Cover your entire family under a single health plan.
When it comes to protecting your family, nothing you do is considered too much. You take extra care in everything, be it ensuring that your children get the best education or taking care of your aged parents and loving spouse, you leave no stone unturned. This is why when it comes to keeping your family safe, you should not settle for anything but the best. There are several insurance products available in the market but a family health insurance plan stands out the most.
Family health insurance plans allow you to cover up to 6 family members under one mediclaim policy. It is a type of health insurance plan for which you pay a single premium amount for a family floater plan and the sum insured splits among all the covered members. In case a family member has a critical medical condition, he/she can use the entire cover to manage the treatment expenses.
You can cover Yourself, your spouse, dependent children, parents, and even parents-in-law under a family medical insurance plan. Most family medical insurance plans offer cashless hospitalization, maternity benefits, and coverage for both pre and post-hospitalization. Family medical insurance plans also cover expenses related to COVID-19 hospitalization.
For example, a policyholder buys a family health insurance plan of INR 30 lakhs and adds 5 family members to the policy. Suppose the policyholder's mom gets hospitalized and the medical bills cost around INR 28 lakhs - the cover can be used to settle this bill. The remaining amount of INR 2 lakhs can be used for the treatment of another family member in the same policy year.
Who can be covered under family medical insurance?
Yourself
Spouse
Dependent kids (maximum 4)
Parents or Parents-in-law (maximum 2)
What is Family Health Insurance?
Family Health Insurance plans are health plans providing cover to your entire family. The differentiating factor between individual plans and family plan is that family plans provide coverage to every member of your family on a single premium. This means that you do not have to pay separate premiums for each individual, regardless of their age. The best family health insurance plans in India cover spouses, children, parents, and even parents-in-law under a single policy.
Looking to Buy Family Health Plans? Find all Details in one go.
As we all know, the cost of the healthcare sector has risen drastically. It becomes very difficult to cover the costs of doctor visits, hospitalization, and medicines because of high inflation. It is also evident that a health emergency can strike at any time and can affect people of all ages. This is why family medical insurance is so important. It safeguards your entire family with the necessary financial cover in difficult and unprecedented times.
There are many benefits of buying a family health insurance:
The possibility of suffering from a severe disease is increasing every day which is why purchasing adequate health insurance for your family members is no longer a choice but a necessity. Family health insurance plans make it affordable to cover your family members. The benefit of a health insurance plan for the family is that you pay a single amount for one plan and secure everyone under it.
Paying a premium for different policies can be a hassle, exhausting and confusing which is why a family health plan is convenient and hassle-free. A family plan bridges this gap and simplifies payments, making the process entirely stress-free.
It also facilitates you to claim tax benefits on the premium paid for family health insurance plans under section 80D.
You can enjoy family discounts depending on the number of members and their ages and multiple benefits such as maternity cover, these additional features make family packs a more viable option than individual plans.
Eligibility criteria to buy family health insurance plans in India.
Every Health Insurance plan in India for a family comes with eligibility criteria. The table below shows the common eligibility criteria for health insurance plans in India for family.
Category
Eligibility
Minimum Entry Age
Adult: 188 years, Children: 90 days
Minimum Exit Age
Adult- 65 years, Children- 25 Years
Family Members Covered
You, your spouse, dependent children, dependents parents, and parents-in-law
Renewability
Lifelong
Best Health Insurance Plans for Family in India 2023
There is a wide range of family medical insurance plans in India, out of which here are some of the top health insurance policies for families to make your search easier. PolicyX has shortlisted these plans on the basis of maximum cover amount, comprehensive coverage and benefits, flexibility, reliability of the insurance provider, a huge list of network hospitals, etc.
