Royal Sundaram Health Insurance

Formerly known as Royal Sundaram Alliance Insurance Company Limited, Royal Sundaram General Insurance Co. Limited is India’s first private sector general insurance company. It was licensed by the Insurance Regulatory and Development Authority of India (IRDAI) in 2000 and has been providing innovative general insurance solutions since then. The company offers customised insurance solutions for health, motor, travel, and personal accident to individual customers and specialised insurance products such as fire, liability, engineering, marine, and business interruption risks to commercial customers. With more than 2,000 employees in 150 branches across India, Royal Sundaram has a huge customer base of more than 4.5 million customers across the country.

Royal Sundaram General Insurance has reached some significant milestones in the field of health insurance. It is the first health insurer to pioneer the notion of cashless claim settlement. In addition, the company claims to be the first private insurer to offer novel health products such as hospital cash.Health insurance plans offered by Royal Sundaram General Insurance cover individuals and families against medical expenses in case of an emergency. The insurer offers its specially designed health insurance products to different sections of the society at affordable health insurance premiums.

Health insurance premium is the amount that you as an insured are required to pay to the insurance company or a broker like InsuranceDekho to avail benefits under a health insurance policy. You are required to pay a health insurance premium on a regular basis depending on the policy term chosen. It can be 1 year, 2 years, or 3 years in Royal Sundaram Health Insurance plans. But different Royal Sundaram Health Insurance plans have different premiums. There are several factors that determine the premium you are required to pay for the policy you wish to buy. Read them below:

• Age: Age is an important factor that affects the health insurance premium you are required to pay under your Royal Sundaram Health Insurance plan. The younger you are, the lesser premium you will be required to pay and vice versa. This is because when you are young, you are less likely to make health insurance claims thereby, creating lesser liability on the insurer.
• Sum Insured Chosen: The bigger the sum insured, the more the health insurance premium you'll have to pay under your plan. This is because a large sum insured assures more coverage and increases the insurer's obligation. Royal Sundaram Health Insurance plans provide you with a variety of sum insured alternatives from which to choose based on your needs.
  
• Pre-Existing Illness: You will be asked to produce your medical records when acquiring health insurance so that the insurer can identify if you have any pre-existing conditions.The insurer will then decide to cover you or not, on the basis of the severity of the illness. If it decides to cover you, then you will be required to pay a higher health insurance premium as you will be more likely to make claim(s) under your policy.
• Injurious Substances: You will be required to pay a higher premium for your Royal Sundaram Health Insurance plan if you have a habit of chewing tobacco, smoking, or drinking alcohol. This is because these habits are harmful to your health and you become more vulnerable to illnesses due to them.
• Body Mass Index (BMI): High Body Mass Index may lead to several illnesses including heart diseases, diabetes, joint problems, etc which might be the reason for hospitalisation. Therefore, you will be required to pay a higher premium if you have a higher BMI than others.

Royal Sundaram Health Insurance plans cover you and your family against several healthcare expenses. Listed below are top health insurance plans offered by Royal Sundaram Health Insurance:

1. Royal Sundaram Lifeline Health Insurance Policy: The Royal Sundaram Lifeline Policy is an indemnity health insurance policy that is available as a floater for individuals and families. If you are over the age of 18, you can purchase this policy for yourself, your spouse, and your children. Under this policy, there are no restrictions on the maximum age for admission. The policy is available in three variants: Classic, Supreme, and Elite, with sums covered ranging from Rs. 2 lakh to Rs. 1.5 crore.The policy offers you unparalleled benefits. It covers you against domiciliary hospitalisation expenses, AYUSH treatment expenses, expenses related to vaccination in case of an animal bite, wellness benefits, in-patient hospitalisation expenses, and pre-hospitalisation and post-hospitalisation expenses.

2. Royal Sundaram Family Plus Health Insurance Policy: Royal Sundaram Family Plus Policy is a unique health insurance plan that offers comprehensive coverage against healthcare expenses to you and your family. Especially designed for large families, the policy can cover up to 19 relationships at an affordable premium. Individual sum insured policies and common floater sum insured policies are available, with sum insured amounts ranging from Rs. 2 lakh to Rs. 50 lakh. If you are at least 18 years old, you can purchase the policy.The policy has no restriction on maximum entry age. It covers maternity expenses, in-patient hospitalisation expenses, pre-hospitalisation and post-hospitalisation expenses, daycare expenses, AYUSH treatment expenses, domiciliary hospitalisation expenses, etc.

