Top 5 Best Family Health Insurance Plans in India
Explore the best family health insurance plans in India. Our easy-to-understand guide helps you choose the perfect coverage for your family's peace of mind.
8 min read
September 17, 2024
Lakshya Singhvi
Hey there, health-conscious friend! Are you scratching your head trying to figure out which is the best mediclaim policy for a family that is right for you and your loved ones? Don't worry, we've got your back! In this blog, we'll walk you through the top 5 health insurance plans for family in India that'll keep your wallet happy and your family protected. So, grab a cup of chai, get comfy, and let's dive into the world of health insurance – minus the jargon and confusion!
At A Glance
Top Plans | Claim Settlement Ratio | Network Hospitals | Maternity Benefit | PED Waiting Period |
98.59% | 1.2k+ | Not covered | 3 Years | |
100% | 9.4k+ | Not covered | 4 Years | |
100% | 10k+ | Not covered | 3 Years | |
97.10% | 11k+ | ✓ | 3 Years | |
99.40% | 16k+ | ✓ | 3 Years |
(i) HDFC ERGO My Optima Secure Health Insurance Plan
At HDFC ERGO, we’re here to make things simpler for you, settling a claim every minute! With over 1.6 crore happy customers, our health insurance plans offer you peace of mind and great benefits. With our My Optima Secure Heath Insurance Plan, you get 4 times the coverage without paying more. Plus, enjoy cashless hospitalization, tax savings under Section 80D, and a bonus for no claims!
Key Features:
> Pre-Hospitalization: Covers expenses (diagnostic tests, doctor fees, etc.) for up to 60 days prior to hospitalization.
> Post-Hospitalization: Covers recovery-related expenses for up to 180 days post-discharge.
> Pre-existing Disease Cover: Coverage starts after 36 months of continuous renewal.
> Waiting Period:
a) Initial: 30 days (except accidents/injuries).
b) Specific: 24 months for listed illnesses.
c) PED: 3 years for pre-existing conditions.
> Room Rent: Covered up to the sum insured.
> ICU Charges: Covered up to the sum insured.
> Co-pay: No co-pay required.
> Restore Benefit: 100% restoration of sum insured if exhausted.
> Health Check-up: Free annual check-up on renewal.
> No Claim Bonus: Increases by 50% each claim-free year, max up to 100% of the sum insured.
> E-consultation: Not available.
> Domiciliary Hospitalization: Covered for home treatment.
> Ambulance:
a) Road: Up to the sum insured.
b) Air: Up to ₹5,00,000.
> Convalescence Benefit: Not covered.
> Organ Donor: Covered up to the sum insured.
> Bariatric Surgery: Not covered.
> Daycare: Covered for short hospitalization (<24 hours).
> AYUSH: Covered up to the sum insured.
> Congenital Coverage: Not covered.
> Modern Treatments: Not covered.
> Health Management/Wellness: Not covered.
> Maternity Benefit: Not covered.
(ii) Care Supreme Health Insurance Plan
Care Health Insurance (CHI) is a special company that helps people pay for medical care. They offer insurance for workers, families, and even people who don't have much money. CHI really cares about making their customers happy. They use new computer tools to give better service and create helpful insurance plans. CHI sells many kinds of health insurance, like for big illnesses, accidents, and even when you travel to other countries. They're so good at what they do that they've won many awards. CHI doesn't just sell insurance - they help people feel safe about their health.
Key Features:
> Pre-Hospitalization: Covers expenses up to 60 days before hospitalization (tests, doctor fees, etc.).
> Post-Hospitalization: Covers expenses for 180 days after discharge (follow-up care, medicines).
> Pre-Existing Disease: Covered after 48 months of continuous renewal.
> Waiting Period:
a) Initial: 30 days (except accidents).
b) Specific Illnesses: 2 years.
c) PED: 48 months.
> Room Rent/ICU Charges: Covered up to the sum insured.
> Co-pay: No co-pay.
> Restore Benefit: 100% restoration of sum insured for new or existing illnesses.
