search icon
linner
Home arrow Health Insurance arrow Health Insurance plans arrow Star Health Family Health Optima
Star Health Family Health Optima logo

Star Health Family Health Optima

beshak-icon star
3.67/ 5
Claims Experience:
4.2
4.2/5
Customer Service:
2.9
2.89/5
Product Benefits:
4.1
4.11/5

Introduction to Star Health Family Health Optima

Star Health Family Health Optima is a health insurance policy sold by Star Health and Allied Insurance Company Limited. A health insurance plan protects you from unexpected medical expenses, which can be a significant financial burden. It acts as a protective shield for savings and healthcare, so you and your family can live a happy, fulfilling life. Star Health’s Family Health Optima Plan is a robust, comprehensive, and affordable health insurance plan that promises to unburden your financial stress in a medical emergency and protect your and your loved ones’ health.

beshak ratings
INDIA’S FIRST UNBIASED, CONFLICT-FREE INSURANCE RATING
Verdict: Star Health Family Health Optima

This plan is affordable in comparison to other products available in the market. While it does cover various expenses such as those related to assisted reproductive treatments, newborn babies from day 16, it's important to note that it doesn't provide comprehensive coverage. Moreover, it imposes sub-limits on common treatments like cataracts, potentially leading to significant out-of-pocket expenses. On the positive side, it provides multiple options to get premium discounts, enhancing its cost-effectiveness. However, it does not offer the option for monthly premium payments. Additionally, based on our research, the insurer has received a higher number of claim settlement and policy purchase complaints. This implies that the insurer has a poor track record with respect to both purchase and claims service.

Pros & Cons: Star Health Family Health Optima

  • arrow Fairly priced in comparison to other products in the market
  • arrow Covers expenses incurred towards newborn baby from the 16th day
  • arrow Multiple options available for getting premium discounts
  • arrow Only available for families, not individuals
  • arrow Limitations on the type of hospital room you choose
  • arrow Monthly premium payment mode not available
  • arrow Sub-limits on common treatments like cataract, etc.
  • arrow Received higher number of complaints during policy purchase compared to other insurers
  • arrow Received higher number of complaints on claim settlement compared to other insurers
  • arrow Our study observed their responses on Twitter to be relatively slower than other insurers

Specific Exclusions: Star Health Family Health Optima

01 Circumcision unless necessary for treating a disease or injury
02 Expenses for treatment related to external birth defects
03 Convalescence , general debility, run-down condition, Nutritional deficiency states
04 Treatment related to intentional self inflicted Injury or attempted suicide by any means
+ Show 7 more

Special Conditions: Star Health Family Health Optima

01 Under Organ Donor Cover, expenses for treating complications in a donor's surgery are covered


About Star Health and Allied Insurance Company Limited

Star Health and Allied Insurance Company Limited logo

Star Health and Allied Insurance Company Limited is India’s first Standalone Health Insurance provider. The company offers products that cater to everybody, be it individuals, families, or corporations. It was founded in 2006 and is headquartered in Tamil Nadu, Chennai. Mr. V. Jagannathan is the company's chairman and CEO.

Founded in
2006
JV Partners
-
Turnover (GWP)
3268.54 Crores
Number of Policies
17,01,565
Number of Claims
4,70,803

Detailed Product Specs: Star Health Family Health Optima

Claims Experience 4.2/5 star green
Customer Service 2.89/5 star green
Product Benefits (10L Sum Insured) 4.11/5 star green
Limits and Exclusions advisor
% of claims settled in less than 30 days
Reflects on the speed of settling valid claims
95.22%
% of Complaints received on overall claims
% customers unhappy with claims experience
0.72%
Claims Incurred Ratio
65.41%
Claim Settlement Ratio (No. of claims)
What % of the claims received were paid?
61.98%
No. of Cashless Hospitals
14,000+

Compare Star Health Family Health Optima with top health insurance plans

ICICI Lombard Health AdvantEdge logo
ICICI Lombard Health AdvantEdge
Beshak Rating
4.9
Aditya Birla Activ Health Platinum (Premier) logo
Aditya Birla Activ Health Platinum (Premier)
Beshak Rating
4.5
Aditya Birla Activ Fit (Plus) logo
Aditya Birla Activ Fit (Plus)
Beshak Rating
4.5

Notes

1- The health insurance data was last updated in September 2023. All data has been sourced from product brochures, policy wordings, prospectus, public disclosures (Q1, FY 2023-2024), insurer websites, and the IRDAI website. 

2- The Claims Settlement Ratio data is taken from NL-37, insurer public disclosures (Q1, FY 2023-2024). It is calculated by dividing the number of claims settled by the sum of claims outstanding at the beginning of the year and claims reported during the year.

3- The data related to claim complaints and policy purchase complaints is taken from NL-45, insurer public disclosures (Q1, FY 2023-2024).

4- The Solvency Ratio data is taken from NL-26, insurer public disclosures (Q1, FY 2023-2024).

5- The data related to claims settled within 30 days is taken from NL-39, insurer public disclosures (Q1, FY 2023-2024).

6- The Claims Incurred Ratio data is taken from NL-4 and NL-5, insurer public disclosures (Q1, FY 2023-2024). It is calculated by dividing the Net Claims Incurred by the Net Earned Premium.

7- For now, we have considered the most comprehensive plans from leading insurance companies. We will keep updating the product pages with new plans in the coming days.

8- We have rated only those plans that can be serviced by individual advisors. This is because of our strong belief that health insurance customers need professional assistance from individual advisors before and after purchase. We do not recommend and hence do not rate direct-to-customer health insurance plans or plans where there aren't enough advisors available to service. 

9- Affordability assessment of plans: 

  ・The affordability of comprehensive plans is assessed using premiums for a family of two adults (30 years old) and one child (1 year old) residing in Zone 1 opting for a cover of ₹10 Lakhs. And, the premiums are as of 30th September 2023.

  ・The affordability of Care Freedom Plan is assessed using premiums for a 30-year-old male residing in Zone 1 opting for a cover of ₹5 Lakhs. And, the premiums are as of 30th September 2023.

10- The product benefits section is based on a sum insured of ₹10 Lakhs and only highlights the top benefits and features of health insurance plans. 

11- Only those hidden and special conditions that apply to the benefits and features we have considered are included on the product pages. 

12- The product pages only include the most significant specific exclusions under each plan.

13- The product pages do not include any generic terms, conditions, or exclusions (those that are the same and apply to all health insurance plans).

14- If the policy wording, brochure, or prospectus states that a benefit/feature is available with a specific plan but it is not available online when generating the premium quote, we have not considered that benefit/feature to be available with the plan.

15- The response time on Twitter (Beta) was calculated using a sample set of tweets from February 2023 to August 2023 (analyzed in September 2023).

Compare Plans

Add 3 more plan to compare

Clear all
Compare Now
Discuss with Expert