Family Health Insurance Plan is one of many types of Medical Insurance Policies in India. It is a unique health insurance plan that covers all members under a single health policy.
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Family Health Insurance Plan is a health insurance policy that caters to the needs of the entire family. This means you can cover your loved ones under one plan. Such a plan offers insurance coverage for hospitalisation, preventive health check-ups, etc. Covering your family with this plan can lend peace of mind, as you can rest assured that major healthcare costs shall be taken care of in the case of unfortunate incidents.
Family Health Insurance Statistics in India by State. Delving into the 2019-20 reports, reveals a concerning truth—less than 40% of families in 11 states possess the vital safeguard of health insurance coverage. Explore the nuanced distribution and implications of family health insurance across the diverse landscape of Indian states.
The National Family Health Survey-5 (2019-20) data reveals some concerning statistics. In Jammu and Kashmir, only 12.7% of households have at least one member covered by general insurance. Similarly, Bihar and Manipur lag behind, with percentages of 14.5% and 14.2%, respectively.
Maharashtra shows slightly better figures at 20%, while Nagaland records 20.5%.
States like Sikkim (25.7%), Karnataka (28.1%), and West Bengal (29.3%) are still below the ideal coverage rates.
Tripura (33%), Himachal Pradesh (34.5%), and Gujarat (39%) make modest progress.
Mizoram (46.4%) and Kerala (51.5%) fare better but have room for improvement.
Assam (60%), Telangana (60.8%), Meghalaya (63.5%), and Goa (66%) exhibit encouraging growth.
However, amidst these figures, it's crucial to underscore the importance of health insurance for your family's well-being. As Andhra Pradesh takes the lead with an impressive 70.2% coverage, it's evident that securing your family's health should be a top priority. Don't leave their health to chance; consider investing in a ACKO family health insurance plan today.
ACKO offers three types of Family Health Insurance plans — ACKO Platinum Plan, ACKO Standard Health Plan, and ACKO Platinum Super Top-up Plan. You can get coverage for yourself, spouse, parents, parents-in-law, and your children under one plan resulting in comprehensive coverage for your entire family. The starting price for this plan is approximately INR 150/month*.
Key Features of ACKO's Family Health Insurance Plan are listed in the table given below.
Features | Specifications |
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Premium Starts at | Rs. 20/day depending upon the number of members insured and the type of health plan selected. |
Cashless claim settlement | Available in 14,300 network hospitals across India |
Family coverage | Health insurance coverage for up to 10 members including self, spouse, up to 4 dependent children, parents, and parents-in-law. |
Expenses coverage | Available. We pay 100% of the claim amount for approved claims. Including coverage for non-medical expenses. |
Ambulance charges per year | Up to the sum insured of the plan |
Tax benefit | Up to Rs. 75,000 as per eligibility |
Cashless claim process | Convenient and hassle-free through the ACKO app |
Daycare procedure | Covered |
Cumulative bonus | Available |
Explore the Benefits & Advantages of choosing ACKO's Platinum Family Health Insurance Plan: A Comprehensive Breakdown for Informed Decision-Making
You can avail cashless treatment at over 14300 network hospitals with an industry-leading average processing time of 60 minutes. Thus, you do not have to pay any upfront costs for hospitalisation. It can also help you save time, as you do not have to go through the hassle of filing paperwork or making payments.
In our health insurance plans for family, you can file reimbursement claims for procedures performed at any hospital that is registered with the government. You can raise a claim via the ACKO app; we process claims within an average of 5 days.
You can file a claim for medical expenses immediately after you purchase the policy. There is no waiting period for filing claims under this policy. This policy covers medical expenses from the first day of coverage. Other insurers may have a waiting period of 30 days or more before you can file a claim. Also, this policy has a zero-waiting period for specific illnesses as well, so you can file a claim for medical expenses related to these illnesses immediately after the policy is issued. (Note: This feature is subject to availability and eligibility.)
