Name Of the Product Family Health Optima Insurance plan

Product UIN No. SHAHLIP21211V042022

Summary of Important Benefits
Refer to
S.No Particulars of Coverage / Benefits Benefit Limits (in Rs.) Policy
clause No.

Sum Insured (in Rs.) 1,00,000 2,00,00 3,00,00 4,00,000 5,00,000 10,00,000 15,00,000 20,00,000 25,00,000
Room Rent (Per Day) - Up to
1 *Hospitalization expenses will be considered in 2,000 2,000 5,000 5,000 Single Standard A/C Room 1(A)
proportion to the eligible Room Rent
Surgeon, Anesthetist, Medical Practitioner,
2 Actual 1(B)
Consultants, Specialist Fees
AnesthesiaBlood,Oxygen,Operation theatre
3 Actual 1(C)
charges, Medicines and Drugs

Cataract treatment Limit Per Eye (Up to) 12,000 12,000 25,000 30,000 40,000 50,000 50,000 50,000 50,000
4 1(C)
Limit Per policy period (Up to) 12,000 12,000 35,000 45,000 60,000 75,000 75,000 75,000 75,000

5 Emergency Ambulance Limit Per hospitalization 750 750 750 750 750 750 750 750 750 1(D)
Limit Per policy period 1,500 1,500 1,500 1,500 1,500 1,500 1,500 1,500 1,500

6 Air Ambulance N/A N/A N/A N/A Covered up to 10% of the Sum Insured per policy period 1(E)

7 Pre-Hospitalization 60 days 60 days 60 days 60 days 60 days 60 days 60 days 60 days 60 days 1(F)

8 Post-Hospitalization 90 days 90 days 90 days 9 days 90 days 90 days 90 days 90 days 90 days 1(G)
9 Day Care Treatments / Procedures All Day Care Procedures 1
10 Domiciliary Hospitalization Covered for a period exceeding three days 1(H)
11 Organ Donor Expenses (per policy period) 10% of the Sum insured subject to maximum of Rs.1,00,000/-whichever is less 1(I)
Cost of Health Checkup (Available after every claim
12 free year) Up to N/A N/A 750 1,000 1,500 2,000 2,500 3,000 3,500 1(J)

10% of the Sum Insured or maximum of Rs.50,000/- whichever is less in a policy year (Available 1(K)
13 Coverage for New Born Baby if the mother is covered under the policy for a continuous period of 12 months)
Emergency Domestic Medical Evacuation
1(L)
14 (Per Hospitalization) Up to 5,000 5,000 5,000 5,000 7,500 7,500 7,500 10,000 10,000

15 Compassionate Travel Up to N/A N/A N/A N/A N/A 5,000 5,000 5,000 5,000 1(M)
16 Repatriation of Mortal Remains (Per Policy Period) 5,000 5,000 5,000 5,000 5,000 5,000 5,000 5,000 5,000 1(N)
17 Treatment in Preferred Network Hospitals 1% of the Sum Insured subject to a maximum of Rs.5,000/- is payable per policy period 1(O)
(Lum-sum benefit)

18 Shared Accommodation ( BenefitAmount Per Day) N/A N/A 800 800 800 800 800 1,000 1,000 1(P)

19 AYUSH Treatment (Ayurveda, Unani, siddha and 10,000 10,000 10,000 10,000 15,000 15,000 15,000 20,000 20,000 1(Q)
Homeopathy Systems of medicines) Up to
Available from a Doctor in the Company's network of medical practitioners,Mail:"e-medicalopinion@ 1(R)
20 Second Medical Opinion starhealth.in"

Assisted Reproduction Treatment (Limit for every 1(S)

21 block of 36 months and payable on renewal) N/A N/A N/A N/A 1,00,000 2,00,000 2,00,000 2,00,000 2,00,000

N/A N/A Available for three times per policy period and 100% of the Sum Insured at 1 (T)
23 Automatic Restoration of Sum Insured
each time

Additional Sum Insured for Road Traffic Accident

24 25% of the Sum Insured subject to a maximum of 5,00,000 1(V)
(Once in a Policy Period)

N/A = Benefits not available to the respective Sum Insured.

Note: The above information is only indicative. For complete details of the Terms & Conditions kindly read the policy wordings attached.

Entered By : SH19862 For Star Health and Allied Insurance Company Ltd.
Approved By : SH29299

Authorised Signatory

Regd.&Corporate Office:1,New Tank Street,Valluvar Kottam High Road,Nungambakkam,Chennai - 600034,Phone : 044 -28302700 / 28288800 Toll Free Fax No: 1800-425-5522 Toll Free No:1800-425-2255 /
1800-102-4477,CIN :U66010TN2005PLC056649 Email :[email protected] Website :www.starhealth.in IRDAI Regn.no: 129

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