Future Generali Future Health Surplus Plan

*Please note that the quotes shown will be from our partners

Introduction/Overview

Future Health Surplus policy covers medical expenses incurred during hospitalization due to an accident or illness. The policy also covers the pre hospitalization and post hospitalization expenses which sometimes costs more than the hospitalization expenses.

The insured person can avail benefits of this policy on individual basis or can add family members to the policy. Additional discounts are available if family members are included to the policy.

Key Features

  • This Policy will cover hospitalization expenses in excess of the deductible per hospitalization incurred by insured but not exceeding the sum insured.
  • This product is available on Individual Sum Insured basis as well as Floater Sum Insured basis.
  • There is no Medical examination up to the age of 55 years subject to the proposal form having no adverse medical declarations.
  • Pre-policy checkup if advised has to be done in the empanelled diagnostic center of the company. 50% cost of the diagnostic tests charges would be reimbursed for accepted cases.

Benefits

  • It covers hospitalization expenses in excess of the deductible per hospitalization incurred by the policyholder. However, it should not exceed the sum insured during the period stated in the Policy Schedule.
  • Expenses incurred for in-patient hospitalization (minimum period of 24 hours) are covered. It comprises of room, Board & Nursing Expenses as provided by the hospital/nursing home.
  • Expenses for Surgeon, Anesthetist, Medical Practitioner, Consultants, Specialists Fees, Anesthesia, Blood, Oxygen, Operation Theatre Charges, Surgical Appliances, Medicines & Drugs, Diagnostic Materials and X-ray, Cost of Pacemaker, prosthesis / internal implants and any medical expenses incurred which is also a part of the operation.
  • Pre–hospitalization expenses incurred within 60 days prior to Hospitalization on illness / injury sustained.
  • Post–hospitalization expenses incurred within 90 days after the date of discharge from the hospital.

Details about Premium

Annual premium in Rupees exclusive of taxes

 

Sum Insured/ Age

3 Lakhs

5 Lakhs

5 Lakhs

7 Lakhs

10 Lakhs

Deductible

2 lakhs

2 lakhs

3 lakhs

3 lakhs

5 lakhs

3 months- 17 years

1008

1430

1414

1885

2172

18-35 years

1248

1596

1514

2207

2530

36-45 years

1759

2477

2386

3450

3909

46-55 years

2912

3905

3810

4680

5427

56-65 years

4596

5977

5733

6772

7738

66-70 years

7888

9555

9430

11325

14308

71-75 years

10944

12777

12044

14611

18278

76-80 years

15777

16711

15777

19044

24178

81-85 years

18144

19217

18144

21901

27804

86-90 years

16329

17296

16330

19711

25024

91 years and above

1377

1761

1670

2207

2790

*The above rates may vary. Please check the policy wordings for more details.

 

Policy Details

Sum Insured: 3 Lakhs to 10 Lakhs

Coverage type: Individual/Family Floater

Grace period: Grace Period of 30 days for renewing the policy is provided under this policy.

Renewal Policies: The policy if renewed continuously without any break will be renewed lifelong.

 

Policy termination: You may cancel this insurance by giving at least 15 days written notice, and if no claim has been made then premium will be refunded as per the following table-

Period on risk

Rate of premium refunded

Up to one month

75% of annual rate

Up to three months

50% of annual rate

Up to six months

25% of annual rate

Exceeding 6 months

Nil

 

Free look period: 15 days

Additional features or riders

  • Discounts:
      • Family Floater Discounts

Age

Floater Discount

3 months- 17 years

60%

18-35 years

55%

36-45 years

50%

46-55 years

45%

56-65 years

40%

66-70 years

35%

71-75 years

30%

76-80 years

25%

81-85 years

20%

86-90 years

20%

91 years & above

20%

 

Exclusions

  • Any condition, ailment, injury or related condition for which the insured has been diagnosed, received medical treatment or had signs or symptoms, prior to the inception of the first policy until 48 months have elapsed.
  • Any disease contracted during the first 30 days from the commencement of the policy.
  • Costs incurred on all methods of treatment including alternative treatments other than Allopathy.
  • Doctor’s home visit charges during pre and post hospitalization period.
  • Treatment for any mental illness or psychiatric illness.
  • Personal comfort and convenience items or services such as television, telephone, barber or beauty service guest service and similar incidental services and supplies.
  • All expenses related to AIDS and related diseases are excluded.
  • Dental treatment or surgery of any kind unless requiring hospitalisation as a result of accidental Bodily injury is needed.

                                                                                                 

Documents Required

  • A duly filled claim form signed by the Insured Person.
  • Original Bills (including but not limited to pharmacy purchase bill, consultation bill, and diagnostic bill) and any attachments thereto like receipts or prescriptions in support of any amount claimed.
  • All reports, like case histories, investigation reports, treatment papers, discharge summaries.
  • A precise diagnosis of the treatment for which a claim is made.
  • A detailed list of the individual medical services and treatments provided and a unit price for each.
  • Prescriptions that name the Insured Person and in the case of drugs: the drugs prescribed, their price and a receipt for payment. Prescriptions must be submitted with the corresponding Doctor’s invoice.
  • Record of previous treatments along with reports.
  • MLC/ FIR copy/ certificate regarding abuse of alcohol/intoxicating agent, in case of Accidental injury.

Eligibility

  • Age of entry: 3 Months – 65 years.
  • Children from 3 Months - 5 years can be covered if both the parents are insured.
  • Children from 6 years to 18 years can be covered if either of the parents is covered.
  • Children from 18 years to 25 years can be covered as self-proposer or as dependents.