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Get Lowest Rates for Health Insurance

Mediclaim Plans starting @ Rs 250* / month

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  • Overview
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icon Health Insurance icon Family Health Insurance Plan

Health Insurance Plans for Family

Family health insurance policy is also popularly known as family floater health plans. They are one of the most common types of health insurance plans available in the Indian insurance market. The purpose of the plan is to cover each and every member of your family under a single policy.

Family medical insurance provides cover in the form of the sum insured, which is divided on the basis of the number of family members or as a whole amount for the entire family. The cover is available in the form of financial aid utilized to pay off hospital bills, treat illness, doctor’s fees, cost of medical treatment, and accidental emergency injury.

Under a mediclaim policy for family, you can include yourself, your spouse, dependent children, parents, and in some cases, even parents-in-law. Each member of your family can make a claim of up to the total sum insured. In addition to the basic cover, family health insurance policies also include cover for expenses/hospitalization bills related to COVID-19.

Top Family Health Insurance Plans

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Reliance General Insurer
Amount Covered: ₹ 1 Lakh
Deal Price: ₹ 2,094 / Year
Waiting period: 4 yrs

Why Buy a Family Health Insurance Plan?

If you are a family guy, you must purchase a comprehensive health insurance plan for yourself and your family. Here are the key benefits of a family floater health care plan:

  • Family Floater Plan

    Family health insurance policy is also popularly known as family floater health plans. They are one of the most common types of health insurance plans available in the Indian insurance market. The purpose of the plan is to cover each and every member of your family under a single policy.

  • Divided Cover Amount

    Family medical insurance provides cover in the form of the sum insured, which is divided on the basis of the number of family members or as a whole amount for the entire family. The cover is available in the form of financial aid utilized to pay off hospital bills, treat illness, doctor’s fees, cost of medical treatment, and accidental emergency injury.

  • Covers Entire Family

    Under a mediclaim policy for family, you can include yourself, your spouse, dependent children, parents, and in some cases, even parents-in-law. Each member of your family can make a claim of up to the total sum insured. In addition to the basic cover, family health insurance policies also include cover for expenses/hospitalization bills related to COVID-19.

  • Covers Cost of Treatment

    With a family insurance plan, you no longer need to worry about getting your loved ones hospitalized. A family cover comes at the cost of an affordable premium, payable as an annual installment. Besides, if you do not have sufficient balance at the time of your hospitalization, you can always avail of cashless hospitalization. You will be stress-free as the financial obligation will be borne by the health insurance provider.

  • Critical Illness Cover

    This is a very important factor. Critical illnesses can take a complete toll on your family’s emotional, physical, mental, and financial well-being. Critical illnesses are life-threatening diseases that might leave you impaired or recovering for a prolonged period of time. Medcilaim policy for family provides critical illness cover to help you cope with financial losses.

  • Online Buying

    Another important benefit of family medical insurance is that it can be purchased online. You no longer need to visit the bank branch or meet with an insurance agent. With Coverfox, you can easily buy, renew and compare the best family health insurance plans in India at a click of a button.

  • Covers COVID-19

    Due to the ongoing pandemic, existing insurers have included cover for expenses related to COVID-19, doctor’s fees, PPE kits. The Insurance Regulatory and Development Authority of India has directed all private and public general insurers to offer Corona Rakshak, and Corona Kavach Plans at a nominal premium.

  • Customize Health Policy

    You can add a wide range of rider options to your existing or new healthcare policy at the cost of an affordable premium.

  • Tax Benefits

    Premiums paid towards a health insurance policy are eligible for tax deduction under Section 80D of the Income Tax Act, 1961.

How Many Members Can Be Covered in Family Health Insurance Plans?

  • Spouse & Children: Generally, family health insurance plans covers individual, his spouse & his dependent children.

  • Immediate Family: Some plans along with spouse & children also cover dependent parents, grandparents & grandchildren.

  • Extended Family: Along with immediate family members some plans also cover your in-laws, nephews & nieces

  • Ward guardians: There are some exceptional family health insurance plans that also cover your ward guardians.

Disclaimer: The above information may differ from plan to plan & insurer to insurer.

Why Buy Family Health Insurance Plan Online from Coverfox?

