Star Health
Family Health Optima
Family Health Optima is a pretty decent policy. It's fairly inexpensive. It has decent coverage. But they will make you wait 3 years before they start covering pre-existing diseases (like diabetes). So it might be prudent to read the fine print before you buy this policy, considering they have a few extra conditions.
What's good here?
Coverage for expenses related to assisted reproductive treatments
Think hospitalization expenses incurred while opting for assisted reproductive procedure like IVF, etc. But they’ll only pay up to defined limits based on the base sum insured and make you wait 3 years before covering this expense.
Think hospitalization expenses incurred while opting for assisted reproductive procedure like IVF, etc. But they’ll only pay up to defined limits based on the base sum insured and make you wait 3 years before covering this expense.
You most likely don't have to split the bill
If you bought this policy after you turned 61, you have to pay 20% of the bill every time you make a claim. Otherwise, you are good to go. The insurer will pay all costs up to the sum insured.
Day Care treatments covered
If you’re hospitalized for less than 24 hours in lieu of a minor procedure, then the insurer will cover these costs too. Think dialysis, chemotherapy or minor surgeries.
Full coverage even if you are forced to hospitalize at home
The insurer will bear the costs even if you are hospitalized at home due to a condition or the hospital running out of beds. In insurance lingo, they call this a policy with domiciliary cover.
Pre & Post hospitalization expenses covered
No worries if the doctor had to run a host of diagnostic tests before or after hospitalizing you. The insurer has your back. They will cover this amount in full for a pretty reasonable duration - 60 days before you are hospitalized and 90 days after discharge. This includes the cost of medication by the way.
Free Health Checkups every year
If you’re planning on getting a full body checkup every year just to make sure you’re in fine working condition, the insurer will cover the costs.
What's bad here?
Has disease wise sub-limits
Your insurance cover won’t be fully available in case you are treated for Cataracts, Modern Treatments and a few other diseases. Meaning the insurance company has a cap on the total amount they’ll pay out if you are treated for these specific illnesses.
Your insurance cover won’t be fully available in case you are treated for Cataracts, Modern Treatments and a few other diseases. Meaning the insurance company has a cap on the total amount they’ll pay out if you are treated for these specific illnesses.
What's okay here?
You can pick a Single Private room but nothing fancy
You can share a room or you could have a single room for yourself. But if you are looking for anything slightly fancy, be ready to foot a part of the bill.
You can share a room or you could have a single room for yourself. But if you are looking for anything slightly fancy, be ready to foot a part of the bill.
Reasonable waiting period for pre-existing diseases
If you’re already dealing with diabetes, cardiovascular problems or any such illnesses, the insurer will cover all costs arising out of these pre-existing problems after you wait for 3 years.
Special Bonus for being healthy and not claiming insurance
Your sum insured increases by 25% on first year, so long as you make no claims during this period. But you get this exorbitant benefit only for 1st year. After that, it’ll grow at 10% each year until your bonus cover tallies up to 100% of the sum insured. So if you start with a cover of ₹100. Then it’ll keep growing till it reaches ₹200.
Good Restoration Benefit
Once you exhaust your entire cover, you will have 100% of the cover restored for a maximum of 3 times in a policy year, if you are hospitalized again in a bid to treat a different complication. In the same year, by the way.
Some Cover for Alternative Medicine
Think of getting Ayurvedic, Homeopathic or other alternative treatments to cure an illness? Your insurer will pay up to ₹15,000 of the cover in case you’re availing these treatments.
Frequently Asked Questions
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