Health Insurance 1012 views February 19, 2021

Before choosing the best health insurance plan for yourself, you will need to compare policies on various aspects such as the cover amount, types of covers available, premium amount, etc. Of the many health insurance plans, Star Comprehensive Health Insurance Plan vs Star Family Optima Health Insurance Plan comparison you would love to do. Both these policies will pay for your medical expenses when any of the covered illnesses or injuries arise. This means you’ll stay protected financially against potential health risks. But which is the better option for you? For that, compare with us the features and benefits of two Star Health Insurance policies here.

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Hospitalization Cover for Star Comprehensive Health Insurance Plan vs Star Family Optima Health Insurance Plan

Under the Star Comprehensive Health Insurance Plan, the insured will get hospitalization cover for the following:-

  1. Room rent (which would be a private single A/C room), boarding and nursing expenses
  2. Surgeon, anesthetist, medical practitioner, consultants or specialist fees
  3. Expenses of anesthesia, blood, oxygen, operation theatre charges, ICU charges, surgical appliances, medicines/drugs, diagnostic materials, x-ray, diagnostic imaging modalities, dialysis, chemotherapy, radiotherapy and the cost of a pacemaker if used during the hospitalization period in treatment or surgery.

On the other hand, in the case of Star Family Optima Health Insurance Plan, the following will be covered in hospitalization cover:-

  1. Room, boarding and nursing expenses are covered up to INR 2,000 per day (for sum insured INR 1 to 2 lakh) and up to INR 5,000 per day (for sum insured INR 3 to 4 lakh), and if your sum insured is INR 5 lakh or above, you’ll get a single standard A/C room in the event of hospitalization.
  2. Surgeon, anesthetist, medical practitioner, consultants or specialist fees
  3. Expenses of anesthesia, blood, oxygen, operation theatre charges, ICU charges, surgical appliances, medicines/drugs, diagnostic materials, x-ray, diagnostic imaging modalities, dialysis, chemotherapy, radiotherapy and the cost of pacemaker, stent and other such expenses. For the coronary stent, the company will pay an amount up to the extent of the cost of the bare metal stent/drug-eluting cobalt-chromium stent/drug-eluting stainless steel stent. Whereas in respect of medicines, implants and such other items, the company pays up to the cost of alternate indigenous make.
  4. The cost of cataract treatment will be covered up to INR 12,000 per year for one eye only if the sum insured is INR 1 lakh or INR 2 lakh. Otherwise, the cataract cover would be as follows:-

Sum Insured Options for Star Comprehensive Health Insurance Plan vs Star Family Optima Health Insurance Plan

You will get a wide range of sum insured options under both Star Comprehensive Health Insurance Plan and Star Family Optima Health Insurance Plan. Let’s know about them one after another. With the Star Comprehensive Health Insurance Plan, you can choose from the following sum insured options to cover yourself or your family under this health insurance plan:-

  1. INR 5 Lakh
  2. INR 7.5 Lakh
  3. INR 10 Lakh
  4. INR 15 Lakh
  5. INR 20 Lakh
  6. INR 25 Lakh
  7. INR 50 Lakh
  8. INR 75 Lakh
  9. INR 1 Crore

This plan comes in two variants – Individual and Family Floater. The individual variant will have cover for you only. Whereas with the floater plan, you can have cover for you as well as your family members.

The minimum premium amount for Star Comprehensive Health Insurance Plan is INR 7,015 per year excluding taxes. The premium for this Star Health Insurance plan can be paid monthly, quarterly, half-year, yearly, biennial (Once in 2 years) and triennial (Once in 3 years).

In Star Family Optima Health Insurance Plan, you will get the following sum insured options –

  1. INR 1 Lakh
  2. INR 2 Lakh
  3. INR 3 Lakh
  4. INR 4 Lakh
  5. INR 5 Lakh
  6. INR 10 Lakh
  7. INR 15 Lakh
  8. INR 20 Lakh
  9. INR 25 Lakh

You can pay premiums for your Star Family Optima Health Insurance Plan in any of the monthly, quarterly and half-yearly modes.

