Family Health Insurance Of TATA AIG

Health Insurance Plans For Family 

The world of health insurance plans is a diverse and vast one. There are several types of plans, features, services, and pay-out methods that might be suited to the distinct and unique needs of every individual. These plans are also designed keeping in mind the age and financial limitations of people as well as their health concerns and medical requirements. Typically, health insurance plans can be categorized into two main categories. The first is an individual health insurance plan, and the second is a mediclaim policy for the family. Get complete coverage for your family with Tata AIG health insurance plans for the family.

Family Health Insurance

An individual health insurance policy aims at securing one person under the plan. In such plans, the insurance coverage is extended to one person alone. For instance, if you buy an individual plan for yourself, you will be able to raise a claim for your medical expenses like hospitalization, doctor’s consultation, ambulance costs, surgery costs, diagnosis costs, AYUSH treatment, and more.

Now, if you get married and have children, your existing policy will not cover them. In this case, you will have to buy a health insurance plan for the family to cover your dependents. Individual health insurance plans are typically ideal for youngsters who do not have any dependent family members. However, as you age and have more responsibilities, you may find such a plan inadequate. This is where family insurance plans come in.

Family health insurance is a type of health insurance that secures the entire family. This includes the spouse, dependent children, and dependent parents. Such insurance plans cover all members of your family with unified protection. There is only one premium and one insurance amount. This implies that the insurance company does not charge you a separate premium for all members of your family. So, you pay only one premium, and in return, the insurance company offers insurance protection to all the individuals insured under the policy. The sum insured of a medical policy for the family is shared between all the insured family members.

This is how this works: Consider a scenario where you purchase a family medical insurance plan. There are four people insured under this plan, including you, your spouse, and your dependent children. The insurance cover or the sum assured for this health plan is ₹8 lakhs. Now, you undergo surgery and require an insurance claim amount of ₹2 lakhs. This money will be deducted from the sum assured (₹8 lakhs – ₹2 lakhs), and the rest of the family will be able to claim ₹6 lakhs for their medical expenses.

Family health insurance plans are more suitable for families as they help reduce the additional cost incurred on individual plans. They also help organize your finances greatly as you no longer have to remember the premium payment dates or renewal dates of each individual policy. Moreover, it becomes easy to cover dependent members who may not be able to afford a health insurance plan on their own.

Benefits Of Buying Health Insurance Plans For Family

Here are some benefits of buying a medical policy for the family:

Tax benefits: Health insurance income tax deduction can help you save money. You can claim a tax deduction of up to ₹25,000 (under the age of 60) or ₹50,000 (over the age of 60) under Section 80D of the Income Tax Act, 1961 for a policy for yourself, your spouse, or your children. You can claim another tax benefit of up to ₹50,000 if you’ve bought a health insurance plan for your parents, taking the total allowed health insurance tax deduction limit to ₹1 lakh. To know more, check our resource on Tax Benefits with Health Insurance.

Peace of mind: Since a single policy covers all your loved ones, you have nothing to worry about. A family health plan helps you protect your peace of mind by protecting all members of your family.

Preventive health insurance check-up: The best mediclaim policy for family offers coverage for preventive health check-ups. This helps you detect a disease in its nascent stage and get the right treatment in time. Medical check-ups also help you stay fit by motivating you to adopt a healthier lifestyle in general.

Comprehensive coverage: You get comprehensive coverage with a health policy for the family. These plans take care of diverse expenses like pre and post-hospitalization, ambulance costs, organ donation, AYUSH treatments, and more.

Affordable Premium: The best family health insurance policy can offer you cost-effective premiums that are light on the pocket but heavy in features and benefits. This lets you secure your loved ones without hampering your present lifestyle and other future financial goals.

Discounting: Compared to individual health plans, health insurance plans for the family help you save money. You pay one premium as opposed to several. The money spent is greatly reduced, and there are no comprises on the benefits. So, if you want to save some money, you should consider purchasing the best family health insurance.

 Why Choose HDFC ERGO Optima Secure

So Much Coverage 

Choose Your Health Cover 

Select your sum insured :

Suiting your budget and requirements, select the coverage you want. For example, let's consider you select a sum insured of ₹10 lacs.

Secure Benefit 

2X coverage from day 1 : 

Your base cover gets doubled instantly upon purchase, without having the need to claim it. This benefit will instantly increase your ₹10 lacs base cover to ₹20 lacs at no extra cost.