  • Very Convenient

    Buying family health insurance online has become more convenient than ever due to websites like Coverfox. Simply compare various plans online and choose the policy that best suits your needs. You don’t need to fill out multiple forms and stand in long queues in order to buy the policy. Fill all the necessary details and get the policy emailed in just 5 minutes.

  • Free Quotes

    Get quotes from different insurance companies instantly while buying family health insurance online. You can compare the quotes and choose the plan that matches your budget.

  • Easy Payment

    Coverfox offers easy to pay, multiple payment options like Debit Card, Credit Card or e-wallets according to your choice. These payment modes come with a secured payment gateway.

  • Instant Policy

    By buying health insurance for family online you get instant issuance of your policy. You don’t need to wait for weeks to get your policy documents. The documents will be sent to you instantly via email.

  • Easy Access

    After purchasing a family medical insurance policy, you can easily access your documents and avail after-sales services online. All you have to do is download the mobile application. You can also make health insurance claims online.

Best Family Health Insurance Plans in India

Here is a list of best family health insurance policies in India for 2022, along with the maximum age at entry and sum insured. Call us on 1800 209 9930 to learn more about each plan.

Health Insurance Plan Name Sum Insured Maximum Age at Entry
Max Bupa Health Companion family floater Rs. 5 lakhs to Rs. 12.5 lakhs No Limit
HDFC ERGO Optima Restore family floater Rs. 3 lakhs to Rs. 50 lakhs 65 years
New India Assurance Family Floater Mediclaim Rs. 3 lakhs to Rs. 5 lakhs 65 years
Oriental Insurance Happy family floater policy Rs. 1 lakh to Rs. 20 lakhs 65 years
Star Health and Allied Insurance Family Health Optima Rs. 1 lakh to Rs. 25 lakhs 65 years
National Insurance Company Parivar Mediclaim Limited Rs. 1 lakhs to Rs. 10 lakhs 65 years
Universal Sompo Complete Health Care Rs. 1 lakh to Rs. 5 lakhs 65 years
Bajaj Allianz Health Guard Family Floater Gold Rs. 3 lakhs to Rs. 50 lakhs 65 years
TATA AIG Mediprime Rs. 2 lakhs to Rs. 10 lakhs 65 years
HDFC ERGO Health Suraksha Plus Regain Gold & Silver Rs. 3 lakhs to 10 lakhs No Limit
Disclaimer: The information given above has been sourced from the official website of the respective insurance providers. (Last updated on 09.11.2020)

What is Covered in a Family Health Insurance Plan?

Health insurance plan for a family covers in-patient hospitalization, pre-hospitalization, post-hospitalization, day care, health check-up, emergency ambulance service, etc. Let's see each in details:

  • In-patient Hospitalization

    All the medical expenses due to hospitalization are covered. In case, if any of the insured family members is hospitalized for more than 24 hours, the insurance company will pay the medical expenses.

  • Pre-hospitalization Expenses

    Any medical expenses incurred before hospitalization are termed as pre-hospitalization expenses. For example, X-ray, MRI, blood test, urine tests, sonography results, etc. done before hospitalization are covered.

  • Post-hospitalization Expenses

    Any medical expenses incurred after the discharge from hospital are termed as post-hospitalization expenses. For example, medicines, or any medical tests done after the discharge to check the improvement.

  • Ambulance Charges

    Most of the insurance companies offering family health insurance plans cover emergency ambulance charges. The amount of the emergency ambulance charges varies from insurer to insurer.

  • Hospital Cash

    The insurance company provides daily cash allowance. This hospital cash can be utilized to cover the cost of the transportation or other basic requirements of the person attending the patient.

  • Restore Benefit

    Many health insurance companies offer restore benefit features under family health insurance plans. This feature helps to reinstate the basic plan cover in case the coverage gets exhausted. However, restore benefit is applicable only for unrelated claims.

  • Day care treatment

    Day care treatments are the treatments that do not require 24 hours of hospitalization. For instance, medical expenses related to cataract which can be treated within a few hours.

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What is not Covered in a Family Medical Insurance Plan?