> Health Check-up: Annual health check-ups are available.
> No Claim Bonus: 50% increase in sum insured per claim-free year (up to 100%), without reduction in case of claims.
> Teleconsultation: Unlimited e-consultations
> Domiciliary Hospitalization: Covered up to the sum insured.
> Ambulance: Covered up to ₹10,000 (or sum insured for higher policies).
> Organ Donor: Covered up to the sum insured.
> Daycare/AYUSH: Covered up to the sum insured.
> Modern Treatments: Covered up to the sum insured.
> Health Management/Wellness: Rewards for tracking steps and maintaining health.
> Maternity Benefit: Not covered.
(iii) Niva Bupa Health Insurance- Reassure 2.0 Family Floater Health Insurance Plan
Niva Bupa Health Insurance is like a health superhero for everyone in India. They used to be called Max Bupa, but now they have a new name and even more ways to help. They make special health plans that don't cost too much and take care of all sorts of health needs. Their big dream is to help every Indian person feel sure about getting good health care. They're really good at making health insurance that fits just right for different people. That's why so many people trust them and think they're one of the best health helpers in India. With Niva Bupa, it's like having a friendly doctor in your pocket, always ready to help!
Key Features:
> Pre-Hospitalization: Covers expenses for 60 days prior to hospitalization (tests, medicines, etc.).
> Post-Hospitalization: Covers expenses for 180 days after discharge for recovery.
> Pre-Existing Disease Cover: Coverage starts after 36 months of continuous renewal.
> Waiting Period:
a) Initial: 30 days (except for accidents).
b) Specific Illnesses: 2 years.
c) PED: 36 months.
> Room Rent/ICU Charges: Covered up to the sum insured.
> Restore Benefit: Unlimited restoration of sum insured.
> Health Check-up: Annual check-ups with defined test coverage.
> No Claim Bonus: Unused sum insured carries forward up to 5 times.
> Teleconsultation: Unlimited e-consultations with network doctors.
> Domiciliary Hospitalisation: Covered up to the sum insured.
> Ambulance: Road ambulance up to the sum insured; air ambulance up to ₹2.5 lakh per hospitalisation.
> Convalescence Benefit: Fixed payout based on the base sum insured.
> Organ Donor: Covered up to the sum insured.
> Daycare/AYUSH: Covered up to the sum insured.
> Modern Treatments: Advanced treatments covered with some sub-limits.
> Health Management: Earn up to 30% renewal discount by tracking steps through the app.
> Maternity Benefit: Not covered.
(iv) ICICI Lombard- ICICI Elevate Health Insurance Plan
Getting sick can cost a lot of money these days. It's like your wallet gets sick too! But don't worry, ICICI Lombard has a super helper called the Elevate policy. It's like a health buddy that grows with you. You can pick how much help you want and add extra stuff if you need it. The best part? It gives you treats for staying healthy! You can talk to doctors on the phone, get medicine easily, and even ask another doctor what they think. If you're already sick, that's okay too. They'll help you get to the hospital fast if you need it. With Elevate, taking care of your health is less scary and more fun!
Key Features:
> Pre-Hospitalization: Expenses covered for 90 days before hospitalization (diagnostic tests, medicines, etc.).
> Post-Hospitalization: Expenses covered for 180 days after discharge for recovery (follow-up tests, medicines, etc.).
> Pre-existing Disease Cover: Coverage starts after 36 months of continuous renewal.
>Waiting Period:
a) Initial: 30 days (except for accidents/injuries).
b) Specific Illnesses: 24 months.
c) PED: 36 months.
> Room Rent/ICU Charges: Covered up to the sum insured.
> Co-pay: Optional.
> Restore Benefit: One automatic restoration of sum insured for related/unrelated ailments.
> Health Check-up: Coverage up to 0.5% of sum insured, max ₹5,000 (on a cashless basis).
> No Claim Bonus: Unlimited % of sum insured for claim-free years.
> Video/Telephone Consultations: Unlimited e-consultations with network doctors.
