No Room Rent Capping | No Medical Check-up up to 55yrs | Tax Benefit up to Rs.75,000 | Buy Health Insurance starting @ ₹160 pm Check Plans

Family health insurance is a comprehensive type of health coverage tailored to meet the medical needs of an entire family. It encompasses various family members, including spouses, children, and extended family like in-laws. 

 

This type of insurance is flexible, allowing you to add new members as your family grows or experiences life changes. This can during events such as marriage or the birth of a child. It provides peace of mind by ensuring your loved ones have access to quality healthcare. With this, they will not have to worry about excessive medical costs.

Best Family Health Insurance Plans

Family floater health insurance plans at Bajaj Markets are highly flexible. Here are some of the best family health insurance plans from leading health insurance companies

Plans Available  Hospitalisation Cover  Starting Premiums Check Plans

Bajaj Allianz Family Health Care 

₹2 Lakhs to ₹50 Lakhs

₹3,198

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Care Health Insurance Plan

Up to ₹50 Lakhs

₹4,471

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Disclaimer: The premium rates for the aforementioned family floater health insurance plans are not fixed and are subject to change.

Benefits of Buying Family Health Insurance

Cost-Effective Premiums

Your entire family is covered under a single <a href="https://www.bajajfinservmarkets.in/health-insurance.html" target="_blank">health insurance plan</a>. It saves you from paying separate premiums against individual health plans for each family member. Family health insurance plans are much more feasible as compared to buying individual plans for your loved ones.

Flexibility to Add More Members

Under individual plans, you are compelled to buy a new health insurance policy every time you want to include a new member. However, family health insurance plans allow you to include new members under the same plan in a jiffy.

Income Tax Deductions

Family health insurance serves as a highly effective tax-saving tool. Here, both family and individual plans offer tax deductions under Section 80D of the Income Tax Act, 1961. Additionally, you can claim an annual deduction of up to ₹5,000 for expenses related to regular health check-ups. This includes check-up expenses for the entire family, including yourself, your spouse, children, and parents.

Cashless Treatment Facility

Insurance companies tie up with hospitals and laboratories to deliver cashless treatment and service facilities to the policyholders. Family health insurance plans extend this benefit to all registered family members. This enables them to access cashless treatment facilities at network hospitals without any financial stress.

COVID-19 Care

After the pandemic, insurance companies have included financial assistance for coronavirus as well. ‘Corona Kavach Policy’ is a specific insurance plan launched to provide monetary assistance during the pandemic. However, medical insurance for families covers general hospitalisation and treatment expenses under the COVID-19 care feature for all family members.

Additional Benefits

The policyholder can enhance their coverage by adding optional benefits, often referred to as riders, with only a minimal increase in the premium. Some popular riders available for inclusion in family health insurance plans include maternity cover, critical illness cover, and more.

Family Health Insurance at Bajaj Markets

Health Insurance at Bajaj Markets

What is covered & not covered in Family Medical Insurance Plans?

Inclusions 

Exclusions 

Complimentary health check-ups once in three years.

Routine check-ups or OPD treatments are not generally covered unless specifically mentioned by the insurance company.

Coverage for Pre and post hospitalisation expenses including ICU room rent, consultation, etc.

Cosmetic treatments, plastic surgeries, etc. are not covered under family health insurance.

Under the maternity care feature, the plan offers coverage for ₹25,000 for normal delivery and ₹35,000 for caesarean delivery.

Any ailment or injury that can be categorised as intentional self-harm will not be covered under family health insurance.

Treatment and medical expenses regarding organ donation are typically covered in the policy plan.

Any ailment or injury caused while pursuing criminal or unethical activities will not be covered by the insurance plan.

Reinstatement benefits can be availed on the same illnesses with 100% coverage of the sum insured.

Generally, pre-existing illnesses are not covered under insurance plans. In case, the family health insurance policy offers coverage for a pre-existing illness, the policyholder may have to complete the waiting period.

Family health insurance plans offer coverage up to ₹20,000 for Homoeopathic/Ayurvedic treatments.

Ventilator or life-support machine expenses are not included in a family health insurance plan.

For 10+ days of continuous hospitalisation, the policy plan offers convalescence benefits of up to ₹7,500.

Coverage for overseas medical treatments is not covered unless specifically mentioned in the policy.

Points to Consider While Purchasing Family Health Insurance Plans

  • Policy Coverage - 

Every family health insurance plan covers hospitalisation expenses, ambulance charges, etc. However, there are certain terms and conditions about coverage limits that people fail to read before purchasing the plan. Therefore, it is advisable to learn about policy coverage before opting for any family health insurance plan.

  • Insured Sum Enhancement Option - 

With each passing year, medical treatment and service expenses steadily rise. In response to this, the insured sum enhancement option enables policyholders to increase their coverage amount during policy renewals. Additionally, certain insurance companies offer a cumulative bonus of up to 100% appreciation in the insured amount for claim-free years.