As per the Section 80D of the Income Tax Act you can claim a deduction of up to INR 75,000 for medical expenses incurred. Note that the deduction limit is subject to changes.
Here are compelling reasons why you should buy health insurance plans for family.
Having adequate family medical insurance is essential to avoid financial hardship during a medical emergency. Such emergencies can be physically and emotionally challenging, and the added financial burden can make it even more difficult to cope.
Having a reliable family health insurance plan is especially important for people with chronic illnesses or pre-existing medical conditions. The cost of treating these types of catastrophic conditions can often be more than what an individual can afford to pay out of pocket, leading to significant debt.
Health insurance helps people gain access to timely medical care. It can help you pay for expenses related to preventive care, such as annual check-ups and vaccinations. This can help you and your family members stay healthy and avoid more expensive medical problems down the road.
A wide-ranging plan can help you pay for doctor's visits, both for routine care and for more serious medical problems. It can help you pay for hospital stays, including the cost of the room, meals, medications and diagnostic tests.
Without a family health insurance plan, you may have to take out loans, mortgage your home, or sell your assets to pay for medical bills. With health insurance plans for family, you can avoid falling into debt and focus on your health and recovery. A comprehensive plan can help you avoid these financial burdens by covering the cost of medical expenses, including hospitalisation, surgery, etc.
If you are the sole breadwinner of your family and your elderly parents are dependent on you, it is important to invest in health insurance plans for family. This will ensure that you and your family members have access to quality medical care, even if you experience a financial setback.
It is easier to manage a single policy than multiple policies. Also, health insurance plans for family are often more affordable than individual health insurance plans. With a single policy that covers the entire family, you can save time and money. You will also avoid the hassle of having to purchase separate plans for each family member.
Here’s why you should opt for ACKO Platinum Health Plan (health insurance plans for family).
You don’t need to contribute money from your side when it comes to settling hospital bills. With zero copay, we take care of the bill so that you can focus on recovery.
Whether it is the common 30-days initial waiting period or the 1-2 years disease-specific waiting period, our Platinum Plan does not consider either: you get zero waiting period! (Note: This feature is subject to availability and eligibility.)
Often, the cost of consumables (such as doctor’s gloves) is not covered by health insurance. However, that’s not the case with our Platinum Health Plan. With us, you get 100% bill coverage.
With the ACKO Platinum Health Plan, you don’t need to pay extra for room upgrades. There’s no room rent limit for this plan.
What's Covered?
What's not covered?
ACKO’s health insurance plans for family offer the following coverages.
1. Hospitalisation coverages
Hospitalisations agreed upon by doctors are covered under this plan. The hospitalisation can be for an emergency, or it can be a pre-planned procedure as well.
Here’s a list of hospitalisation coverages of the ACKO Platinum Plan (health insurance plans for family). Please go through the applicable policy wordings for updated coverages.
ICU fees
Road ambulance charges
Pre-hospitalisation up to 60 days
Post-hospitalisation up to 120 days
Day-care treatment
Treatment at home
COVID-19 treatment
Vision damage due to accident
Dental treatment in case of accident
Organ donor expenses
Consumables
2. Non-hospitalisation coverages
Apart from the hospitalisation coverages, the ACKO Platinum Plan (health insurance plans for family) also covers several non-hospitalisation instances as well. Here’s a list. Please check the applicable policy wordings for updated coverages.
Annual health check-up
Tele-consultations
Consultations for second opinion
AYUSH treatments
Domestic evacuation
ACKO’s health insurance plans for family do not cover the following.
Maternity
Expenses related to maternity, such as childbirth are not covered. Miscarriages are also not covered unless they are due to an accident. Ectopic pregnancy is an exception, as it is covered.
Unrelated doctor visits
Unrelated doctor visits and second opinions during, prior, or after hospitalisation are not covered.
Worldwide hospitalisation
Worldwide hospitalisation is not covered under this plan. Hospitalisation in India is covered.