> Domiciliary Hospitalization: Covered up to the sum insured.
> Ambulance: Domestic ambulance services covered up to the sum insured.
> Convalescence Benefit: One-time allowance of ₹20,000 per policy year.
> Organ Donor: Costs covered up to the sum insured.
> Bariatric Surgery: Covered up to the sum insured.
> Daycare/AYUSH: Covered up to the sum insured.
> Modern Treatments: Specific treatments covered up to the sum insured.
> Health Management/Wellness: Up to 30% discount on renewal premium through the wellness program.
> Maternity Benefit: Covered for childbirth or medical termination of pregnancy.
(v) Aditya Birla- Activ One MAX Health Insurance Plan
Aditya Birla Health Insurance isn't just about policies; it’s about protecting lives and securing futures. With 2.5 crore+ lives insured, they stand as a pillar of trust, ensuring families across India are safeguarded against the unexpected. Their vast network of 11,000+ cashless hospitals brings healthcare within reach, offering seamless treatment without worrying about payments. They’ve settled 21 lakh+ claims—turning promises into action—and with a stellar 96% claim settlement ratio, they’ve proven time and again that when it comes to your health, you’re in the safest hands.
Key Features:
> Pre-Hospitalization: Covered for 90 days before hospitalization, including diagnostic tests, doctor fees, and medicines.
> Post-Hospitalization: Covered for 180 days after discharge, including follow-up tests and medicines for recovery.
> Pre-existing Disease Cover: After 3 years of continuous renewal, pre-existing diseases will be covered.
> Waiting Periods:
a) Initial: 30 days (except for claims due to accidents/injuries).
b) Specific Illnesses: 24 months waiting period for listed specific illnesses.
c) Pre-existing Diseases (PED): 36 months waiting period for pre-existing diseases.
> Room Rent: Actual room rent costs are covered up to the base sum insured.
> ICU Charges: Actual ICU charges covered up to the base sum insured.
> Co-pay: Not applicable; the policyholder does not have to pay a percentage out of pocket.
> Restore Benefit/Recharge/Refill: Unlimited restoration benefit—the sum insured will be automatically restored for related or unrelated hospitalization expenses if exhausted.
> Health Check-up: Cashless, with listed tests included annually for insured members.
> No Claim Bonus: Yes, up to the sum insured, increasing with every claim-free year.
> Video/Telephone Consultation: Not available.
> Domiciliary Hospitalization: Home care treatment covered up to the base sum insured.
> Ambulance: Actual ambulance costs covered up to the base sum insured.
> Convalescence Benefit: Not available.
> Organ Donor: Costs related to organ donor surgery covered up to the base sum insured.
> Bariatric Surgery: Not available.
> Daycare Procedures: Covered for daycare treatments, with actual expenses up to the base sum insured.
> AYUSH Treatments: Actual expenses for AYUSH (Ayurvedic, Unani, Sidha, and Homeopathy) covered up to the base sum insured.
> Congenital Coverage: Not available.
> Modern Treatments: Advanced treatments, including robotic surgery, covered up to the base sum insured.
> Health Management/Wellness: Not available.
> Maternity Benefit:
a) For Base Sum Insured (BSI) of ₹50 lakh to ₹75 lakh: Domestic maternity expenses covered up to ₹1 lakh.
b) For BSI of ₹1 crore and above: Worldwide maternity expenses covered up to ₹2 lakh.
Bottomline
Choosing the right family health insurance plan doesn’t have to be a daunting task. With our list of the best health insurance policy for family in India, you can find the perfect match for your family's needs and budget. From comprehensive coverage and generous no-claim bonuses to unlimited restoration benefits and modern treatments, these plans offer a range of features designed to keep you and your loved ones protected. So, take a closer look at each option, consider what suits your family’s needs best, and make an informed choice to ensure peace of mind and financial security for your health care. With the right plan in place, you can focus on enjoying life, knowing you’re covered.
So, take the first step today and explore your options with OneAssure. Your family’s future is worth it!