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The typical Indian household consists of a family that includes a working individual, a homemaker spouse, and two children who are financially dependent on their parents. However,
Increasing medical expenses can be worrisome. So it's important to have a comprehensive family floater health insurance plan. ACKO provides specially crafted family health insurance plans, ensuring inflation-adjusted healthcare coverage. Such future-proof protection also assumes greater importance as children transition into higher education and careers while medical expenses continue their upward trajectory.
With steep medical inflation, covering hospitalisation costs for four family members through savings is tough. Hence, purchasing tailored health policies acts as an indispensable long-term safety net - shielding from unpredictable illnesses or accidents needing significant financing. Further, tax savings of up to ₹25,000 annually make buying adequate insurance a smart investment.
In India, there are various types of health insurance plans available to cater to the diverse needs of individuals and families.
Critical Illness insurance provides coverage for specific severe illnesses, such as cancer, heart attack, stroke, or kidney failure.
Senior Citizen Health Insurance plans often have higher sum insured options, cover pre-existing conditions after a waiting period, and may include additional benefits such as annual health check-ups and home hospitalisation.
A family floater health insurance plan covers an entire family, typically consisting of the policyholder, spouse, children, and sometimes parents or parents-in-law, under a single policy.
Group health Insurance policy covers the medical expenses of the employees and, in some cases, their dependents.
Super Top-up plans have a deductible, which is the amount the policyholder must pay before the top-up coverage kicks in. These plans are often more affordable than increasing the sum insured by the primary policy.
The ideal solution for families consisting of self, spouse, and two children is often a Family Floater Health Insurance plan. This type of plan provides coverage for the entire family under a single policy, making it more cost-effective than purchasing individual plans for each family member. The sum insured is shared among all the members, and any member can use it as needed.
Our most robust plan offers unparalleled coverage:
No Co-Pay or Sub-Limits - Enjoys 100% expense coverage for room rent, treatments, and more without any out-of-pocket costs. It also ensures comprehensive financial protection.
Covers Pre-Existing Diseases - It provides coverage for disclosed illnesses from the very first day without lengthy waiting periods. Critical for addressing long-term health requirements.
Flexible Sum Insured - This allows unlimited restoration of the sum insured within the policy year, increasing the utilisation of your coverage.
Our affordable plan strikes the perfect balance between coverage scope and premium:
Cashless Hospital Access - Extensive network of over 14,300 partner hospitals across India for hassle-free claims processing.
Inpatient and Day Care Cover - It covers hospitalisation and modern day-care treatments.
Value-Added Options - Critical illness coverage is available at a marginal extra cost for added financial security.
Enhance your existing health plan cost-effectively:
Augments Base Health Policy - Functions as an independent insurance while also covering deductibles of the main policy, maximising your overall coverage
ACKO health plans provide great convenience and ease of use for customers. Its plans have over 14,300 network hospitals across India where you can file cashless claims without paperwork. This ensures quick access to healthcare anytime, anywhere. ACKO uses digital methods like apps and websites to handle all parts of insurance easily. You can file claims, consult doctors, and manage your policy online without hassles. This makes the insurance experience very simple compared to other companies relying on physical paperwork.
Enhance your health insurance by exploring these unique benefits | ||||
Each member has varied health needs across life stages as a nuclear family. Accounting for these individually gives clarity on arriving at the required coverage.
For self and spouse, assess expected routine medical costs over a year along with probabilities of hospitalisation, major illnesses or surgeries based on lifestyle habits and hereditary illnesses.
For kids, factor in regular paediatric expenses like childhood illnesses, and contingencies needing hospitalisation.
Finally, cushion for unforeseen accidents/injuries. Adding generous buffers for steep medical inflation annually also gives peace of mind. Choose a sum insured to holistically cover all four individuals under one tailored plan.
When determining the ideal sum insured for your health insurance policy, it's essential to consider various factors such as your family size, age of the members, medical history, and financial capacity. Here are three examples of ideal sum insured for different family compositions, along with the approximate costs:
For a couple without children or parents, a sum insured of around Rs. 10-15 lakhs is considered adequate. This coverage amount should be sufficient to cover most medical emergencies and hospitalisation expenses. The annual premium for such a plan would be approximately:
Age 30-35: Rs. 10,000 - 15,000
Age 35-40: Rs. 15,000 - 20,000
Age 40-45: Rs. 20,000 - 25,000
For a family of three, including parents and one child, a higher sum insured of around Rs. 20-25 lakhs is recommended. This increased coverage accounts for the potential medical needs of the child and the higher risk of health issues as the parents age. The approximate annual premium for this plan would be:
Age 30-35: Rs. 18,000 - 25,000
Age 35-40: Rs. 25,000 - 32,000
Age 40-45: Rs. 32,000 - 40,000
For a larger family with ageing parents, self, spouse, and two children, opting for a sum insured of Rs. 30-40 lakhs or more would be a wise decision. This higher coverage ensures adequate protection for all family members, especially considering the increased healthcare needs of elderly parents. The annual premium for such a plan would be approximately:
Age 30-35: Rs. 30,000 - 40,000
Age 35-40: Rs. 40,000 - 50,000
Age 40-45: Rs. 50,000 - 60,000
calculate your health insurance needs with health insurance premium calculator
It's important to note that these are rough estimates, and the actual premiums may vary based on factors such as the insurer, the specific plan, and the medical history of the family members.
Investing in a higher coverage plan can be a strategic decision for long-term health and financial well-being. Here's why:
Rising medical costs: Healthcare expenses are continually increasing, and a higher sum insured ensures that you and your family are adequately protected against unforeseen medical emergencies without facing financial strain.
