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.