Family Health Insurance Online

Compare & Buy Health Plans starting at just Rs.250/month#

Tax Benefit upto Rs 75,000 to Rs 1,00,000^^

A comprehensive cover for you & your family

Inbuilt COVID
cover
No co-payment
10000+ Cashless
Hospitals
Porting of existing health policy
No Capping on room
rent
Free health check-up

Family Health Insurance Online

Compare & Buy Health Plans starting at just Rs.250/month#

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Family Health Insurance Plans for a Secure Future

Why Health Insurance policy for Family?

A good health insurance policy for family ensures you a secure future and best health care facility in the best hospital without worrying about hefty medical bills.

The cost of health care without coverage can be substantial. The rising medical costs have made it mandatory for everyone to buy a health insurance cover for themselves and their families.

One should buy a comprehensive health insurance plans for family that supports and pay for any type of diseases/ailments/accidents. Therefore, understanding the different types of health insurance plans that are available to you, can help you pick the health insurance plan the best meets your coverage needs and budget. It is always better to get a policy with a higher sum assured as it will help us during testing times.

At Policynation, though you can yourself easily compare and buy a health plan online as all health plans are compared feature wise but it is always advisable to speak to our health insurance experts before buying a health insurance policy. Our health insurance experts will understand your requirement and guide you in buying the best plan for you and your family. Show More

How much sum insured is good ?

A health insurance floater policy of Rs 5 lakh was considered adequate till recently. However, rising healthcare costs are pushing individuals to opt for higher covers. Some insurers are now offering Rs upto Rs 2crs Sum Insured

Cost of hospitalisation for various diseases

What is Health Insurance Policy for Family?

A health insurance policy for family provides coverage against medical expenses incurred due to accidents, illness or injury. During the policy period,if an insured gets hospitalized, the expenses for medical, surgical, prescription drug, doctors, nursing incurred for treatment purposes are borne by the insurance company. Health insurance policy for family can reimburse the insured for hospitalization expenses incurred from illness or injury, or pay the hospital directly.

What does a health insurance cover?

Health insurance plan for family cover room, Boarding expenses, Nursing expenses, Fees of surgeon, anesthetist, physician, consultants, specialists Anesthesia, blood, oxygen, operation theatre charges, surgical appliances, medicines, drugs, diagnostic materials, X-ray, Dialysis, chemotherapy, Radio therapy, cost of pacemaker, Artificial limbs, cost or organs and similar expenses. Day Care Treatments, Pre & Post Hospitalization, Ambulance Charges, Aayush Treatments that need hospitalization Show More

What is not covered in a Family Health Insurance?

Family Health Insurance does not cover Pre-existing diseases Infertility and pregnancy related complications Expenses arising out of skin treatment, HIV or AIDS, use or misuse of intoxicated drinks and drugs War, strikes or nuclear weapons induced treatments Cosmetic Surgeries Diagnostic Charges It is always advisable to read policy's full terms and conditions as they may differ policy to policy. Show More

Individual Sum Insured / Family Sum Insured

The individual health insurance policy is designed to provide you greater flexibility with the sum assured and is applicable to every member of your family covered under the plan Each member of the family can choose different sum insured based on their needs. However, the premium for this plan is determined by individual's age. Show More

As compared to individual plans, family floater Mediclaim plans help in saving a lot of money with its umbrella cover. Family Floater plans are best suited for a family that is young & small as it focuses on bringing your entire family under one single cover. The chosen sum assured is applicable to all family members covered under the plan, collectively. If one member makes a claim, the other members can claim to the extent of remaining Sum Insured. Show More

What is Super Top-up Health Insurance Plan?

A super top-up health plan covers the hospitalisation expenses above an opted specified limit (called deductible) upto opted Sum Insured. For a claim to trigger under a super top up policy, one hospital bill or the total of multiple hospital bills in a policy year should be more than the deductible amount. For example, if you buy a Super top-up plan and opt for Sum Insured Rs 20 lakh and opt for a deductible limit of Rs 5 lakh then the super top-up policy will cover medical expenses over and above the deductible amount of Rs 5 lakh. The deductible amount can be self-paid or can be paid from your current health insurance policy. Show More

How to choose a best health Insurance plan for Family?

With so many options available, it can get confusing to find the best health insurance plan for family that suits your requirement.
Do not worry, we have simplified this for you. Here is a quick rundown of the 6 things that should consider before buying a family health insurance plan.

Pre-existing disease waiting period

Most of the health plans will have pre-existing diseases covered after 3 years. But a few plans have lessor waiting period 1 yr/2 yrs for pre-existing diseases.