Here’s a list of things you need to be conscious of while going through the best health insurance plans for family. Note that this is a generic informational section and not specific to ACKO.
This is the maximum amount of money that the insurer will cover for the medical expenses of all the family members covered under the policy. You should choose a sum insured that is adequate to meet the potential medical expenses of your family. Here are some factors to consider when choosing a sum insured for your health insurance plans for family.
The medical expenses tend to increase with age. So, if your parents are also part of the family health insurance plan, you may need a higher sum insured.
If any of the family members have any pre-existing medical conditions, you may need to choose a higher sum insured to cover the cost of treatment for these conditions.
If the family members have a high-risk lifestyle, such as smoking or drinking, you may need to choose a higher sum insured to cover medical expenses that may arise due to these activities.
The sum insured should be affordable for the family. You should not choose a sum insured that is so high that it puts a financial strain on the family. However, it is always better to choose a higher sum insured than a lower sum insured regarding health insurance plans for family.
The premium amount will increase with the sum insured. In a family health plan, the premium also depends on the age of the eldest family member. If you choose to add on additional coverages, such as critical illness or accidental death and dismemberment, the premium will increase further.
Here is an example.
If the eldest family member in your floater plan is 50 years old, your yearly premium might be ₹15,000. If the eldest family member is 60 years old, your annual premium might increase to ₹20,000.
A wider network of hospitals is better as it gives you more options and makes it easier to get cashless treatment. Cashless treatment means that you do not have to pay the hospital upfront. Instead, your insurer will directly settle the bill with the hospital.
You do not have to worry about paying the hospital upfront, which can be a financial burden in case of a medical emergency. The process of getting cashless treatment is usually faster and more convenient than reimbursement. You should also consider the location of the hospitals in relation to your home or workplace.
Health insurance plans for family should cover both pre and post-hospitalisation expenses. This is because medical expenses can occur before and after hospitalisation, such as doctor's visits, diagnostic tests, and medications.
Here are some of the pre-hospitalisation expenses that may be covered by a health insurance plan.
Doctor's consultation fees
Diagnostic tests, such as blood tests, X-rays, and scans
Emergency room visits
Ambulance charges
Hospitalisation expenses, such as room rent, food, and medication
Here are some of the post-hospitalisation expenses that may be covered by health insurance plans for family.
Doctor's follow-up consultations
Medications
Physiotherapy
Rehabilitation
Home nursing care
Most health insurance plans only cover hospitalisations that last for more than 24 hours. However, there are some medical procedures that require only a few hours of hospitalisation, such as dialysis. These procedures are known as daycare procedures. It is important to check whether your health insurance plan covers daycare procedures. If it does not, you may have to pay for the procedure out of pocket.
Here are some of the daycare procedures that may be covered by a health insurance plan.
Dialysis
Minor surgeries, such as mole removal
Diagnostic procedures, such as colonoscopies or endoscopies
cataract surgery or knee arthroscopy
Ambulance expenses can be expensive, especially for emergency services. Some plans cover the cost of ambulance transportation, while others do not. It is important to check with your insurer to see if ambulance expenses are covered under your plan.
If ambulance expenses are covered under your plan, you may still have to pay a deductible or copayment. The amount of the deductible or copayment will vary depending on your plan. If you are not sure whether your health insurance plan covers ambulance expenses, you should contact your insurer to find out.
Here are some additional things to keep in mind when considering ambulance coverage.
Some plans only cover ground ambulances, while others also cover air ambulances.
Some plans only cover ambulance transportation within a certain radius of the insured's home, while others cover transportation anywhere in the country.
Some plans only cover ambulance rides that are deemed medically necessary, while others cover all ambulance rides.
Alternative therapies, such as Ayurveda and homoeopathy, are gaining popularity as people look for ways to complement traditional medical treatments. Some health insurance plans cover the costs associated with inpatient care for alternative treatments, while others do not. It is important to check with your insurer to see if alternative therapies are covered under your plan.