Compare Other Benefits of Star Comprehensive Health Insurance Plan vs Star Family Optima Health Insurance Plan

BenefitsStar Comprehensive Health Insurance PlanStar Family Optima Health Insurance Plan
Road AmbulanceSubject to hospitalization claimsINR 750 per hospitalization and a maximum of INR 1,500 per policy period
Air AmbulanceUp to INR 2.5 Lakh per hospitalization10% of the sum insured shall be payable. This option is available to you if your sum insured is INR 5 Lakh and above.
Pre-hospitalization Period60 days60 days
Post-hospitalization Period90 days90 days
Domiciliary HospitalizationAvailableAvailable
Outpatient Medical ConsultationINR 300 per consultationNot available
Out-patient Dental and Ophthalmic TreatmentAvailable once in every block of 3 years of continuous coverage.Not available
Organ Donor ExpensesIn-patient hospitalization of the donor organ transplant to the insured. Also, the expenses incurred by the donor for the complications that necessitate a Redo Surgery or ICU admission will be covered.10% of the sum insured or INR 1 Lakh, whichever is less
Health CheckupAvailable after every claim-free yearUp to INR 750 to INR 3,500, available after each claim-free year, provided your sum insured is INR 3 Lakh or above.
New Born Baby CoverAvailable after the expiry of 24 months waiting period10% of the sum insured or INR 50,000, whichever is less. The coverage for the newborn will be up to 12 months from the 16th day since the date of birth.
Emergency Domestic Medical EvacuationNot availableUp to INR 5,000 to INR 10,000, provided the sum insured is INR 4 lakh or above.
Hospital Cash BenefitUp to 7 days per hospitalization, maximum of 120 days during the entire policy period.Not available
Compassionate TravelNot availableMaximum INR 5,000 for one immediate family member, provided the sum insured is INR 10 Lakh or above.
Bariatric SurgeryHospitalization expenses for bariatric surgical procedures and their complications. The maximum limit is INR 2.5 Lakh and INR 5 Lakh inclusive of pre- and post- hospitalization expenses. The Bariatric Surgery coverage shall be available after the expiry of the waiting period of 36 months.Not available
Accidental Death and Permanent Total DisablementUp to INR 10 LakhNot available
Repatriation of Mortal RemainsNot availableUp to INR 5,000 per policy period
Modern TreatmentsAvailableAvailable
Restoration of Basic Sum Insured100% of the sum insured is immediately restored upon exhaustion of the Basic Sum Insured and accrued Cumulative Bonus, if any, once during the policy period.100% restoration of the Basic Sum Insured upon exhaustion of the limit of coverage. This benefit is viable 3 times during the policy period. You will get this benefit if your sum insured is INR 3 Lakh or above.
Recharge BenefitNot availableIf the limit of coverage is exhausted or exceeded, an additional indemnity will be provided as per your sum insured -

  1. For sum insured INR 3 Lakh, a recharge benefit of INR 75,000 will apply

  2. For sum insured INR 3 Lakh, a recharge benefit of INR 1 Lakh will be given

  3. For sum insured INR 5 Lakh and above, a recharge benefit of INR 1.5 Lakh will come into play
Road Traffic AccidentNot availableBasic sum insured is increased by 25%, subject to a maximum of INR 5 Lakh
AYUSH TreatmentAvailableUp to INR 10,000 to INR 20,000 based on your sum insured
Second Medical OpinionAvailableAvailable
Assisted Reproduction TreatmentNot availableUp to INR 1 Lakh if the sum insured is INR 5 Lakh. Otherwise, INR 2 Lakh for a sum insured of INR 10 Lakh and above. This benefit shall be applicable after a waiting period of 36 months, provided both husband and spouse are insured continuously.

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