Family Health Plans
Sample Annual Premium 2A+2C | 30Yr | 10L
Benefits
Eligibility
Star Health Comprehensive Plan
INR 24686
Auto Restoration
Hospital Daily Cash
Air Ambulance Expense
Sum Insured: 5 Lakhs to 1 Cr Entry Age: 3 months to 65 years
Star Family Health Optima
INR 20345
Daycare Procedures
Pre and Post Hospitalization
Road Ambulance
Sum Insured: 3 Lakhs to 25 Lakhs Entry Age: 18 years to 65 years
Care Plan
INR 20177
Organ Donor Cover
Domiciliary Hospitalization
Ambulance Cover
Sum Insured: 3 Lakhs to 75 Lakhs Entry Age: 91 days to no upper age limit
Niva BUPA Health Companion
INR 21631
Emergency Ambulance
Rome Rent Cover
Animal Bite Vaccination Covered
Sum Insured: 2 Lakhs to 1 Cr Entry Age: 91 Days to no upper limit
Niva BUPA Health Reassure
INR 20421
Emergency Ambulance
Accommodation Cash Benefit
Day Care Treatment
Sum Insured: 3 Lakhs to 1 Cr Entry Age: 18 years to 65 years
You can find the details of the above-mentioned family insurance plans in the section below:
Factors to Consider While Buying Health Insurance Plan for Family
Buying a health insurance plan for a family is a huge responsibility as it provides you the required medical support, healthcare facilities, and ease of receiving quality medical treatments in an emergency. Therefore, several aspects should be considered carefully before purchasing a mediclaim for a family to ensure it meets all your needs. These are:
Coverage
Check the coverage benefits offered under the plan such as expenses covered, sum insured options, key benefits, add-on riders, critical illness cover, etc.
Network Hospitals
Check the list of network hospitals to avail of cashless hospitalization facilities. Choose an insurance plan from the insurer, offering a wide range of network hospitals.
Requirements
Always go for the plan that meets your requirements in terms of the sum insured, the number of members covered, minimum and maximum entry age.
Claim Process
Go for an insurer that has a simple, quick, and hassle-free claim settlement process.
Flexibility
Pick the plan offering maximum flexibility to add features, increase the sum insured at the time of renewal, etc.
Number of family members covered
When it comes to buying a mediclaim for family, the number of family members covered becomes a crucial thing. Most health companies covered 5 dependents other than the policyholder.
Sum insured enhancement option
Many health insurance companies offer a "No Claim Bonus" of up to 100% which means if you do not claim in a policy year, your sum insured will increase up to 100% at the time of renewal of the policy.
Add-on Riders
Always go for the plan that offers a good number of add-on riders as add-on riders cover the costs of additional expenses. You can get these additional riders by paying a little more premium.
Renewability
Choose a family health insurance plans that offer lifelong renewability.
Benefits of Family Health Insurance
Health insurance policy for families provides various advantages to the insured members such as:
Cashless Hospitalization: Policyholders can avail hospital facilities without having to worry about paying hospital bills.
Health Insurance for parents: You can also cover your elderly parents under the same mediclaim for family.
Affordable Premiums: You don't have to pay individual premiums for each family member under a family health insurance plan. you can cover your spouse, child, and parents under the same plan at an affordable cost.
Add new members: Policyholders can add new members under a family health insurance plan at the time of renewal.
COVID-19 Treatment: Family health insurance plans in India covers the cost of covid-19 related treatment.
Tax Benefits: Policyholders are eligible for a tax benefit under section 80D of the Income Tax Act.
Required Coverage for Family Health Insurance
A family cover should be at least 200% of your annual income.
Calculate the ideal coverage amount in order to receive sufficient medical support under health insurance for the family. Consider the following aspects while deciding a cover for mediclaim policy for family.
Numbers of members covered
Age of the members covered
Health history of members covered
Lifestyle of members covered
Recommendation: Choose a higher cover if you have 2 senior citizens covered under your family floater plan. Or you can buy a senior citizen plan for them and cover your partner and children under the health insurance for the family.
To get a better idea of how much coverage is required in different scenarios and how the premium will be affected, we have shared a few sample coverage and premiums below:
2 Adults + 1 children
Policyholder's Age
Sum Insured
Sample Annual Premium
30 Years
15 lakhs
INR 27,790
2 Adults + 2 children
Policyholder's Age
Sum Insured
Sample Annual Premium
30 Years
20 lakhs
INR 31,125
1 Adult + 1 child + 1 senior citizen
Policyholder's Age
Sum Insured
Sample Annual Premium
30 Years
25 lakh
INR 48,972
Check Your Premium
What is Covered under Family Health Insurance?
Health insurance policy for families offer comprehensive, flexible, customised, and affordable coverage, depending on the mediclaim policy you choose for your family. In case you or an insured family member under health insurance plans for families, the following coverage is provided:
In-patient Hospitalization: Inpatient hospitalization is a type of inpatient facility, where the insured is admitted to the hospital and spends 24 hours or more depending on his/her condition.
30 days pre-hospitalization: Medical expenses of up to 30 days before your hospitalization are covered.
90 days post-hospitalization: Medical expenses of up to 60 days after you get discharged from the hospital are covered.
