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What is Family Health Insurance?

A family health insurance plan is a product that provides financial assistance to the entire family during unexpected medical events. This helps you cover your loved ones' health under a single plan. Buying health insurance plans for family is essential as it provides coverage for hospitalisation, regular check-ups, and other healthcare costs. Before deciding on any particular plan, explore your family’s needs and what family health cover from different insurers includes.

 

How Does Family Health Insurance Work?

A family health insurance plan is also known as a ‘Floater Plan’. It is like an umbrella plan under which your whole family is covered. If you are looking for the best health insurance plans for family, buy this family health insurance that covers your whole family under one policy. Such a plan provides comprehensive coverage for you and your family members. It has a single premium for the entire family member. One of the best features of A family insurance plans is that you can add any children, spouse, and dependent parents in a single health plan.

This type of plan covers a wide range of medical expenses and often offers various discounts and co-payment options. The mediclaim policy for family follows a holistic approach to providing the best services to its customers. It also offers a quick claims process, allowing for fast and efficient settlement of medical bills. If a family member requires immediate medical attention, you can choose to go for cashless treatment at your insurer's network hospital without worrying about immediate cash payment. Connect with your insurer to know their network hospitals and get treated there easily.

The best medical insurance for family always believes in keeping you and your family secure. It may cover up to 15 members of a family without any age limit. In a floater plan, the total family health cover amount is fixed and shared by all members. If you choose a non-network hospital, you can claim reimbursement for your expenses by submitting the treatment and billing-related documents to your insurer. Therefore, it is advisable to choose an insurance provider with a high claim settlement ratio and the best family health cover options. 

 

Importance of Buying a Family Health Insurance

Choosing the right health insurance plans for family is essential for any individual who wants to keep their family worry-free in times of need. This type of insurance plan offers high coverage options to protect the health and well-being of your loved ones.

Let's have a look at the reasons why you should buy family health insurance plans to understand why this type of insurance is important for families: 

Benefits of Generali Central Family Health Insurance Policy

Family health insurance offers financial security to millions of people at times of any health emergency or even death. Some of the key benefits that they enjoy by opting for health insurance plans for family are as follows

  • Coverage for the entire family

    The best family insurance plans offer extensive coverage options for all your family members under a single policy.

  • Stress-free hospitalisation

    With the right family insurance plans, you can get the benefit of hassle-free hospitalisation at times of emergency. All your hospitalisation bills, meals and medication bills will be settled by the insurer using the sum insured in your plan.

  • Affordable premiums

    Medical insurance for family reduces the financial burden for medical needs. Under one single plan, you can insure all the family members including spouse, dependent children and parents at an affordable family health insurance premium.

  • Mediclaim benefits

    A good family health insurance plan provides quality mediclaim for family and medical attention 24/7 hours. With family health plans, you can enjoy various add-on benefits including preventive health check-ups, maternity, etc. You need to go through the policy terms and conditions to understand its inclusions and exclusions.

  • Cashless claim settlement

    If you have a right plan including cashless health insurance plans for family, you can easily enjoy cashless services and do not worry for upfront payments. You get cashless hospitalisation benefits with over thousand hospitals that fall under their extensive network of your insurer.

  • Tax Benefits

    You can avail of tax benefits up to your family health coverage under section 80D of the Income Tax Act. Tax deductions can be claimed up to Rs 25,000 on your annual premium payments and will allow you to cut down your total tax obligation for the given financial year.

What is Covered by Generali Central Family Health Insurance?

To have a clear idea regarding which is the best health policy for family, you need to check inclusions and exclusions first. This way, prospective buyers can make informed decisions regarding their purchase. Let's have a look at some inclusions and exclusions:

Inclusions

  • Number of members covered

    Coverage varies among various health insurance plans for family that you are purchasing. However, usually, it can go up to 15 members of the family.

  • Hospitalisation and diagnostic tests

    With the right family insurance plans, you can get the benefit of hassle-free hospitalisation at times of emergency. All your hospitalisation bills, meals and medication bills will be settled by the insurer using the sum insured in your plan.

  • Affordable premiums

    Daycare expenses are those which occur due to hospitalisation for less than 24 hours. Such facilities of mediclaim for family include treatments like chemotherapy, dialysis, cataract surgery, etc.