You should also check whether your plan covers the cost of alternative therapies that are not provided in a hospital setting. For example, some plans may cover the cost of homoeopathy consultations, but not the cost of acupuncture treatments.
Here are some additional things to keep in mind when considering alternative therapy coverage.
Some plans only cover certain types of alternative therapies, such as Ayurveda or homoeopathy.
Some plans only cover alternative therapies that are provided in a hospital setting, while others cover therapies that are provided in other settings, such as a clinic or a doctor's office.
Some plans only cover alternative therapies that are deemed medically necessary, while others cover all alternative therapies.
Policy exclusions can affect your out-of-pocket expenses. You can go through the exclusions mentioned in the plan’s policy wordings. If you have any doubts, get them clarified with the insurer’s customer care team before purchasing the policy.
The most important phase for a policyholder comes when they must raise a claim. Thus, the claim settlement process needs to be smooth and straightforward. For instance, you can raise a reimbursement claim via the ACKO app. If you want to raise a hospitalisation claim, you simply have to upload the relevant documents, such as the discharge summary and your claim application will be submitted.
Go through the online reviews to understand the insurer’s customer service. Speak to friends and family who have purchased the policy from the insurer before to understand how their experience was.
While buying health insurance, you might ponder over buying an individual health insurance plan or opting for a health insurance plan for family. Here’s a table that will help you make that decision.
Parameter | Individual Plan | Health insurance plan for family |
---|---|---|
Meaning | An individual health insurance plan is designed to protect one person from financial losses due to medical expenses. The plan typically covers a wide range of medical expenses, including doctor's visits, hospitalisation, etc. You should consider your individual needs and budget when making a decision. | A family health insurance plan is a type of health insurance that covers multiple members of a family under a single policy. This means that the premium is calculated based on the age of the oldest member of the family, and the coverage is extended to all other chosen family members, regardless of their age or health status. You should consider your family's individual needs and budget when making a decision. |
Scope | An individual health insurance policy only covers one person. So, if you want to have individual health insurance for each member of your family, you will need to buy separate policies for each person. | Health insurance plans for family cover a wider range of people than an individual health insurance policy. It can cover your spouse, your parents, and your dependent children under the same plan. This can be more cost-effective than purchasing separate health insurance plans for each family member. |
Sum insured sharing | The sum insured is the highest amount that the insurer will pay for the medical expenses of the insured person. It is only payable to the insured person and cannot be shared with anyone else. This is because an individual health insurance plan is designed to protect one person from financial losses due to medical expenses. The plan is not designed to cover the medical expenses of multiple people. | Under a family health insurance plan, the sum insured is shared by all the family members who are beneficiaries of the plan. This means that any of the beneficiaries can avail of the coverage under the plan, up to the ceiling of the sum insured. For example, if the sum insured is INR 10 lakhs, then the spouse can claim for INR 5 lakhs, you can claim for INR 2 lakhs and the insured child can claim for INR 3 lakhs. |
Key advantage | One of the biggest benefits of an individual health insurance plan for each member is that the coverage can be more extensive than a family health plan. This is because each individual has their own sum insured, which means that they can avail of a higher level of coverage if they need it. This is especially beneficial for senior parents, who may have more complex medical needs. For example, if a senior parent needs to undergo surgery, they may require a higher sum insured than a younger person. With an individual health insurance plan, they can get the coverage they need without having to share it with other family members. | The biggest benefit of a family health insurance plan is that the premium can be cost-effective. This is because the premium is calculated based on the age of the oldest family member, and the coverage is extended to all other family members. It will be costly if each family member has an individual health policy of their own. |
Ideal for | Individual health insurance plans can be a good option for families with senior citizens. Senior citizens are more inclined towards having chronic health conditions and may require more medical care than younger people. As a result, it is important to have a dedicated health insurance plan for them that can provide the coverage they need. | Family health insurance plans can be a good option for small families with members under the age of 60 years. This is because individuals under the age of 60 years are generally considered to be comparatively healthier and have a lower risk of health-related issues. |
Focus | In the case of an individual health insurance plan, focus more on the coverages. | In the case of a health insurance plan for family, focus on the sum insured. |
Follow the three simple steps mentioned below to choose the best health insurance plans for family in India in 2024.