Here is the list of few exclusions of a family health insurance plan:

  • Any claim raised within the 30 days waiting period of the health insurance policy issuance wouldn’t be covered unless and until it arises due to the accident.
  • Any sexually transmitted diseases.
  • Any treatment related to fertility issues.
  • Any treatment and expenses incurred due to routine medical check-ups.
  • Any treatment/surgery done for gender reassignments or for gender change.
  • Artificial life maintenance, including life support machine use, where recovery or restoration of the previous state of health is not possible.
  • Any treatment undergone due to surgery or a plastic surgery, aesthetic treatment, or any further consequences due to such treatments.
  • Treatment of stress, mental illness or any psychological disorders, or due to the abuse of stimulants or depressants.
  • Any OPD Treatment.
  • Any treatment undertaken abroad.
  • Any Illness or Injury directly or indirectly causing or arising because of breach of any law by the insured who has a criminal intent, war, nuclear, chemical or biological attack or weapons, acts of foreign enemies, hostilities, civil war, rebellion, revolutions, insurrections, mutiny, military or usurped power, seizure, capture, arrest, restraints and detainment of all kinds.
  • Illness or injury caused due to consumption or abuse of tobacco, intoxicating drugs and alcohol or hallucinogens.
  • Any act of self-inflicted injury, suicide or attempted suicide while sane or insane.
  • Any treatment related to pregnancy (including voluntary Termination), childbirth, maternity (Including caesarian section), miscarriage (unless due to an Accident), abortion or complications of any of these. However, this Exclusion will not apply to ectopic pregnancy.

That’s the list of few common exclusions of a health insurance policy for a family. However, one must refer and read policy wordings for the full list of exclusions.

Eligibility Criteria to Buy Health Insurance Plan for Family

Eligibility criteria for family health insurance policy is as follows:

  • Entry Age

    The minimum entry age for adults is 18 years and the maximum age is 65 years. The minimum entry age for children is 90 days (this may vary depending on the insurer) and maximum age is 25 years in a mediclaim policy for family. However, the policy will no longer cover the dependent child as soon as he/she crosses the specified age limit.

  • Medical Tests under Family Health Insurance Plan

    Few insurers ask for medical tests to be carried out at their nominated centers. While few insurers offer family health insurance policy up to a certain age, say, 45 years without any medical tests. In some instances, insurers may make medical check-ups mandatory.

  • Eligibility for Renewal of Family Health Insurance Plan

    Almost all the insurance companies offer lifelong renewal. You need to renew your family health insurance policy every year to keep in force and renew before it expires. After the due date of renewal the insurance company gives a grace period of 30 days. If you want to keep the policy in force, you must renew it before the grace period ends or else the policy terminates.

How To Save Tax with Family Health Insurance Policy?

  • Section 80D: You can get tax deduction on your premium amounts that you pay while purchasing or renewing family health insurance under 80D Section of the IT Act.
  • Save Up To 25k: The max derivation that is permitted can be up to Rs. 25,000 with regards to wellbeing costs.
  • 50k for Seniors: If you or your spouse is 60 years old or above, then the 80D deduction on taxes can go up to 50,000/-.
  • HUF Benefits: Deductions for HUF - Hindu Undivided Family Members are 25,000/- if you're less than 60 & 50,000/- if you're above 60.
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How to Buy Family Health Insurance Online?

If you want to cover all your family members in a single health insurance plan, you can buy it easily online. Coverfox offers to compare various family health insurance plans online and buy the one that suits your needs. To buy the best mediclaim policy for your family in India, follow the steps below.

  1. Visit Coverfox.com and go to Family Health Insurance page
  2. Enter your details like name, gender, contact number etc.
  3. Select the family members you want to cover and enter their age.
  4. Provide details of your past medical history
  5. Compare the family health insurance plans from different companies and choose the best plan as per your needs.
  6. Pay the premium online via secure payment method.
  7. The documents of your family health insurance policy will be sent to you via email in a few minutes.

Documents Required to Buy Health Insurance Plans for Family

Here is the list of documents that are required to buy a Mediclaim policy for family

  • KYC: Proof of Address and Proof of Identity for all family members.
  • Age Proof: Birth Certificate.
  • Photo: 2x Passport size photographs of each family member.
  • Medical Report: Medical tests/checkups/report for certain family members above the age of 45 years.

Since the advent of internet banking, all health insurance providers have enabled the online facility of policy renewal. You simply have to visit the official website of the respective insurer and log in with your registered user ID/password. Once logged in, select the option for renewal and make the payment online via net banking/credit/debit card etc.