  • Pre-hospitalisation cover

    The best health policy for family is the one that includes pre-hospitalization charges such as consultation fees, etc. The entire medical expenses incurred before being hospitalised will also be covered under such family health covers.

  • Outpatient medical expenses

    This means that health policy for family will cover therapy or diagnostic tests which do not require a stay in the hospital.

  • Maternity expenses

    These include expenses incurred due to hospitalisation during pregnancy, very similar to what is covered in women health insurance.

  • Domiciliary hospitalisation

    The best medical insurance for family covers treatment received at home for an extended period, typically three days or more.

  • Organ donor expenses

    This part of family insurance plans covers expenses related to organ transplantation and storage.

  • Post hospitalisation cover

    Covers medical expenses incurred after hospitalisation, including follow-up care.

  • Childbirth and vaccination

    The best medical insurance for family involves charges incurred during the hospitalisation of a newborn baby and administration of necessary vaccines to the baby.

  • Mental illness cover

    Includes coverage for the medical health treatment.

  • Patient care

    This includes all the costs that are related to patient care services, such as nursing care.

Exclusions

  • coveredImg

    Non-prescribed medications

  • coveredImg

    Hormone replacement therapy

  • coveredImg

    Illness arising from consumption of alcohol or drugs

  • coveredImg

    Injuries inflicted during the war

  • coveredImg

    Congenital disabilities or diseases

  • coveredImg

    Sex change surgery

Difference Between Individual vs. Family Health Insurance

When considering health insurance, it's important to understand the differences between individual and family plans. Let's have a close look at the different health insurance plans:

 

Individual health insurance plan 

Family health insurance plan

Meaning 

Covers a single individual.

It covers multiple members under a single-family medical policy. Under this, the premium is decided based on the age of the oldest member in the family. 

Sum insured 

The sum insured will be payable to only the insured person or their beneficiary. 

The insured sum will be shared among all the beneficiaries in accordance with the terms agreed.

Suitable for

Individuals, especially senior citizens or those with chronic conditions.

Families with members under 60 years of age.

Focus

Individual health coverage needs.

Comprehensive healthcare for the entire family. 

 

Eligibility Criteria for Health Insurance Plans for Family

If you are planning to get family health insurance or a family floater health insurance, you should definitely look into the eligibility criteria before applying. The eligibility criteria are divided into two categories:

Age:

  • The minimum age criterion for getting health insurance for your child is 15 days.

  • However, for adults, it ranges from 18 to 65 years.

  • The premium that you will be paying is directly proportional to your age.

  • So, you should buy family health insurance for your family members as early as possible.

Overall health:

  • When you apply for health insurance, there is a chance that you will have to undergo a thorough medical examination.

  • The insurer does this to get a good idea about your current health condition.

  • However, if you are below the age of 45, you might not have to go through this process, and a doctor’s certificate of good health is enough to get a medical policy for family.

People of all ages are required to declare their pre-existing conditions that they are suffering from. Pre-existing conditions usually include hypertension, high blood pressure, diabetes, asthma, thyroid, etc. Having pre-existing conditions does not make you ineligible for cashless health insurance or any other type of insurance plan. It is asked to determine the best mediclaim policy for family with an affordable premium. This also saves you from falling under non-disclosure claim rejections.

How to Buy Family Health Insurance?

A medical insurance plans for family offers a wide range of coverage options. With these covers, you can save your family health insurance cost and secure your family's health. Here is how you can buy the best medical insurance for family:

  • Get a quick quote 1

    Get a quick quote

    We only need some basic details to give you a quote.

  • Fill the form 2

    Fill the form

    Select a quote that suits you and fill our proposal form. Answer some questions about your health.

  • Pay and get your policy 3

    Pay and get your policy

    Now pay the premium and get your policy in your inbox!

What is cashless claim process?

File your claim in minutes with Generali Central’s easy four-step claim process

  • 1

    Visit Hospital

    Approach an insurance desk of your nearest GCI Network Hospitals and show your health card for Cashless Treatment

  • 2

    Verify Yourself

    The Network Hospital will verify your identity and submit duly filled pre-authorization form with Generali Central
  • 3

    Get Admitted

    You get admitted without any deposit and get cashless treatment
  • 4

    Peace of Mind

    Once you are discharged, the hospital will send your claim documents to GCI and the authorized amount will be settled directly with the hospital

Documents Required for Family Health Insurance Claims

If you have opted for a cashless mediclaim policy for family or a family health insurance plan, you need to have the following documents for the health insurance claim process.