It is important to understand your needs before searching for a health insurance policy that can cover them. You should be clear about the number of family members you want to include in the family health insurance policy. You also need to understand the medical history, lifestyle, and medical costs in your city to determine the sum insured.
Here are some specific things to consider when determining the sum insured for a family health insurance plan:
Number of family members: The more family members you are covering, the higher the sum insured you will need.
Age and health of the family members: Older family members and those with chronic health conditions will require a higher sum insured.
Medical costs in your area: The medical costs in your area will also affect the sum insured you need.
Your budget: You need to choose a sum insured that you can afford to pay the premiums for.
In today’s digital era, a single search for ‘family health insurance plans’ will give you a long list of results. You can select a suitable insurer from that list or opt for a known brand and check out their health insurance offerings. Also, you can reach out to your friends and family regarding their health insurance provider and then check out that insurer’s health insurance family plan.
Here are some specific steps you can take to find health insurance plans for family:
Do your research: Start by researching different insurers and their health insurance plans for family. Compare rates, coverage, etc.
Get quotes: Once you've narrowed down your choices, get quotes from different insurers. This will help you see which plan is the most affordable for your needs.
Read the fine print: Before you choose a plan, be sure to read the fine print. This will help you understand the terms and conditions of the policy.
Ask questions: If you have any questions, reach out to the insurer. They should be able to answer any questions you have about the plan.
Now that you have a good understanding of your health insurance needs and the options available to you, it is time to make an informed purchase decision. Compare the available options and choose the policy that best meets your needs in terms of coverage, premium, and services.
It is important to be realistic about your expectations. Not all of your requirements may be met by a single insurer. In this case, it is best to choose the insurer that meets most of your requirements. For example, a family health insurance plan should be cost-effective. Look for a policy that offers adequate coverage and services at a relatively lower premium. Ultimately, the decision of whether to compromise on features and services in exchange for a lower premium is up to you.
Here are some things to keep in mind when making your purchase decision.
Coverage: Make sure the policy covers prominent medical expenses as per your needs.
Premium: Compare the premiums of different policies to find the one that is most affordable for you.
Services: Consider the services that are offered by the insurer, such as doctor consultations, ambulance services, etc.
Customer service: Read reviews of the insurer to see what other customers have said about their experience.
Discover convenient and hassle-free healthcare access with our extensive network of 14,300+ cashless hospitals and healthcare providers nearby - click here
Here is the eligibility for buying health insurance at ACKO.
Categories | Specifications |
---|---|
Minimum Entry Age | 18 years |
Maximum Entry Age | 70 years |
Family Members Covered | Up to 10 members (self, spouse, up to 4 dependant children, parents, and parents-in-law) |
Digital-first insurers do not need a bunch of documents from you to buy health insurance plans for family. However, some documents are crucial.
There might be certain documents, such as medical reports that might be needed to calculate premium.
Identity-related documents, such as an Aadhaar Card might also be needed to ascertain authenticity and establish eligibility criteria.
If any other document is needed depending upon your application, you will be notified accordingly.
Follow these steps to insure your family with ACKO.
Visit www.acko.com and click on the health tab.
Click on check prices.
Click on Buy New Plan and follow the process.
To file a claim against ACKO Platinum Plan, follow these steps. Note that this is an overview, exact details can vary.
Cashless claim
Visit the hospital’s billing department and approach the TPA desk.
Display your health card from the ACKO app.
Fill the form shared by the TPA.
Receive confirmation from TPA about the process in a few hours.
Reimbursement claim
Open the ACKO app and raise a claim.
Submit the required documents.
Track the progress.
Receive applicable claim settlement in your registered bank account.
