Star Health Diabetes Safe Insurance Policy: Coverage, Claim & Renewal

Updated: 04-09-2023 10:48:55 AM

The occurrence of Diabetes in India has increased by 64% in India. It was estimated in the year 2017 nearly 5% of India’s population was diabetic. Star Health Diabetes Safe Insurance Policy is a health insurance policy for patients who have Type 1 and type 2 Diabetes respectively.

What is Star Health Diabetes Safe Insurance Policy?

It is a health insurance plan that covers hospitalisation expenses for complications of diabetes (both type 1 and type 2) along with personal accident and outpatient expenses.

Types of Star Health Diabetes Safe Insurance Policy

Diabetes Safe Insurance Policy can be taken on individual and floater basis and is available with different plans- Plan A and Plan B with following specifications.

Plan A	Plan B
Covers hospitalisation expenses without any waiting period arises out of accidents and non-diabetes	Covers hospitalisation expenses after a waiting period of 12 months

 Eligibility Criteria

 

Criteria	Eligibility
Entry Age	Min: 18 years Max: 65 years
Policy Tenure	One year
Sum Insured	RS 3,00,000/- , RS 4,00,000/- , RS 5,00,000/- and RS 10,00,000/-
Maximum Permitted Members	Self and Spouse
Policy Renewal	Lifetime renewal
Changes in the plan	No changes are possible during the policy tenure or on renewal.

What This Entire Plan Covers?

• Covers the hospitalization expenses incurred due to the complications arising out of Diabetes such as room, boarding, and nursing costs
• Covers Out-patient expenses such as medical consultation, diagnostic test expenses up to a specified limit
• Personal Accident expenses such as Compensation for the accidental death of the Insured person
• Day care procedures
• Donor Expenses for kidney transplant surgery

Suggested Read: Star Health Diabetes Safe Insurance Policy

Claim Process Of Star Health Diabetes Safe Insurance Policy

The claims procedure under Diabetes Safe Insurance Policy is as follows:

• Contact the customer care 24 hour [TOLL-FREE] help-line for assistance – 1800 425 2255 / 1800 102 4477
• In a scenario when hospitalization is planned, intimate the insurance company 24 hours prior to admission
• In a scenario when hospitalization is done under an emergency, intimation about the treatment should be send to the insurance company
• All network hospitals are equipped with Cashless Facility provided the insured is admitted in the network hospital
• In non-network hospitals, the payment needs to be made up front and submission of documents will be initiated to avail the reimbursement facility

 Documents Required For Making Claims

The documents and the procedure for making claims under Reimbursement Claims:

• Duly claim form
• Original pre-admission treatment papers along with investigations
• Discharge summary in original documents from the hospital
• Cash receipts of hospitals and chemists in original format
• Reports of tests conducted along with their cash receipts
• In case of a road traffic accident, first report incident needs to be submitted
• Death certificate (In case of Accidental Death Claims)

Cashless Treatment

The ID card needs to be submitted to the hospital desk along with the pre-authorization form. If all the details are legally binding, the company will process the request under the terms and conditions of the policy clause.

Cases Where One Can’t Claim This Plan

The insurance company is not liable to pay if the claim arises because of the following:

• All intentional self-injuries
• Allopathic treatments
• Use of intoxicating substances is also excluded under this policy
• Any claims which may have arisen from any accident related to pregnancy or childbirth

How Long Does It Take To Pay Out A Claim Settlement?

All claim procedures need to be intimated within 24 hours of the hospitalization process and within 30 days all claims documents need to be submitted to the company. After receiving all the documents, the insurance company will settle the claim within 30 days from the discharge date.

Renewal Process Of Star Health Diabetes Safe Insurance Policy

Under this policy, lifelong renewals are possible. The policyholder needs to make sure he pays for the policy before the due date of the policy to prevent it from being lapsed. The insurance company further provides the grace period of 30 days to the insured where one can make the payment.

Advantages Of Buying Diabetes Safe Insurance Policy

• This policy is portable; if the insured wants to port this policy, application should be sent to the insurance company at least 45 days from the due date of renewal
• No third party administrator as the claim will be settled in house
• There is no capping on exit age
• Automatic restoration of basic sum insured

Important Aspects

• Automatic restoration benefit is not available if the policy is on floater basis
• Waiting period for certain disease
• Available on individual and as well as floater basis

Features

Features	Particulars
Claim Type [In house or TPA]	In-house Claim Settlement
Pre-Hospitalization	Pre Hospitalisation expenses to be incurred for 30 days prior to the date of Hospitalisation It cannot be exceeded than that
Network Hospitals Count	More than 8800+ network hospitals are covered
Post-Hospitalization	Post Hospitalisation expenses to be incurred 60 days prior to the date of discharge from the Hospital.
Room Eligibility	Room[Single A/C standard], Boarding and Nursing expenses
Share Claim Payment	20% of each and every claim amount
Restoration of Cover	Automatic restoration of sum insured
No Claim Bonus	No
Ambulance Charges	No
Worldwide Coverage	Only personal accident is coverage
Maternity Coverage	No
Hospitalization at Home	Not allowed under the policy
Day-Care Treatment	Allowed under the policy
Non-Allopathic Treatment Charge	Excluded under the policy
Emergency Ambulance	Emergency Ambulance charges are covered up to a sum of RS 2000/-per policy period.
Health Check up	No

 Also Read: Star Health Medi Classic Insurance Policy

FAQ’s

Q1- Is there any waiting period under Start Health Diabetes Safe Insurance Policy?

If the policyholder opts for plan A, there is no waiting period but under plan B, there is a waiting period of 12 months.

Q2- Will one get tax benefits under this plan?

Yes, under this policy the policyholder is subject to a rebate under Section 80(D) of the Income Tax Act, 1961.

Q3- Is there any grace period for renewal?

Yes, the policy holder will get the grace period of 30 days wherein the insured can make the renewal payment

Q4- Is there any pre-acceptance medical examination?

There are two plans under Star Health Diabetes Safe Insurance policy; Plan A and Plan B. There is no need to undergo medical tests if one chooses to opt for Plan B but it is required for policy seeker to have pre-acceptance medical examination if they are opting for Plan A.

Q5-Is change in sum insured amount possible?

Any revision in sum insured is permissible only at the time of renewal.