Family health insurance provides financial security against unforeseen medical emergencies and illnesses for your family.Under family health insurance plans, the policyholder can cover themselves,their parents, spouse, dependent children, and elders by paying a standard premium. The policy's sum insured is a pool of funds for everyone. Any insured family member can use the sum insured entirely or partly to pay hospitalisation expenses and other medical costs. That’s how health insurance for families offers a protective shield to all your loved ones under one financial umbrella.
You can also customise the coverage amount while adding optional benefits to meet the medical needs of covered members. Add-on benefits include cumulative bonus super, air ambulance cover, and wellness benefits. If you are worried that a family floater may compromise on every member’s medical needs, you can opt for separate health insurance policies to cover every member individually.
At Health Insurance, we meet the diverse healthcare needs of every household with some of our best family health insurance plans in India. Here are some of our top-selling family mediclaim plans:
Look for best health plan that suits your need!
Let’s understand the concept of health insurance for a family with the help of an example.
32-year-old Fatima Khan opts for a floater plan covering herself, her spouse, and two dependent children with a health plan of ₹10 lakh coverage. A few months after the policy purchase, Fatima had to undergo kidney stone removal surgery. She had to stay in the hospital for 5 days, and her medical bills reached ₹3 lakhs. The insurance company paid for these expenses. A few months later, her husband met with a car accident and hospitalised for 7 days. His hospital bill came around ₹5 lakhs, which was paid by the insurer.
In this case, the remaining ₹2 lakhs coverage can be utilised in case health emergency arises during the policy tenure.
Suppose, Dhruv Sharma, a 27-year-old software engineer, opted for individual cover for himself and his spouse. Each has a sum insured of ₹5 lakhs, which cannot be shared with each other. After a few days of policy inception, Dhruv had covid and had to spend 8 days in the hospital, where the hospital bill was ₹4 lakhs. Four months later, his wife needed to be hospitalised due to covid and her hospital bill was ₹3 lakhs. Both the bills were paid by the insurance company.
Dhruv has a cover of ₹1 lakh left for the remaining policy year while his wife can utilise up to ₹2 lakh during this tenure.
Securing your loved ones under a family health insurance plan can save you the stress of paying multiple premiums and choosing various policies. Here are a few things that a Family Health Insurance plan offers:
Shield Against Healthcare Inflation
Even a single hospital stay can cost lakhs and drain your household savings. A health insurance for a family cover lowers the financial burden by covering medical treatment, doctor’s consultations, medications, etc.
Protection From Lifestyle Diseases
Lifestyle diseases are the new normal. However, benefits such as annual health check-ups can prevent the worsening of issues and keep you and your loved ones safe.
Affordable Healthcare & Financial Security
Getting a family floater at an early age saves you from hefty medical bills while lowering the premium rates. The EMI option makes premium payments more accessible and budget-friendly.
Facilitates Cashless Hospitalisation
In the face of a constant financial crunch, medical bills are best paid through a cashless facility. Especially when living with a family, cashless claims help you focus on recovery.
Relief Amid Chronic Illnesses
Over 20% of Indians suffer from chronic conditions like cancer, heart ailments, diabetes, etc. A Family health insurance coverage helps you bear the treatment cost of prolonged illnesses and treatments.
The table below will guide you better on the differences between Individual and family health insurance:
| Individual Health Insurance | Family Health Insurance |
|---|---|
| It provides financial and medical coverage to a single individual against medical emergencies. | It provides financial and medical coverage to the whole family against medical conditions. |
| The sum insured can only be used by a single insured individual. | The sum insured is shared among all the insured members of the family. |
| The sum insured can range up to ₹1 crore depending on the chosen plan. | Varied sum insured options are available up to 6 crore. |
| The premium charged depends majorly on the age of the individual. | The premium depends majorly on the age of the oldest member of the family. |
| The minimum entry age is 18 years. | The minimum entry age is 91 days (with at least 1 individual insured above the age of 18). |
When you compare the premium of a family health plan you will find it more affordable as compared to an individual health plan. This is because of the higher coverage and sum insured offered by an individual plan. In you wish to opt for a family health insurance plan, you can still enhance the coverage by opting for add-ons and the lifelong renewability.
While choosing between a family health cover and individual plan, it is imperative to address the specific needs of your family and compare the available options. By having a thorough understanding of your requirements.