Cashless claims are a type of health insurance claims that help the policyholder to get instant treatment without worrying much about the hospital bills. Once the treatment is approved, the insurance company settles the bill directly with the hospital. Cashless claims offer financial assistance and ease during medical crises. Here are the details of how cashless family health insurance works.
Insurers tie up with hospitals and policyholders can receive cashless treatment.
Before treatment policyholders have to notify their insurer and the hospital. The insurer agrees on the treatment costs beforehand.
The insurer verifies the policy details and treatment needs then it provides an authorisation letter to the hospital.
Insured people are not required to pay at the time of services rendered. Hospitals send the bill directly to the insurer. In some cashless health insurance plans for family, the insured may have to pay around 10% of the hospital bill out-of-pocket.
Hospitals raise bills, which are then settled by the insurer in accordance with the policy terms.
Here are the features of ACKO Family health insurance plan (Platinum Health Plans)
SPECIFICATIONS | What do we offer? |
---|---|
Sum Insured | 1Crore, Unlimited Plans |
14300+ Pan India Network Hospitals | |
Add-ons | ✅ Non-medical expenses ✅ Room rent waiver ✅ Doctor on call |
Deductions on claims | Absolutely ZERO Deductions |
Middleman commission | None, we cater directly to you |
Pre-hospitalization Expenses | 60 days |
Post-hospitalization Expenses | 120 days |
Claim Settlement Ratio | 98%* (FY22-23) |
✅ | |
✅ | |
✅ | |
✅ |
Choose ACKO for hassle-free, comprehensive insurance that truly cares about your well-being. Get started today and experience the peace of mind you deserve.
Pre-existing diseases are medical conditions that you already have when you buy a health insurance policy. Insurers will generally look into your medical history to understand if you have any such pre-existing diseases when you apply for the policy. Then, the insurer might cover these conditions but may apply a waiting period.
The waiting period may differ from one insurance company to another. The time may also defer based on the type of plan you choose or the condition you or a family member suffers from. During this time, you must bear the cost of treatment for the condition where the waiting period is applicable. Other medical events like injuries from an accident or diseases diagnosed after purchasing the policy will be covered.
When selecting a health insurance plan, it is vital to be aware of the terms and conditions of pre-existing disease coverage. Some policies can have more extended waiting periods or may not cover certain pre-existing conditions. Hence, people should read through the policy documents and compare different health insurance plans to settle for a plan that offers coverage for their specific health needs.
Incurred Claim Ratio (ICR) and Claim Settlement Ratio (CSR) are the two main parameters that provide data on the effectiveness and reliability of an insurance company in the area of settling claims and doing so promptly.
The Incurred Claim Ratio (ICR) is the percentage of claims that a company incurs against the premium received over a given period. In other words, it measures the insurer's capacity to handle claims effectively without being confronted with huge losses. A smaller ICR denotes that the insurer is efficiently handling claims within the set premium, which is a positive factor for both the company and the policyholders.
The Claim Settlement Ratio (CSR) is the ratio of the number of claims settled by the insurance company to the total number of claims received by the company during the given period. This ratio is an indication of the insurer's readiness to fulfil its obligations towards the policyholders in a timely manner.
A higher CSR could be interpreted as the higher level of customer satisfaction and trust in the insurer’s ability to pay claims. On the contrary, a low CSR can increase the doubt among the policyholders about the insurer's credibility and expediency in settling the claims.
As a policyholder, it is necessary to consider both ICR and CSR factors when choosing an insurance provider for health care. A company that maintains a balance between these ratios is more likely to offer a better service and to ensure a seamless claim experience.
Network Hospitals are hospitals or healthcare facilities in your insurance company's network. Simply put, your insurer will have a tie-up with hospitals to allow timely treatment and a smooth claims experience. For policyholders, accessing healthcare services at network hospitals means access to cashless treatment. This eliminates the need for heavy out-of-pocket payments, as the insurance company settles the bills directly with the hospital.
