What is Family Health Insurance?

A family health insurance plan is a kind of insurance that provides protection for each member of your family under a single health insurance policy. With the understanding that not everyone will fall ill at the same time, this plan divides a set amount of insurance among all family members. Most family health insurance plans offer cashless hospitalisation options, maternity benefits, and pre- and post-hospitalization coverage as well.

Best Health Insurance Plans for Family in India 2022

Family Health Insurance Plans	Sum Insured (Rs)	Key Benefits
Aditya Birla Activ Health Platinum Plan	2 lakh to 2 crore	Day care procedures In-patient hospitalization expenses OPD cover Home treatment Obesity Treatment
Digit Health Care Plus Policy	2 lakh to 3 crore	Pre-post hospitalization expenses Maternity benefit Hospitalization benefit Infertility treatment cover OPD benefit
Kotak Mahindra Health Care Policy	3 lakh to 25 lakh	In-patient hospitalization expenses Free health check-up Ambulance cover Pre-post hospitalization expenses Day care procedures
Care Health Insurance Plan	5 lakh to 75 lakh	Maternity cover In-patient-hospitalization expenses Organ donor expenses Daily allowance Annual health check-up
Edelweiss Health Insurance Policy	1 lakh to 1 crore	Day care treatment Maternity benefit Recovery benefit Hospitalization expenses Health check-up
Bharti AXA Smart Super Health Insurance Policy	50,000 to 5 lakh	Hospitalization benefit Critical illness Pre-existing diseases Transplantation of organs Pre-post hospitalization expenses
Bajaj Allianz Health Guard Plan	1.5 lakh to 1 crore	Pre-post hospitalization expenses charges Road ambulance Preventive health check-up Maternity expenses Bariatric surgery cover
Cholamandalam Healthline Insurance Policy	2 lakh to 25 lakh	Emergency ambulance expenses Hospitalization coverage Maternity cover Extended hospitalization allowance Outpatient expenses (dental, hearing aid, contact lens & spectacles)
Future Generali Future Health Suraksha Plan	2 lakh to 10 lakh	Ambulance charges Day care treatment Hospitalization expenses Pre-post hospitalization expenses Patient Care
IFFCO Tokio Family Health Protector Policy	1.5 lakh to 30 lakh	Organ donor expenses Hospitalization expenses Vaccination expenses Domiciliary hospitalization Daily allowance

Benefits of Buying Health Insurance Plans for Family

Family floater health insurance plans offer the insured family members a number of advantages. For instance, you can purchase coverage for every one of your family, under a single policy. The key benefits of purchasing a family health insurance plan are briefly listed below:

• An easy hospitalisation expense coverage policy

Similar to individual health plans, the insured family member can receive cashless treatment in a network hospital of the insurer in hospitalisation. You can make everyone in your family eligible for medical care in this way without compromising their care.

• Get Health Insurance Cover for Parents in the Same Plan

For no additional cost, many health insurance providers let people add their parents-in-law and their own parents to a family health plan. One plan can cover both your parent’s health and In-law parent’s health.

• Affordable Premium

Family health insurance plans allow you to cover your spouse, child, and parents under one plan at a low cost because you do not have to pay separate premiums for each member of your family. However, considering their age-related health issues, it is advised that you purchase individual health insurance for your parents.

• Insure New Family Members Easily

You can easily include a new family member in family health insurance plans by paying an additional premium. Contrary to an individual policy, you are not required to purchase a new one each time a family member is added. Make sure to increase your sum insured if you include your parents in a plan that already exists.

• COVID Health Insurance for Family

To protect yourself and your loved ones financially from COVID-19, you can purchase health insurance. Although basic health insurance plans for coronavirus treatment are covered by all insurance companies, a coronavirus-specific plan called “Corona Kavach policy” has also been introduced that covers hospitalisation costs incurred for coronavirus treatment on a floater basis.

• Option to Avail Additional Benefits

Family health plans offer a variety of add-on benefits, such as maternity coverage, critical illness coverage, etc. Before purchasing any plan for your family, keep in mind to carefully read the policy terms to become aware of any waiting periods that may be applicable to any add-on covers.

• Tax Benefits on Health Insurance Premium

The cost of health insurance is tax-exempt under Section 80D of the Income Tax Act. You are entitled to tax benefits if you are covering the cost of your family’s and your parents’ health insurance.

What is covered in Family Health Insurance Plan?

Here are some examples of the most typical types of coverage offered by all plans:

In-patient Hospitalization Expenses– Any medical costs associated with an illness or unintentional injury that results in a hospital stay longer than 24 hours are covered.

Day Care Procedures– It pays for day care procedures that call for less than a 24-hour hospital stay.

Ambulance Charges– During a medical emergency, the costs associated with using ambulance services to get to the hospital are covered.

Pre and Post-Hospitalization Expenses – Up to a predetermined number of days, the cost of any pre-hospitalization medical expenses (such as tests, and investigations) and post-discharge medical expenses (such as follow-up consultations) is also covered.

Maternity Cover– The majority of family health insurance plans include maternity coverage, which pays for costs associated with pregnancy and new parenthood.

Organ Donor Expenses– In the incident of an organ transplant, it pays for both the cost of organ harvesting and expenses related to donors.

AYUSH Treatment– Any hospitalisation costs incurred for Ayurveda, Homeopathy, Yoga, Siddha, and Unani treatment are covered.

Domiciliary Treatment– It covers the medical costs incurred when receiving treatment at home per a doctor’s recommendation.

Daily Cash Allowance– The policyholder receives a daily hospital cash allowance to pay for incidental costs encountered while being treated in the hospital.

Mental Illness Cover– The majority of family health insurance plans cover mental illnesses like schizophrenia, depression, and anxiety.

What is not covered in a Family Health Insurance Plan?

You must carefully read the policy documents when purchasing health insurance for your family in order to comprehend the exclusions in detail. Additionally, look over the policy’s waiting periods. In India, family health insurance plans typically do not cover the following medical costs:

• OPD treatments and regular medical examinations
• Any costs associated with cosmetic procedures or treatments
• Costs related to life-support devices
• Treatment received abroad unless it is specified in the plan
• Any disease or injury brought on by a war situation, a nuclear reaction, a rebellion, an enemy’s actions abroad, etc.
• Injury or illness brought on by engaging in unethical or illegal activity
• Complications related to pregnancy or childbirth, such as abortion, miscarriage, or voluntary pregnancy termination (unless specifically mentioned in the plan).
• Before the waiting period is over, no pre-existing medical conditions are covered.

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