A family health insurance plan provides coverage for all members of a family under one policy. This plan covers medical expenses and hospitalisation costs in case of emergencies or planned procedures without putting a strain on the family's savings. In a family health insurance plan, the sum insured is shared among the members of the family, and it can be used during the policy period when any family member needs emergency medical assistance or is hospitalised.
While choosing health insurance plans for a family, two critical factors that you need to keep in mind are the number of members to be covered and the sum insured. Choose a plan that promises maximum coverage and can cover for members during times of emergency. At HDFC ERGO, we provide comprehensive family health insurance plans with many benefits, including hospitalisation charges, consultation fees, medicines, and more. You can check out these policies online and choose one that meets your requirements and ensures that every member of your family is well taken care of during a medical emergency.
While you may think the savings accumulated over the entire career may be enough to take care of your medical needs. The corpus may run out earlier than you think. Health insurance for family is a crucial tool to safeguard your life savings. It will help you take care of your health needs even in an era of rising medical costs.
Optima Secure
Optima Restore
my:health Suraksha
my:health Medisure Super Top-up
We value your family as much as you do and so we have designed insurance products that cater specifically to the emerging needs of a family.
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We cover all your hospitalisation expenses arising from illnesses and injuries seamlessly. Most importantly, the Optima Secure plan includes treatment costs for Covid-19 as well.
Instead of 30&90 days availed normally, get 60 & 180 days pre and post hospitalisation medical expenses covered.
Medical advancements help in wrapping up important surgeries and treatments in less than 24 hours, and guess what? We cover you for that as well.
Prevention is certainly better than cure and that’s why we offer a free health check-up on renewing your health insurance policy with us.
Optima secure plan is tailored to reimburse the cost of air ambulance transport upto ₹5 lacs too.
Optima Secure plan covers road ambulance cost upto the sum insured.
Get daily cash of ₹800 per day up to a maximum of ₹4800 on hospitalisation, as out-of-pocket expenses under Optima Secure Plan.
Avail e-Opinion for 51 Critical Illnesses through network provider in India under Optima Secure plan.
We will pay for the medical expenses incurred by you on home hospitalisation, if advised by the Doctor on cashless basis.
We cover medical expenses for harvesting a major organ from the donor’s body where insured is the recipient.
We cover treatment costs upto the sum insured towards in-patient care for alternative therapies like Ayurveda, Unani, Siddha, Homeopathy, Yoga and Naturopathy.
Optime Secure plan has your back. Our health insurance policy covers your medical expenses for a lifetime on break free renewals.
Please read the policy wordings, brochure and prospectus to know more about my Optima Secure.
Adventures can give you an adrenaline rush, but when coupled with accidents, it can be hazardous. Our health insurance plan does not cover accidents encountered while participating in adventure sports.
We do not cover expenses for treatment directly arising from or consequent upon any insured person committing or attempting to commit a breach of law with criminal intent.
War can be disastrous and unfortunate. However, our health insurance plan does not cover any claim that is caused due to wars.
We do not cover expenses incurred towards treatment in any hospital or by any Medical Practitioner or any other provider specifically excluded by the Insurer. (Contact us for list of de empanelled hospital)
We understand that treatment towards congenital external disease is critical however, we do not cover medical expenses incurred for Congenital external diseases defects or anomalies.
(Congenital diseases refer to birth defects).
Treatment for Alcoholism, drug or substance abuse or any addictive condition and consequences thereof remains uncovered.
Under a family medical insurance policy, you can cover all your legal family members on a floater sum insured basis. This means you can cover yourself, your spouse, dependent kids, parents and parents-in-laws. The best family health insurance plan provides cost-effective solutions for the entire family’s insurance needs. You can claim the entire insured amount in times of emergency.
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 claims and reimbursement claim requests.
Fill up the pre-auth form at the network hospital for cashless approval
Once hospital intimates us, we send you the status update
Hospitalisation can be done on the basis of pre-auth approval
At the time of discharge, we settle the claim directly with hospital
You need to pay the bills initially and preserve the original invoices
Post hospital discharge send us all your invoices and treatment documents
We verify your claim related invoices and treatment documents
We send the approved claim amount to your bank account.
Don’t just protect your family from health emergencies, but also save on taxes with family health insurance. Reduce your tax liability up to ₹1,00,000 in a year under Section 80D of the Income Tax Act, 1961.