No room rent capping

Don’t buy plans that have room rent capping like 1% or 2% of SI or single pvt room etc. You should be able to get into any room category in any hospital in any city without any deduction in claim amount.

No co-payment

Go for health plans that do not have any kind of co-payment for any disease related/age related/non-network hospitals related/ or any residence pin code related

Disease wise capping

Go for health plans which do not have disease wise capping like knee surgery, cataract etc.

No claim Bonus

Go for plans that has min 50% OR 100% yearly No claim benefit, if there is no claim under the policy

Reinstatement Clause

Buy a health plan which has multiple times reinstatement benefit for related & unrelated disease.

What is Health Insurance claim settlement ratio?

The Health Insurance claim settlement ratio indicates the number of claims paid by the insurer out of 100 claims that the insurance company receives. So, if the settlement ratio of an insurer is 90 per cent, it means that the insurer has settled 90 claims out of 100 claims, which also means that the insurer did not pay for the remaining 10 claims within 3 months of reporting of those claims. So, if your insurer has the highest health insurance claim settlement ratio for three-month period, then it means that the Insurer settles more claims than the other insurers in that period..

If you are planning to buy a new insurance policy or want to port your existing health insurance policy to a new insurer, please check the latest claim settlement ratio of all insurers before buying a plan from an insurer.

Latest claims settlement ratio of general insurers and health insurers

Insurer Claim Settlement Ratio (%) Insurer Claim Settlement Ratio (%)
Less than 3 months Less than 3 months
Acko General Insurance 97.20 National Insurance 86.28
Aditya Birla Health insurance 99.41 Navi General Insurance 99.99
Bajaj Allianz General Insurance 96.59 Niva Bupa Health Insurance 99.99
Care Health Insurance 100.00 Raheja QBE General Insurance 93.30
Cholamandalam MS General Insurance 93.23 Reliance General Insurance 98.65
Edelweiss General Insurance 97.26 Reliance Health Insurance 76.36
Future Generali India Insurance 96.01 Royal Sundaram General Insurance 95.95
Go Digit General Insurance 96.09 SBI General Insurance 95.04
HDFC ERGO General Insurance 98.49 Shriram General Insurance 85.23
ICICI Lombard General Insurance 97.07 Star Health and Allied Insurance 99.06
IFFCO Tokio General Insurance 89.38 Tata AIG General Insurance 93.55
Kotak Mahindra General Insurance 96.90 The New India Assurance 92.93
Liberty General Insurance 97.30 The Oriental Insurance 90.18
Magma HDI General Insurance 92.34 United India Insurance 97.25
ManipalCigna Health Insurance 99.90 Universal Sompo General Insurance 95.77

Health Insurance Income Tax Deductions

As a measure to encourage people to opt for sufficient health insurance coverage, the Income Tax Act specifies deductions for two kinds of premium payments: on a policy for self and family and on a policy for dependent parents. Therefore, medical insurance premiums under 80D can be claimed on the individual as well as family health policies.

Scenario Medical insurance premium paid for Total deduction^ under Section 80D
Self, spouse and dependent children Parents (whether dependent or not)
If you and your parents are below 60 years of age ₹ 25,000 ₹ 25,000 ₹ 50,000
If you and your family are below 60 years of age and your parents are above 60 years of age ₹ 25,000 ₹ 50,000 ₹ 75,000
If both, you and your parents, are above 60 years of age. ₹ 50,000 ₹ 50,000 ₹ 1,00,000
*#Please note tax benefits are subject to change in Income Tax laws. *
  • Here are a few things you should know to understand the tax deduction under section 80D better.
  • Health insurance tax benefits are great for your financial planning. Health insurance plans, including family floater plans that covers your spouse, children and dependent parents, makes you eligible for tax benefits.

Health Insurance Premium Plans

  • Tax exemptions are valid only on the health insurance premium and not on additional charges, such as GST, service charge, etc. If your health insurance is comprised of critical illness cover add-on, then the premium paid for the add-on can also be claimed for tax deduction
  • As per the income tax section 80D, health insurance premiums paid in cash are excluded from the tax exemption clause. All other modes of payment such as demand draft, cheque, net banking, debit and credit cards are eligible for tax exemption. Health insurance premiums should be paid by only a taxpayer as the tax benefits cannot be claimed by a third party.

What is Health Insurance Portability?

Health insurance portability is a facility in which one can port his/her current health insurance policy from the present insurer to a different insurer.


What are the Reasons to port your Health Insurance Portability?

  • Looking for better coverage
  • Looking for lesser/ no restrictions on coverage
  • Looking for better cashless network hospitals
  • Looking for more cost-effective policy
  • Not happy with the claims settlement of the current insurer

What are the benefits that can be ported to a new Health plan from your current plan?

