Co-payment in case of Star Health FHO and Comprehensive policy
Following are the extracts of the Co-pay clause from Star Family Health Optima Policy(FHO) and Star Comprehensive policy:
FHO Co-payment Clause:
This policy is subject to co-payment of 20% of each and every claim amount for fresh as well as renewal policies for insured persons whose age at the time of entry is 61 years and above.
Comprehensive Co-payment Clause:
This policy is subject to co-payment of 10% of each and every claim amount for fresh as well as renewal policies for insured persons whose age at the time of entry is 61 years and above. This co-payment will not apply for those insured persons who have entered the policy before attaining 61 years of age and renew the policy continuously without any break. This co-payment is applicable for Section 1 Ato 1 G, 1 I, Section 4, Section 7, Section 9, Section 12 and Section 13
My question is whether Co-pay will be applicable in the case of FHO if someone has taken policy before attaining 61 years of age???
This question arose because comprehensive states that Co-pay will not be applicable if someone has taken policy before attaining 61 years and keep on renewing it without any break whereas FHO is silent about it.
Copayment will not arise if someone has taken a policy before 61 years and has been renewing the policy continuosly.
That's why we continuosly stress to take health insurance policy at a younger age so that when you need it the most, you can utilise it well.
In FHO also No Copay is applicable if you have entered before the Age of 61.You just need to renew policy continuously without break.
whether Co-pay will be applicable in the case of FHO if someone has taken policy before attaining 61 years of age???
NO.
Co-pay will not be applicable for the insured < 61y of age at entry, if the policy is continuously renewed without a break.
Thank you.