When family security is on your mind, choose nothing but the widest coverage to keep financial worries at bay. We present you– Care Supreme and Care Advantage– the next-generation health insurance for family offering unrestricted coverage while helping you save more and maintain a healthy lifestyle. Here are the comprehensive benefits of the Care Supreme and Care Advantage family insurance:
| KEY FEATURES | Care Supreme Family Plan | Care Advantage Family Plan |
|---|---|---|
| Sum Insured Options | 5*,7,10, 15L, 25 L, 50 L & 1 Cr | 25L, 50L, & 1Cr, 2Cr, 3Cr, 6Cr |
| In-Patient Care | Up to SI | Up to SI |
| Day Care Treatment | All Day Care Procedures | 540+ Day Care Procedures |
| Advance Technology Methods | Up to SI | Up to SI |
| Pre-Hospitalisation Medical Expenses | 60 days | 60 days |
| Post-Hospitalisation Medical Expenses | 180 days | 180 days |
| AYUSH Treatment | Up to SI | Up to SI |
| Organ Donor Cover | Up to SI | Up to SI |
| Ambulance Cover | Up to Rs 10,000 per year for SI < 15 Lakhs & Up to SI for Policy SI >= 15 Lakhs | Up to the Sum Insured |
| Automatic Recharge of SI | Unlimited automatic recharge | Up to SI (Once in a Policy Year) |
| Health Care Services | ✔ | ✔ |
*Disclaimer: The sum insured option of 5 lakh is not available for Zone-1 cities.
Our Family Health Insurance Plans offer wide coverage and benefits, including pre and post-hospitalisation, day-care treatment, and ambulance cover. The plans also provide benefits like cumulative bonuses, annual health check-ups, automatic recharge of the sum insured, and others.
With our vast network of 24800+ cashless healthcare providers, we promise quality medical care at the best price. Our network hospitals ensure your family members can avail of timely healthcare services without draining the family’s savings.
By adding multiple family members, you can save more tax benefits and deductions up to ₹75,000. This way, your family gets double financial security while preparing for medical emergencies.
A growing family’s healthcare needs are diverse and never-ending. Thus, we offer you a family health policy that never runs out of coverage amount with the benefit of unlimited automatic recharge of the sum insured.
With Care Family Health Insurance Policies, you can customise the policy features to match your family's healthcare needs. You can opt for adequate coverage amount and tenure while choosing the required set of additional benefits.
A family health cover provides you the flexibility to add new members to the existing plan. If you have recently welcomed a new born to the family, you can add the baby to the policy during the time of renewal. In order to add a new member, you only need to inform the insurer, and pay an additional premium.
Comprehensive benefits and wider coverage help us serve you the best mediclaim policy for family.Our health insurance plans for family cover the following benefits and features:
Annual Health Check-up
We value your family’s health and thus, offer annual health check-ups for all insured family members. Health checks help track ailments & get treated early on.
Day Care Treatment
With family health insurance, you do not have to worry about daycare procedures such as cataract treatment, dialysis, etc., as they are already covered.
Pre and Post-Hospitalization
Family plans offer optimum security—from tests and doctor’s fees to post-treatment hospital visits—with up to 60 days of pre-hospitalisation coverage and 180 days of post-hospitalisation coverage.
Advance Treatment Methods
We enhance your coverage with robotic surgeries and therapies to treat critical illnesses at specialised healthcare centres. Get coverage up to the sum insured.
Up to 100% Cumulative Bonus
We reward your family for maintaining good health by offering a cumulative bonus of up to 100% of SI every year for raising no claims as per policy terms.
AYUSH Treatment
When modern medications fail, traditional treatments come in handy. Family floater plans offer coverage for alternative treatments up to the sum insured.
Domiciliary Hospitalization
When you need special care at home, we cover domiciliary hospitalisation expenses up to the SI as per policy terms.
Ambulance Cover
Family floater plans relieve you from medical expenses incurred in hiring an ambulance with adequate coverage, so you can immediately avail of treatment.
Add-ons are the extended coverage that you can purchase for your existing health insurance family plans by paying an extra premium. Here is the list of various add-ons that you can purchase with family health insurance:
Our family health insurance is a comprehensive plan designed to offer an exhaustive coverage for all the insured members. However, there are certain conditions that may be out of coverage for our plans. The standard exclusions are as mentioned here after:
Please check out the policy terms and conditions to have a detailed idea on exclusions of a family health insurance plan.
