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What is Family Health Insurance?
A family health insurance plan is a product that provides financial assistance to the entire family during unexpected medical events. This helps you cover your loved ones' health under a single plan. Buying health insurance plans for family is essential as it provides coverage for hospitalisation, regular check-ups, and other healthcare costs. Before deciding on any particular plan, explore your family’s needs and what family health cover from different insurers includes.
How Does Family Health Insurance Work?
A family health insurance plan is also known as a ‘Floater Plan’. It is like an umbrella plan under which your whole family is covered. If you are looking for the best health insurance plans for family, buy this family health insurance that covers your whole family under one policy. Such a plan provides comprehensive coverage for you and your family members. It has a single premium for the entire family member. One of the best features of A family insurance plans is that you can add any children, spouse, and dependent parents in a single health plan.
This type of plan covers a wide range of medical expenses and often offers various discounts and co-payment options. The mediclaim policy for family follows a holistic approach to providing the best services to its customers. It also offers a quick claims process, allowing for fast and efficient settlement of medical bills. If a family member requires immediate medical attention, you can choose to go for cashless treatment at your insurer's network hospital without worrying about immediate cash payment. Connect with your insurer to know their network hospitals and get treated there easily.
The best medical insurance for family always believes in keeping you and your family secure. It may cover up to 15 members of a family without any age limit. In a floater plan, the total family health cover amount is fixed and shared by all members. If you choose a non-network hospital, you can claim reimbursement for your expenses by submitting the treatment and billing-related documents to your insurer. Therefore, it is advisable to choose an insurance provider with a high claim settlement ratio and the best family health cover options.
Importance of Buying a Family Health Insurance
Choosing the right health insurance plans for family is essential for any individual who wants to keep their family worry-free in times of need. This type of insurance plan offers high coverage options to protect the health and well-being of your loved ones.
Let's have a look at the reasons why you should buy family health insurance plans to understand why this type of insurance is important for families:
Avoid financial difficulties
With adequate family medical insurance, you will get financial assistance during any medical emergency in your family. Such emergencies can be challenging and adds financial burden to your head. To cope up with such financial hardship, you need a family health insurance plan.
Assistance for catastrophic situations
Any of your family members get chronic illness or any severe medical condition, their treatment can be done easily with the assistance of your insurer. The cost of treating such illness and conditions are high which an individual cannot afford to pay out of pocket, leading to significant debt. Therefore, it is important to have a family insurance plan that saves you at the time of need.
Covers treatment expenses
With family health cover, hospitalization bills, medications costs, diagnostic tests bills and any preventive care expenses can be managed well. It also helps you gain access to timely medical care with regular check-ups and vaccinations to avoid expensive medical problems ahead.
Provides peace of mind
The best medical insurance for family provides peace of mind and financial security for all family members. It becomes easier to manage a single plan than multiple plans. Moreover, a health insurance plan for a family is more affordable than buying an individual plan. It saves you money and avoids the hassle of purchasing separate plans for each family member.
Best for sole breadwinners
If you are the sole bread earner of your family and your parents are dependent on you, a family health insurance plan is the most suitable policy for you and your family. This ensures he access to quality medical care and immediate assistance even if you face a financial setback in times.
Benefits of Generali Central Family Health Insurance Policy
Family health insurance offers financial security to millions of people at times of any health emergency or even death. Some of the key benefits that they enjoy by opting for health insurance plans for family are as follows
Coverage for the entire family
The best family insurance plans offer extensive coverage options for all your family members under a single policy.
Stress-free hospitalisation
With the right family insurance plans, you can get the benefit of hassle-free hospitalisation at times of emergency. All your hospitalisation bills, meals and medication bills will be settled by the insurer using the sum insured in your plan.
Affordable premiums
Medical insurance for family reduces the financial burden for medical needs. Under one single plan, you can insure all the family members including spouse, dependent children and parents at an affordable family health insurance premium.
Mediclaim benefits
A good family health insurance plan provides quality mediclaim for family and medical attention 24/7 hours. With family health plans, you can enjoy various add-on benefits including preventive health check-ups, maternity, etc. You need to go through the policy terms and conditions to understand its inclusions and exclusions.
Cashless claim settlement
If you have a right plan including cashless health insurance plans for family, you can easily enjoy cashless services and do not worry for upfront payments. You get cashless hospitalisation benefits with over thousand hospitals that fall under their extensive network of your insurer.
