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

Health Insurance Plans for Family

Learn the must-haves of family health insurance and how to choose a plan that truly protects your loved ones.

Protecting your family’s health should never feel like a financial burden. With family health insurance plans starting at just ₹160 per month on Bajaj Markets, you can access reliable medical care without stress. These plans cover doctor visits, specialists, and even preventive check-ups, ensuring complete support in times of need. 

You can compare health insurance plans for family from top insurers and pick one that suits your budget and needs. Choosing the right medical insurance for family gives you peace of mind, knowing that your loved ones are always covered, no matter what happens.

Understanding Family Health Insurance

When choosing health insurance plans for family, it’s important to understand how the policy works beyond just covering hospital bills. The total sum insured is shared among all covered members and usually resets every year. Many insurers offer cashless treatment at network hospitals, so you don’t need to pay upfront during emergencies. 

These plans also cover expenses before and after hospitalisation, such as tests and follow-up visits. Some even include daycare procedures and outpatient consultations. Plus, the premium paid is eligible for tax benefits under Section 80D. Always check for exclusions like waiting periods for pre-existing conditions to avoid surprises later.

Health Insurance Plans for Families Available on Bajaj Markets

Here is what you need to know before choosing from the best health insurance plans for family on Bajaj Markets:

Plans Available

Hospitalisation Cover

Starting Premium

Bajaj Allianz Family Health Care 

₹2 Lakhs to ₹50 Lakhs

₹266/month

Care Health Insurance Plan

Up to ₹50 Lakhs

₹672/month

Disclaimer: The premiums mentioned above are indicative and may vary based on the insurer’s terms, conditions, and policy updates.

Get the Health Insurance Coverage of Your Choice

Choose the family health insurance coverage that truly fits your needs. Most insurers let you customise your health insurance plans for family based on your family’s medical history. Make sure the policy covers any illnesses that your family members already have or may be at risk of developing. 

Always compare features like room rent limits, daycare cover, and claim process before making a decision. If someone in your family has a pre-existing condition, check the waiting period—it usually ranges from 2 to 4 years. Go for a policy that includes such conditions and offers the shortest waiting period to start using the benefits sooner.

Benefits of Getting Health Insurance Plans for Family

Here are the key benefits of choosing comprehensive health insurance plans for family that support both your budget and your family’s well-being:

Avoid Financial Stress

Your insurer covers hospital bills for all insured members, helping you avoid last-minute borrowing. This protects your savings from rising medical costs.

Access to Quality Medical Care

Family health insurance ensures timely care at trusted hospitals without financial delays. It also covers preventive check-ups like screenings and vaccinations.

Pay One Cost-Effective Premium

A single premium covers your whole family, making it more affordable than buying individual policies. The shared sum insured offers full coverage efficiently.

Enjoy Flexible Coverage Options

You can easily add new family members, like a spouse or newborn, to the same plan. There’s no need for separate policies or added paperwork.

Claim Income Tax Benefits

Under Section 80D, you can claim tax deductions of up to ₹1 Lakh on premiums. This also includes ₹5,000 for annual health check-ups.

Use Cashless Treatment Services

As of January 2025, you can get cashless treatment at both network and non-network hospitals. This reduces your direct medical spending significantly.

Get Covered for COVID-19 Expenses

Most medical insurance for family plans now include COVID-19 treatment. Coverage applies unless it is a declared pre-existing condition.

Enhance Cover With Add-ons

You can boost your plan with affordable add-ons like maternity, critical illness, or daily cash. These offer extra protection at a low cost.

Earn a No Claim Bonus (NCB)

If you don’t file any claims during the year, your sum insured increases as a reward. This bonus comes with no added premium.

Inclusions in a Family Health Insurance Plan

Here are the essential inclusions you can expect from most family health insurance plans to ensure complete medical protection for your loved ones:

Coverage Type

Description

Pre- and Post-Hospitalisation

Covers expenses like tests and consultations up to 60–180 days before or after hospitalisation

Annual Health Check-Ups

Many family health insurance plans include free yearly tests for early detection and timely treatment

Daycare Treatments

Includes short-term procedures like dialysis, cataract removal, and minor surgeries requiring less than 24-hour hospital stays

Advanced Treatment Costs

Select health insurance plans for family also cover robotic surgeries and other advanced therapies

AYUSH Therapy Coverage

Policies may also pay for alternative treatments like Ayurveda, Yoga, and Homeopathy if chosen

Ambulance Charges

Covers ambulance transport expenses during medical emergencies for hassle-free hospital transfers

Exclusions in a Family Health Insurance Plan

Here are common exclusions you should check before selecting any family health insurance plan to avoid claim rejection later:

Exclusion Type

Description

Self-inflicted Injuries

Injuries from suicide attempts or self-harm are not covered under any circumstances

Early Treatment Period

No coverage is provided for any illness treated within 30 days of policy start, except accidents

Substance Misuse

Medical issues caused by alcohol or drug use are excluded from coverage

Maternity and Related Expenses

Costs related to pregnancy, miscarriage, or abortion are usually not included

Fertility and IVF Treatments

Tests or procedures related to fertility or in-vitro fertilisation are not covered

War or Conflict-related Injuries

Injuries caused by war, riots, strikes, or nuclear exposure are excluded

Cosmetic and Plastic Surgeries

Cosmetic procedures are not covered unless required due to an accident or disease

Overseas Medical Treatment

Most medical insurance for family plans exclude treatment received outside India

Pre-existing Conditions

Some policies exclude pre-existing conditions, so always check waiting periods in your policy

Eligibility Criteria to Get a Family Health Insurance Plan

Here are the basic eligibility criteria you must meet to buy a family health insurance plan:

  • Adults must be at least 18 years old to be covered under the policy

  • Children can be insured from the age of 90 days, depending on the insurer’s terms

  • You can include yourself, your spouse, children, and parents under the same family health insurance plan

Reasons to Get Health Insurance Plans for Family Online

Here are key reasons to buy health insurance plans for family online and enjoy a faster, safer, and more affordable experience:

Wide Range of Options

Compare multiple insurers and plans in one place to make a well-informed decision for your family’s health needs.

