“Family Health Insurance Plans: Secure Your Loved Ones with the Right Coverage”
Health insurance plans for families offer extensive coverage to all family members against planned & unplanned medical expenses. This plan includes self, spouses, dependent children, dependent parents, grandparents, & parents-in-law.It offers complete family coverage, hence ensuring mental peace & financial security. These plans offer the best medical facilities at reduced costs in case of unforeseen events, providing cashless facilities & quicker claim settlements.
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Difference between an Individual & Family Health Plan
Provided below are the basic differences between Individual & Family Health Insurance Plan:
Basis of Difference | Individual Health Plan | Family Health Plan |
Cost | Premium cost is lower in comparison to the family health plan. | The premium cost is higher, but it offers coverage to all family members. |
Coverage | It includes one single individual | It includes all family members. |
Benefits | The coverage is diverted towards a single individual, i.e. all individuals get personalised coverage. | It provides shared benefits, which include emergency situations & preventive healthcare. |
Ideal for | High-risk individuals or senior citizens | Small & young families |
Long-Term Savings | Limited savings | It helps save costs in comparison to insure each individual. |
Sum Insured | Exclusive & cannot be shared | Can be shared |
Reasons to Buy a Health Insurance Plan for Family
Provided below are the reasons to buy a health insurance plan for family members:
- Increasing Medical Costs
Health insurance for family members helps deal with increasing medical costs, hence ensuring coverage for all family members.
- Employer-provided health insurance is not enough.
The sum assured in the case of employer-offered insurance is neither enough nor customisable. Also, it will end once you leave the company, hence, personal family insurance becomes must in this scenario.
- Increasing lifestyle-related diseases
In today’s world, where lifestyle-related diseases have increased a lot, leading to physical, mental, & financial stress. Hence, buying a family health plan can help protect savings against high treatment costs.
- Savings in premium cost
Apart from spending on individual health plans for each family member & managing them, it’s better to buy a family health plan, which will provide coverage to the complete family.
- Tax Benefits
The premium amount is eligible fora tax exemption under section 80D of the Income Tax Act of 1961.
Inclusions & exclusions
Provided are the inclusions & exclusions of a Health Insurance Planfor the family:
1.Inclusions
- In case of hospital admission for more than 24 hours, hospitalisation expenses incurred, which include doctor fees, medical expenses, room charges, etc.
- The pre-hospitalisation expenses incurred for a period of 60 days are covered.
- The post-hospitalisation expenses incurred for a period of 180 days are covered.
- Some of the daycare treatments that require even less than 24 hours of hospitalisation, like radiotherapy, chemotherapy, dialysis, etc.
- AYUSH st&s for Ayurvedic, Yoga & Naturopathy, Unani, Siddha, & Homeopathic treatment. Expenses incurred on it are also included.
- Domestic Road ambulance charges are also covered under this plan.
- Pregnancy & newborn baby-related expenses are also covered.
- The expenses related to organ transplants are included.
- The medical expenses incurred from the treatment provided at home are based on the doctor’s advice.
- Similar to the Term Insurance Medical Test List, the expenses for OPD consultations & medical tests conducted as per the health plan’s medical test list are also covered.
- It also covers expenses related to mental diseases, like anxiety, depression, etc.
- Some of the plans also cover costs related to consumables, non-medical items, etc.
- Preventive health check-ups are also included.
2. Exclusions
- Sinusitis & related disorders
- Cataract
- All types of hernia & hydrocele
- Benign prostatic hypertrophy
- Stone in the urinary & biliary systems
- Myomectomy, hysterectomy unless because of malignancy
- Dilatation & curettage, endometriosis
- Joint replacement, unless due to an accident
- All types of skin & all internal tumours/cysts/nodules/polyps of any kind, including breast lumps, unless malignant
- Varicose veins/varicose ulcers
- Dialysis is required for chronic renal failure
- Surgery on tonsils, adenoids & sinuses
- Deviated nasal septum
- Gastric & duodenal erosions & ulcers
- All types of internal congenital anomalies/illnesses/ defects
Eligibility Criteria
Provided are the eligibility parameters that are to be met to buy a family health insurance plan:
- In the case of adults, the minimum eligibility age to buy a health plan is 18 years.
- In the case of adults, the maximum age to buy a health plan is 65 years.
- In the case of children, the minimum eligibility age to buy a health plan is 90 days.
- In the case of children, the maximum age to buy a health plan is 25 years.
- Only Indian residents can apply.
- The pre-existing health ailments, medical history, & health status should be disclosed earlier.
- It gives a waiting period of 15-30 days before the complete coverage is offered.
- Family members who have a blood relation, spouses, dependent children, parents, &parents-in-law are covered.
How to Apply for a Family Health Insurance Plan?
Provided below are the steps to buy a family health insurance plan online:
- Open the insurance company’s website.
- Complete the application form with the required details, such as name, gender, date of birth, mobile number, etc.
- Click the tab “Get Quote”.
- Select the desired health plan from the list of plans available by clicking the tab “Buy Now”. Also, you can customise the insurance amount, policy tenure, & type of plan as per your preference.
- Depending on the plan chosen, you can also choose policy tenure & the amount of premium.
- Input your e-mail ID & click “Next” to proceed after checking the correctness of the details entered.
- You are further required to enter some details, such as height, weight, marital status, nationality, residential address, details of beneficiary, etc.
- Provide details related to health & lifestyle.
- Make payment towards the plan chosen via credit card, UPI, or debit card.
- A payment confirmation message will be received immediately upon payment.
- The policy document can be downloaded, & a copy will also be receivedvia e-mail within 5-7 working days.
Conclusion
Due to increasing medical costs, buying a health insurance plan for all family members has become essential. Buying a health plan for family members offers mental peace & quality medical services against unexpected medical costs.