Tax Benefits
You can avail of tax benefits up to your family health coverage under section 80D of the Income Tax Act. Tax deductions can be claimed up to Rs 25,000 on your annual premium payments and will allow you to cut down your total tax obligation for the given financial year.
What is Covered by Generali Central Family Health Insurance?
To have a clear idea regarding which is the best health policy for family, you need to check inclusions and exclusions first. This way, prospective buyers can make informed decisions regarding their purchase. Let's have a look at some inclusions and exclusions:
Inclusions
Number of members covered
Coverage varies among various health insurance plans for family that you are purchasing. However, usually, it can go up to 15 members of the family.
Hospitalisation and diagnostic tests
With the right family insurance plans, you can get the benefit of hassle-free hospitalisation at times of emergency. All your hospitalisation bills, meals and medication bills will be settled by the insurer using the sum insured in your plan.
Affordable premiums
Daycare expenses are those which occur due to hospitalisation for less than 24 hours. Such facilities of mediclaim for family include treatments like chemotherapy, dialysis, cataract surgery, etc.
Pre-hospitalisation cover
The best health policy for family is the one that includes pre-hospitalization charges such as consultation fees, etc. The entire medical expenses incurred before being hospitalised will also be covered under such family health covers.
Outpatient medical expenses
This means that health policy for family will cover therapy or diagnostic tests which do not require a stay in the hospital.
Maternity expenses
These include expenses incurred due to hospitalisation during pregnancy, very similar to what is covered in women health insurance.
Domiciliary hospitalisation
The best medical insurance for family covers treatment received at home for an extended period, typically three days or more.
Organ donor expenses
This part of family insurance plans covers expenses related to organ transplantation and storage.
Post hospitalisation cover
Covers medical expenses incurred after hospitalisation, including follow-up care.
Childbirth and vaccination
The best medical insurance for family involves charges incurred during the hospitalisation of a newborn baby and administration of necessary vaccines to the baby.
Mental illness cover
Includes coverage for the medical health treatment.
Patient care
This includes all the costs that are related to patient care services, such as nursing care.
Exclusions
Non-prescribed medications
Hormone replacement therapy
Illness arising from consumption of alcohol or drugs
Injuries inflicted during the war
Congenital disabilities or diseases
Sex change surgery
Difference Between Individual vs. Family Health Insurance
When considering health insurance, it's important to understand the differences between individual and family plans. Let's have a close look at the different health insurance plans:
| Individual health insurance plan | Family health insurance plan | |
| Meaning | Covers a single individual. | It covers multiple members under a single-family medical policy. Under this, the premium is decided based on the age of the oldest member in the family. |
| Sum insured | The sum insured will be payable to only the insured person or their beneficiary. | The insured sum will be shared among all the beneficiaries in accordance with the terms agreed. |
| Suitable for | Individuals, especially senior citizens or those with chronic conditions. | Families with members under 60 years of age. |
| Focus | Individual health coverage needs. | Comprehensive healthcare for the entire family. |
Eligibility Criteria for Health Insurance Plans for Family
If you are planning to get family health insurance or a family floater health insurance, you should definitely look into the eligibility criteria before applying. The eligibility criteria are divided into two categories:
Age:
The minimum age criterion for getting health insurance for your child is 15 days.
However, for adults, it ranges from 18 to 65 years.
The premium that you will be paying is directly proportional to your age.
So, you should buy family health insurance for your family members as early as possible.
Overall health:
When you apply for health insurance, there is a chance that you will have to undergo a thorough medical examination.
The insurer does this to get a good idea about your current health condition.
However, if you are below the age of 45, you might not have to go through this process, and a doctor’s certificate of good health is enough to get a medical policy for family.
People of all ages are required to declare their pre-existing conditions that they are suffering from. Pre-existing conditions usually include hypertension, high blood pressure, diabetes, asthma, thyroid, etc. Having pre-existing conditions does not make you ineligible for cashless health insurance or any other type of insurance plan. It is asked to determine the best mediclaim policy for family with an affordable premium. This also saves you from falling under non-disclosure claim rejections.
How to Buy Family Health Insurance?
