Family Health Insurance In India – Inclusions And Exclusions
Family health Insurance in India is an important investment that every individual must have to ensure financial security during medical emergencies and treatments for self and family.
There is often discussion over individual health insurance and family health insurance in India, which one is better and why? As a general thumb rule, any insurance advisor would always recommend you to buy an individual health insurance for each family member but since this can be expensive for some, family health insurance is the second best alternative.
In this article, we will learn more about the family health insurance in India – the various inclusions and exclusions in these insurance plans:
What is Family Health Insurance in India?
Family Health Insurance in India is a type of health insurance policy in which the health cover of predetermined sum assured is provided to the family members selected by the policyholder along with their own health cover. These are cost effective health insurance plans in India for family as the total sum assured is distributed amongst the family members.
What are the inclusions under Family Health Insurance in India?
Below are few general inclusions under Family health insurance in India:
- Day care treatments such as radiotherapy, chemotherapy, etc that do not require hospitalisation of more than 24 hours is covered under the health insurance plans in India for family.
- Treatments that require more than 24 hours of hospitalisation are also covered under a family health insurance in India depending on the terms and conditions mentioned in the policy documents.
- Pre hospitalisation and Post hospitalisation expenses are covered too depending on the terms and conditions and for a limited number of days mentioned in policy documents.
- Organ donation expenses, ambulance expenses, etc are also provided under the health insurance plans in India for family.
What are the exclusions under Family Health Insurance in India?
It is very important to read the policy documents to understand all exclusions before buying health insurance. Below are few general exclusions under Family health insurance in India:
- Cost of treatments towards HIV/AIDs is not covered under family health insurance in India.
- The insurance companies in India do not cover all the medical treatments from day one. Certain diseases and some pre-existing diseases are covered only after a predetermined waiting period.
- No medical assistance shall be offered incase the inquiries are caused to an individual attempting suicide or any adventure activities.
- Medical assistance may not be offered in case the individual is affected with a medical condition on excessive consumption of harmful substances like tobacco, drugs, etc.
How to choose the best term insurance policy in India with survival benefits?
You can get the best term insurance policy in India with survival benefits by analysing the quality of insurance companies offering these policies on the basis of Solvency ratio, Claim Settlement Ratio, Incurred Claim Ratio, Commission Expense Ratio, Persistency Ratio and Online Reviews.
You can read the section “Evaluating best Life Insurance policy in India” on our Life Insurance page to learn more.
Which is the best term insurance policy in India with survival benefits?
Depending on several factors like claim settlement ratio, solvency ratio, customer reviews and others, the best health insurance plans in India for family are:
Sr. No. | Health Insurance Plan | Sum Insured |
1 | Aditya Birla Activ Health Platinum Plan | ₹2 lakhs to ₹ 2 crores |
2 | Star Family Health Optima Insurance Plan | ₹3 lakhs to ₹ 25 lakhs |
3 | Niva Bupa Heartbeat Health Insurance | ₹3 lakhs to ₹ 50 lakhs |
4 | Digit Health care Plus Policy | ₹2 lakhs to ₹ 3 crores |
5 | Bajaj Allianz Health Guard Plan | ₹2 lakhs to ₹ 1 crore |
Conclusion:
It is advisable to consult your insurance needs with a certified and licensed Insurance planner to get the best advice on selection of the best health insurance policy in India for family. An Insurance Advisor can help you not only in choosing the right insurance policy but also make sure that you have sufficient insurance coverage at an affordable price.