Sum Insured- You can port your existing sum insured to a new health plan or even ask for higher sum insured while porting your health policy.

No Claim Bonus- The earned no claim bonus on your current policy can be ported to a new health plan. The new insurer can give you a fresh health policy with enhanced sum insured including the earned no claim bonus on the current health plan.

Waiting period- In the new health plan your waiting period gets reduced by the years you have already waited under your current policy.


What are the Documents Required for Porting a Health Insurance Policy?

You may have to submit the following documents to port your current policy

  • Policy certificates of previous years
  • Latest notice of renewal mentioning coverage continuity and other details
  • The policyholder’s self-declaration in cases of no-claim
  • Investigation report, discharge summary and other equivalent documents in cases of claims
  • Filled in proposal form and portability form

Rules for Health Insurance Portability

  • Portability is allowed only at the time of renewals
  • This intimation should be given at least 45 days before renewal to your current insurer and new insurer.
  • Porting does not involve any porting fees.
  • The premium for new health plan will depend on the premium that the new insurance company charges.
  • You can port to a similar kind of policy, i.e., from an indemnity policy to another indemnity policy
  • You get a grace period during the time your portability is in process. The coverage, however, stays lapsed during the grace period
  • While you can increase the sum insured, the new insurance company should accept such an increase.
  • You can switch the insurance company every time you renew
  • You can switch the plan as many times as possible
  • All your existing family members can get coverage under the new plan when you switch.
  • The new insurance company would have to reduce your waiting period for the time you have already waited out in the last policy.
  • The minimum sum insured would be the same as in the last policy. You can, however, choose to increase the sum insured.
  • At the time of porting, the existing insurer and the new insurer would have to settle the porting formalities with the Insurance Regulatory and Development Authority of India (IRDAI)

Can portability be denied?

In certain instances, the new insurer may deny you portability

  • Inadequate information provided to new insurer
  • Delay in making portability request
  • Multiple claims in the current policy
  • Non availability for previous policy copies
  • You age may exceed the maximum age limit under the new health plan
  • If your pre-existing disease, if any, is not captured in previous policy.
  • Your current policy is already expired

FAQs

  • What is health insurance?

    The term 'Health Insurance' refers to a scheme whereby all medical expenses incurred by an individual is subject to reimbursement. A health insurance policy is a contract between an insurer and an individual / group in which the insurer agrees to provide a specified amount of reimbursement at a particular "premium" paid periodically subject to terms and conditions specified in the insurance policy.

  • There is no specified amount that one pays to avail health insurance. Depending on the extent of your needs there are various plans and policies that you can pick. Each policy will require you to pay a different premium based on the scope of your requirements. Some of the factors that play a role in determining the premium to be paid are:
    Age
    Previous medical history
    Claim free years

  • Health Insurance can broadly be divided into two kinds of offerings in India:
    Indemnity Policy
    Benefit Policy

  • Typically, is no 'right' time to buy health insurance. As medical emergencies seldom come with prior warning, it is good to have a health insurance cover that can shield you from sudden expenditures and unwarranted worry. As the cost of healthcare is also on the rise, a comprehensive and affordable health insurance for you and your family is a must. Most people realize the importance of the same only when inflicted by adversity. If this happens when you are over 50, there are a lot more complications in even obtaining insurance. So no matter what your age is and how good your health is, "Now" is the time to insure yourself and your dear ones.

  • There are many add-on covers that each insurance company offers that one can choose from while purchasing a health insurance policy. The benefits of each vary but overall, most help you to save unnecessary expenditures at the time of need and help increase the amount owed to you during claim. To know in detail about add-on covers, click here.

  • A medical checkup may be necessary when you sign up for a new health insurance policy, depending on the company that you choose to buy your policy from. Usually, it is mandated that an individual above 45 years of age be tested while applying for a new health insurance policy. However, medical checkups are not usually needed for renewal of policies.

  • Health insurance policies entitle policyholders to a free medical check-up once every four claim free years. Every insurance company is not liable to include the cost of an annual health checkup ina policy. Each company may offer different add-on schemes that include the costs or may offer it as part of certain packages. Do read through every policy document carefully to pick one that is perfect for your needs.

  • Critical illness cover, also known as critical illness insurance, is a long-term insurance policy to cover specific serious illnesses listed within a policy.

    Should the worst happen, it gives a tax-free 'lump sum' - a one-off payment, to help pay for your monetary needs arising out of sudden blockage in income. It is imperative to buy this cover if:


    you don't have savings to tide you over if become seriously ill or disabled
    you don't have an employee benefits package to cover a longer time off work due to sickness
  • As each company offers unique health plans tailored specifically to meet certain requirements, it is best to analyze each policy to make an informed decision. Usually, each policy starts at a minimum of 1 year and could extend until 2 years or more based on plans offered.

