Health Insurance for Married People

Comprehensive coverage for your entire family under one umbrella policy

Flexibility to distribute the sum insured among family members as per needs

More economical than buying separate individual policies for each family member

Simplified policy management by dealing with only a single policy

Full Claim Settlements - Pays all approved claims, unlike others with room/test restrictions.

Instant Cover for Existing Illnesses - Immediate cover for pre-existing ailments without wait periods.

Flexible Cover - The entire amount can be restored in a year. More usable insurance.

Wide Network - Easy cashless access nationwide to many hospitals.

Inpatient and Day Care - Broader cover than most for treatments.

Extra Safety Nets - Critical illness insurance at low cost.

Augments Base Plan - This works as its policy, unlike regular top-ups.

Estimate annual medical expenses for each member. Account for potential costs due to lifestyle diseases.

Expenses could include regular checkups, medicines for common ailments, costs for daycare procedures, etc.

Add potential future hospitalisation costs separately for each spouse, as health risks may increase with age.

Consider a 10-15% annual rise in medical inflation over the next 10 years, when costs will double.

Calculate the total estimated budget and add a buffer.

Choose a minimum of Rs. 10-25 lakhs or higher sum insured, like Rs. 1 crore, based on your overall family's medical expenditure

Ideal Sum Insured: Rs. 10-15 lakhs

Premium Estimate:

• Age 30-35: Rs. 12,000 - 18,000 annually

• Age 35-40: Rs. 15,000 - 22,000 annually

A sum insured of Rs. 10-15 lakhs provides adequate coverage for a young couple, considering potential hospitalisation expenses and medical inflation.

Ideal Sum Insured: Rs. 20-25 lakhs

Premium Estimate:

• Parents' Age 30-35: Rs. 20,000 - 30,000 annually

• Parents' Age 35-40: Rs. 25,000 - 35,000 annually

A higher sum insured is recommended to account for the child's healthcare needs and the increasing cost of quality healthcare.

Ideal Sum Insured: Rs. 30-50 lakhs

Premium Estimate:

• Self and Spouse Age 30-35: Rs. 35,000 - 50,000 annually

• Self and Spouse Age 35-40: Rs. 40,000 - 60,000 annually

• Additional Premium for Parents (Age 60+): Rs. 25,000 - 40,000 annually

A high sum insured is crucial for larger families, especially with ageing parents who may require frequent medical attention and expensive treatments.

Medical Inflation: Healthcare costs are rising rapidly, with medical inflation often outpacing general inflation. A higher sum insured ensures that your coverage keeps pace with increasing medical expenses.

Comprehensive Coverage: Higher coverage plans often offer a wider range of benefits, such as room rent waivers, critical illness coverage, and more. These additional features provide all-round protection for your family's health needs.

Financial Protection: A serious illness or hospitalisation can strain your finances and derail your long-term goals. A high sum insured acts as a financial safety net, protecting your savings and investments from the burden of excessive medical expenses.

Peace of Mind: A comprehensive health insurance plan with a high sum insured provides peace of mind, allowing you to focus on recovery rather than worrying about treatment costs during a medical emergency.

Disclose any pre-existing medical conditions upfront to ensure transparent premium pricing.

Choose an adequate sum insured per your household income and anticipated medical expenses over the long term.

Evaluate options like family floater or individual plans basis your current family structure and needs.

Understand what medical costs like hospitalisation, ambulance, treatments etc. are included in different policies.

Check waiting periods for claims related to pre-existing illnesses to avoid limitations.

Know permanent non-medical exclusions to prevent claim rejections. 

Consider insurers with a large nationwide hospital network for easy cashless claims access.

Provide accurate medical histories and ages to ensure the selected plan fits your family's composite healthcare profile now and later.

In a cashless claim, the insurer directly settles the medical bills with the hospital

The policyholder doesn't have to pay anything out of pocket (except for non-admissible expenses, if any)

To avail cashless facility, treatment must be sought at a network hospital

In a reimbursement claim, the policyholder pays the hospital bills upfront

The insurer reimburses the expenses later after the submission of the required documents

Policyholders can get treated at any hospital of their choice

In case of a medical emergency, getting immediate treatment is crucial

With a cashless claim, treatment can start immediately without worrying about payment

Especially beneficial if the family doesn't have substantial savings or instant access to cash

Many families follow a monthly budget to manage their expenses

A medical emergency can disrupt this budget if a large sum is required upfront

Cashless claims eliminate the need for out-of-pocket expenses, reducing financial stress

Families can stick to their planned budget without dipping into savings or taking loans

Cashless claims have a simpler process compared to reimbursement claims

No need to collect and submit bills, receipts, and other documents for reimbursement

Insurer and hospital coordinate directly for the settlement of bills

Reduces paperwork and follow-up burden on the policyholder

With financial aspects taken care of, the family can focus solely on the patient's recovery

No stress about arranging funds or completing claim formalities during a difficult time