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Guide for Right Family Floater Health Insurance Plan

Updated On Sep 22, 2023

Securing the well-being of our loved ones has become a clear priority in today's world of rapid change and rising medical costs. Many of us have the same urgent issue as the necessity for healthcare insurance becomes more and more obvious: What kind of health insurance is best for my family? How can I be sure I'm making the proper decision?

Introducing the idea of a family floater health insurance plan, an amazing option that guarantees to protect your complete family's health under a single comprehensive policy. This brilliant choice enables you to effectively manage your coverage by dividing the total sum insured among all family members who are covered by the plan. Typically, a family floater plan covers your spouse and up to three children under a certain age, and in some cases, even your parents.

What is a Family Floater Health Insurance Plan? 

A family floater plan in health insurance is a valuable tool that offers extensive coverage for your entire family under a single policy. Unlike individual plans, a family floater plan consolidates the sum insured, ensuring that all family members included in the policy can avail themselves of the shared coverage. Typically, these plans encompass individuals, spouses, and children, with some policies even extending coverage to parents, parents-in-law, and siblings.

Guide to choose the right insurance plan

In essence, a family floater plan acts as an umbrella cover, encompassing every member of your family under one comprehensive shield. Each family member is entitled to benefits from a larger common pool, enhancing the collective security and well-being of your loved ones.

These plans typically cover a wide range of medical expenses, including hospitalisation costs, pre and post-hospitalisation expenses, day-care procedures, and ambulance charges. Depending on the policy terms and conditions, certain plans may also offer coverage for maternity expenses, newborn care, and pre-existing medical conditions.

One of the notable advantages of a family floater health insurance plan is its affordability. The premium for such policies is often lower than the combined premiums of individual health insurance policies for each family member, making it a cost-effective choice for families seeking comprehensive coverage under a single policy.

How to Choose the Right Family Floater Plan?

Choosing the right family floater health insurance plan is a crucial decision that requires careful consideration of various factors. To ensure that you make an informed choice and provide adequate coverage for your loved ones, here are some important factors to keep in mind:

  • Assess Your Requirements

Before diving into the selection process, take the time to assess your family's specific healthcare needs. Determine the number of family members you plan to include under the policy and consider any unique health conditions or pre-existing diseases that require coverage. If you have elderly parents or parents-in-law, it may be wise to consider a separate policy for them, as their healthcare needs may differ.

  • Policy Inclusions

Thoroughly review the policy inclusions to ensure they align with your family's healthcare requirements. Look for essential benefits such as coverage for in-patient hospitalisation, pre- and post-hospitalisation expenses, day-care treatments, ambulance charges, room rent, ICU charges, and annual health check-ups. Understanding the policy inclusions will help clarify any doubts regarding claim-related queries and enable you to make an informed decision.

  • Determine the Sum Insured

When selecting the sum insured, keep in mind that it will be shared among all the family members. Choose a sum insured that provides adequate coverage for the entire family and consider the possibility of multiple hospitalisations simultaneously. While opting for a higher sum insured may increase the premium, you can explore the option of purchasing a top-up health insurance policy to enhance the sum insured at an affordable premium.

  • Explore Add-on Covers

Add-on covers are optional benefits that can enhance your policy coverage. Evaluate the available add-ons, such as lump-sum payouts for cancer diagnosis, riders for waiting periods, personal accident cover, and daily hospital cash. Consider your family's medical history and health risks to determine which add-ons would be most beneficial. Remember to compare policies and choose one that offers flexible add-on covers that suit your specific requirements.

  • Consider the Claim Settlement Ratio

An important factor to consider is an insurance company's claim settlement ratio. Out of all claims filed, it shows what proportion of claims the company has resolved. Choose an insurer with a high claim settlement ratio because it shows that the company is reliable and efficient at handling and resolving claims. To ensure a simple and hassle-free experience when filing a claim, you should also become familiar with the company's claim settlement procedure.

  • Miscellaneous Benefits

Be aware of additional policy benefits like cumulative or no-claims discounts, automatic reinstatement of the insured amount, recharge benefits, yearly health exams, and online premium savings. Understanding and assessing these extra features' significance for your family's healthcare requirements is crucial because they may be useful in the future.

