Corona KAVACH Policy
Shield Yourself against the Invisible Threat (Star Health Insurance)
The impact of COVID 19 not only does shatter the health of individuals but the treatment cost at a medical facility will drain the savings too. In order to help people to overcome the financial difficulties while they are recovering from the COVID 19, STAR Health offers Corona Kavach Policy. An indemnity policy that covers the hospitalization expenses up to the sum insured arising from COVI D-19 treatment procedures.
Eligibility:
Adults: 18yrs to 65yrs.
Dependent Children: 1 day to 25yrs.
Policy Type: Individual/ Floater
Sum Insured Options: Rs.50,000/-; Rs.1,00,000/-; Rs.1,50,000/-; Rs.2,00,000/-; Rs.2,50,000/-; Rs.3,00,000/-; Rs.3,50,000/-; Rs.4,00,000/-; Rs.4,50,000/-; Rs.5,00,000/-
Policy Terms: 3% months (105 Days); 61/2 months (195 Days); 9% months (285 Days) (No annual policy term) + Pre acceptance medical screening: No pre-acceptance medical screening.
Waiting Period: An initial waiting period of 15 days is applicable from the date of commencement of this policy
Family means Self, Legally Wedded Spouse, Parent's and Parent's-in-law, Dependent Children (Upto 25 years of age). If the child is above 18 years of age if financially independent, he/she shall not be eligible under family coverage
Coverage: In the event of the Insured Person is diagnosed positive of COVID in a government authorized centre, the coverage will be as follows:-
• Base Cover:
1. Hospitalization Cover: Hospitalization Expenses incurred on treatment of COVID-19 (including the treatment for Co-morbid conditions) comprising of Room, Boarding, Nursing Expenses, Consultant, Specialist Fees, Anesthesia, blood, oxygen, PPE Kit, gloves, mask and such similar other expenses.
2. Road Ambulance subject to a maximum of Rs.2000/- per hospitalisation.
3. Home Care Treatment Expenses: Up to 14 days subject to the following:
a) The Medical practitioner advices the Insured person to undergo treatment at home.
b) There is a continuous active line of treatment with monitoring of the health status by a medical practitioner for each day through the duration of the home care treatment.
c) Daily monitoring chart including records of treatment administered duly signed by the treating doctor is maintained.
d) Insured shall be permitted to avail the services as prescribed by the medical practitioner. Cashless or reimbursement facility shall be offered under homecare expenses subject to claim settlement policy disclosed in the website.
e) In case the insured intends to avail the services of non-network provider claim shall be subject to reimbursement, a prior approval from the Insurer needs to be taken before availing such services.
Benefit covered under this:
a. Diagnostic tests undergone at home or at diagnostics centre
b. Medicines prescribed in writing c. Consultation charges of the medical practitioner.
Let us understand what is Health and then Health Plan.
World Health Organisation (WHO): Health is a state of complete physical, mental and social wellbeing and not merely the absence of disease.
A) What is Healthcare
You have heard of the saying “Health is Wealth”. Have you ever tried to know what Health actually means? The word ‘Health’ was derived from the word ‘hoelth’, which means ‘soundness of the body’.
Determinants of health
It is generally believed that the following factors determine the health of any individual:
a) Lifestyle factors
Lifestyle factors are those which are mostly in the control of the individual concerned e.g. exercising and eating within limits, avoiding worry and the like leading to good health; and bad lifestyles and habits such as smoking, drug abuse, unprotected sex and sedentary life style (with no exercise) etc. leading to diseases such as cancer, aids, hypertension and diabetes, to name a few. 112 Though the Government plays a critical role in controlling / influencing such behaviour (e.g. punishing people with non-bailable imprisonment who abuse drugs, imposing high taxes on tobacco products etc.), the personal responsibility of an individual plays a deciding role in controlling diseases due to life style factors.
b) Environmental factors
Safe drinking water, sanitation and nutrition are crucial to health, lack of which leads to serious health issues as seen all over the world, especially in developing countries. Communicable diseases like Influenza and Chickenpox etc. are spread due to bad hygiene, diseases like Malaria and Dengue are spread due to bad environmental sanitation, while certain diseases are also caused due to environmental factors e.g. people working in certain manufacturing industries are prone to diseases related to occupational hazards such as Asbestos in workers in asbestos manufacture and also diseases of the lungs in coal miners.
c) Genetic factors
Diseases may be passed on from parents to children through genes. Such genetic factors result in differing health trends amongst the population spread across the globe based on race, geographical location and even communities.
Why Health Plan
A good health insurance provides people with a much needed financial backup at times of medical emergencies. Health risks and uncertainties are a part of life. One cannot plan and get sick but one can certainly be prepared for the financial aspect. One of the ways to be financially prepared against uncertain health risks is by buying health plan.
But what should a good health insurance plan consist of?
1. Know the details - what it covers and what it doesnt cover.
2. Co-payment amounts, deductible amount per family member if applicable
3. Plan needs of you and your entire Family
4. Health needs of everyone
This will help to choose the right health insurance company for you and your family.
Types of Health Insurance
1. Individual Insurance
Individual Health Insurance Plan is a type of health insurance that covers health expenses of an insured individual. These policies pay for surgical and hospitalisation expenses of an insured individual till the cover limit is reached. The premium for an individual plan is decided on the basis of medical history and the age of the individual buying the plan.
2. Family Floater Insurance
If a person wants to buy health insurance for his entire family (spouse, children and parents) in a single plan, then he should go for a Family Floater Policy. Any family member covered under the policy can claim in case of hospitalisation and surgical expenses. Like Individual Health Insurance Plan one has to pay a premium for family floater policy. The premium for family floater policy is determined based on the age of the eldest member under the coverage of the policy.
3. Group Health Cover
Group Health Insurance plans are bought by an employer for his employees. The premium in group insurance is lower than individual health insurance policy. Group health plans are usually standardised in nature and offer the same benefits to all employees.
4. Senior Citizen Health Insurance
At old age, health issues arise that involve expensive treatments. In order to meet such high medical cost, insurance companies have designed special health insurance plans for senior citizens. These plans provide cover to anyone from the age of 65 and above. Generally, the premium is higher in the case of senior citizen health insurance plan as compared to other policies.
5. Critical Illness Health Cover
Critical Illness Policy covers the expenses involved in treating the life-threatening diseases like a tumour, permanent paralysis etc. These policies usually pay a lump sum amount to insured person on the diagnosis of serious diseases covered in the policy document. Unlike other policies, Individual Health Insurance and Family Floater Policy, hospitalisation is not required, only the diagnosis of the disease is enough to claim the benefits.
Health insurance provides financial assistance for non-anticipated medical emergencies. Every individual has different medical needs. Some may need individual health insurance to cover his own medical cost or one would prefer to take a family floater policy to cover medical expenses of his family members in a single policy. Thus, a person should select a health insurance plan after considering his medical needs and requirement.