Most of our medical insurance for family include the following set of standard eligibility conditions:
| Minimum Entry Age | Individual- 18 years Floater- 91 days with at least 1 insured person of age 18 years or above |
| Maximum Entry Age | Lifelong |
| Premium Payable on Renewal | Subject to change with prior approval from IRDAI |
| Waiting Period | 30 days-36 months for illnesses, except injury based on policy t&x. |
| Grace Period | 30 days to renew your policy post expiry |
Medical costs are always rising, so now is the best time to get healthcare insurance for your whole family. Signing up for our medical policy for family is easy through our digital portal.
Here's how:
Step 1: Select a suitable health plan from the official website of Care Health Insurance.
Step 2: Enter your phone number and proceed to calculate the premium.
Step 3: Select the members that you wish to insure and fill out their age. Finally, fill in your current residential address pincode to get the correct premium.
Step 4:Take your time to analyse the different plans and choose the plan that suits your needs.
Step 5: Customize your policy's tenure, sum insured, and add-ons.
Step 6: Get an instant quote for your chosen family health insurance.
Step 7: Proceed to purchase by filling in the proposer details, details of insured members, and your KYC details.
Step 8: Pay using a secured method such as a payment wallet, net banking, or a debit or credit card. You can also pay the insurance premium in EMI.
Your policy information, including your policy number and e-card, will be sent to your registered mobile number.You can always reach out to our representatives in case you need assistance during the policy purchase.
To continue availing of the benefits or health insurance family plans, you must renew the plan before it expires. You can quickly find the expiry date of your health insurance plan on your policy documents. Care Health Insurance also reminds its customers about the renewal date of their health insurance policy through SMS.Here is how you can renew your family health insurance policy:
Online option
Offline option
For renewing your family health insurance policy via the offline method, you need to visit a nearby Care Health Insurance office. Take the required documents with you, along with the policy documents. You can connect with an executive at the office and get the policy renewed by making the payment.
Our quick and efficient claim management team helps us serve our customers with the best claim settlement experience!
In the event of emergency hospitalisation, you must inform your insurer via call or mail within 24 hours of hospitalisation. Whereas, in the event of planned hospitalisation, you must inform your insurer at least 48 hours before getting hospitalised. Hereafter, you can file either for a cashless or reimbursement claim.
| Cashless Claim Process | Reimbursement Claim Process |
|---|---|
| Step 1: Find a network hospital near you. | Step 1: Find a hospital near you and get the treatment at the earliest. |
| Step 2: At the TPA desk of the hospital, fill out the pre-authorisation request form. | Step 2: Upon discharge, you must pay the bill and collect the original receipts. |
| Step 3: Upon receiving the request from the network hospital, we will start the approval process and keep you informed on your claim status. Alternatively you can track your claim status on Care’s Mobile App. | Step 3: Login to www.careinsurance.com and fill in claim form and submit documents including bills, reports, etc. |
| Step 4: All the further documentation and coordination shall be done with the hospital TPA desk. | Step 4: We will reach out to you in case we need any further documents/ information. |
| Step 5: We settle the bill directly with the hospital upon discharge. | Step 5: We will release the approved claim amount to your bank account after completing the query.In case of claim rejection, we will inform you of the reason. |
In order to raise a claim for a family health insurance plan, you need to present a few documents as well. To avoid any back and forth while filing a claim, keep these documents handy at the time of filing a claim.
The documents required for a reimbursement claim include:
In case of an accidental hospitalisation, you need to submit the following documents as well:
The address on the KYC documents must match the Policy address.
In case of a cashless claim, you need to present a few documents at the hospital desk, like:
Please note that your policy address must be same as the current residential address to avoid claim rejections.
While choosing a family health insurance plan, you must look out for the following factors.
You may have noticed that the premium charged for health insurance differs from one customer to another. This is because the premium for family health insurance is calculated based on various factors. These include:
Age plays a crucial role in deciding the premium of a health insurance plan. In the case of family health insurance, the age of the oldest family member is taken into consideration. The older the member, the higher the premium will be. This is because as you grow old, the risk-appetite increases.