Instant Policy Access

Get your family health insurance policy document immediately after purchase without any delays or paperwork.

Fast and Hassle-free Process

Apply online without visiting branches or filling lengthy forms, saving both time and effort.

24/7 Availability

Buy or renew your policy anytime, without worrying about working hours or holidays.

Safe and Secure Payments

Make premium payments through trusted, encrypted platforms for complete data protection.

Lower Premium Costs

Online policies often cost less due to zero agent commission and reduced administrative fees.

Lifelong Coverage Option

Some insurers offer lifelong entry and renewal options when you purchase online, ensuring continuous protection.

Explore Other Health Insurance Plans Available on Bajaj Markets

Here are other medical insurance policies you can get on the platform:

Plans Available

Hospitalisation Cover

Starting Premiums

Aditya Birla Health Insurance

Up to ₹1 Crore

₹433/month

TATA AIG Health Insurance

Up to ₹2 Crores

₹612/month

Disclaimer: The premiums mentioned above are indicative and may vary based on the insurer’s latest policy terms, pricing updates, and underwriting guidelines.

Things to Consider Before Getting a Family Health Insurance Plan

Here are important factors to evaluate before buying a family health insurance plan to ensure your policy truly meets your needs:

Policy Coverage

Check if your family health insurance plan covers hospital stays, ambulance charges, surgeries, and diagnostic tests. Coverage details can differ between insurers, so always read the fine print. Knowing what's excluded helps avoid surprise rejections at claim time.

Sum Insured Flexibility

Medical expenses rise every year, so choose a plan that allows increasing the sum insured during renewal. This ensures continued protection without buying a new policy. Flexibility in coverage keeps your plan useful over the long term.

No Claim Bonus (NCB)

Some policies reward you with a higher sum insured for every year you don’t raise a claim. This bonus can go up to 100% of your base cover. Check if your insurer offers this feature as it enhances value.

Network Hospitals

A wide network of hospitals makes it easier to access cashless treatment without long approval delays. Always check if your preferred hospitals are in the insurer’s network. This ensures quicker admission and smoother claim processing during emergencies.

Renewal Terms

Some insurers restrict renewals if the oldest insured member is above 60 years. Opt for a family health insurance plan with lifelong renewability regardless of age. This ensures uninterrupted cover as your family grows older.

Claim Settlement Ratio

The claim settlement ratio shows how many claims the insurer has approved versus received. A high ratio means better chances of your claims being approved. Also, check the average time taken to settle claims for added peace of mind.

How to File a Claim for a Family Health Insurance Plan

Here are the simple steps to file a cashless or reimbursement claim under your family health insurance plan:

Cashless Claim Steps

  1. Inform your insurer immediately and get admitted to a partner or registered hospital under the family health insurance network

  2. Submit your policy details and fill out the pre-authorisation form at the hospital’s insurance helpdesk

  3. The insurer checks your form and confirms eligibility to the hospital before treatment starts

  4. After discharge, the hospital sends all medical documents and bills directly to the insurer

  5. The insurer settles the bill with the hospital, deducting any co-payment if it applies

Reimbursement Claim Steps

  1. Get treated at any hospital, pay bills yourself, and keep all medical documents and receipts

  2. Fill out the insurance claim form and submit it with original documents to your insurer

  3. The insurer verifies your claim and may ask for any additional details if needed

  4. Once approved, the insurer transfers the claim amount to your registered bank account

Health Insurance Plans Available at Bajaj Markets

Frequently Asked Questions

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

An individual health insurance covers only one person, while a family health insurance plan covers all family members under a single premium and shared coverage limit.

Yes, because most corporate policies have limited coverage that may not fully meet your family health insurance needs during emergencies or serious illnesses.

Children can remain covered under health insurance for a family from 90 days old until they turn 25, as long as they are financially dependent.

Yes, most family health insurance plans have an initial 30-day waiting period during which you cannot make claims for non-emergency treatments.

You can add yourself, your spouse, children, parents, and parents-in-law under medical insurance for family, but more members increase the premium.

Yes, family health insurance policies offer cashless treatment at network and approved non-network hospitals if you follow the insurer’s claim procedure.

You can buy a family health insurance plan at 18, and starting young lowers your premiums due to fewer health risks.

Yes, most family health insurance plans allow you to add a baby once the child is at least 90 days old.

A ₹10 Lakh health insurance for a family of four usually costs between ₹10,000 and ₹35,000 annually, depending on age, health, and coverage.

Compare health insurance plans for family based on benefits, exclusions, waiting periods, and premium costs to find the best value for your needs.

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