A medical insurance plans for family offers a wide range of coverage options. With these covers, you can save your family health insurance cost and secure your family's health. Here is how you can buy the best medical insurance for family:
Fill the form
Select a quote that suits you and fill our proposal form. Answer some questions about your health.
Pay and get your policy
Now pay the premium and get your policy in your inbox!
What is cashless claim process?
File your claim in minutes with Generali Central’s easy four-step claim process
Visit Hospital
Approach an insurance desk of your nearest GCI Network Hospitals and show your health card for Cashless Treatment
Verify Yourself
The Network Hospital will verify your identity and submit duly filled pre-authorization form with Generali Central
Get Admitted
You get admitted without any deposit and get cashless treatment
Peace of Mind
Once you are discharged, the hospital will send your claim documents to GCI and the authorized amount will be settled directly with the hospital
Documents Required for Family Health Insurance Claims
If you have opted for a cashless mediclaim policy for family or a family health insurance plan, you need to have the following documents for the health insurance claim process.
• Claim form with all relevant details.
• Valid ID proof with a photograph (e.g., Aadhar Card).
• Address Proof
• Mediclaim policy for family or health e-card.
• Original copy of the discharge summary.
• Doctor’s prescription recommending patient hospitalization.
• Consultation slip from the doctor and prescription for required diagnostic tests (if any).
• Certificate from the attending doctor.
• Doctors' prescriptions for all medications along with the original pharmacy bills.
• Reports of all diagnostic tests, including X-rays, ECGs, blood tests, etc.
• Any other original receipts obtained from the hospital during treatment.
• Detailed breakdown of all bills from the hospital.
• Receipts for ambulance services (if applicable).
• FIR of the incident if you received an injury due to an accident.
It is essential for you to collect all these documents during treatment for a speedy mediclaim for family.
What is the reimbursement claim process?
Our claim settlement process is fast and relaible
Collate Documents
Upon discharge, pay all hospital bills and collect all original documents of treatment undergone and expenses incurred
Claim Form
Download and fill the GCI health claim form
Claim Settlement
We will settle the claim in subject to policy terms and conditions
Things To Consider Before Buying Family Health Insurance Plans In India
While buying a health insurance plans for family, you need to keep in mind some key things, such as -
Pre-existing conditions
Several insurance companies do not include pre-existing conditions in their family health cover. So, if you have any conditions, check the insurance policy for its coverage and pick the one that includes any pre-existing conditions.
Waiting period
If you want to buy family health insurance that also offers maternity health insurance, then you may need to wait for some time for maternity benefits to be available for usage. The waiting period can be from a few months to as long as one or more years.
Network of hospitals
Family health plans that include child health insurance or women health insurance need to have a vast network of hospitals to cover both child and maternal health services.
Annual or lifetime claim limits
To choose the best medical insurance for family, you need to check if there is any limit to the amount of money the insurer can pay for medical expenses. The cost of hospitalisation can increase in cases of prolonged hospitalisation, so it is important to buy family health insurance with an unlimited claim amount.
Frequently Asked Questions on Family Health Insurance
Health Total is a comprehensive family health cover that provides coverage against hospitalisation bills, medical expenses, pre-hospitalization expenses, post-hospitalization expenses, organ donor bills, maternity expenses, and many more. Furthermore, it offers a long-term discount if you pay a premium for more than one year or choose to opt for a voluntary deductible option.
Yes, Generali Central offers various discounts for medical insurance plans for family.
Yes, there is an option of cashless health insurance plans for family if you choose a network hospital for treatment. Network hospitals work in collaboration or partnership with insurers, and they settle their bills directly with each other without involving customers.
Yes, any family member can be added to the medical insurance plans for family at the time of renewal of the policy. However, there should be no more than 15 members under a single plan.
A family health insurance cost is determined based on the number of members, their age, medical requirements, and assistance. It also sometimes differs from insurer to insurer.
If you are looking for health insurance for your entire family, you can opt for family health cover. And if you want individual coverage for yourself, check an individual health insurance plan. In a medical insurance plans for family, the entire family of up to 15 members can be covered, while in an individual, only you or your dependent one can be covered.
Most standard children's health insurance plans do not cover dental treatments. However, some insurers offer optional dental coverage at an additional premium.
Securing your child’s health with insurance is most beneficial when started early. Buying a policy soon after birth offers several advantages. Not only are premiums lower, but you also avoid potential delays caused by medical screenings later on.