The insurance premium is likely to go high in case any of the family members suffer from pre-existing diseases like diabetes, thyroid, hypertension, etc., Keep in mind that the waiting period for raising a claim against a pre-existing disease is typically 2 to 4 years.
The lifestyle habits of the family members are also determining factors. The premium charged is often high for a prolonged habit of smoking in the family. Again, the nature of occupation is also crucial since some professions with high health risk are likely to attract higher premiums.
The location of your residence also plays a crucial role in determining the premium of a family health insurance plan. Locations with high calamity risks draw higher premiums, considering the chances of claiming the policy.
The premium varies depending on the type of plan you choose. Although the premium goes up with more coverage and a higher sum insured, you get peace of mind that your finances will be protected even if multiple claims are registered in a policy year.
If you choose to increase the coverage of your plan, you may purchase various add-ons available. However, with each add-on, the premium also increases. So, pick only those add-ons that enhances the value for your coverage.
Co-pay or deductibles are part of the claim that the policyholder has to pay. It may be in terms of a fixed amount or a percentage of the claim. If you choose a higher deductible/co-pay, you are charged a lower premium and vice-versa.
The tenure of the family health cover plays a major role in determining the premium of the policy. If you opt for a longer policy duration, you will be charged a lower premium amount. Alternatively, shorter family health insurance plans have a higher premium amount.
Are you opting the right health insurance for your family? This is one question that might pop up in your mind when you are planning a family mediclaim policy. Let's see what are the common mistakes that customers often make and how you can avoid them:
When buying family health insurance, people often try to limit themselves to a low-sum insured in order to pay a low premium. This may help you with a lower premium now, but maybe in the long run, you will have to pay from your pocket in case of multiple health emergencies. The best mediclaim policy for a family is the one where you have sufficient coverage for all the family members.
The Right Approach
You need to assess the medical needs of your family and try to choose a plan with comprehensive coverage. A higher sum insured may charge you a slightly higher premium, but owing to the rising medical costs, it will definitely be worth it.
The basic coverage of a family health insurance plan includes a range of benefits. A higher coverage means greater insurance benefits. However, sometimes it may be the reason for hike in premium, which is why people tend to limit the basic coverage, ignoring its long-term effect.
The Right Approach
The possibility of coverage amount being insufficient is considerably less if it is decided after analysing the family’s insurance needs only. Another way to increase the coverage amount is opting for add-on covers such as sum insured restoration, OPD cover etc. However, always be calculative while buying an add-on cover as it again draws an additional premium.
In order to avail of insurance benefits, sometimes insurance seekers tend to furnish wrong information related to medical history. Little do they know that insurance companies do their verification for a proper background check. Thus, any miscommunication can lead to policy termination only.
The Right Approach
Maintaining transparency while dealing with your insurer is highly appreciated as hiding medical history or presenting wrong information can lead to health insurance policy cancellation.
You should be 100% truthful and honest with whatever information you are providing to your insurer. For instance, the smoking habit of any of the family members must be declared in the application. During the process, several tests are done at the insurers’ end to ensure genuine documentation.
Reading the entire policy document may sound tedious, and many people tend to skip reading the policy documents while buying health insurance. Ideally, you shouldn’t skip it as it can affect your policy experience and may hinder you from availing the best of benefits.
The Right Approach
When you are done deciding on a health insurance policy for family, make sure you read the fine print before signing and making the payment. It gives you a complete idea of the plan you are purchasing. You may ask our executive for any doubts and clauses that you may not be able to understand. This way, you can make the most of a family health insurance policy.
Certain diseases and health conditions develop with age. However, unforeseen medical emergencies can strike anyone. Hence, it is a mistake if you are waiting for the right time to secure your family, is a mistake.
The Right Approach
When planning to buy a health insurance plan for family, you need not wait for your youngest member to become old enough. The youngest member of as less as 91 days can join the family health insurance plan. Also, the premium increases with age. Make sure all your family members have access to the best medical facilities with a family health insurance policy.
A health insurance policy for family has dual benefits. On one hand, you get medical and financial coverage for all your family members under one plan, and on the other hand, you can enjoy tax benefits for premiums paid towards the health insurance plan. So, this way, you can enjoy dual benefits.
