Buy or Renew Family Mediclaim Policy

Family Health Plan

A family health plan, as the name itself suggests, is an family floater health insurance plan that is tailor-made for families. It is quite similar to the individual health plan with an add-on benefit of providing health coverage for the entire family.

Family Floater Health Insurance Comparison

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Best Family Health Plan

The customer has the option to get a full family medical insurance coverage that includes self, spouse, children and parents. A family floater is the best family health plan when it comes to safeguarding the health of your loved ones. Since it is a single policy for the entire family it relieves you from the task of buying and maintaining several health insurance policies for each family member. Usually, family floater health plan offer coverage to individual, spouse and kids. However, there are some insurance companies that offer family health plan to cover siblings, parents and in-laws also. Family Floater health plan is best choice when you want to cover Parent’s health insurance, spouse and kids insurance in one family health plan.

The concept of family health plan is gaining immense popularity among individuals. In addition, with over 30 general insurance companies offering health insurance plans in India, choosing a best family health plan is no more a daunting task.

Easy access to internet is not only adding to one’s comfort of buying family floater health plans, but it is also adding more responsibility on individuals to learn all intricacies of the health insurance plans before making a final decision.

Learn More About Best Family Health Plan

List of Family Floater Health Insurance Plans

Best Family Health Plan

Insurance Company Family Health Plan Age Sum Assured Pre & Post Hospitalization Pre-existing Diseases
Bajaj Allianz Health Insurance Family Floater Health Guard 18 to 65 years; 3 Months to 25 years as dependent children Minimum=2 Lakh;
Maximum=10 Lakh (entr age<=55 years); 5 Lakh (entry age>55 years)
Pre-hospitalization: 60 days; Post hospitalization: 90 days After a waiting period of 48 months
Star Health Insurance Family Health Optima Insurance Plan 18 to 65 years; lifelong renewability after 65 years of age; dependent child from the 16th day Minimum=1 Lakh; Maximum=15 Lakh Pre-hospitalization: 30 days; Post hospitalization: 90 days (7% of total expense max up to Rs. 5, 000) After a waiting period of 48 months
National Insurance Company National Insurance Mediclaim Policy 18 to 60 years; 3 Months to 25 years as dependent children; renewability up to 65 years of age Minimum=50, 000 Lakh;
Maximum=5 Lakh
Pre-hospitalization: 30 days; Post hospitalization: 60 days After a waiting period of 48 months
New India Assurance Family Floater Mediclaim Policy 18 to 60 years; 3 Months to 18 years as dependent children; lifelong renewability Minimum=2 Lakh;
Maximum=5 Lakh
Pre-hospitalization: 30 days; Post hospitalization: 60 days After a waiting period of 48 months
United India Health Insurance Family Medicare Policy 18 to 80 years; 3 Months to 18 years as dependent children; lifelong renewability Minimum=1 Lakh; Maximum=10 Lakh Pre-hospitalization: 30 days; Post hospitalization: 60 days subject to max up to 10 percet of sum assured After a waiting period of 48 months of continuous renewal with the company
Oriental Insurance Company Happy Familt Floater Policy 18 to 65 years; lifelong renewability after 65 years of age Minimum=1 Lakh;
Maximum=10 Lakh
Pre-hospitalization: 30 days; Post hospitalization: 60 days After a waiting period of 48 months of continuous renewal with the company
SBI General Insurance Smart Health Insurance 18 to 65 years; 3 Months to 22 years as dependent children Minimum=1 Lakh;
Maximum=5 Lakh
Pre-hospitalization: 30 days; Post hospitalization: 60 days After a waiting period of 24 months

Family Medicalim Policy

Understanding Family Health Plan

Here are a few important FAQs that people usually consider before buying a health insurance plans for family. Go through them to resolve any confusion you might have regarding a family health plan.

What is basic health coverage for family floater?

While making a comparison of different family health insurance plans, it is important to make a list of basic health coverage offered under the policy. Almost all health plans offer daycare expenses, in-hospitalization expenses, ambulance charges, etc. If you are planning for a child, you should go for the family health plan that covers insurance for new born baby or simply add the baby as beneficiary to your existing family floater health plan. Also the policy comparison should be done keeping in mind your coverage for pre existing diseases, lifestyle and exclusions during the first 30 days of the policy.