3. Royal Sundaram Arogya Sanjeevani Health Insurance Policy: Another reasonable health insurance plan is the Royal Sundaram Arogya Sanjeevani Policy, which protects you and your family from basic hospitalisation costs in the event of an illness, sickness, disease, or accident. If you are between the ages of 91 days and 65 years, you can be covered under this policy for a variety of benefits, including in-patient hospitalisation expenses, pre-hospitalisation and post-hospitalisation expenses, daycare procedures, AYUSH treatment, road ambulance cover, organ donor expenses, and so on.Sum insured options under this policy range between Rs. 1 lakh and Rs. 5 lakh. The policy is available for a term for 1 year and you can pay for it on a monthly, quarterly, half-yearly, or annual basis.

A top-up plan is a regular health insurance policy that covers you against healthcare expenses over and above the sum insured limit of your existing health insurance plan. Top-up plans come with a deductible. A deductible is that portion of the claim amount that the insurer does not bear. It has to be paid by you to be able to enjoy the policy benefits. Due to the deductible feature, top-up health insurance plans are more affordable than regular health insurance plans to increase the sum insured. All in all, top-up health insurance plans offer you additional coverage and protect you against medical expenses that your basic health insurance plan does not cover.

On a yearly aggregate basis, Royal Sundaram Health Insurance offers the option of a top-up plan. The perk is provided under the Lifeline Health Insurance policy's Classic and Supreme variations. Amount insured options for the Classic variant are Rs. 2 lakh, Rs. 3 lakh, and Rs. 4 lakh, whereas sum insured options for the Supreme variant are Rs. 5 lakh, Rs. 10 lakh, Rs. 15 lakh, Rs. 20 lakh, and Rs. 50 lakh.The deductible options available under both the variants are of Rs. 1 lakh, Rs. 2 lakh, Rs. 3 lakh, Rs. 4 lakh, Rs. 5 lakh, and Rs. 10 lakh. Other benefits that the policy offers include cover for vaccination in case of animal bite, health and wellness benefits, maternity benefits, etc.

Royal Sundaram Health Insurance is a preferred choice for many customers because of the following reasons:

• Cashless Hospitalisation at Over 5,000 Network Hospitals: Royal Sundaram Health Insurance has a strong network of more than 5,000 hospitals where you, as an insured, can avail cashless treatment without paying anything from your own pocket.
• High Claim Settlement Ratio: Royal Sundaram General Insurance has a Claim Settlement Ratio (CSR) of 81.50% for the financial year 2019-2020.
• ISO Certified Claims Process: Royal Sundaram General Insurance has an exceptional claim settlement process that has earned it the reputed ISO certification. The insurer offers a seamless claim settlement process that is quick and hassle-free and keeps the customers at ease.
• Around 20 Years of Experience in the Insurance Sector: Royal Sundaram General Insurance has experience of around 20 years in the insurance sector that has helped it grow swiftly and offer reliable insurance solutions to the customers.

A network hospital is a hospital that your insurance company has a tie-up with. As a patient, you can receive cashless treatment at a Royal Sundaram Health Insurance network hospital, with the insurance company covering all costs. The insurer offers over 5,000 network facilities across India where you can receive treatment and would only be responsible for the charges that are not covered by your insurance.

The premiums paid under Royal Sundaram Health Insurance plans can be deducted from your income tax. Every year, you can take advantage of tax savings under Section 80D of the Income Tax Act of 1961.This way a health insurance plan reduces your annual income tax liability depending on the premium paid for a health insurance policy. To understand the tax deductions better, refer to the table below:

Claim Settlement Ratio or CSR is referred to as the percentage of health insurance claims settled by an insurer against the total number of claims received during a financial year. It is an important element for any health insurance company. Every year the Insurance Brokers Association of India (IBAI) provides data related to Claim Settlement Ratio of health insurance companies in its handbook. To see the Claim Settlement Ratio of Royal Sundaram Health Insurance, refer to the table below:

(Source: IBAI’s General Insurance Claim Insights Handbook For Policyholders - 4th & 5th Edition)

Royal Sundaram General Insurance Claim Process

Royal Sundaram Health Insurance offers a seamless claim settlement process that does not take much of your time. It allows you to make claims in two ways viz., cashless claim and reimbursement claim.