Plus Benefit

100% increase in coverage :

On 1st renewal your base cover increases by 50% after 1 year and 100% after 2 years, making it ₹15 lacs and ₹20 lacs respectively. Your total cover now becomes ₹30 lacs i.e 3X of your base cover.

Restore Benefit

100% restore coverage : 

Anytime you make a claim whether partial or total of ₹10 lacs base cover, it gets 100% restored for any subsequent claims in the same year.

So Much Benefits

PROTECT BENEFIT :

1. Support devices: We cover costs towards the cervical collar, braces, belts etc.
2. Cost of Disposables: Go cashless with in-built coverage for disposable items like buds, gloves, nebulization kits and other consumables during hospitalisation.
3. Cost of Kits: We cover cost for delivery kit, orthokit and recovery kit.
4. Procedure Charges: We cover costs towards gauze, cotton, crepe bandage, surgical tape etc.

AGGREGATE DEDUCTIBLE DISCOUNT :

Aggregate deductible is the amount that you agree to pay before making a claim in a policy year. Get discount up to 50% every year by choosing to pay a little bit.

Discount Options :

1. 50% Discount: Get 50% flat discount on your base premium when you decide to pay ₹1 lac before making a claim in a policy year.
2. 40% Discount: Get 40% flat discount on your base premium when you decide to pay ₹50,000 before making a claim in a policy year.
3. 25% Discount: Get 25% flat discount on your base premium when you decide to pay ₹25,000 before making a claim in a policy year.
4. Note :To know more about aggregate deductible discount for sum insured above ₹20 lacs, please read the sales brochure/policy wordings.

SO MUCH SAVINGS :

1. Online Discount: Get 5% premium discount on the base premium if you buy a health insurance policy online.
2. Family Discount: Get 10% family discount if 2 or more members are covered in a single Optima Secure policy on an individual sum insured basis.
3. Long Term Discount: If premium is paid in advance for 2 or 3 years policy tenure, then you get a premium discount of 7.5% and 10% respectively.
4. Loyalty Discount:Get 2.5% premium discount on the base premium if you have an active retail insurance policy with us, with a premium above ₹2000.

SO MUCH CHOICES :

1. Coverage: Choose between wide range of base cover from ₹5 lacs to 2 crores.
2. Policy Options: You can buy individual and family floater options.
3. Tenure: Select policy tenure between 1, 2 and 3 years.

Just Launched - No Cost Installment*^ Benefit for Optima Secure 

We have some good news to share. Now, you can purchase HDFC ERGO’s Optima Secure using an easy installment benefit. This benefit is available to one-year policyholders. You can choose from installment options: monthly, quarterly and half-yearly. To give customers more purchasing power, Optima Secure is easily available at affordable buying option.

How to Make a Claim for your HDFC ERGO Health Insurance

The sole purpose of buying a health insurance plan is to get financial support at the time of medical emergency. Hence, it is important to read the below steps to know how Health Insurance claims process works differently for cashless claimsand reimbursement claim requests.

Cashless Claim: 

1. Intimation : Fill up the pre-auth form at the network hospital for cashless approval.
   
2. Approval/Rejection : Once hospital intimates us, we send you the status update.
3. Approval/Rejection : Once hospital intimates us, we send you the status update.
4. Claim Settlement : At the time of discharge, we settle the claim directly with hospital.

Reimbursement Claim :

1. Hospitalisation : When you select a hospital, which is not in our network for reimbursement claims you need to pay the bills initially and preserve the original invoices.
2. Register A Claim : Post-hospital discharge send us all your original invoices and treatment documents.
3. Register A Claim : Post-hospital discharge send us all your original invoices and treatment documents.
4. Claim Settlement : We send the approved claim amount to your bank account.

ICICI Lombard Health AdvantEdge policy

 What is ICICI Lombard Health AdvantEdge policy?

No one plans to fall sick but most people will need medical care at some point in their life. Right from the first doctor’s visit, to the lab tests, and pharmacy bills, the mounting expenses pertaining to full treatment can be burdensome. To help you in your illness and wellness journey, ICICI Lombard's Health AdvantEdge is a holistic policy designed to cater to your healthcare needs at all stages.

This policy is one of the few healthcare products that offers all-round wellness and preventive care benefits. Some of the value-added services under the Wellness program include reward points for inculcating healthy habits. Under this cover, the policyholder can also avail services such as video/tele consultation, pharmacy and diagnostic services, online chat with doctors, second opinion, and more.

The policy also has benefits such as pre-existing disease cover flexibility, domestic and air ambulance and convalescence benefit. It provides an additional cover against 20 critical illnesses including cancer. These add-ons also include maternity insurance for both mother and the newborn baby for SI above 5 Lakhs.

