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Family Floater Plan

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Choosing the Right Family Floater Plan

As medical expenditures are sky rocket with every passing year, healthcare insurance is fast becoming a must for every household. As the need for healthcare insurance is becoming evident, almost all of us are faced with one question – What would be the best health care plan for my family? On what parameters should I chose the same? Lets start with the type of Medical insurance plans. There are three main type of Healthcare insurance plans, namely:

  • The individual health insurance plans – covering only one individual
  • The family floater plan – covering a group of family members
  • The senior citizen/ health insurance for parents plan – covering individuals aged 50 yrs and above

Among the above 3 options, floater plans suit a family more than any other plans. There are certain reasons for the same.

  • Family floater provides flexibility to a plan: Let’s illustrate this with an example. Say Mr Ramesh has to take health insurance for his family. He can either chose to buy a 2 lakh cover each for himself and his wife and 1 lakh cover each for his children. In this case, lets suppose the medical expense on the children is more than Rs 1 lakh but no claim on his or his wife medical policy. Then, not only would Mr Ramesh will have to pay extra from his pocket but also, his individual medical insurance was not of much use to him. Now, if Mr Ramesh decided to buy a family floater plan, he can take a plan with Rs 4 lakhs as the sum assured. In this case, even if Rs 1.5 lakh is utilized by his one child, there will be 2.5 lakhs still left for the use of other family members in case an emergency strikes.
  • Family floater plans have advantage of “economy of scale” over the individual plans. As the premium paid is being shared among 4 individuals the price range is reduced resulting in the same amount of sum assured being provided in lesser cost.

However, there can be a few drawbacks to family floater plans too. The price of family floaters generally depends on the age of the eldest member of the family. As the age of the eldest member rises above 48-52 years, the premium can shoot up. Also, many insurance companies do not accept a 20 years above individual as children.

In that case, a family floater plan which has 2 adult and 2 children make wont be suitable. Hence, the family floaters are generally seen as the most suitable for young families. It is generally seen that a family floater plan can reduce the premium range by 55% if bought at the right stage and time.

Before you go ahead and purchase a family floater, here are some points you should pay attention too:

  • The sum insured that would need: As thumb rule,it should be more than or at least equal to your present annual income.
  • Coverage of 2 or more years: After 2 years of coverage with no claim, it gets cheaper to buy the next policy.
  • Coverage of Pre-existing diseases: What is duration after which the pre-existing diseases would be covered. In some companies it is 2 years while in others it can be up to 4 years.
  • Renewal of the policy: Till what age is the renewal of the policy allowed. If the eldest member of your family is nearing 65, and the renewal is not allowed after 65 years of age, then maybe you need to rethink about your plans
  • Misc benefits: Its very important to check how much allowance would be provided to you on room charges, medicines, ambulance charges, fee for health check up, the no claim bonus you would be getting, etc.

For your reference, we have tried to collate information for family floater plans provided by major Indian insurance players. Do check them out but before you buy a policy based on below information, we recommend you check the details with the concerned company representative also. Happy reading!

Insurer

Plan

Renewal

Medical Test

Maternity Benefits

Pre-Existing Diseases Coverage

Critical Illness

Ambulance Service

Number of family members who can be covered

Cashless

Sum Insured

Cholamandalam

Family Health

Renew upto 69 yrs

No medicals upto 45 yrs

not covered

Covered after 3 yrs

not covered

covered

2 adults and 2 children

Cashless

2 to 5

Reliance General Insurance

Healthwise- Gold

Renew upto 80 yrs

No medicals upto 45 yrs

not covered

covered after 2nd yr

covered (upto 100% of si)