How To Make A Royal Sundaram Health Insurance Cashless Claim?

You can make a cashless claim under your Royal Sundaram Health Insurance plan by following the steps given below

Step 1: Get Hospitalised at Network Hospital and Inform Insurer
Get hospitalised at a network hospital at your convenience. Show your Health Card and a valid photo ID at the hospital. Inform Royal Sundaram General Insurance Company on the toll-free number 1860-425-0000. Note that you are required to notify the insurer at least 48 hours prior in case of planned hospitalisation and within 48 hours of hospitalisation in case of emergency hospitalisation.

Step 2: Fill Pre-Authorization Form
Ask for the pre-authorization form at the hospital. Fill it and submit it to the insurer along with other relevant details such as the name of the patient, hospital details, date of hospitalisation, expected discharge, etc.

Step 3: Document Verification
Your documents will be verified before processing the claim.

Step 4: Claim Settlement
The claim will be settled by Royal Sundaram Health Insurance company if it is in accordance with the terms and conditions of your health insurance policy.

How To Make A Royal Sundaram Health Reimbursement Claim?

You can make reimbursement claim under your Royal Sundaram Health Insurance plan by following the steps given below:

Step 1: Get Hospitalised at a Non-Network Hospital
Get Hospitalised at a non-network hospital as per your convenience and avail of the required treatment.
Note that you are required to notify the insurer at least 48 hours prior in case of planned hospitalisation and within 48 hours of hospitalisation in case of emergency hospitalisation.

Step 2: Pay Bills at the Hospital
Settle the bills for the treatment taken at the hospital.

Step 3: Collect the Relevant Documents
Collect relevant documents related to your treatment from the hospital.

Documents Required for Reimbursement Claim Settlement

• Following are the documents you are required to submit for reimbursement claim settlement:
• Duly filled claim request form with doctor’s signature
• Prescriptions
• Medical bills
• Test reports (x-ray, CT scan, etc.)
• Final receipts of advanced tests

Step 4: Claim Settlement
Royal Sundaram health insurance company will reimburse you the money spent on treatment except for consumable and non-medical expenses.

Royal Sundaram Health Insurance plans are flexible and affordable and come with different sum insured options. Some common benefits that Royal Sundaram Health Insurance plans offer you are listed below:

• No Restriction on Maximum Entry Age: Royal Sundaram Health insurance plans do not have any limit on maximum entry age. This means you can purchase Royal Sundaram Health Insurance plans during any stage in life without any hassle.
• Portability Benefit: Portability is a feature of Royal Sundaram Health Insurance plans. This implies that if you are unhappy with your current health insurance coverage, you can move to the Royal Sundaram Health Insurance plan without losing your benefits.
  
• 100% Reload of Sum Insured at No Extra Cost: Royal Sundaram Health Insurance plans offer you a benefit of 100% reload of the sum insured without charging anything extra from you. This benefit can be availed when you have exhausted the sum insured under your policy due to claims made during a policy term.
• Lifetime Renewability: Royal Sundaram Health Insurance plans are renewable for a lifetime. This means you can continue to avail benefits under your policy throughout your life provided you pay the renewal premium timely.
• Preventive Healthcare And Wellness: Royal Sundaram Health Insurance plans cover you against expenses related to healthcare and wellness related services that help you assess your overall well being. These include doctor on email chat, annual health check-ups, health-related articles on your registered email id, etc.

Royal Sundaram Health Insurance plans offer you wide coverage. Read below about the healthcare expenses that the plans protect you from.

