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Published byEsperanza Yeates Modified over 10 years ago
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UNDER SECTION 80D TAX BENEFIT FOR THE PREMIUM PAID FOR MEDICLAIM MAXIMUM LIMIT FOR AN INDIVIDUAL IS Rs.15000/- Plus for additional Rs.15000/- for Premium Paid from HUF Account. HAVE WE UTILIZED THE BENEFIT IF NOT THEN HERE IS PLAN THAT GIVES YOU COMPLETE TAX BENEFIT WITH MEDICLAIM INSURANCE COVER AND OUT PATIENT BENEFIT.
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STAR HEALTH GAIN INSURANCE
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Major Product Features Flat premium of only Rs. 14,725/- inclusive of service tax. Coverage for both inpatient and outpatient treatment Policy can be given for both individual and family floater basis. Any unutilised amount under outpatient benefit can be carried forward to the next one year
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Coverages Under section – I Hospitalization Expenses incurred as an inpatient for Sickness/Illness/Diseases Accidental injuries Under section – II Hospitalization Expenses incurred as an outpatient treatment subjects to the limits
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Age Limits 5 Months – 60 Yrs Dependent Children can be covered only with any one of their Parents
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Sum Insured Minimum Sum Insured - Rs. 1,00,000/- Maximum Sum Insured - Rs. 5,00,000/- The following Sum Insured options are available Rs. 1,00,000/- Rs. 2,00,000/- Rs. 3,00,000/- Rs. 4,00,000/- Rs. 5,00,000/-
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Limit of Outpatient benefits for individual Sum insured for IP(Rs) 100000200000300000400000500000 5m-4587007750700062505750 46-557900635052003000NA 56-60750058003700NA IP – Inpatient NA – Not Available
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Limit of Outpatient benefits for family floater Sum insured for IP(Rs) Age100000200000300000400000500000 2A 5mths-35yr84007400675059005250 36y-45y84007400650055004900 46-55yNA565040002000NA 56-60yNA50002250NA 1A+1C 5mths-35yr85007700695057505500 36y-45y85007500675057505250 46-55yNA585045002400NA 56-60yNA52002250NA 1A+2C 5mths-35yr84507500690060005500 36y-45y84507250665057505000 46-55yNA575044502250NA 56-60yNA51502250NA 1A+3C 5mths-35yr83507400665057505250 36y-45y83507200645055004750 46-55yNA55004000NA 56-60yNA47502250NA A- Adult C- Child IP- Inpatient OP- Outpatient NA- Not Available (policy cannot be given)
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Limit of Outpatient benefits for family floater (contd.) Sum insured for IP(Rs) Age100000200000300000400000500000 2A+1C 5mths-35yr82507250660057505000 36y-45y82507000615054504500 46-55yNA52503750NA 56-60yNA45001500NA 2A+2C 5mths-35yr82507000650055004650 36y-45y82507000595050003750 46-55yNA50003500NA 56-60yNA42501500NA 2A+3C 5mths-35yr82507000625052504250 36y-45y82506700575049003700 46-55yNA47503250NA 56-60yNA40001150NA A- Adult C- Child IP- Inpatient OP- Outpatient NA- Not Available policy cannot be given
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HEATLH GAIN CALCULATION EXAMPLE 1 CLIENT AGE BETWEEN 5MTH TO 45YEARIndividual SUM ASSURED3LAC PREMIUM PAID14725/- SERVICE TAX1343/- NET PREMIUM13382/- TAX BENEFIT4418/- (30% OF Rs. 14,725/-) OPD BENEFIT7000/- HEALTH INSURANCE4026/- TOTAL BENEFIT15444 AMOUNT COLLECTED Rs.14725/- Benefits Given of Rs.15444/-(4418/- + 7000/- + 4026/-) In short if you compare with our normal plan mediclaim cover is at half the cost.
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HEATLH GAIN CALCULATION EXAMPLE 2 CLIENT AGE BETWEEN 5MTH TO 45YEARFamily Flt. 2A+2C SUM ASSURED3LAC PREMIUM PAID14725/- SERVICE TAX1343/- NET PREMIUM13382/- TAX BENEFIT4418/- (30% OF Rs. 14,725/-) OPD BENEFIT6500/- HEALTH INSURANCE5636/- TOTAL BENEFIT16554 AMOUNT COLLECTED Rs.14725/- Benefits Given of Rs.16554/- (4418/- + 7000/- + 5636/-) In short if you compare with our normal plan mediclaim cover is at half the cost.
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How is Star Health Gain different from ICICIs Tax Advantage ICICIs Tax Advt OP claim cannot be made after 90 days from the date of the policy- No such restriction in Star Health Gain policy ICICI Tax Advt allows only ONE OP claim per year - Any number of OP claims allowed in one year under Star Health Gain policy Residue OP amount can be carried forward to next one year under Star Health Gain policy OP benefit can be taken even for PED, Maternity, dental, diagnostics under Star Health Gain policy.
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How is different from Mediclassic MediclassicHealth Gain Coverage under one sectionCoverage under 2 sections Covers only Hospitalisation expenses as an Inpatient Covers medical expenses as on outpatient also Premium varies depending on the ageThe premium does not vary depending on the age Individual sum insured has to be chosen for each insured person Sum Insured floats for all the family members Room rent flat 2% of SI maximum of Rs.4000/- Room rent varies depending of the location of the hospital There is a limit for day care proceduresNo limit for day care procedure except Cataract For persons aged between 5mnths to 80 yrs For persons aged between 5months to 60 yrs
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How is it different from FHO FHOHealth Gain OP Treatment not coveredOP Treatment Covered Premium varies the size of the family and Sum Insured Premium does not vary depending on the size of the family and Sum Insured Cataract Limit Rs.12000/-Cataract Limit 15000/-
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