• Claim form with all relevant details.

• Valid ID proof with a photograph (e.g., Aadhar Card).

• Address Proof

• Mediclaim policy for family or health e-card.

• Original copy of the discharge summary.

• Doctor’s prescription recommending patient hospitalization.

• Consultation slip from the doctor and prescription for required diagnostic tests (if any).

• Certificate from the attending doctor.

• Doctors' prescriptions for all medications along with the original pharmacy bills.

• Reports of all diagnostic tests, including X-rays, ECGs, blood tests, etc.

• Any other original receipts obtained from the hospital during treatment.

• Detailed breakdown of all bills from the hospital.

• Receipts for ambulance services (if applicable).

• FIR of the incident if you received an injury due to an accident.

 

It is essential for you to collect all these documents during treatment for a speedy mediclaim for family.

What is the reimbursement claim process?

Our claim settlement process is fast and relaible

  • 1

    Collate Documents

    Upon discharge, pay all hospital bills and collect all original documents of treatment undergone and expenses incurred
  • 2

    Claim Form

    Download and fill the GCI health claim form

  • 3

    Document Submission

    Submit documents on portal, website or the nearest Generali Central branch

  • 4

    Claim Settlement

    We will settle the claim in subject to policy terms and conditions

Things To Consider Before Buying Family Health Insurance Plans In India

While buying a health insurance plans for family, you need to keep in mind some key things, such as -

  • Pre-existing conditions Several insurance companies do not include pre-existing conditions in their family health cover. So, if you have any conditions, check the insurance policy for its coverage and pick the one that includes any pre-existing conditions.
  • Waiting period If you want to buy family health insurance that also offers maternity health insurance, then you may need to wait for some time for maternity benefits to be available for usage. The waiting period can be from a few months to as long as one or more years.
  • Network of hospitals Family health plans that include child health insurance or women health insurance need to have a vast network of hospitals to cover both child and maternal health services.
  • Annual or lifetime claim limits To choose the best medical insurance for family, you need to check if there is any limit to the amount of money the insurer can pay for medical expenses. The cost of hospitalisation can increase in cases of prolonged hospitalisation, so it is important to buy family health insurance with an unlimited claim amount.
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Frequently Asked Questions on Family Health Insurance

Why should you choose Health Total: a family health plan?

Health Total is a comprehensive family health cover that provides coverage against hospitalisation bills, medical expenses, pre-hospitalization expenses, post-hospitalization expenses, organ donor bills, maternity expenses, and many more. Furthermore, it offers a long-term discount if you pay a premium for more than one year or choose to opt for a voluntary deductible option.

Are there any discount benefits available for medical insurance plans for family?

Yes, Generali Central offers various discounts for medical insurance plans for family.

Do we get a cashless mediclaim policy for family in a family health insurance plan?

Yes, there is an option of cashless health insurance plans for family if you choose a network hospital for treatment. Network hospitals work in collaboration or partnership with insurers, and they settle their bills directly with each other without involving customers.

Can I add another family member to the existing medical insurance for family?

Yes, any family member can be added to the medical insurance plans for family at the time of renewal of the policy. However, there should be no more than 15 members under a single plan. 

How much does a family health insurance cost?

A family health insurance cost is determined based on the number of members, their age, medical requirements, and assistance. It also sometimes differs from insurer to insurer.     

Is family health cover better than an individual health plan?

If you are looking for health insurance for your entire family, you can opt for family health cover. And if you want individual coverage for yourself, check an individual health insurance plan. In a medical insurance plans for family, the entire family of up to 15 members can be covered, while in an individual, only you or your dependent one can be covered.

Does children’s health insurance cover dental treatments?

Most standard children's health insurance plans do not cover dental treatments. However, some insurers offer optional dental coverage at an additional premium.

When is the best time to get health insurance for my child?

Securing your child’s health with insurance is most beneficial when started early. Buying a policy soon after birth offers several advantages. Not only are premiums lower, but you also avoid potential delays caused by medical screenings later on.

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