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Royal Sundaram Family Good Health Plan
| Objective | This policy aims to cover entire family under a single policy. |
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| Suited for | It is available as an individual cover as well as a family floater where sum insured can be utilized by any member of the insured family. Individual plan can cover up to four adults of a family with different sum assured for each. As a family floater policy, it can cover up to two adults and three children under same policy. |
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| What does it do? | Apart from hospitalisation expenses, it covers other day care procedures which do not require hospitalisation. The daily cash benefit can be availed to pay for travel, accommodation and food. If hospitalisation exceeds 21 days of continuous stay, the insurer will also pay a lump sum up to Rs 10,000 to assist in recovery. |
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| Pros | Premiums paid towards this policy enjoy a tax benefit under Section 80D. |
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| Cons | Room rent and daily ICU charges are capped. |
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| Our View | The policy is available at reasonable premium rates, which may be due to sub-limits on room rent. Given the lower premiums, you may go for the policy if you are comfortable with sub-limits |
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| Eligibility | |||||||
| Entry Age (years) | |||||||
| Minimum | 18; 91 days for children | ||||||
| Maximum | 65; 21 years for children | ||||||
| Maximum Policy Renewal Age (years) | 70 | ||||||
| Coverage Type | Individual/ Family floater | ||||||
| Policy Term (years) | 1/2 | ||||||
| Sum Insured (Rs) | |||||||
| Maximum | 5 lakh | ||||||
| Minimum | 2 lakh | ||||||
| No Claim Bonus | Sum insured increased by 5% for each claim free year subject to maximum of 50% | ||||||
| Pre Policy Medical Check Up | Not required upto 50 years of age | ||||||
| Grace Period for Policy Renewal | 15 days | ||||||
| Policy Termination | Insurance company may terminate the policy by giving a 7 days notice. Insured member may also cancel the policy. If no claim has been made, the insurer will refund a proportionate premium | ||||||
| Customer Service | |||||||
| Address | Royal Sundaram Alliance Insurance Company Limited | ||||||
| Mail to | |||||||
| Call to | 1860 425 0000 (toll free) | ||||||
| SMS | Type FGH and send to 560701 | ||||||
| Network Hospitals | |||||||
| Scope Of Cover | |||
| Cashless facility | allowed if treatment is availed in a network hospital | ||
| Reimbursement facility | allowed if treatment is availed in a non- network hospital | ||
| Pre and Post hospitalisation | covers medical expenses incurred 30 days prior to hospitalisation and 60 days after discharge from the hospital | ||
| In patient hospitalisation | covered | ||
| Room rent | covered upto 2% of sum insured per day | ||
| ICU Charges | covered upto 4% of sum insured | ||
| Day Care Procedures | covered | ||
| Daily Cash Allowance | Rs 500 for each 24 hours completed in a hospital for maximum of 20 days during the policy term and for a maximum of 60 days for all insured persons in a family | ||
| Convalescence benefit(if hospitalisation exceeds 21 days) | lumpsum of upto Rs 10000 and maximum of Rs 20000 for all insured persons of the family | ||
| Emergency ambulance | covered upto Rs 1000 per claim | ||
| Health Check up | covered upto Rs 750 per insured person after every 4 consecutive claim free years | ||
| Exclusions and Waiting Period | |||
| Pre-existing diseases | covered after 48 months of continuous policy renewal | ||
| No claim period | initial 30 days of policy commencement | ||
| Waiting period | Diseases such as Congenital Internal Disease, Stone in urinary and biliary systems, Migrane/Vascular headaches etc., are not covered during first policy year .Certain diseases such as Cataract, Knee/Hip Replacement, Heart Disease, Chronic Renal Failure/ End Stage Renal Failure etc are not covered during first two policy years. | ||
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