upto Rs. 1000

2 members

Cashless

2 to 5

Healthwise- Silver

Renew upto 80 yrs

No medicals upto 45 yrs

not covered

covered after 2nd yr

not covered

upto Rs. 750

Cashless

2 to 5

Healthwise - Standard

Renew upto 80 yrs

No medicals upto 45 yrs

not covered

covered after 4th yr

not covered

upto Rs. 500

Cashless

2 to 5

Royal Sundaram

Health Shield Floater

Renew upto 70 yrs

No medicals upto 50 yrs   

not covered

covered after 4th yr

not covered

upto Rs. 1000

Self, Spouse, dependent parents and dependent children

Cashless

1 to 5

Bharti Axa

Smarthealth Basic

Renew upto 75 yrs

No medicals upto 45 yrs

not covered

covered after 4th yr

requires additional cover

 covered

2 adults and 2 children

Cashless

0.5 to 5

Smarthealth Premium

Renew upto 70 yrs

No medicals upto 45 yrs

not covered

covered after 4th yr

requires additional cover

covered

Cashless

1 to 5

Smarthealth Optimum

Renew upto 65 yrs

No medicals upto 45 yrs

not covered

covered after 4th yr

requires additional cover

covered

Cashless

1 to 5

Future Generali

Gold

Renew upto 70 yrs

Medical tests required

not covered

covered after 4th yr

not covered 

covered

2 adults and 2 children

Cashless

Not clear from the brochure

Platinum

Renew upto 70 yrs

Medical tests required

not covered 

covered after 4th yr

not covered

covered

Cashless

Not clear from the brochure

Iffco Tokio

Base Plan

Renew upto 70 yrs

No medicals upto 45 yrs

not covered

covered after 4th yr

not covered

covered 

2 adults and 2 children

Cashless

2 to 5

Wider Plan - Basic

Renew upto 70 yrs

No medicals upto 45 yrs

not covered

covered after 4th yr

not covered

covered

Cashless

2 to 5

Wider Plan - (Basic + C.I)

Renew upto 70 yrs

No medicals upto 45 yrs

not covered

covered after 4th yr

covered upto 40% of Sum Insured

covered

Cashless

2 to 5

Max Bupa

Heartbeat Silver

Renew Lifelong

No medicals upto 60 yrs, if healthy

after 2 yrs

covered after 4th yr

not covered

covered

2 adults and 2 children

Not clear from the brochure

2 to 3

Heartbeat Gold

Renew Lifelong

Medical tests required

after 2 yrs

covered after 4th yr

not covered

covered

Not clear from the brochure

5 to 10

Heartbeat Platinum

Renew Lifelong

Medical tests required

after 2 yrs

covered after 4th yr

not covered

covered

Not clear from the brochure

 15 to 50

Heatbeat gold/platinum

Renew Lifelong

Medical tests required

after 2 yrs

covered after 4th yr

not covered

covered

The complete family including dependent parents, relatives, etc

Not clear from the brochure

3 to 15

ICICI Lombard

Health Insurance

Renew upto 70 yrs

No medicals upto 55 yrs

not covered

covered after 4th yr

not covered

not covered

2 adults and 2 children

Cashless

 

Apollo Munich

Easy Health Standard

Renew Lifelong 

No medicals upto 45 yrs

not covered

covered after 3 yrs

not covered

upto Rs. 2000

Not clear from the brochure

Cashless

1 to 5

Easy Health Premium

Renew Lifelong

No medicals upto 45 yrs

after 4 yrs

covered after 3 yrs

requires additional cover

upto Rs. 2000

Cashless

3 to 7.5

Easy Health Exclusive

Renew Lifelong

No medicals upto 45 yrs

after 4 yrs

covered after 3 yrs

requires additional cover

upto Rs. 2000

Cashless

4 to 10

Aegon Religare

Silver

Renew upto 85 yrs

No medicals upto 60 yrs

not covered

not covered

covered

not covered

Dependent on plan - either 2 adults and upto 3 children or 3 adults

Cashless

2 to 5

Gold

Renew upto 85 yrs

No medicals upto 60 yrs

not covered

not covered

covered

not covered

Cashless

2 to 5

Diamond

Renew upto 85 yrs

Medical tests required

not covered

not covered

covered

not covered

Cashless

2 to 5

Platinum

Renew upto 85 yrs

Medical tests required

not covered

not covered

covered

not covered

Cashless

2 to 5

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