Network hospitals are selected according to the criteria, such as the quality of care and the range of services provided. This ensures that people can get quick access to reliable medical care within their coverage.
Sum Insured: Sum insured is the limit up to which the health insurance company will pay for your medical expenses that are covered under the policy. This is the upper limit or the maximum coverage the insurer will offer for the selected health plan, if your claim is approved.
Maternity coverage: Maternity coverage in health insurance plans includes expenses associated with pregnancy and giving birth. This usually covers care, the delivery process, and aftercare. It provides support during this time, assisting families in handling the expenses related to maternity services.
Critical Illness Coverage: Critical illness insurance offers security in case of a medical condition. It covers diseases like cancer, heart attack, or stroke. This type of coverage provides a one-time payment when diagnosed, which assists individuals in managing the treatments and adjustments to their lifestyle.
Renewability and Lifetime Coverage: The ability of health insurance coverage to be renewed yearly is referred to as renewability. No matter how old they get or what kind of health issues they have, lifetime coverage guarantees that people can keep their health insurance. It provides long-term security, especially considering that healthcare requirements often rise with ageing.
Telemedicine Services: Digital platforms make it easy to have remote medical consultations, part of telemedicine services. Health insurance plans can now include telehealth benefits, letting policyholders talk to medical professionals online. This not only increases healthcare accessibility but also reduces the need for in-person visits, making it simpler to get timely medical advice.
Waiting period: The time in which you cannot raise a claim is called a waiting period in health insurance. There are roughly three types of waiting period: 1. Initial waiting period, 2. Pre-existing diseases waiting period, 3. Specific diseases waiting period
Health insurance plans for family work based on a shared sum insured. Here, the selected sum insured is shared by the insured members. Thus, either of the insured family members can raise a claim to meet their medical needs.
ACKO health insurance for families means you can cover yourself, your spouse, your children, your parents, and your parents-in-law under one single plan. This coverage is offered under the ACKO Platinum Plan (health insurance plans for family). You can choose which family members you want to insure under this plan. Different combinations are also allowed. For instance, if your parents have a dedicated plan, you can only insure yourself, your spouse and your children.
ACKO’s health insurance policy for family offers several benefits. Here are some of them: zero waiting period (Note: This feature is subject to availability and eligibility.), zero copay, 100% bill coverage, and no room rent limit.
To purchase ACKO’s family health insurance policy, visit ACKO website’s homepage and click on the health tab. Simply follow the next steps to insure your family. You can also buy family insurance plans via the ACKO app. Simply select the type of policy, answer a few questions related to your health profile, and you will be ready to buy the plan.
When claiming against health insurance policies for family, you have the option to either go the cashless route or follow the reimbursement process. In the cashless process, you are not required to make an upfront payment to the hospital, such as the deposit amount. Such transactions are taken care of directly by the insurer. Eventually, the hospital bill is also settled directly between the insurer and the hospital.
Yes, ACKO’s family plan insurance does cover pre-existing conditions. Do check out the policy’s terms and conditions for any specific illness or pre-existing condition that you may be concerned about.
If you have any questions regarding Mediclaim for family, you can reach out to ACKO customer support via email ([email protected]) and via call (1800 266 2256).
The average cost of health insurance for a family of 4 in India varies based on factors like location, coverage, and insurance provider. On average, it can range from Rs. 10,000 to Rs. 20,000 per month.
Please reach out to ACKO customer support via email ([email protected]) or via call (1800 266 2256) to know how to add family members depending upon your plan’s details (coverage, policy type, etc.)
The starting cost of ACKO’s family insurance comes to approximately INR 600 per month. Note that the amount can change depending upon the number of family members added, their age and medical profile, and other details. For instance, the cost can increase if you pick the sum insured of INR 50 lakhs as compared to selecting a sum insured of INR 10 lakhs.
