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  • Future Generali Future Health Suraksha (Family)

    Health Insurance
    • Premiums as low as Rs12/day for coverage of Rs.4 Lakhs*
    • 10,000+ hospitals for cashless treatment
    • Claim up to Rs. 55,000 deduction under section 80D**

    General insurer Future Generali has a range of health insurance plans suitable for both individuals and families. Future Health Suraksha (Family) is a family floater variant of the policy of the same name. The features and benefits of this policy is similar to that of the individual variant. However, this policy can be used to cover an entire family under a single cover. This is a comprehensive health insurance plan that provides protection against various unforeseen medical threats.

    Eligibility for Future Generali Future Health Suraksha (Family)

    The eligibility criteria that must be met by potential policyholders of Future Generali Future Health Suraksha (Family) can be listed as follows:

    • The entry age of the proposer must be between 18 years and 70 years.
    • Dependents between the age of 3 months and 25 years can be covered provided their parents are concurrently covered in this policy.
    • Lifetime renewability option is provided for those entered within the above mentioned entry age.

    Features of Future Generali Future Health Suraksha (Family)

    Some of the notable features of Future Generali Future Health Suraksha (Family) can be listed as follows:

    • This policy is available in multiple sum insured options ranging from Rs.50,000 to Rs.10 lakh.
    • The maximum sum insured amount for policyholders entering after the age of 55 years is restricted to Rs.5 lakh.
    • Pre-insurance medical examination is mandatory for people entering this cover after 45 years of age. The company will reimburse 50% of the checkup costs if the proposal is accepted.
    • Similar to the individual variant, this family floater plan also comes in 4 different plans based on the sum insured amount and coverage type - basic, silver, gold, and platinum.
    • Sickness hospitalisation will not be covered for the first 30 days of commencement of the policy. During this period, accidental hospitalisation coverage is still valid.
    • A waiting period of 4 years is applicable for all kinds of pre-existing diseases.
    • Pre and post hospitalisation medical expenses are covered for up to 60 days and 90 day respectively.
    • Certain conditions like cataract, hernia, benign prostatic hypertrophy, sinusitis, etc. have a waiting period of 2 years before coverage can apply.
    • The sum insured amount can be enhanced by up to 25% (maximum of Rs.1 lakh) for accidental hospitalisation.
    • A grace period of 30 days is available to renew this policy from the date of its expiry. However, there will not be any coverage for the days during which the premium is not paid.
    • The 15-day free look period allows customers to review the terms of the policy and cancel it if they are not satisfied.
    • As per the IRDAI regulations, portability option is provided for transferring the policy to other service providers in the market. In this case, the company must be notified at least 45-days before the date of renewal.
    • The premium amount paid for this policy is eligible for tax relief as per Section 80D of the Income Tax Act.

    Benefits of Future Generali Future Health Suraksha (Family)

    The benefits of Future Generali Future Health Suraksha (Family) can be given as follows:

      

    Benefits Extent of Coverage
    Inpatient hospitalisation Covered up to the sum insured limit
    Day care treatment Coverage for up to 130 procedures
    Ambulance charges Available for actual expenses (max. Rs.1,500 per hospitalisation)
    Cumulative bonus 10% per claim-free year subject to a maximum of 50% of the sum insured amount
    Patient care expenses Rs.350 per day for policyholders over 60 years of age
    Coverage for accompanying person expenses Rs.500 per day
    Daily hospital cash Available under the platinum plan
    Free medical checkup Available after ever 4 claim-free years
    Sub limit for cataract surgery 10% of the sum insured amount subject to a maximum of Rs.50,000 per eye

    Exclusions of Future Generali Future Health Suraksha (Family)

    Some of the key exclusions of this policy can be listed as follows:

    • Self-inflicted injuries or injuries related to attempted suicide
    • Injuries attributable to war or warlike activities
    • Expenses related to cosmetic or aesthetic treatments
    • Injuries or illnesses attributable to exposure to nuclear substance or radiation
    • Non-allopathic treatments of all kinds
    • Any kind of experimental or unproven treatment methods
    • Expenses incurred for weight management treatment
    • Injuries sustained while under the influence of drugs or alcohol
    • Convalescence, general debility, or rundown condition
    • Congenital anomalies, genetic disorders, birth defects, and anomalies
    • Expenses attributable to pregnancy, childbirth, abortion, or related complications
    • Expenses related to diagnosis or investigation
    • Expenses related to external accessories like spectacles, hearing aids, crutches, etc.
    • Any non-medical expenses incurred during the time of hospital stay
    • Treatment for rehabilitation or recovery from addiction

    Claim Procedure

    The company’s in-house claim settlement team focuses on managing the claims raised by policyholders. According to the company, the average time for cashless treatment approval is just 90 minutes. Once the policy details and authorisation request are sent from the hospital, the company will process the request and issue the authorisation for cashless treatment.

    Reimbursement claims can be filed after discharge from the hospital. The company will require various documents like medical bills, physician certificate, discharge summary, diagnostic reports, prescriptions, pharmacy bills, etc. to process the claim. Once the documents are submitted, the company will process the request and communicate the acceptance or rejection of a claim. If rejected, a reason will be provided for the rejection. Following the acceptance of the claim, the company provide the reimbursement amount to the insured.

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