Top reason to buy ICICI Lombard Health AdvantEdge policy :

Restore benefit for sum insured	Guaranteed cumulative Bonus
24x7 video/telephone consultation	Convalescence benefit
Health rewards	Pre-existing disease coverO
Domiciliary hospitalization	Domestic Air Ambulance
Personal accident	Maternity cover
New born baby and vaccine cover	Bariatric surgery cover

Why should you buy a health insurance policy for yourself and your family?

Medical costs are skyrocketing:

They are high today and will be higher in the near future. A family floater health insurance is a smart way to safeguard your savings during a medical emergency.

Employer provided health policy is not enough :

A health cover provided by your corporate firm or employer ceases to cover you once you switch the job. Furthermore, you cannot choose coverage or benefits as per your needs. Besides, the sum insured of corporate health plan may not be adequate to cover you and your dependants in case of a medical emergency. Hence, it is recommended to invest in one of the leading family health insurance plans in India that covers your family adequately.

Lifestyle diseases are on the rise :

An unhealthy way of life and work stress have made even the younger generation prone to lifestyle diseases. Thus, the need to have a family health insurance is undisputable even if you are young. The onset of a chronic condition like diabetes may make it difficult for you to buy a comprehensive medical insurance. You may be required to undergo screening and medical check-up. Hence, it is recommended to invest in a family health insurance policy as early as possible. Not only is it affordable but also ensures optimum coverage when you need it most.   

You can save some on family health insurance premium :

By sharing your sum insured, you can smartly insure your entire family under one health plan. This will help in bringing down your health insurance premium significantly. You also do away with the hassle of managing multiple policies and their renewals.

You get tax benefit on health insurance premium :

As per Section 80D of the Income Tax Act, you can avail tax benefit on the health insurance premium. Thus, a health policy not only saves you from breaking the bank during a medical emergency but also helps you to save in taxes. 

What is covered in ICICI Lombard Health AdvantEdge policy?

Inclusions :

• Hospitalisation : Medical expenses incurred during hospitalization for more than 24 hours, including room charges, doctor/surgeon’s fee, medicine bills, etc.
• Health check-up : Available annually, starts from 1st year, up to 0.5% of sum insured, to a max of ₹.10,000.
• Pre and post hospitalization : Medical expenses incurred 60 days prior and 180 days post (provided we have accepted the in-patient claim).
• Domiciliary hospitalization : This should either be because of the unavailability of beds at a hospital or the inability to move the insured to a hospital. This will also cover expenses on Qualified Nurses engaged on recommendation of attending medical Practitioner.
• Day care treatments : The expenses for advanced, technological medical surgeries and procedures requiring less than 24 hours of hospitalization (including dialysis, radiotherapy and chemotherapy).
• Domestic Air ambulance : Air ambulance expenses to transfer you to the nearest hospital for emergency care. Available up to sum insured.
• AYUSH treatment : Expenses for in-patient treatment under Ayurveda, Unani, Siddha and Homeopathy (AYUSH) treatment only when it has been undergone in a government hospital or any institute recognized by the government and/or accredited by the Quality Council of India/National Accreditation Board on Health.
• Organ Donor : Reimbursement of medical expenses for organ donor up to sum insured. This benefit is provided only if the hospitalization claim for organ donation surgery is accepted.
• Wellness program : Redemption of wellness points earned due to healthy behavior through various wellness and fitness activities. You can redeem the wellness points on OPD bills for doctor’s consultation, medicine and drugs, diagnostic expenses, dental expenses, etc.
• Emergency services : Road ambulance expenses for emergency care, telephonic or virtual consultations with a medical practitioner for routine health issues. You can receive the consultation via audio, video, online portal, chat or mobile app. This service is available 24 hours a day, 365 days a year.

Exclusions :

• Any illness contracted within 30 days from the start date of your policy, except those incurred due to an accident. This clause does not apply to the subsequent renewals.
• For the first 2 years, some diseases like cataract, hernia, stone in the urinary system and others will not be covered.
• Any illness or disease or injury or a pre-existing disease before the start of the policy. However, these pre-existing diseases start to get covered if the policy is renewed with us for two consecutive year.

Permanent exclusions : 

• War, civil war or breach of law.
• Naturopathy treatment, acupressure, acupuncture, magnetic and other such therapies.
• Treatment taken outside the country.
• Any expenses arising out of domiciliary treatment.