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2 Red Flags found

Clause 14.3 · Clause 22.1

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Star Health Comprehensive Plan — 2024

Star Health & Allied Insurance · Health · Policy #SH2024-4471

7.4/10

Score

7.4

out of 10

Covered

12

benefits

Excluded

8

conditions

Red Flags

2

clauses

Covered

Hospitalisation
ICU charges
Ambulance
Day care
AYUSH treatment

Excluded

Pre-existing (2 yr)
Cosmetic surgery
Dental treatment
Maternity (1 yr)
War / self-harm

Red Flag — Clause 14.3

30-day waiting period applies to all non-accidental claims after every policy renewal.

Critical

All 59 IRDAI-registered Indian insurers — including

LIC of India
Star Health
HDFC Life
Bajaj Allianz
ICICI Lombard
New India Assurance
Tata AIG
Niva Bupa
Care Health
SBI Life
Max Life
Aditya Birla Health
HDFC Ergo
Kotak Life
Reliance Health
Future Generali
Royal Sundaram
Oriental Insurance
United India
Edelweiss Tokio
LIC of India
Star Health
HDFC Life
Bajaj Allianz
ICICI Lombard
New India Assurance
Tata AIG
Niva Bupa
Care Health
SBI Life
Max Life
Aditya Birla Health
HDFC Ergo
Kotak Life
Reliance Health
Future Generali
Royal Sundaram
Oriental Insurance
United India
Edelweiss Tokio
Cr+
Active policyholders in India
IRDAI 2026
1 in
Health claims rejected or disputed
IRDAI Annual Report 2023
pg
Average policy document length
Internal research
< s
Time to analyse your policy
PolicyLens average

The problem

Your policy is designed to
protect the insurer.

Most people find out what's excluded only when a claim is rejected. We fix that.

What your policy actually says

“Notwithstanding the provisions of Clause 4.2(b) and subject to conditions hereinafter specified, the Company shall not be liable for any loss, damage, cost or expense directly or indirectly arising out of, resulting from, or in connection with any Pre-Existing Condition as defined under Schedule I, unless specifically covered under the relevant endorsement and adequate premium has been received by the Company, subject always to the provisions of Section 45 of the Insurance Act 1938 as amended from time to time...”

Actual clause from a popular Indian health insurance policy

What PolicyLens tells you

You cannot claim for any illness or injury you had before buying this policy. This applies for the first 2 years.

Red flag: This exclusion resets if you switch insurers — even if you've had the condition declared and treated.

What to do: Request a portability benefit letter before switching to preserve your waiting period credit.

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02
Step 2

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Document parsed & extracted
Reading exclusion clauses…
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03
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Health Score7.4 / 10
Covered
Excluded
Red flags

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The Claims Filer

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The Insurance Agent

Vikram, 41 · LIC Agent, Jaipur

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Why PolicyLens

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PolicyLens is a clarity tool — not legal or financial advice. We decode. You decide.

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Familiar with Indian insurance regulations, IRDAI guidelines, and common insurer practices.

Your uploaded document is stored securely in your account for as long as you choose — you can delete it at any time from your dashboard. Analysis is performed via a third-party AI provider; your document is transmitted solely to generate your report and is never used for model training or shared with any other party. We have no data-sharing arrangements with insurers, brokers, or data brokers of any kind. You are in full control of your data.

Testimonials

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across India.

I expected it to just summarise the first few pages. Instead it flagged a 30-day waiting period that kicks in after every renewal — buried on page 47. Would never have caught that myself.

TS
Tamanna S.
Software Engineer, Bangalore

My husband was in hospital and I had no idea where to start. I was honestly scared the claim would get rejected. The checklist told me exactly what to submit and in what order. We got fully reimbursed.

PS
Priya S.
Teacher, Chennai

Was sceptical — I know policies well and didn't think an AI tool would add much. But showing clients a plain-language breakdown of their own policy has genuinely changed the way they talk to me. Less doubt, more trust.

VA
Vikram A.
LIC Agent, Jaipur

The agent kept saying the two plans were basically the same. PolicyLens showed me a maternity exclusion in one that he never mentioned. That one detail made my decision.

NR
Neha R.
Marketing Manager, Mumbai

My parents' policy is in English and they've never really understood it. I ran it through PolicyLens and sent them the Hindi output. My mother called to say it was the first time it actually made sense to her.

RV
Rajat Verma
Business Owner, Delhi

Found out my room rent is capped at 1% of sum insured. I had no idea. Now I know to request the right room category on admission — before I need to claim, not during.

AK
Arjun K.
Architect, Hyderabad

I'm a lawyer so I was pretty cynical. Pasted my insurer's rejection email and it came back citing the specific IRDAI circular they appeared to be contradicting. Not what I expected from a consumer tool.

S
Siddharth
Lawyer, Pune

Thought I'd read my parents' policy carefully when I bought it online. PolicyLens caught a co-payment clause I had completely missed. No drama — just: here is the clause, here is what it means.

AD
Ananya Desai
Doctor, Ahmedabad

I expected it to just summarise the first few pages. Instead it flagged a 30-day waiting period that kicks in after every renewal — buried on page 47. Would never have caught that myself.

TS
Tamanna S.
Software Engineer, Bangalore

My husband was in hospital and I had no idea where to start. I was honestly scared the claim would get rejected. The checklist told me exactly what to submit and in what order. We got fully reimbursed.

PS
Priya S.
Teacher, Chennai

Was sceptical — I know policies well and didn't think an AI tool would add much. But showing clients a plain-language breakdown of their own policy has genuinely changed the way they talk to me. Less doubt, more trust.

VA
Vikram A.
LIC Agent, Jaipur

The agent kept saying the two plans were basically the same. PolicyLens showed me a maternity exclusion in one that he never mentioned. That one detail made my decision.

NR
Neha R.
Marketing Manager, Mumbai

My parents' policy is in English and they've never really understood it. I ran it through PolicyLens and sent them the Hindi output. My mother called to say it was the first time it actually made sense to her.

RV
Rajat Verma
Business Owner, Delhi

Found out my room rent is capped at 1% of sum insured. I had no idea. Now I know to request the right room category on admission — before I need to claim, not during.

AK
Arjun K.
Architect, Hyderabad

I'm a lawyer so I was pretty cynical. Pasted my insurer's rejection email and it came back citing the specific IRDAI circular they appeared to be contradicting. Not what I expected from a consumer tool.

S
Siddharth
Lawyer, Pune

Thought I'd read my parents' policy carefully when I bought it online. PolicyLens caught a co-payment clause I had completely missed. No drama — just: here is the clause, here is what it means.

AD
Ananya Desai
Doctor, Ahmedabad

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