What is the maximum age of renewing the mediclaim policy?

Many health insurance companies offer policy renewal till 60-65 years. Nowadays, some health insurance companies also offer lifelong renewal facility. Make sure to choose the family floater health plan that would protect you when you need it most.

Can I increase the sum insured of a family floater health plan?

The living costs never remain same, so is the cost of medical treatment. Most insurers offer the facility to upgrade the sum insured in the coming years. Sometimes, when you renew timely and have No Claim Bonus the insurance provider company will reward you by increasing the amount of sun insured.

What is the claim reimbursement procedure in family floater mediclaim policy?

Although, all health insurance companies follow the same claim process as directed by the insurance regulator but there might be some differences in aspects of each company’s functionality. Before buying any health insurance plan for family, make it a point to explicitly understand the company’s claim filing and settling process. Many companies these days offer cashless hospitalization so no hassle about collecting documents and filling them.

Do health plans under family health plan offer cashless hospitalization?

Nowadays, almost every health insurance company is offering cashless hospitalization in their network hospitals. This makes the hospitalization process seamless and hassle-free. However, it is imperative to cross check the same to ensure that names of good hospitals are included in the list.

What are the exclusions of the family floater Mediclaim Policy?

Before buying a family floater health insurance plan you must thoroughly read the policy documents to understand the exclusions of the insurance policy. Also make sure to understand different clauses mentioned in the insurance policy like pre-existing disease, cashless hospitalization, waiting period, etc.

Family Floater Health Insurance Benefits

Advantages of a Family Health Plan

This family health plan is a comprehensive one wherein under one plan you can cover the complete family. This plan is suited for huge families where members vary hugely in age like a child and a grandparent. You can put all the members, irrespective f their age, under one plan umbrella.

  • Hassle-free : A family health plan in India is the best way to safeguard the health of your loved ones. Since it is a single policy that covers the entire family, it relieves you from the task of maintaining and keeping track of different health policies. By choosing family floater health plan, you can get rid of the need of paying premium separately for every family member. In this way, you can get all your family members eligible to get medical attention without compromising on the treatment.
  • Avail Discounts on Family Health Plan : Under the family floater, you can avail discounts and incentives that policies usually offer. Based on certain parameters it allows a person to enjoy discounts accordingly. Family health plan is an easy way to plan for a secure future.
  • Easy To Add New family Members : In this mediclaim plan it is easy to add a new family member. With an individual cover, a fresh policy needs to be taken every time there is an addition to the family. In case of the unfortunate demise of senior-most member of the family, other members of the family can continue with the floater without losing any benefit. This is one of the biggest benefits that a family floater health plan provides.
  • Includes Parents Insurance and In-Laws too : Many of the insurers provide an option to include parents-in-law with little extra cost, making it the best health insurance for parents of both sides of a family.
  • Continuous Policy Cover : Many insurers have now give an option of 2 years policy cover. This allows a continuous hassle free coverage without any increase in premium for the selected tenure.
  • Attractive Features : Features like maternity and new born baby cover make it an attractive option for young couples. These features generally come with a waiting period.
  • Tax Benefits : Insurance premium paid in any mode other than cash is eligible to get relief under Section 80D of the Income Tax Act. Now you can avail a total of Rs 55,000 as tax benefit which includes Rs25,000 for yourself and Rs 30,00 for parents or senior citizens in your family.

Family Floater Health Insurance Online

Why Buy Family Mediclaim Health Policy Online?

There is no dearth of mediclaim policies in India and choosing a one is a difficult task. Save your time and energy by comparing different family floater mediclaim policies at PolicyBazaar as quotes from all leading insurers are available on one single platform. When you buy online you will get transparent dealing, correct recommendations and hassle-free buying. Make an informed choice by comparing the policies side by side!

