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icon Health Insurance icon United India Insurance Health Insurance Plans icon Family Medicare Policy
  • About The Company
  • Plan Overview
  • Features
  • Coverage
  • Waiting Period
  • Benefits
  • Claim Procedure
  • Conclusion

United India Health Insurance Family Medicare Policy

United India Health Insurance has been a trusted name for offering affordable and practical health insurance policies. With a long list of health plans, the company ensures that people from different economic backgrounds can avail of good quality healthcare treatments.

About the Company

Here is a quick introduction to United India Health Insurance Company

  • The United India Insurance Company was founded in 1938 with a merger of many eminent companies
  • The company is owned wholly by the Indian government and functions under the Ministry of Finance
  • With a workforce of over 10,000, United India has 1983 offices spread around the country
  • In its 84 years of service, the company has formed a family of 1.74 crores.

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Reliance General Insurer
Amount Covered: ₹ 1 Lakh
Deal Price: ₹ 2,094 / Year
Waiting period: 4 yrs
5 Lakh Health Insurance Cover 10 Lakh Health Insurance Cover 20 Lakh Health Insurance Cover 1 Cr Health Insurance Cover

United India Health Insurance Family Medicare Policy - Overview

If you are looking for a pocket-friendly health insurance plan that offers you and your immediate family comprehensive coverage, then the Family Medicare Policy by United India Health Insurance is a great option to consider. Available as an individual as well as family floater plan, you can choose the policy type that best suits your requirements.

In the individual plan option, the sum insured is for an individual only, whereas when you go for the family floater type, the sum insured that has been chosen is on a sharing basis. All the members in a floater option are covered under a single sum insured. The plan offers a wide range of sum insured options ranging from INR 3 lakhs to INR 25 lakhs, giving you the freedom to choose a plan that fits well within your budget.

Features of United India Health Insurance Family Medicare Policy

Take a look at the table given below and understand the highlighting features of the Family Medicare Policy:

Entry Age
Adults - 18 years to 65 years & Children - 91 days to 26 years (who unmarried or unemployed and financially dependent on the parent)
Mid-Term Inclusion
Newly married partner with 2 months of the wedding & New baby (in the age group of 91 days to 180 days) born to the insured mother
Policy Type
Individual Coverage/ Family Floater Coverage
Family Coverage
The plan can cover the policyholder, spouse and 2 dependent children.
Sum Insured
INR 3 lakhs, 4 lakhs, 5 lakhs, 6 lakhs, 7 lakhs, 8 lakhs, 9 lakhs, 10 lakhs, 15 lakhs, 20 lakhs and 25 lakhs
Policy Tenure
1 year, with the option of annual renewability
Policy Renewability
Lifetime
Grace Period
30 days
Free look Period
15 days
Co-Payment
Individuals with entry age above 60 years will have a co-payment of 10% of the admissible claim

Coverage Under United India Health Insurance Family Medicare Policy

Your health insurance plan covers you for the medical expenses that are incurred on the written prescription of a recognised medical practitioner. These expenses need to be medically required. Under the United India Family Medicare Policy, depending on the sum insured that you opt for, you can get the following benefits:

  • In-hospital expenses incurred during the policy period are covered within specified limits. These include:

    • Boarding, nursing, room charges
    • OT, ICU and ICCU charges
    • Doctors’ fees
    • Blood, oxygen, anaesthesia etc.
  • Cataract surgery expense is covered up to 10% of the sum insured or INR 50,000 (whichever is less)

  • United India Family Medicare Policy also covers mental illness
  • The policy covers all day care treatments
  • Pre, and post-hospitalsation expenses are covered for 30 to 60 days respectively to a maximum of 10% of the sum insured
  • AYUSH treatments are covered
  • Road ambulance charges are covered up to INR 5,000

  • Optional Covers

    • You have the option to restore the sum insured up to 100% of the base sum insured
    • Maternity expenses up to 2 deliveries can be opted for, when the policy has been active for a minimum of 24 months. The newborn baby will be covered for up to 90 days
    • Under daily cash allowance, for every 24 hours that the insured member is hospitalised, a specific among is payable, subject to the sum insured chosen.
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Waiting period and Exclusions Under the United India Health Insurance Family Medicare Policy