Day-care treatment: More than 500 day-care treatments are covered under family health insurance plans in India.
Domiciliary Treatment: Home hospitalization due to unavailability of medical amenities in hospitals. The treatment should last equal to or more than 72 hrs to get the medical expenses covered under family health insurance plans in India.
AYUSH Treatment: Coverage for treatments like Ayurveda, Yoga and Naturopathy, Unani, Siddha and Homeopathy are covered family health insurance plans in India.
Ambulance charges: Mediclaim for family in India offer up to INR 2K per hospitalization to move the patient from home to hospital, transfer to another hospital, and take them for different tests outside the hospitals.
Maternity Cover: It covers the expenses for normal and c-section procedures deliveries after 1 year of the waiting period under family health insurance in India.
Organ Expenses: It covers the cost of the procedure for removing the damaged or malfunctioning organs from the body.
Vaccination: It covers the expenses incurred on vaccinations for animal bites.
Daily hospital cash: Insured will receive a cash amount of up to INR 8K each day during the time of hospitalization for a certain period.
Mental illness cover: If the insured is suffering from any mental illness then the cost of treatment will be covered under the health insurance plans in India for family.
Disclaimer: The number of coverages offered and their amount may vary depending on the type of plan or the health insurer.
Family Health Insurance Exclusions
Medical insurance for families generally does not include some healthcare expenses and medical conditions. Mentioned below are some of the exclusions under mediclaim policies for families:
OPD treatment
Sexual Transmitted Diseases
Self-inflicted injury
Illness due to drugs and alcohol abuse
Injury incurred due to adventurous sports
Buy Family Health Plan
You can buy a mediclaim policy for your family either from the brand website of your desired insurance company or through PolicyX.com as it comes with an easy and user-friendly buying process that is safe, quick, and hassle-free and allows you to buy your policy from anywhere and anytime.
Get quotes from top insurers by filling up a form given at the top of this page.
Compare quotes of different insurers and select the desired plan as per your requirements.
Submit all the required details and documents.
Make the online payment and the policy documents will be shared at your e-mail address.
2 types of claim processes are available for family health insurance claims. Choose the one at your convenience.
Reimbursement Process
Intimate the company
Pay the hospital bills
Collect original bills and discharge summary
Fill and submit the claim form along with ID proof (Voted ID/Aadhaar Card/PAN Card) and canceled cheque
Insurer will verify the information and documents
Insurer will initiate the reimbursement process
Planned Hospitalization
Intimate the insurer before 48 to 72 hours of hospitalization
Insurance company will provide a confirmation letter
Submit your health card and confirmation letter
Insurance company will settle all the bills directly with the hospital
Emergency Hospitalization
Notify the insurer about the hospitalization (within 24 hours)
Fill and submit the claim form
Submit other required documents
The hospital will receive an authorization letter from the insurer
The medical bills will be paid directly by the insurer
Mandatory documents for Family Health Insurance
Age Proving Documents
Due to the priorly set age brackets by all the insurers, you will have to produce the age proof of all the family members that you wish to include in the mediclaim policy for family. You can submit the following documents to prove that all of your family members fall into the age cap set by the insurance company:
Aadhar card
PAN card
Voter ID card
Birth certificate
Driver’s license or any other document suggested by the insurer.
Address Proof
Your address proof is required so that the insurance provider can send all the necessary documents to your place of residence. You can submit the following documents to prove your residency:
Aadhar card
PAN card
Driver’s license
Bills such as electricity, telephone or gas pipeline bill
Any other document suggested by the insurer.
Identity Proof
Identity proofs state your individuality to the insurance company. You can submit the following documents to the insurer:
Aadhar card
Voter ID card
Passport
Birth certificate
10th or 12th marksheet
Ration card or any other document requested by the insurer.
Medical reports
Apart from your personal details, the insurer can ask for the medical reports of you and your family members. Health insurance plans for family require the medical history of all the members so that the insurer knows about the possible and pre-existing health issues. This particular information depends on the policy that you are purchasing or your insurer.
Proposal form
The insurer will provide you with a policy proposal form when you will purchase a mediclaim policy for family. You must fill the form with accurate details for yourself and your family and submit with the other required documents.
Conclusion
If you conduct a comparison of health insurance plans in India, you will find that a family plan is incredibly cost-effective and easy to manage. It takes away your worries, provides the best of benefits to each and every family member, and gives you peace of mind to carry on. Investing in a family health insurance plan is the need of the hour, so make sure you buy a suitable plan soon.