Comprehensive coverage: Higher coverage plans often come with additional benefits such as daycare procedures, pre and post-hospitalisation expenses, annual health check-ups, and even coverage for alternative treatments like AYUSH (Ayurveda, Yoga, Unani, Siddha, and Homeopathy).
Avoiding multiple claims: With a higher sum insured, you can avoid the need to make multiple claims for a single prolonged treatment, which may otherwise exhaust a lower sum insured policy.
Peace of mind: Investing in a higher coverage plan provides peace of mind, knowing that you and your family are financially secure in the face of medical emergencies, allowing you to focus on recovery rather than worrying about expenses.
Tax benefits: Health insurance premiums paid for self, spouse, children, and parents are eligible for tax deductions under Section 80D of the Income Tax Act, making a higher coverage plan a tax-efficient investment.
check out how much sum insured is needed based on your profession | ||||
Here are the factors to consider while buying health insurance.
Disclosure of medical conditions: Upfront declaration of any pre-existing illnesses allows for setting accurate premiums based on health risks. Non-disclosure could delay or reduce claim approvals.
Sum insured amount: Thoroughly assess current and projected healthcare expenses over the policy term. Opt for a bigger sum insured that adequately covers major hospitalisations, surgeries, or treatment costs for chronic diseases while not stretching the budget.
Policy type: Consider family floater plans best suited for self and spouse and 2 Kids.
Scope of coverage: Scrutinise terms to understand medical and surgical procedures and day-care treatments covered to assess suitability for lifestyle and family history. Rooms, ICUs, etc., should be included.
Waiting periods: Carefully review any limitation clauses for coverage of pre-existing illnesses to set realistic expectations and ensure continuous coverage when needed.
Exclusions: Check permanent non-medical exclusions like cosmetic procedures to avoid disputes during claims filing.
Comprehensively assessing these criteria helps choose the most tailored health plan catering to both current and long-term protection needs for self and spouse and 2 Kids.
There are two main types of health insurance claims: cashless claims and reimbursement claims.
In a cashless claim, the policyholder can avail treatment at a network hospital without paying any money upfront. The insurer settles the bill directly with the hospital. Network hospitals are healthcare providers that have a tie-up with the insurance company, allowing for this seamless claim process.
On the other hand, in a reimbursement claim, the policyholder pays for the medical expenses out of their own pocket and then submits the necessary documents to the insurance company for reimbursement.
Cashless claims offer several advantages, making them the preferred option for many policyholders:
With a cashless claim, you don't need to worry about arranging funds for medical treatment, as the insurer settles the bill directly with the hospital. This feature is particularly beneficial for families that follow a monthly budget and may not have access to instant cash in case of an emergency.
Since there's no need to arrange for funds upfront, you can focus on getting the necessary medical treatment without any delay. This can be crucial in emergency situations where every minute counts.
In a cashless claim, the hospital and the insurer handle most of the paperwork, reducing the burden on the policyholder.
Network hospitals are usually well-equipped and maintain a certain standard of healthcare, ensuring that you receive quality treatment.
ACKO, being a digital-first insurance company, offers several advantages that make raising claims easier and more convenient for policyholders.
One of the key benefits of choosing ACKO is the seamless digital experience they provide. The ACKO app is a one-stop solution for all your insurance needs, from buying a policy and managing renewals to raising a claim. This user-friendly app simplifies the entire process, allowing you to access your policy details, initiate a claim, and track its progress, all from the comfort of your smartphone.
When it comes to raising a claim, ACKO's digital-first approach truly shines. Here's how:
Instant claim intimation: With just a few taps on the ACKO app, you can intimate a claim anytime, anywhere. This quick and easy process ensures that your claim is registered promptly, setting the stage for a swift settlement.
Paperless documentation: ACKO enables you to digitally submit all the necessary documents for your claim through the app. This eliminates the need for physical copies and speeds up the claim processing time.
Real-time updates: The ACKO app keeps you informed about the status of your claim in real time. You can track the progress of your claim and receive timely notifications, giving you peace of mind throughout the process.
Swift claim settlement: ACKO's digital infrastructure and efficient processes ensure that claims are settled quickly, often within a matter of days. This means you can receive the financial support you need without any undue delays.
In addition to the convenience of raising claims, buying insurance from ACKO is also more affordable than buying from traditional insurers. As a digital-first company, ACKO has lower operational costs, translating into competitive premiums for policyholders. This means you can enjoy comprehensive coverage at a lower cost, without compromising on the quality of service.
With medical costs and treatment complexities growing exponentially, quality health policies are essential for nuclear families, too - ensuring finances don't curb access to the best medical care for spouses or children. Sufficient family floater limits with cashless coverage through major hospitals give comprehensive, convenient protection when needed most.
Health insurance is crucial for a family because it provides financial protection against the rising costs of medical treatments, hospitalisations, and emergencies.
An individual health insurance plan covers only one person, while a family floater plan covers the entire family (self, spouse, and children) under a single policy.
The ideal sum insured depends on factors such as your family size, age of members, medical history, and expected healthcare expenses. Generally, a sum insured of Rs. 20-25 lakhs is recommended for a nuclear family
A higher sum insured provides better financial protection against rising medical costs, comprehensive coverage for various treatments and procedures, and the ability to avoid multiple claims for a single prolonged treatment.
ACKO offers comprehensive health insurance plans with features like no sub-limits or co-pay, coverage for pre-existing diseases, flexible sum insured, and value-added options like critical illness coverage.
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.