Insurer Family Health Plan Name Age Limit Sum Assured/Minimum & Maximum Limit Conditions for Pre & Post Hospitalisation Pre-existing Illness
Bajaj Allianz Family Floater Health Guard
  • Minimum age is 18 and maximum age limit is 65 years.
  • Dependent children from 3 to 25 years are covered
  • Minimum - 2 Lakh
  • Maximum - 10 Lakh
  • Lifelong renewal option
  • Pre hospitalisation coverage: 60 days
  • Post hospitalisation coverage: 90 days.
Waiting period of 28 months is applied
Star Health Insurance Family Health Optima Insurance Plan
  • Minimum: 18 years
  • Maximum: 65 years
  • After 65 years, lifelong renewability benefit
  • Dependent children covered from 16th day of age
  • Minimum - 1 Lakh
  • Maximum - 15 Lakh
  • Pre hospitalisation coverage: 30 days
  • Post hospitalisation coverage: 90 days
  • (7% of total expense is offered as coverage, maximum up to INR 5,000)
Waiting period of 28 months is applied
The New India Assurance Co. Ltd. Family Floater Mediclaim Policy
  • Minimum: 18 years
  • Maximum: 60 years
  • Dependent children\'s coverage from 3 month to 18 years
  • Lifelong renewability option
  • Minimum - 2 Lakh
  • Maximum - 5 Lakh
  • Pre hospitalisation coverage: 30 days
  • Post hospitalisation coverage: 60 days.
Waiting period of 28 months is applied
SBI General Insurance Smart Health Insurance
  • Age limit is 18 to 65 years
  • Dependent children coverage from 3 month to 22 years is
  • Minimum - 1 Lakh
  • Maximum - 5 Lakh
  • Pre hospitalisation coverage: 30 days
  • Post hospitalisation coverage: 60 days.
Waiting period of 28 months is applied
Oriental Insurance Company Happy Family Floater Policy
  • Age limit is 18 to 65 years
  • After 65 years, lifelong renewability benefit
  • Minimum - 1 Lakh
  • Maximum - 10 Lakh
  • Pre hospitalisation coverage: 30 days
  • Post hospitalisation coverage: 60 days
Waiting period of 28 months is applied
National Insurance Company National Insurance Mediclaim Policy
  • Minimum: 18 years
  • Maximum: 60 years
  • Dependent children’s coverage from 3 month to 25 years
  • Lifelong renewability option after 65 years
  • Minimum - 1 Lakh
  • Maximum - 15 Lakh
  • Pre hospitalisation coverage: 30 days
  • Post hospitalisation coverage: 60 days
Waiting period of 28 months is applied
United India Health Insurance Family Medicare Policy
  • Age limit is 18 to 80 years
  • Dependent children coverage from 3 month to 18 years is Lifelong renewability
  • Minimum - 1 Lakh
  • Maximum - 10 Lakh
  • Pre hospitalisation coverage: 30 days
  • Post hospitalisation coverage: 60 days (Maximum up to 10 % of the sum assured)
Waiting period of 28 months is applied

What is a Family Floater Plan?

Ans:

A family floater covers all the family members under one single plan. The sum insured is fixed and gets exhausted as and when any member avails medical services and makes a claim. The members coverable under a family floater can be the policyholder and his/her parents, spouse and children.

Why Family Floater?

Ans:

Buying a family floater proves to be cheaper than buying individual policies. Besides, a floater provides for adding the immediate family members such as newborns and newly wed spouse in the cover, without any hassles.

How does Family Floater works?

Ans:

The sum insured in a family floater plan is fixed for a policy term and gets depleted, as and when any member avails medical services and files a claim. If it gets exhausted on one member during the policy term, any other member would not be able to make a claim till the policy is renewed at the end of the term.

Documents Required (if any)

Ans:

 

  • Age Proof, Identity Proof and Address Proof of all the insured members.
  • Income Proof of the policyholder
  • Duly Filled Proposal Form
  • Some plans may require the insured members to undergo Medical Tests

 

How can I add my family members to the existing policy?

Ans:

You can add your family members at the time of renewal of an existing policy. However, you can’t add dependents in a middle of the policy, except newborn baby.

Do I need to take a separate health policy if my family and I are already covered in a corporate health policy?