Every health insurance plan comes with waiting periods that are to be served. A break in the policy can do away with this time, and you may lose out on time already served. Also, there is a set of exclusions. Exclusions are the situations that are not covered under the United India Family Medicare Policy. Let us take a look:

Waiting Period

  • Accidental claims are covered in the United India Family Medicare Policy from day 1 of the policy
  • No claim can be made for an illness-related hospitalisation in the first 30 days of policy inception
  • There are some specified illnesses and treatments that have a waiting period of 24 months
  • Pre-existing diseases and their direct complications are covered after serving a waiting period of 48 months.

Exclusions

Illness caused or treatments required due to the following reasons are excluded from the policy:

  • Injuries attributable to war/. Act of foreign hostilities
  • Change of gender
  • Cosmetic and plastic surgery
  • Weight control treatment
  • Dental treatment
  • Routine eye check-ups
  • Cost of hearing aid
  • Circumcision
  • Self-inflicted injuries.

Benefits of United India Health Insurance Family Medicare Policy

The United India Family Medicare Policy comes with a long list of benefits for you and your family, let’s take a look at some of them:

Choose a sum insured that suits you:

  • There is a wide range of sum insured to choose from, that extends from INR 3 lakhs to INR 25 lakhs. You can choose one that would be enough for yourself and your family.

Enjoy tax benefits:

  • The premiums that you pay towards the health insurance plan are tax exempted under Section 80C of the Income Tax Act, 1961.

Many add-on benefits to enhance the coverage:

  • If you wish to further enhance the coverage, you can opt for add-ons such as Hospital Cash Allowance, Maternity and New Born Baby cover and Sum Restoration cover.

Affordable healthcare:

  • There has been an increase in the overall cost of treatments, making it difficult for the common man to afford good quality healthcare. A plan such as the Family Medicare Policy can be very helpful in getting the right treatment at the right time.

Cashless claims

  • At a network hospital, you can seek cashless treatment. The medical bills are paid directly by the authorised TPA, and you end up paying only for the uncovered expenses.

Claim Procedure

United India Health Insurance company is reliable and trustworthy when it comes to customers’ claim settlement. The claim settlement procedure of the company is managed by their TPA.

If you have to raise a claim, the first thing you need to do is to notify the company. In case of planned hospitalisation, the company/ TPA should be informed 3-4 days prior to admission to the hospital. In case of emergency hospitalisation, you must remember to notify the company/TPA within the first 24 hours of admission.

The kind of claim that can be made depends on the kind of hospital you take treatment in.

When you go to a network hospital, you can take advantage of cashless claims. In case you go to a non-network hospital, you would have to make the bill payment upfront and raise a claim thereafter.

Cashless Claim:

Take the following steps when making a cashless claim:

  • Inform the company about the hospitalisation, mention your Quote Card ID number
  • At the hospital, submit the pre-authorisation form
  • The TPA would process the claim
  • At the time of discharge, you would only have to pay for your share of the treatment, the TPA will settle the bill directly with the bank.

Reimbursement Claim:

In case you seek treatment at a non-network hospital, after notifying the company, get the treatment done and pay the bills at the time of discharge. Collect all the treatment-related paperwork from the hospital and submit them to the company/ TPA. Once the documents are verified, your expenses will be reimbursed.

While cashless claims hardly require any documents, at the time of reimbursement claim, the following documents would be required:

  • Filled and signed claim form
  • Medical report for recent hospitalisation
  • Discharge summary
  • All payment receipts
  • Any other document asked by the company.

Conclusion

A medical emergency can strike anywhere and anytime. Getting caught off guard in a medical emergency can eat up all your savings. Investing in a suitable health insurance plan is, therefore, crucial for all your financial plans. United India Health Insurance Family Medicare Policy is a great option to consider for the safety and well-being of yourself and your loved ones.

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