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Health Insurance 613 views February 24, 2021
Health is our priority as our livelihood depends on it. So to get financial stability in case of a health risk, you should buy health insurance. What does health insurance do? The insurance will cover your medical expenses like hospitalization, ambulance fees, medicines purchases, surgery expenses, etc. So this way, you can handle all your health expenses without spending from your pocket. We have presented to you the top two health insurance plans – Young Star Gold Plan and Care Freedom Plan. You can choose between the two by comparing their features and benefits. Read this page further and know more about the features and benefits of the Young Star Gold Plan and Care Freedom Plan.
Table of Contents
Under this policy, you will get coverage for room rent (single private A/C room), boarding and nursing charges, surgeon, anesthetist, medical practitioner, consultants, specialist fees, cost of anesthesia, blood, oxygen, operation theatre, ICU, surgical appliances, medicines and drugs, diagnostic materials and X-ray, diagnostic imaging modalities, dialysis, chemotherapy, radiotherapy, the cost of Pacemaker, stent and other similar expenses, emergency road ambulance expenses.
Note:- Hospitalisation expenses may vary based on the room rent or actuals, whichever is less.
When you are admitted to the hospital as an in-patient for an illness or injury treatment, the Care Freedom Plan will cover the following expenses:-
Note:- You should be admitted for at least 24 hours in the hospital if you want to claim this benefit.
There’s a feature in health insurance plans through which your sum insured will be restored up to 100% of the sum insured even after the claim. Let’s see whether this feature is available on the Young Star Gold Plan and Care Freedom Plan.
Young Star Gold Plan – Your basic sum insured is automatically restored to 100%, and this subject to the following:-
Note:- Restored basic sum insured is utilizable for all claims during the policy period. And the unutilized restored sum insured will not be carried forward.
Care Freedom Plan – The sum insured shall be refilled to 100% if it is exhausted while claiming. The insured can use the recharged sum insured for any future claims other than the already claimed coverage during the same year.
Note: You’ll get the recharge benefit in the Care Freedom Plan only if the sum insured is exhausted up to 100%.
Besides the above-mentioned benefits, the Young Star Gold Plan and Care Freedom Plan offer some other benefits too. Let’s check out the table below and compare them.
|Benefits||Young Star Gold Plan||Care Freedom Plan|
|Pre-hospitalization Expenses||Coverage for a maximum of 60 days||Coverage for medical expenses incurred before hospitalization, subject to a maximum of 7.5% or 10% of the payable hospitalization expenses based on the sum insured.|
|Post-hospitalization Expenses||Coverage for a maximum of 90 days||Up to 30 days|
|E-Medical Opinion||Available||Not available|
|Coverage for Modern Treatments||Available||Not available|
|Cost of Health Check-up||INR 1,500-3,500 for an Individual Plan and INR 3,00 to INR 5,000 for a Family Floater Plan||Annual health check-ups for all adult insured members. The covered tests include complete blood count with ESR, urine routine, blood group, fasting blood sugar, lipid profile, kidney function test and ECG.
The health check-up benefit shall be provided to you regardless of previous claims. You can also enhance your health check-up by opting for Health Check-up+ optional cover. Under this, you can either cover diabetic health check-ups or cardiac health check-ups.
|Domiciliary Hospitalization Expenses||Not available||Up to 10% of the sum insured, covered after 3 days|
|Cumulative Bonus||20% for each claim-free year, subject to a maximum of 100% of the basic sum insured||Not available|
|Additional Cover for Road Traffic Accident (RTA||Sum insured increases by 25%, subject to a maximum of INR 10 Lakh||Not available|
|Wellness Program||2-10% discount on premium if the insured lives a healthy lifestyle through various wellness activities||Not available|
|Delivery Expenses||Up to INR 3,000 per delivery||Not available|
|Hospital Cash Benefit||INR 1,000 for each|
completed day of hospitalization. This benefit is available up to 7 days of hospitalization and 14 days per policy period
|Consumable Allowance||Not available||Other than the hospitalization expenses, the care freedom plan will also cover non-medical expenses like transportation, attendant’s cost, etc, up to 7 days per hospitalization.
This coverage will start from the 3rd day of hospitalization, subject to a maximum of INR 750 or INR 1,000 per day, based on the sum insured.
|Companion Benefit||Not available||Get a lump sum benefit of INR 10,000, INR 1,000 per day or INR 15,000 if the insured stays in the hospital for more than 10 days.
The companion benefit may vary based on the sum insured chosen by you.
|Dialysis Cover||Not available||Dialysis expenses shall be covered under the policy up to 1,000 per sitting. This benefit is limited to 24 consecutive months.|
|Home Care||Not available||The company will compensate the expenses incurred for hiring a qualified nurse to perform the daily activities of the insured
This benefit is admissible up to 7 days per injury/illness, subject to a maximum of 45 days per policy year after deduction of 1 day.
Between the Young Star Gold Plan vs Care Freedom Plan, you should choose the plan which offers you the benefit that suits you the best as per your needs and the current medical situation.
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