Family Floater Health Insurance
You can buy a single health insurance policy for your entire family, including spouse, dependent children, dependent parents, and dependent parents-in-law, with the sum insured shared among all the insureds. Usually, up to six people are covered in a policy. This is called a family floater cover and will cost you less than an individual health insurance policy for each family member.
Easily
customisable
Direct
claim settlement
Affordable
premium
100%
claim assistance
Exclusions under family floater health insurance policy
The following expenses will NOT be covered.
- Hospitalization due to abuse of alcohol or drugs
- Sexually transmitted iseases (STD) like AIDS or Herpes
- Infertility treatment and treatment for complications in pregnancy
- Hospitalization due to a suicide attempt of the insured
- Dental and cosmetic surgery except if necessitated due to an accident
Charges and Expenses
Hospitalization
Claim all your hospitalization bills as per the terms of your policy and even day-care treatment and preventive health check-up costs.
Pre-hospitalization expenses
The policy covers pre-hospitalization expenses like diagnostic tests incurred in the 30 days preceding the hospitalization and related to it.
Post-hospitalization expenses
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Ambulance charges
Most insurance companies provide coverage for emergency ambulance charges. However, the coverage amount varies from one insurer to the other.
Day-care treatment
Coverage will be provided for medical procedures that require less than 24 hours of hospitalization, like cataract surgery.
Advantages of Family Floater Health Insurance
Coverage for multiple members
With a family floater health insurance plan, multiple family members can be covered under a single policy. This makes it easier to manage and saves you the hassle of maintaining separate policies for each family member.
Cost-effective
Family floater health insurance plans are usually more cost-effective compared to buying individual policies for each family member. By pooling the coverage, the premium cost is shared among all the members.
Flexibility in Sum Insured
With a family floater plan, the sum insured can be utilized by any of the insured members. This provides flexibility in case any one member requires a higher sum insured.
Tax Benefits
Premiums paid towards family floater health insurance are eligible for tax benefits under section 80D of the Income Tax Act.
No age limit
Unlike individual health insurance plans, which have an age limit for enrollment, family floater plans do not have any such restrictions.
Renewability
Most family floater health insurance plans are renewable for life, which provides long-term coverage for the insured family.
Who is eligible for family floater health insurance?
Entry age
The oldest member of the family is the policyholder, and all adults should be in the 18 to 65 age group. Children can be covered for 90 days. Some insurers provide coverage even for 30-day-old babies.
Medical tests
Medical tests may be required depending on the age of insureds and sum insured. They vary from company to company.
Coverage for your parents
You can include your parents in the family floater or buy a separate customized senior citizen health insurance policy for them as the maximum age at entry for most health insurance policies in India is 65.
FAQ
You can learn more from our asked questions
Once there is a claim in a family floater policy, what happens to the sum insured for other family members?
Once a claim is paid for part of the sum insured, the rest of the sum insured is still available to all members of the family for that policy year. On renewal, the full sum insured is again available to all members for a year.
What happens to the family floater coverage if one of the covered family members dies?
If one of the family members covered under a family floater policy dies, the policy continues to cover the other members until renewal.
If the member who died is the policyholder, the policy is transferred to the next oldest member covered under the policy and coverage continues. It is possible to opt for a lower sum insured with a refund of premium or do it at renewal.
Is it better to buy a family floater or individual insurance policies?
Each policy has its advantages. A family floater has a larger sum insured shared by all family members and a lower premium rate. An individual policy can give the policyholder exclusive rights to the full sum insured and will cost relatively higher.