1. What is the policy term option for family health insurance?
You can get a policy for 1, 2, or 3 years with a lifelong renewable option.
2. How many people can be covered under family health insurance?
You can cover up to 6 family members in a family health insurance.
3. Which family member can I cover under the family health plan?
You can cover your spouse, dependent children and parents, and your other blood relatives and in-laws under a family floater plan.
4. What is mediclaim insurance for a family?
Health insurance policies that cover the family members of a policyholder under a single policy are a mediclaim insurance for a family or a family floater policy. These insurance plans allow the policyholder to cover spouse, children, parents, and parents-in-law and offer common healthcare benefits to all insured members.
5. Are family health plans cheaper than individual health plans?
Mediclaim insurance for families is considerably cost-effective as compared to individual health plans. You pay an annual premium only once for all the family members insured under a single family floater plan.
6. What is the average cost of family floater plans for older families?
Older families consisting of couples between the age group of 38-45 and children between 10-15 may consider 7 lakhs as a preferred sum insured amount under a family floater plan. It will cost you an annual premium of around 20K.
7. Which health insurance is better to buy - family or individual?
If you consider coverage on an individual level then individual health plans are better. But if you consider the cost-effectiveness of a plan then family plans are better, especially for a claim-free year.
8. What is the difference between a mediclaim policy for a family and a mediclaim policy for an individual?
Under an individual health insurance plan, only a single person can be insured to avail of the medical benefits. However, a policyholder can share the entire cover and healthcare benefits along with his/her family members under a family floater health plan.
9. My parents are above 60, Can I cover them under a family floater plan?
Yes, you can cover senior citizens under a family floater plan as various mediclaim policies for families allow that. However, it is suggested to add children in a family floater and cover parents above 60 under a senior citizen health plan to avail of better coverage and facilities.
10. Can I convert my family health insurance policy to an individual health plan?
Yes, you can convert a family health plan to an individual health plan. Health insurance companies in India now allow you to convert your policy with the option of plan portability.
11. Can I add my daughter-in-law under my family floater plan?
You can add dependent, single or married children up to the age of 25 under your family floater plan.
12. What is a Family Floater Health Insurance plan?
A family floater health insurance plan is tailor-made for families and is designed to cover the entire family under a single health insurance policy.
13. Does the family health insurance offer coverage for AYUSH treatments?
Yes. Most family health plans look after AYUSH (Ayurvedic, Homeopathy, Siddha, and Unani) treatment expenses. Still, it's advisable to check with your chosen provider before making the purchase decision
14. What will happen to a family floater policy if the proposer dies?
In such a case, the policy can be transferred in the name of another family member, provided (s)he is above 18 years of age.
15. I'm planning to start a family. Which type of health insurance will be better for me- individual or family floater?
Ideally, you should go for a family health policy. All members of your family can be covered under the same.
16. How many members can be added in a family health insurance policy?
You can include yourself, spouse, and your children under your mediclaim policy for family. Some policies also let you include your siblings as well as some relatives such as nephews, niece and in-laws who reside with you.
17. How much coverage should I opt for a family health insurance policy?
The sum insured of health insurance plans for family depends upon the factors such as the health condition of the members, pre existing health issues and the minimum coverage each member should get individually. As it is said that each individual should have a minimum 5 lakhs worth of health insurance plan, buy a policy that at least allows this much to each member of the policy. You can also opt for a sum insured enhancement featured policy so that the sum insured can be revised at the time of renewal.
18. How is the sum insured divided in a family health insurance policy?
In a family health insurance policy, the sum insured can be utilized to its full extent by any of the family members in case of an emergency. As any of the members keeps exhausting the sum insured, it keeps reducing for the other members of the family.
19. What will happen if the sum insured is exhausted by only one member from the mediclaim policy for family?
If the entire sum insured is exhausted by only one member of the policy then the rest of the members will not be able to use the policy and will have to bear the treatment cost out of their pocket.
20. Can I reduce the number of members in my family health insurance plan?
Yes, you can remove a member from the family health insurance plan. The procedure of the same can be obtained from your insurer.
21. How to choose the best mediclaim policy for family?
Choosing the best mediclaim policy for family comes with various factors such as coverage, features of the policy such as pre and post hospitalization, ambulance cover, good amount of network hospitals, claim settlement process and policy renewal options.
What Our Customers Have to Say
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January 12, 2023
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