The Discharge Summary and Detailed Hospital Bill are two most important documents required to raise a reimbursement claim under medical policy for family. The exact list of documents can vary from one case to another. Just these 2 documents might suffice in one case while other supplementary documents might be needed in some other cases. If any other documents are needed based on the claim, you will be notified accordingly.
In general, the following documents are needed.
Consolidated final bill
Discharge summary
Payment receipt
Consultation paper
Bank details
When you compare health insurance plans in India for family with individual health plans, insurance for family will hold an upper hand as it covers your entire family instead of just covering an individual. However, the preference might differ from one person to another.
For instance, an individual policy might be better suited for a senior member of the family due to their likelihood of facing frequent and potentially serious health issues due to their age. It is better to understand your requirements and then decide which plan is best for you. If you have any doubts, you can discuss the same with ACKO customer support. You can reach us via email as well as call. Please send your queries to [email protected]. If you prefer calling, our number is 1800 266 2256.
Yes, a cashless facility is provided under ACKO Platinum Plan (family floater). With this feature, you can raise a cashless claim when an insured family member is admitted to the hospital, and we will manage the bill payment directly with the hospital provided it is a part of our network hospital. Otherwise, you will have to opt for a reimbursement claim where you avail of the treatment, pay the bill, and then get it reimbursed from us.
Usually, there is a 30-day initial waiting period and 1-2 years waiting period for specific diseases. However, there’s no waiting period under ACKO’s family floater plan. This means you can raise a claim without waiting for a specific duration after purchasing health insurance. (Note: This feature is subject to availability and eligibility.)
Since multiple people are covered under the policy, the eligible person can renew the policy and continue the coverage in case the primary insured person dies.
To increase your family health insurance cover at the lowest cost, consider evaluating your current plan. You may also explore bundling options or opting for a higher deductible for reduced premiums.
Family health insurance costs for self-employed individuals in India can vary based on factors such as age, location, and coverage requirements. On average, it may range from Rs. 4,000 to Rs. 12,000 per month.
The average cost of family health insurance can range from Rs. 8,000 to Rs. 25,000 per month, depending on several factors including location, coverage, and insurance provider.
A child can generally stay on family health insurance until the age of 25, as per insurance regulations.
Private family health insurance costs can vary significantly based on coverage, location, and insurance provider. It's best to compare options to find a plan that fits your budget and needs.
Small business owners can explore group health insurance plans to provide coverage for employees and their families.
The best health insurance for a family in India depends on individual needs and circumstances. It's advisable to compare plans from reputable providers, considering coverage, cost, and network of doctors and hospitals.
The best health insurance for a middle-class family would balance coverage and cost effectively. Look for plans that offer good coverage for essential needs without straining the budget.
A health insurance plan with a coverage of Rs. 10 lakh for a family of 4 may cost approximately Rs. 25,000 to Rs. 40,000 per year.
Whether 2 lakh health insurance is enough for a family in India depends on individual circumstances. It's advisable to assess your family's healthcare needs and budget to make an informed decision.
The maximum mediclaim limit for family health insurance can vary based on the insurance provider and policy. It's recommended to review policy details for specific information.
The 5-lakh health insurance by the Government of India provides coverage up to Rs. 5 lakh for medical expenses, ensuring better healthcare access for individuals and families.
To choose a health insurance plan for a family in India, consider factors like coverage, network hospitals, premiums, and family healthcare needs. Compare options to find the most suitable plan.
A 1 crore policy for health insurance provides extensive coverage for a family, ensuring financial security in case of major medical expenses. It's important to review the terms and conditions of the policy.
The best health insurance plans for a family in India should offer comprehensive coverage, a wide network of hospitals, affordable premiums, and good customer support. Some popular choices include family-floater mediclaim policies, providing peace of mind for your family's health. It's best to compare plans to find the most suitable one for your family.
Disclaimer: The plans, services, features, processes, and other details mentioned on this page are subject to availability and changes. Please check the applicable policy wordings before making any insurance-related decisions. Feel free to reach out to us at [email protected] for any queries.