<img height="1" width="1" style="display:none" src="https://www.facebook.com/tr?id=7698356820180471&ev=PageView&noscript=1" />

Introduction

Before we start comparing these two policies we have to set out some ground rules.

Both products are marketed by different insurance companies. Family Medicare is sold by United India and Young Star is sold by Star Health. So any meaningful comparison should include a comparison of the product alongside the insurers themselves.

Second, we know that both products are quite basic in their structure. They offer modest protection and aren’t comprehensive enough to cover a wide array of use cases. So if you are looking for something more robust, then both these policies may not cut it.

And finally, any comparison is ultimately futile without considering the use case. Who are you buying this policy for? You, your family, your parents?

That’s something you’ll need to answer before using this guide. So with that introduction out of the way, we can get to comparing the actual policies themselves.


Let’s start with Family Medicare. The product comes from United India’s stable:

United India General Insurance company is an amalgamation of 22 different entities. The insurer has played an integral part in underwriting numerous government insurance schemes like - Maharashtra Government’s Mahathma Jyothiba Phule Jan Arogya Yojana Health Insurance Scheme (2020) & Prime Minister Suraksha Bima Yojana.

However, since it is a government-owned insurance firm, it’s not the most nimble insurance company out there.


Young Star meanwhile comes from Star Health’s stable:

Star Health Insurance is India's first standalone health insurance firm. And with an army of retail advisors pushing their products across the country, they’ve managed to capture a fair share of the Indian market.

The company also boasts a network of over 14,000+ hospitals and a decent claim settlement ratio of 83%.

talk to us

Talk to IRDAI-certified experts

If you want help with selecting the best health policy tailored to your needs, book a FREE call with our experts today by clicking here.

Compare Insurances

Insurance Parameters

Recommended
Not Recommended
Network hospitals
3,043
14,000+
Claim settlement ratio

(avg. of last 3 years)

94%
83%
Co-payment

No

No

Room rent

Single Private room

Single Private room

Disease sub-limit

Yes

Yes

Pre existing diseases waiting

3 years

1 years

Pre/Post hospitalization

30/60 days

60/90 days

No claim bonus

20% per year

(up to 200%)

20% per year

(up to 100%)

Domiciliary
Ayush treatments
Restoration benefit

100% restoration

(once for different illness)

100% restoration

(once for any illness)

Health check-up
Once every 3 years
Once every year
Maternity

Available

(up to ₹30,000 after 3 years)

Out Patient Department
Day care

Feature Comparison

coPay

Co payment

With a co-payment clause, the insurer will mandate that you pay a part of the bill. So if the bill adds up to Rs. 2,00,000 and the co-payment is set at 20% then you could be asked to pay Rs. 40,000 from the bill. In this case, however, Family Medicare doesn’t impose a co-payment clause. And neither does Young Star.

roomRent

Room rent

If the policy does impose room rent restrictions then the insurer may only let you stay in a room of a certain specification or impose a cap on the total room rent. If you were to breach either criterion then the insurance company may ask you to pay a portion of all the expenses you incurred while staying in the room. In this case, however, Family Medicare lets you stay in a single private room and Young Star also lets you stay in a single private room. Nothing fancy.

diseaseSublimit

Sub limits

Some policies will tell you that they will cover all medical expenses up until the sum insured, but then impose caps on the total costs you can incur while dealing with a very specific list of diseases. We call these caps “Disease Wise Sub Limits.” In this case, Family Medicare imposes disease-wise sub-limits on Cataract, Mental illness whereas Young Star imposes sub-limits on Modern treatments

ped

Waiting periods for pre-existing diseases

If you’re suffering from a lifestyle condition or if you’ve had surgery in the past, or if you’re dealing with an acute or chronic illness at the time of buying the policy, then the insurer may classify this as a pre-existing disease. And they may tell you that they will only cover these illnesses after some time. In this case, Family Medicare imposes a waiting period of 3 years on pre-existing diseases while Young Star extends a waiting period of 1 years on existing conditions.

prePost

Pre and post Hospitalization expenses

Most people aren’t hospitalized right off the bat. Instead, they’ll have to go through a whole series of diagnostic tests before hospitalization and take medication post-discharge. These costs are outlined as pre-hospitalization expenses and post-hospitalization expenses respectively. In this case, Family Medicare covers expenses incurred 30 days before hospitalization and expenses incurred 60 days post-hospitalization. Meanwhile, Young Star covers expenses incurred 60 days before hospitalization and expenses incurred 90 after hospitalization, although there may be different sub-limits

ncb

No claim bonus

Some policies will tell you that they will incentivize you for not making a claim in any given year. And they offer such incentives by offering extra cover on top of the existing sum insured. This extra cover is categorized as a no-claim bonus. And in this case, Family Medicare offers a no-claim bonus of 20% and Young Star similarly extends a 20% no-claim bonus.

domiciliary

Domiciliary

Imagine you are forced to treat yourself at home because you don’t find a hospital bed, or you have a chronic condition that prevents you from visiting one, then, insurers may choose to cover your treatment even if you’re hospitalized at home. And such costs are collectively categorized as domiciliary treatment costs. In this case, however, neither Family Medicare offers domiciliary cover nor does Young Star

ayush

Ayush treatments

Most policies only cover treatments administered in a registered medical facility. However, on some occasions, you may want to pursue alternative treatments including homoeopathy, Ayurveda, Unani and Siddha. These treatments are collectively categorized as Ayush treatments. And in this case, Family Medicare covers Ayush procedures and Young Star also extends coverage for Ayush treatments.

maternity

Maternity benefits

If you’re hospitalized during childbirth, then you may have to incur significant costs during delivery of your newborn, child care and other related matters during the course of the hospitalization. These costs are collectively termed maternity costs. And in this case, however, Family Medicare doesn’t offer protection for maternity-related hospitalizations whereas Young Star offers maternity cover.

opd

Out Patient Department (OPD)

Doctor visits and regular consultations aren’t usually covered by health insurance policies. They are categorized as Outpatient consultations (or OPD treatments) and patients have to bear the cost on their own. In this case, however, neither Family Medicare extends coverage for outpatient consultations, nor does Young Star.

Final Conclusion

After considering all the features on hand and the claim settlement ratio of United India, we believe that Family Medicare is a better alternative to Young Star for most use cases that we’ve evaluated so far.

talk to us

Select the best plan with our help!

Get in touch to find out what plan works best for you. Zero fuss. Zero spam. Zero charges. Book a call now. Limited slots available!