• In-Patient Hospitalisation Expenses: In-patient hospitalisation is when the patient is hospitalised for at least 24 hours. Royal Sundaram Health Insurance plans cover you against expenses related to in-patient hospitalisation expenses. These include room rent, ICU charges, nursing charges, doctor’s fee, anaesthesia charges, blood and oxygen charges, operation theatre charges.
• Pre-Hospitalisation And Post-Hospitalisation Expenses: Pre-hospitalisation and post-hospitalisation expenses are those which are incurred by the insured before and after getting hospitalised. These expenses include medical tests, medicines, vaccinations, and doctor’s or medical practitioner’s fee. Royal Sundaram Health Insurance plans cover you against such expenses.
• Daycare Procedures: Daycare procedures are those treatments which require hospitalisation of less than 24 hours under local or general anaesthesia in a daycare center or a hospital. For example, chemotherapy, radiology, cataract, angiography, tonsillitis, and dialysis. Royal Sundaram Health Insurance plans cover you against such expenses.
• Ambulance Charges: The road ambulance services required to transport the insured as a patient to the nearest hospital are covered by Royal Sundaram Health Insurance plans. The ambulance is equipped with the medical equipment that the patient may require while traveling.
  
• Domiciliary Hospitalisation Expenses: Domiciliary hospitalisation is a situation where the insured, as a patient, is treated at home which otherwise would require hospitalisation. Royal Sundaram Health Insurance plans cover you against such expenses if the treatment is taken for at least 3 days.

What All Is Not Covered Under Royal Sundaram Health Insurance Plans?

Royal Sundaram Health Insurance plans do not cover you against the following expenses:

• Pre-Existing Diseases up to Waiting Period: Pre-existing diseases are those medical conditions that the insured was already suffering from at the time of buying a health insurance policy. Royal Sundaram Health Insurance plans do not cover you against pre-existing diseases until the waiting period for the same is completed.
• Injuries Incurred Due to Involvement in Adventurous Sports: Royal Sundaram Health Insurance plans do not cover you against any illness, sickness, disease incurred due to participation in any hazardous or adventurous sport.
• Injuries Resulting From Suicide Attempt: Royal Sundaram Health insurance plans do not cover you against any injury arising due to attempt self-harm like suicide.
• Injuries Due to War: Royal Sundaram Health Insurance plans do not cover you against any injury arising due to war or act of war.
• HIV/AIDS: Under Royal Sundaram Health Insurance plans, you are not covered for any expenses incurred directly or indirectly due to HIV or AIDS.

Note that the inclusions and exclusions vary with different Royal Sundaram Health Insurance plans.

Royal Sundaram Health Insurance plans are offered with the following terms:

Note that terms vary with different Royal Sundaram Health Insurance plans.

At InsuranceDekho, you can purchase Royal Sundaram Health Insurance plan in online as well as offline mode.

Buy Royal Sundaram Health Insurance Plan Online At InsuranceDekho

You can purchase Royal Sundaram Health Insurance plan online at InsuranceDekho by following the steps given below:

Step 1: Visit insurancedekho.com. Click on the ‘health’ tab.
Step 2: Select your Gender. Enter the required personal details (Name and Mobile Number). We will send a One Time Password on your mobile number. Please enter that.
Step 3: Tell us ‘When do you want to buy the policy’ by choosing one of the options from the drop-down menu. Click on the ‘View Quotes’ button.
Step 4: Select your family members whom you want to include in your policy. Click on the ‘Continue’ button.
Step 5: Select the age of the family members.
Step 6: Enter your Email ID and City. Click on the ‘Submit and View Quotes’ button. You will see the most suitable health insurance quotes on your screen. Shortlist the one you wish to buy.
Step 7: Select the policy term for the chosen health insurance policy. Fill in the required details. Pay health insurance premium online.

Buy Royal Sundaram Health Insurance Plan Offline At InsuranceDekho

You can purchase Royal Sundaram Health Insurance plan offline at InsuranceDekho by getting in touch with the customer care executives on the toll-free number 7551-196-989. You can connect with us any day between 9:30AM to 6:30 PM. You can also write to us at customersupport@insurancedekho.com in case of any query or support required.

Royal Sundaram Health Insurance coverage can be renewed in a matter of minutes with no paperwork required. When you renew your health insurance plan, you can take advantage of accrued benefits like the No Claim Bonus (NCB) or waiting period benefits.To renew your Royal Sundaram Health Insurance policy, follow the steps given below:

Step 1: Visit the official website of Royal Sundaram Health Insurance and click on ‘Insta Renew’.
Step 2: Enter your Policy Number and Expiry Date. Click on the ‘Submit’ button.
Step 3: View your policy details and premium.
Step 4: Pay health insurance premium for your Royal Sundaram Health Insurance policy online.