Family Health Insurance Claim Process

The claim process of Family Health Insurance can be understood as mentioned below

Cashless Claim Process:

  • Go to the insurance desk of Network hospital.
  • Provide ID card for identification.
  • Pre-authorization form to be filled and submitted.
  • TPA checks the documents and approves the cashless claim
  • The insurer also assigns a field executive who makes the claim process easy for the policy holders.

Reimbursement Claim Process

  • When discharged, the policy holder should pay all the hospital bills and collect all original documents.
  • The reimbursement claim form needs to be submitted to the claims team of the insurer or TPA along with all the required forms, hospital and medicine bills, medical and consultation reports and bills and any other document as required in original.
  • The claim will be validated by the Insurer/TPA and then cleared as per the policy terms and conditions.
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Frequently Asked Questions

  • Q. How to buy new family floater health insurance Plan?
    • The best way to buy a family health insurance plan is to log onto Coverfox, compare all the available options, select the best plan and fill in the required details, select sum insured, pay the premium. Your policy conveniently arrives in your mail box.
      However, here are a few factors which you need to keep in mind when deciding on an insurance company.
      Reputation: The company’s reputation plays an important role in deciding your investment. It is a good idea to go for a company with claim settlement ratio and a good brand image.
      Quick Process for Claim Settlement: Consumers purchase insurance policies for their future emergencies and no doubt, you should be able to make claim on time.
      Feedback from Customers: Before purchase, one must spot customer ratings and user opinions for the insurance company.

  • Q. How to renew family floater health insurance plan?
    • You can simply login to the insurer's website and fill in your family health insurance policy details, and pay the premium. Once the premium is paid, you will receive digitally copy of renewed family floater policy.

  • Q. Why Buy a New Family Health Plan online?
    • The best thing about purchasing a family plan online is that it gives the option to compare the charges of all the plans sold in market together with analysis opportunity of their policy features and benefits. Thus, online transactions ensure complete transparency in paying the right amount.
      Besides, an online Health Insurance Plan is always cheaper when compared to offline plans since the agent’s role is removed leading to the removal of commission payment. The insurer is able to save on the commission and administration charges and therefore, low premium is offered to the customers.
      Also, transations done online mean complete transparency of payment of the correct amount.

  • Q. Does family health insurance plans cover against OPD Treatment?
    • Most often under a health insurance plan treatment expense is covered for Day Care Treatments or in-patient hospitalisation which means that the policyholder needs to be hospitalised beyond one day. However, Certain Insurance companies have started to offer benefits for OPD treatments also such as Apollo Munich, ICICI Lombard, Bajaj Allianz and ManipalCigna.

  • Q. What Are Some Popular Individual Insurance Plans for Family?
    • Below are few plans offered on individual sum insured basis that can be taken into account.
      Religare Care No Claim Super: With attractive features like 100% Recharge Benefit, No Claim Bonus unto 150% and a complementary annual health checkup, Religare's No Claim Super plan is definitely worth considering.
      Apollo Munich Optima Restore: With the maximum individual sum insured of Rs.15 lakhs, Apollo Munich Optima Restore offers benefits like coverage of domiciliary treatment, pre-post hospitalization for 60 and 180 days respectively, Organ Donor and Restore Benefit.
      L&T Medisure Classic: Strongly backed by a powerful brand like L&T, the Medisure Classic plan should be on your consideration list with features totally worth paying for. With maternity & new born cover along with hospital cash, ambulance charges and cover for Ayurvedic treatment, it also offers options like room rent waiver and double sum insured for critical illness at an additional premium.
      Star Medi Classic: Automatic Restoration of Sum Insured and cover for non-allopathic treatments are just few of the many benefits offered by the plan. The premium pricing is also quite cost-effective in comparison to other plans offering similar benefits.

  • Q. How much is a family health insurance plan?
    • Different insurers provide family health plans at various quotes. It is advisable to check the exact price from the official website of the insurance company.

  • Q. How much does family health insurance cost per month?
    • The average cost of health insurance per family (4 members) comes up to Rs. 6000 to Rs. 8000 per month, and for an individual, it comes up to Rs. 2000 per month.

  • Q. What is the average cost of health insurance for a married couple?
    • The average cost of health insurance for a married couple stands at around Rs. 8,000 per year.

  • Q. Why is health insurance plan for family so expensive?
    • Since it covers more than one person and every family member has different requirements in terms of health and age, family health insurance is more expensive than regular health insurance.

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