,010 16,990 14,955 13,330 12,015 3mths-35 8,940 8,405 7,545 6,635 5,905
56-60 9,425 8,115 5,650 3,600 1,925 56-60 19,860 18,990 17,175 15,775 14,645 56-60 14,425 13,115 10,650 8,600 6,925 36-45 8,275 7,680 6,740 5,750 4,955
2A+2C 61-65 5,390 3,755 NA NA NA 1A+2C 61-65 17,235 16,155 14,025 12,310 10,915 2A+2C 61-65 10,390 8,755 5,805 3,265 1,195 46-55 7,185 6,505 4,975 3,855 2,950
66-70 1,870 NA NA NA NA 66-70 14,945 13,680 11,280 9,290 7,665 66-70 6,870 4,950 1,575 NA NA 56-60 4,860 3,990 2,175 NA NA
71-75 NA NA NA NA NA 71-75 12,695 11,250 8,575 6,315 4,470 71-75 3,410 1,205 NA NA NA 1A+2C 61-65 2,235 1,155 NA NA NA
66-70 NA NA NA NA NA
76-80 NA NA NA NA NA 76-80 10,970 9,385 6,505 4,035 2,020 76-80 NA NA NA NA NA
71-75 NA NA NA NA NA
Above 80 NA NA NA NA NA Above 80 9,075 7,330 4,225 1,530 NA Above 80 NA NA NA NA NA
76-80 NA NA NA NA NA
3mths-35 12,470 11,410 9,775 8,085 6,715 3mths-35 21,840 21,130 20,020 18,855 17,920 3mths-35 17,470 16,410 14,775 13,085 11,715 Above 80 NA NA NA NA NA
36-45 11,085 9,910 8,110 6,255 4,750 36-45 20,935 20,155 18,935 17,665 16,640 36-45 16,085 14,910 13,110 11,255 9,750 3mths-35 6,840 6,130 5,020 3,855 2,920
46-55 8,830 7,470 4,935 2,810 1,080 46-55 19,470 18,570 16,710 15,265 14,090 46-55 13,830 12,470 9,935 7,810 6,080 36-45 5,935 5,155 3,935 2,665 1,640
56-60 3,995 2,245 NA NA NA 56-60 16,325 15,175 12,935 11,110 9,630 56-60 8,995 7,245 4,125 1,420 NA 46-55 4,470 3,570 1,710 NA NA

2A+3C 61-65 NA NA NA NA NA 1A+3C 61-65 12,785 11,345 8,680 6,430 4,600 2A+3C 61-65 3,545 1,355 NA NA NA 56-60 1,325 NA NA NA NA
1A+3C 61-65 NA NA NA NA NA
66-70 NA NA NA NA NA 66-70 9,695 8,005 4,970 2,350 NA 66-70 NA NA NA NA NA
66-70 NA NA NA NA NA
71-75 NA NA NA NA NA 71-75 6,660 4,720 1,325 NA NA 71-75 NA NA NA NA NA
71-75 NA NA NA NA NA
76-80 NA NA NA NA NA 76-80 4,330 2,205 NA NA NA 76-80 NA NA NA NA NA 76-80 NA NA NA NA NA
Above 80 NA NA NA NA NA Above 80 1,770 NA NA NA NA Above 80 NA NA NA NA NA Above 80 NA NA NA NA NA
A - Adult | C - Child | 2A - Self+Spouse | NA - Policy Not Available Amount in Rs. A - Adult | C - Child | 2A - Self+Spouse | NA - Policy Not Available Amount in Rs. A - Adult | C - Child | 2A - Self+Spouse | NA - Policy Not Available Amount in Rs. A - Adult | C - Child | 2A - Self+Spouse | NA - Policy Not Available Amount in Rs.
6 7 8 1

394.00 mm