Ans:
  • Yes, we strongly recommend that you buy a standalone health policy, even if you are covered in a corporate health policy. Your employer will cover your medical costs as long as you are working in that organization. When you change a job, retire or start something on your own, the corporate insurance will be rendered useless. You and your family will be stranded if a medical emergency arises and you have no other health policy to fall back on.

 

  • Also, if a company makes sudden changes to its conditions or abruptly stops insurance coverage, you may need to bear all medical costs. At this point of time, a separate health insurance policy will come to your rescue. Moreover, health insurance plan can supplement your current medical cover incase medical costs are higher than your corporate health cover. Also health insurance is considered as a good tax saving instrument because by buying health plan, you become eligible to get tax benefits under Section 80D.

What is family floater insurance?

Ans:

Family floater plans provide coverage to the entire family under a single plan. Here the fixed cover is shared by all members of a family. A family floater policy is one of the best options when it comes to protecting the health of your family members. Since it is a policy which covers the entire family, it relieves you from the task of buying separate health policies for each family member and thus, it offers affordability also. Although, family floater plans usually cover the individual, spouse and kids but there are some insurers which are offering a provision to cover dependent parents and in-laws also under family floater.

In case of family floater health insurance, what happens if the primary insured person dies? Can the policy be renewed by any of the surviving members of the policy?

Ans:

Yes, if the primary insured dies or reaches the maximum age of renewability, the other adult member in the policy can continue with the policy and enjoy the continuity benefit. Any addition or deletion in the policy can happen only at the time of renewal.

During the course of treatment can I change my hospital?

Ans:

Yes, you are allowed to change the hospital on the grounds of better treatment and services, but you need to first inform your TPA who will evaluate your case on the basis of policy terms & conditions.

What happens if I fall sick overseas?

Ans:

There are various health insurance companies like Max Bupa, Religare, CIGNA which provide overseas benefits like outpatient treatment, pre-diagnosed planned hospitalization and second medical opinions apart from coverage for sudden sickness during travel. Also, we advise you to opt for a travel insurance plan which provides protection against accidental death, dental expenses, trip cancellation and interruption. It covers hospital bills, emergency evacuation bills along with a long list of other expenditure. Read More

What are the situations under which cashless hospitalization is denied?

Ans:

You may be denied cashless hospitalization coverage under any of the following conditions-

  • If the information sent to TPA is not complete or there is a discrepancy
  • If the ailment or condition is not covered under the plan
  • If the pre- authorization request is not received in time by TPA

In such situations, insured should pay all treatment costs and then later claim for reimbursement.

How can I check the status of my claim?

Ans:

You can call the helpline number of your TPA or you can also check the status on the official website of your insurance company.

Can I take multiple health insurance policies? How will I make a claim in that scenario?

Ans:

Yes, you can take multiple health policies from the same company or from different insurance companies but it is important to inform about the existing policies to the other insurer while buying a policy or at the time of making a claim. If you fail to disclose it, then it means you are violating one of the important terms and conditions of the health insurance company and in case of investigation this could be counted as misrepresentation. 

Let’s understand the claim procedure by taking into account different scenarios.

Scenario 1: When total claim amount is less than the sum assured under a single policy

In case of indemnity policies like mediclaim or hospital reimbursement type insurance, if the insured opts for multiple policies in the same tenure and the claim amount is less than the sum assured, then insured has all rights to choose from which insurer he wants to make a claim. For instance, Mr. Kumar has Rs 4 lakh insurance policy from Insurer X and Rs 2 lakh policy from Insurer Y. The claim amount is Rs 2 lakh. In this case, the insured can choose any insurance company who will be bound to settle the claim as per terms and conditions.

 Scenario 2: When claim amount is more than the sum assured under a single policy

In this case, insured has all rights to choose the insurer who will settle claims. However, if at the time of a claim settlement, insured doesn’t disclose about other policies, then the insurer’s liability is restricted up to the sum assured and the policyholder will have to bear remaining expenses.

Scenario 3: Claim under defined benefit policies

If the insured has got defined benefits like critical illness where claim doesn’t have any relation with the treatment cost and the payable amount is fixed, then insured will be entitled to get benefits from all policies.

Here the real mantra is to make a claim under the old policies wherein insurance has past the waiting period for a lot of ailments.

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