Under Section 80D of the Income Tax Act, 1961, the policyholder of a family health insurance can avail of tax benefits. Policyholders below the age of 60 can get tax deductions of up to ₹25,000 for premiums paid towards family health insurance plan. Those above 60 years of age can avail higher tax deductions. The following table will help you understand how can one make the most of the tax benefits:
| Category | Amount of premium paid | Deductions available under Section 80D | |
|---|---|---|---|
| Self, family, and children | Parents | ||
| Individuals and their parents who are below 60 | ₹25,000 | ₹25,000 | ₹50,000 |
| Individuals and their family who are below 60, but parents are above 60 | ₹25,000 | ₹50,000 | ₹75,000 |
Below are the main benefits of buying a family health insurance policy online in India:
Secure Payment Modes
Secure payment options keep your bank data safe and help you complete the transaction in a few clicks from anywhere, any time.
Chat Option & Easy Policy Evaluation
We try to resolve all your queries instantly through our chat service. Also, policy evaluation is easy with our precisely spelt-out policy terms.
Instant Premium Quote Calculation
Make a calculated buying decision by estimating the premium of your policy online. It will help you plan finances and choose affordable coverage.
Convenient Policy Selection
The website lets you compare coverage, choose and pay anywhere at any time. Also, you can access policy documents online for quick verification.
Readily Available Value-Added Services
It's easy to add benefits such as OPD care, co-payment waivers, and pre-existing diseases while purchasing our health policy for your family online.
A no-claim bonus is a reward given to all those healthy members of Care Health Insurance who haven't raised any claims in a policy year. It is a way of appreciating the healthy lives of insured members for remaining healthy. In the case of family health insurance, if none of your insured family members raises any claim in a policy year, the no-claim bonus is accumulated.
The first year of the no-claim bonus gives you a 10% rise in the sum insured and a 20% rise in the next subsequent no-claim year. The maximum limit for no claim bonus accumulation is 50% of the original sum insured. In times of rising medical costs, it is a huge relief to see your sum insured getting increased by adding up the no-claim bonus.
Please note that at Care Health Insurance, we offer the benefit of No Claim Bonus on Care Advantage Health Insurance plan. Whereas, under Care Supreme, we offer Cumulative Bonus and Cumulative Bonus Super which work regardless of the claims made.
Family Health Insurance, also known as a Family Floater Plan, is a type of health insurance policy that provides medical coverage to all members of a family under a single sum insured. Instead of taking individual policies for each family member, this plan allows the entire family to share a common coverage limit, ensuring financial security during medical emergencies.
It is a cost-effective solution for families, offering comprehensive healthcare benefits while reducing the hassle of maintaining multiple policies.
Shared Sum Insured
Coverage for All Family Members
Cashless Treatment
Wide Range of Sum Insured
Affordable Premiums
Tax Benefits
Lifelong Renewability
Add-On Benefits
Hospitalization Expenses
Pre- and Post-Hospitalization
Daycare Treatments
Ambulance Charges
Domiciliary Treatment
Health Check-Ups
Newborn and Maternity Coverage (optional)
Critical Illness Cover (optional)
Family health insurance plans typically exclude:
Comprehensive Coverage
Cost-Effective
Hassle-Free Management
Flexibility in Sum Insured Usage
Cashless Claims
Customizable
Tax Savings
Young Couples
Families with Children
People with Dependent Parents
Joint Families
Identity Proof
Address Proof
Age Proof (for all family members)
Medical Records (if applicable)
Income Proof (for policies with higher sums insured)
Recent Passport-Sized Photographs
Sum Insured
Coverage Benefits
Network Hospitals
Waiting Period for Pre-Existing Diseases
Add-Ons and Riders
Claim Settlement Ratio
Family health insurance is an excellent way to ensure the financial protection of your loved ones during medical emergencies. With a shared sum insured, affordable premiums, and comprehensive coverage, it offers a reliable solution to manage healthcare costs effectively.
If you need assistance in comparing plans or finding the best family health insurance, feel free to
In order to raise a claim for a family health insurance plan, you need to present a few documents as well. To avoid any back and forth while filing a claim, keep these documents handy at the time of filing a claim.
The documents required for a reimbursement claim include:
In case of an accidental hospitalisation, you need to submit the following documents as well:
The address on the KYC documents must match the Policy address.
In case of a cashless claim, you need to present a few documents at the hospital desk, like:
Please note that your policy address must be same as the current residential address to avoid claim rejections.
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