Also Read : Income Tax Return
Investing in family health insurance can help you avail of deduction of up to ₹25,000 in a financial year.
Get an additional tax deduction of ₹25,000 for the health insurance bought for parents. If any of your parents is a senior citizen, the deduction limit increases to ₹30,000.
You can get tax benefits up to ₹5000 in a year for preventive health check-ups.
Please note that the above-mentioned benefits are as per the current tax laws prevailing in the country. Your tax benefits may change subject to tax laws. It is advisable to reconfirm the same with your tax consultant. This is independent of your health insurance premium value.
Few factors which you should consider while purchasing a family health insurance plan are as follows:
When buying a family health insurance plan, it is important to check the coverage benefits. Usually, family health insurance plans cover you for in-patient hospitalization expenses, pre-hospitalization and post-hospitalization expenses, daycare expenses, domiciliary hospitalization expenses, organ donor expenses, and road ambulance expenses. Other inclusion benefits include lifetime sustainability benefit, tax benefits, etc.
Healthcare cost in the country is increasing each day. Hence, you should buy a health insurance for your family that is flexible and helps you to expand your total protection at the time of restoration. Some health insurance companies offer you an increase in sum insured as a reward if you have not made any claim in the previous year.
This benefit keeps you stress-free as you do not have to manage funds at the last minute, in order to get the required treatment. So, while choosing a family health insurance policy, make sure that the insurance company has a strong list of network hospitals. Also, check if some of them are near your residence so that you in case an emergency arise, you do not waste time.
Usually, family health insurance plans come with lifetime renewability benefits. However, some health insurance companies limit the renewability age to 60-65 years. So, it is vital to make a chose a health insurance policy after considering this factor as it will help you in the long run.
Even though the claim settlement process of every health insurance company is the same, it is still important to check if the insurance company that you buy has a smooth claim settlement ratio or not.
While it is obvious to check the inclusions under a health insurance policy, it is equally important to check the exclusions as well. Choose a policy which has least amount of exclusions and gives you and your family a comprehensive coverage.
While buying health insurance, we often think if all our family members are eligible for getting insurance. The eligibility for health insurance primarily depends on
It is extremely important to declare your medical history honestly while buying health insurance. Non-severe illnesses like fever or flu may not matter, but diseases like cancer or heart ailments have to be declared. The insurer may cover certain pre-existing diseases after the waiting period, while some diseases may require additional premium.
If you are over the age of 18 years, you will not face any problems while getting health insurance. Senior citizens can get insured up to the age of 65. With HDFC ERGO, you can also get insurance for your new born baby, but you need to have mediclaim insurance with us to get the baby covered.
Lower dependancy on group plans
Your employer may have offered you health insurance that also covers some of your family members. It is, however, important to remember that employer health insurance remains active only till you are part of the company. Your family may not have any kind of coverage when you look for a new job. Moreover, many employers do not offer health coverage during the probation period. Do not rely on the cover provided by the employer for the health of your family.
Remain prepared for all emergencies
Many of us delay health insurance for the future and realise our folly only when an emergency hits. Do not let any untoward incident disturb the peace and happiness of your family. Get family health insurance and ensure good health for all the members.
Comprehensive coverage
Just buying a health insurance plan may not be enough. If you do not have adequate coverage, your family members may not be able to avail of certain healthcare facilities when needed. It is important to get all the members insured so that your family has comprehensive coverage, especially if you reside in a large city as medical facilities in cities are relatively expensive.
Feature | Individual Health Insurance | Family Health Insurance |
Definition | Covers only one person and the insurance amount is kept for their treatment, with no scope to share it. | The plan is shared among the family members and has a capped amount, which when crossed, cannot be utilized by any other member. |
Coverage | The amount covered in this case is solely meant for the individual policyholder. | This amount can be used by the entire family, with no set amount for each member. But they can only utilize upto the sum insured |
Premium | The premium is calculated based on the age of the policyholder. | Usually, the age of the oldest family member is considered for calculating the premium. |
The number of members covered under a family health insurance policy depends on the insurance. Usually, family health insurance plans permit inclusion for spouses and dependent children. A few plans also permit the consideration of ward guardians. In addition, there are certain family health insurance plans that offer a provision to cover individual, spouse, dependent children, and dependent parents along with relationships like siblings, parents-in-law, grandfather, grandmother, grandson, granddaughter, son-in-law, daughter-in-law, sister-in-law, brother-in-law, nephew, and niece.