  • Seek Professional Guidance and Compare Policies

In order to successfully navigate the best family floater plans, it can be extremely helpful to speak with insurance specialists and make use of online comparison tools. Insurance professionals can offer personalised guidance based on your unique needs, and comparison tools let you weigh the pros and cons of various policies, benefits, and premiums before making a choice.

Why should you choose a good family floater plan?

When it comes to protecting the health of your loved ones, a family floater plan emerges as an excellent choice with a multitude of advantages over individual health insurance policies. Let's explore some compelling reasons why opting for a good family floater plan is a smart decision:

  • Easier Management

The convenience of managing a single policy for your entire family is one of the greatest advantages of a family floater health insurance plan. With a comprehensive family policy, you can cover not only your immediate family members but also extended family and even in-laws under one umbrella of coverage, eliminating the need for multiple policies and reducing administrative complexities.

  • Cost-effectiveness

Family floater plans offer significant cost savings compared to individual health insurance policies. These plans typically provide a larger sum insured at a comparatively lower premium. This affordability factor makes family floater plans an attractive option, especially for larger families, as the premium is based on the age of the eldest member.

  • Higher Sum Insured

Family floater plans are designed to provide a higher sum insured to cover the entire family. This ensures that if multiple family members require medical attention simultaneously, there will be no shortage of funds. The higher sum insured is one of the most beneficial aspects of family health insurance plans, providing comprehensive coverage and peace of mind.

  • Restored Sum Insured

Some insurers offer the benefit of restoring the sum insured in case it gets exhausted during the treatment of a family member. This means that even if a family member has utilised the entire sum insured, the policy will be reinstated to its original amount, providing continued coverage for other family members.

  • Tax Benefits

Opting for a family floater plan also offers tax benefits under Section 80D of the Income Tax Act. You can avail of deductions of up to Rs. 75,000 on your annual income if you include senior citizen parents or in-laws in your family health insurance plan. These tax benefits serve as an added advantage, allowing you to save money while safeguarding your family's health.

Conclusion

When it comes to safeguarding your family's health, the right family floater plan is your superhero! By understanding your family's needs, exploring policy perks, and choosing the perfect sum insured, you'll unlock a world of comprehensive coverage. With the convenience of managing a single policy, cost-effectiveness, higher sum insured for all, coverage restoration, and even tax benefits, a family floater plan is the ultimate champion. So, gear up, prioritise your loved one's well-being, and make a heroic choice for their health and financial security. Your family's health deserves nothing less!

FAQs

Q1: Can I include my elderly parents or parents-in-law in a family floater plan? 

A1: Yes, some family floater plans offer coverage for parents and parents-in-law. However, it's important to check the policy terms and conditions as eligibility criteria and coverage may vary among insurers.

Q2: What happens if the sum insured is exhausted due to the treatment of one family member? 

A2: Some insurers offer the benefit of restoring the sum insured if it gets exhausted during the treatment of a family member. This means that the policy will be reinstated to its original amount, providing continued coverage for other family members.

Q3: Are pre-existing medical conditions covered under a family floater plan? 

A3: Some family floater plans may cover pre-existing medical conditions after a waiting period. It's essential to carefully review the policy terms and conditions to understand the coverage for pre-existing conditions and any associated waiting periods.

Q4: Can I enhance the sum insured of a family floater plan? 

A4: Yes, you can enhance the sum insured of a family floater plan by purchasing a top-up health insurance policy. A top-up policy provides additional coverage once the sum insured of the base family floater plan is exhausted.

Q5: How do I compare different family floater plans to make an informed decision? 

A5: To compare family floater plans, you can utilise online comparison tools that allow you to evaluate policy features, premiums, add-on covers, and other benefits side by side. Additionally, consulting insurance specialists can provide personalised guidance based on your family's specific requirements.

Also Read: 

Family Health Policy Covers 5 Generations

Disclaimer

This article is issued in the general public interest and meant for general information purposes only. Readers are advised not to rely on the contents of the article as conclusive in nature and should research further or consult an expert in this regard.

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