  • Network Hospitals -

 Insurance companies claim a wide network of hospitals where policyholders can opt for cashless treatment facilities to eliminate financial stress, especially during medical emergencies. However, one must locate and evaluate the services of the nearest network hospital before purchasing the family health insurance plan.

  • Renewal Conditions - 

The policy premium and renewal of the family health insurance plan are influenced by the age of the eldest member of the family. Some insurance companies or vendors do not offer renewal facilities to policyholders if the eldest member of the family turns 60+. Therefore, one must check the renewal conditions and opt for a family health insurance plan offering a lifelong renewal facility.

  • Claim Settlement Procedure - 

Insurance companies promise quick and hassle-free claim settlement procedures. However, one must check the claim settlement ratio and duration of the insurance companies before purchasing an insurance plan. 

How to Buy Family Health Insurance Plans Online

  • Scroll up to the top of this page and click on ‘Check Plans’

  • Provide the necessary details about the family members you wish to insure along with your personal information

  • Choose from the list of available health insurance plans for families. You can also select add-on covers to enhance your coverage

  • Finally, upload the required documents and make the health insurance premium payment online

 

Your insurer will then send the policy document via email shortly.

Documents Required for Filing an Insurance Claim

  • Duly filled claim form

  • Original copy of hospital discharge summary or card

  • Prescription and cash invoices from pharmacies and the hospital

  • An investigation report by the doctor

  • Medical Certificate

  • Family health insurance policy document

  • In case of an accident, FIR or Medico Legal Certificate (MLC)

Ways to Save Tax on Family Health Insurance

Purchasing a family health insurance plan can help you save on your tax liabilities. Here are certain tax benefits that one avail of family health insurance:

  • For single premium family health insurance plans, you can be eligible for annual tax benefits of up to ₹1 Lakh under the Income Tax Act, 1961.

  • Purchasing family health insurance plans that include parents comes with tax deductions of ₹25,000. If parents are senior citizens, you can apply for tax deductions of ₹30,000 every financial year.

  • Annual health preventive check-ups have tax benefits of up to ₹5,000.

Eligibility Criteria to Buy a Health Insurance Policy for Family

Categories

Details

Minimum Entry Age

For Adults: 18 years

For Children: 90 days

Maximum Entry Age

For Adults: 65 years

For Children: 25 years

Family Members Covered Under the Plan

Self, spouse, dependent parents, dependent children, and parents-in-law

Renewability

Lifetime

Claim Process for Family Health Insurance Plans

Here are the steps you can follow to either file a cashless claim or request reimbursement for your chosen family health insurance plan:

  • Cashless Claims

  1. Notify your insurer about the situation and visit a partner hospital

  2. Submit details of your family health insurance plan and complete the pre-authorisation form

  3. The insurer verifies the form, informing the hospital of the policy details

  4. Upon discharge, the hospital provides documents such as bills and discharge papers to the insurer for processing

 

The claim will then be directly settled with the hospital after reducing the co-payment (if any)

  • Claim Reimbursement

  1. Share all original medical documents, hospital bills, and insurance claim forms with the insurer

  2. The insurer evaluates the details and may ask for any additional information if required

  3. Your claim decision is determined after verification has been completed

 

You will then receive the claim amount based on the policy terms and conditions

 

Health Insurance Plans Available at Bajaj Markets

FAQs On Family Health Insurance Plans

What is the difference between family health insurance and family floater health insurance?

Family health insurance plans come at a higher premium rate since it covers the whole family. On the other hand, the best family floater health insurance plans in India cover the insured, spouse, and children. However, a few plans extend to parents and your parents-in-law as well.

I am already covered under a corporate health policy. Do I still need a separate health insurance plan for my family?

Yes. Even if you have a corporate health policy, it's essential to purchase separate health insurance for your family. Corporate health policies typically cover only the employee, leaving family members uninsured or underinsured. Even if family coverage is included, it may not be sufficient to meet all medical needs. Additionally, corporate plans lack the flexibility to customise coverage according to your family's specific requirements.

How long can my child stay on family health insurance?

Sons can legally remain under their parent's family health insurance plan until they turn 26 years old. Unmarried or divorced daughters can enjoy their parents’ health plans for endless years.

Is there any waiting period for family health insurance plans?

Yes, family medical insurance comes with a waiting period of 30 to 90 days.

How many members can be added to health insurance for a family?

The maximum limit on the number of members permissible in a family health insurance plan differs from insurer to insurer.

Is the cashless facility covered under a Family Health Insurance plan?

Yes, cashless facilities are covered under Family Health Insurance. You can approach network hospitals affiliated with your insurer to claim cashless treatments.

What is the right age to buy a Family Health Insurance plan?

It is best to get Health Insurance as soon as you are eligible. This way you can enjoy the benefits of comprehensive coverage from a younger age, often at lower premium rates.

Can a new baby be added to a Family Health Insurance plan?

Yes, you can add your newborn baby to your Family Health Insurance policy. However, the minimum age for your baby to be eligible for health insurance is 90 days.

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