Spec
Arya Health Insurance
Star Comprehensive Insurance Policy
Cover
Plan type
Individual and family floater
Individual and family floater
Sum insured options
25 lakh, 50 lakh, 1 crore
5 lakh, 7.5 lakh, 10 lakh, 15 lakh, 20 lakh, 25 lakh, 50 lakh, 75 lakh, 1 crore
Highest sum insured
100 lakh
100 lakh
Entry age
From 18 years (principal); 3 months (dependent children) (no maximum stated)
18 years (adults); 91 days (dependent children) to 65 years
Room rent
At actuals at Preferred and Verified Provider Network; up to base Private AC room at Other/non-network providers
Single Private A/C Room
Co-payment
Zero co-payment on base benefits except non-intimation co-payment (30% / 15%, or 20% if Other Provider Network access opted) when treated at Other/non-network providers without timely intimation
10% of each and every claim for Insured Persons whose age at entry is 61 years and above
Waiting periods
Initial waiting period
30 days
30 days
Pre-existing disease waiting
36 months
36 months
Specific illness waiting
24 months
24 months
Benefits
Pre-hospitalisation
60 days
60 days
Post-hospitalisation
90 days
90 days
Day-care treatment
Yes
Yes
Restore benefit
Optional 'Revive': reinstatement of Base Sum Insured in the same Policy Year upon complete or partial utilisation
Basic Sum Insured automatically restored once in a Policy Year by 100% upon exhaustion of basic Sum Insured and accrued Cumulative Bonus (not available for Modern Treatment)
No-claim bonus
Optional 'Accumulate Plus': 50% of Base SI per policy year, up to 100% / 200% / 400%
Rs 5 lakh SI: 50% of basic SI per claim-free year up to 100%; Rs 7.5 lakh SI and above: 100% of basic SI per claim-free year up to 100%
Maternity
Not covered
Covered after 24 months waiting period (sub-limits by SI; max 2 deliveries; self and spouse must both be covered)
OPD
—
Covered: OPD consultation Rs 300 per consultation, up to Rs 2,100 per policy period at Rs 10 lakh SI (limit varies by SI, cashless only); plus OPD dental and ophthalmic treatment limits per 3-year block
Premium
Sample annual premium
—
₹13,129
Sample premium is for
—
1 adult (plan type 1A), age band 3m-35, Sum Insured Rs 10,00,000, 1-year policy, Zone A, excluding tax
Insurer
Health incurred claim ratio (insurer)
—
70.3%
Claims figures for
—
FY 2024-25: health incurred claim ratio including personal accident, IRDAI Annual Report (Statement 10)
Network hospitals (insurer)
—
16,000+
IRDAI UIN
NHIHLIP27047V022627
SHAHLIP26044V092526