A list of the documents required while purchasing family health insurance plans:
Since most insurance companies set an entry age, it is an important document required at the time of buying health insurance. You can give a copy of any of the following documents:
• PAN Card
• Voter ID Card
• Aadhaar Card
• Passport
• Driving License
• Birth Certificate
For communication purposes, the health insurance provider would need to know the postal address of the policyholder. The following documents can be submitted by the policyholder:
• Driving License
• Ration Card
• PAN Card
• Aadhar Card
• Utility Bills such as telephone bill, electricity bills, etc.
• Rental Agreement in case applicable
Identity proofs help the insurance company to distinguish the sort of inclusion proposed to the policyholder. The following documents can be submitted by the policyholder:
• Passport
• Voter ID Card
• Driving License
• Aadhar Card
• Medical Reports (in case asked by the insurance company)
• Passport Size Photo
• Duly filled and signed proposal form
Why take the pain of filling lengthy documents and standing in a queue. Online health plans offer unprecedented convenience. You can conduct research, seek expert opinion and buy the plan, everything with the click of the mouse.
With contactless payment becoming the norm, why make cash or cheque payments. Use your debit card, credit card or net banking facility to make secured payments online.
You can customise the plan, change the number of members or modify the plan and get the premium instantly. You do not need a person to calculate the health insurance premium for different scenarios. Everything is at your fingertips when you buy online.
Eliminate the wait for the policy document. Get the policy document instantly in your mailbox as soon as you pay the first premium.
Get access to all policy-related documents in the my:health services mobile application. You can book online consultations, monitor calorie intake and calculate BMI all through the mobile application.
HDFC ERGO offers you a wide range of family health insurance plans. You can buy the plans online as well as offline. To buy these plans online, you are required to follow the easy steps given below:
1. Visit hdfcergo.com and click on the ‘health insurance’ tab.
2. Enter personal details asked on the form.
3. Then you will be guided to the plans, choose accordingly and follow the instructions.
A family health insurance plan covers your entire immediate family. A single health insurance plan that provides comprehensive coverage and several additional benefits such as preventive health check-ups, cashless treatment, lifelong renewability, etc. A fixed sum is insured under a family health insurance plan which covers the members.
Healthcare costs have been on the rise since the onset of Covid19. With rising medical expenditures and prevailing ailments, a family health insurance policy with an adequate cover acts as a shield to safeguard you and your family. Besides, a family health insurance policy is lighter on the pocket as compared to buying individual policies for each family member.
The floating sum insured in a family floater health insurance plan is fixed and is shared by all family members. When a family member is hospitalised due to a medical emergency or a planned hospitalisation, you can choose to go for cashless treatment at your insurance provider’s empanelled network of hospitals. In the case of non-network hospitals, you can claim reimbursement by submitting treatment and billing-related documents to your insurance provider’s claim settlement team. While choosing an insurance provider, it is advisable to select the one with a high claim settlement ratio.
Yes, you can include your parents in the family floater policy. You can do so while buying the policy or include your parents during the renewal of your policy.
Yes, you can include your newborn in the family floater policy. If you have a maternity cover, then your newborn is covered for up to 90 days in the policy. Else, you can add your new born to your existing policy after a waiting period of 90 days.
Yes, a cashless treatment option is available if you choose from the empanelled network of hospitals. The bill is settled directly with the empanelled hospital by your insurance provider. HDFC ERGO health insurance policies covers 13000+ˇ network hospitals across India.
Yes, family members can be added to the health insurance plan at the time of renewal of the policy. Subject to terms and conditions of the policy.
On average, a cover of 10 lakhs can cost you anywhere between 25,000 to 30,000 INR annually.
Yes, you can avail a cashless facility for self or family members from any of the network hospitals of your insurer. At HDFC ERGO we provide cashless hospitalisation in our 1200+ network hospitals.
You need to get in touch with your insurer to add a family member to your existing policy with all the required documents such as identity proof, age proof etc.
Yes, it is advisable to buy a separate health insurance policy even if you are already covered under an employer health plan. An employer health insurance policy is valid till the time you are working with the organisation. Your health cover will cease to exist as soon as you change the organisation or start your own venture. You will be left uninsured till you find another job and in case of a medical emergency, you’ll be left stranded without a safety net. In such scenarios, a separate health insurance policy will come to your aid.
Features listed below highlight why one should opt for HDFC ERGO Family health insurance plans.