  • Yes, foreigners residing in India can surely be covered under a health insurance policy. However, the coverage will be applicable within India only.

  • Usually, a health insurance plan covers all diagnostic test like X- ray, MRI, blood tests etc. as long they are associated with the patients stay in the hospital for at least one night. Any diagnostic tests which have been prescribed in the OPD are generally not covered.

  • Insurance companies have tie-ups with several hospitals all over the country as part of their network. Under a health insurance policy offering cashless facility, a policyholder can take treatment in any of the network hospitals without having to pay the hospital bills as the payment is made to the hospital directly.

  • Policy with coverage of Rs 5 Lakh for the year. In April, you make a claim of Rs 2 lakh. The coverage available to you for the May to December will be the balance of Rs.3 lakh.

  • No, Normally Health policies cover only expenses incurred as Inpatient. However, some insurance companies do offer it as a part of their product offerings. There are however, terms and conditions for each and these need to be perused through before deciding on an insurance plan.

  • Health insurance can be bought from 91 days for dependent children until when an individual turns 70. For a separate insurance to be bought, the minimum age is 18.

  • Ayurvedic, Naturopathy and Homeopathy treatments are generally not covered under a standard health insurance policy. Coverage is applicable only for allopathic treatments in recognized hospitals and nursing homes.

  • Critical illness and Pre-existing diseases are health conditions that you might have encountered in the past but will affect the amount of premium that you will pay now. While filing for insurance, you will be required to provide details of all diseases suffered in your lifetime. The company will then decide based on a medical panel, whether these diseases are newly contracted of pre-existing. It is important however, to disclose all information pertaining to the same as any non-disclosure can result in issues in future.

  • The Income Tax Act 1961 regarded health insurance as an important investment and hence you can enjoy tax deductions under Section 80D of the Act. According to this section, deductions are offered towards policies on self, spouse and children and also towards non-senior citizen dependent parents and towards senior citizen dependents. The total deductions you can claim under Section 80D is as follows:

  • The grace period is a time offered by insurance companies after the due date for your policy renewal expires. Grace period works differently for life and medical insurance policies. You must be aware of this timeframe and try to pay up within the time, so that you are not denied cover or face large financial liabilities in the case of an accident during that time.

  • The policy will be renewable provided you pay the premium within 15 days (called as Grace Period) of expiry date. However, coverage would not be available for the period for which no premium is received by the insurance company. The policy will lapse if the premium is not paid within the grace period.

  • Generally, there is no prohibition against insured or plan members canceling their health insurance coverage unless there is a legal obligation to continue a policy. If you cancel the policy, you may not get your entire premium back. You generally get back your "unused premiums." Cancellation is not retroactive, and you've got to pay for the insurance you got before you canceled.

  • Any number of claims is allowed during the policy period unless there is a specific cap prescribed in any policy. However the sum insured is the maximum limit under the policy.

Disclaimer

^ 20% discount: It's 10% discount for a 3-year policy tenure and 10% discount for insuring 4, 5 or 6 members of the same family, in the same policy, on individual sum insured basis.
^^ Please check tax savings on Health Insurance under section 80 D

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Naveen Chava

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Never thought buying a group health insurance and onboarding employees was so simple and easy. Thanks Policy Nation. Best rates, simple & transparent.

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Co-founder - Finnable Credit Pvt Ltd

I am always worried about TnCs when it comes to insurance and PolicyNation is different from others as they give me full transparency and the right advise. Amazed at the way PolicyNation has redefined employees group health insurance for a young start up like ours. Our employees find it clear and easy to use. Thanks PolicyNation team for giving us personalised help in getting our claims processed swiftly.

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Policy Nation has helped us with suggesting optimal  insurance coverage for our team and insure our team for Medical, Covid and accident insurances. Policy Nation supports our employees especially when they need help most.

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Absolute breeze from buying our group health policy to filing of our claims, Policy Nation has really UNCOMPLICATED the whole process. Kudos to the team PolicyNation for defining group health insurance.

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Policy Nation has simplified the process of providing the best possible health insurance for our employees. We get timely support for all our claims. We are happy to have chosen Policy Nation for our insurance needs.

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We have been associated with Team Policy Nation for 5+ years and it has been a delight working with them. They are very delivery focused and customize their offerings to our requirements. Team Policy Nation consistently reinvent themselves to make life simpler and easier for us without compromising on our need of cost efficiency.

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