Health Insurance Plans for Family

Why settle for an individual health plan when there’s a special plan can cover not just you but all your loved ones as well? A single insurance plan can cater to every member of your family’s healthcare needs such as preventive health check-ups, doctor consultation fees, lab tests, pre, and post-hospitalization care expenses, etc. And you don’t even have to pay multiple premiums! Just one premium can safeguard your family’s health needs and protect you all from financial stress at the time of a health emergency.
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What is Family Health Insurance?

Is there anything more important than the health of your beloved family members? Only when people we love are healthy can we be happy and at peace. One way to ensure that your family members receive the best possible care when a health crisis strikes without triggering financial stress is to opt for a family health insurance plan. It covers healthcare check-ups and the costs generated by the treatment of an illness and this facility is extended to all the members of your family whom you include in the plan. One plan for everyone is more convenient than separate plans for the family. It also makes the premium payment more affordable. Multiple claims can be made by different members of the family in a year (as long as the sum assured isn’t exhausted).
family health insurance

Why do you need family health insurance plan?

The cost of medical care is constantly spiking owing to inflation, and quality care post the diagnosis of an illness can drain a family’s savings. But there can be no compromise with the health of your loved ones. This is why purchasing a family health insurance plan is a wise decision. It covers your entire family with a single premium. Comprehensive coverage of all health problems, from injuries to surgeries, eases financial worries.

  • As per 2016 survey, out-of-pocket expenses amounted to 64% healthcare expenses in India.
  • Unfortunately, even today, a large chunk of the population sells their assets or takes loans to finance 31% and 47% of hospital expenses urban India and in rural India.

5 reasons to buy Family health insurance from Bajaj Finserv Health

  • Expenses

    1

    Healthcare expenses
    The plan covers your regular healthcare expenses like doctor consultation fees, lab test fees, preventive health check-ups, etc.

  • OPD Doctor Consultation

    2

    Doctor consultation
    You get free online doctor teleconsultations. If you do not want to step out of the house or need medical intervention 24/7, you can consult top specialists online.

  • Network Discounts

    3

    Network discounts
    You can avail network discounts across Bajaj Health’s vast network PAN India for doctor consultation, hospitalization, lab tests, hospital room rent, buying medicines, dental care, eye wear and more.

  • Cashless treatment

    4

    Cashless treatment
    You can avail cashless treatment at network hospitals or get bills reimbursed at non-network hospitals, clinics, etc

  • Claim Settlement Ratio

    5

    Easy Claim Settlement
    Claim settlement process is fairly easy and hassle-free. Claim settlement ratio is 92.1%

Features of Family Health Insurance in India

When buying a family health insurance plan in India, make sure the policy you wish to purchase has the following features:

  • Sum Insured :You must read the fine print to know what is covered and not covered in your family health insurance plan. Get a plan that offers maximum coverage, including pre-and post-hospitalization care.
  • Eligibility of Members:A family health insurance plan will cover your newborn child from the age of 3 months upto 21 years. Some plans include senior citizens as well as individuals with pre-existing diseases.
  • Health Coverage:You must ensure that your family health insurance offers extensive coverage for all health checkups, vaccinations, hospitalization, and post-hospitalization care. Coverage should include alternative treatments, ambulance assistance, doctor fees, tests, etc.
  • Cashless Hospitalization:You buy a family health insurance plan because you are protected against healthcare expenses. So, get a plan with cashless facilities for all members so your family health insurance will bear all the costs when the need arises.
  • Maternity Cover:All to-be moms should be included in the family health insurance plan. It should cover fertility/IVF treatments and delivery costs for caesarean and normal delivery.
  • Accidental & Critical Illness Cover:If a family member is in an accident or is critically ill, your family health insurance plan should step up and offer benefits.

Benefits of Family health insurance in India

Since the health of your family is of paramount importance, it is crucial to bring them under the umbrella of one policy that will not only offer healthcare check-ups but will also cover all costs of any treatment required. Healthcare is expensive, but your family deserves the best without having to worry about draining their savings. An easy-to-manage, one-premium policy that gives every member of your family access to the best doctors, hospitals, diagnostic labs, etc is crucial.
Here are some must-have benefits of a family health insurance plan in India:
benefit-img_<h4>Easier to manage</h4>

Easier to manage

benefit-img_<h4>Keeping your savings intact</h4>

Keeping your savings intact

benefit-img_<h4>Reinstatement value</h4>

Reinstatement value

benefit-img_<h4>Mental peace and stress-free recovery</h4>

Mental peace and stress-free recovery

benefit-img_<h4>Protection from medical inflation through years</h4>

Protection from medical inflation through years

BMI

The Higher your BMI Higher your Chance to get Diabetes

Keep your health in check with our BMI Calculator

Height (cm)
Weight (Kgs)

Why just health insurance? Get a complete Family Health Insurance package!

What is a family health insurance package?

Healthcare needs like health check-ups, doctor consultations, diagnostic tests, medicines, hospitalization charges, etc for all members of the family are covered by the family health insurance policy. One policy, instead of multiple, is easier to keep track of and lets your family members make more than one claim in a year. Everyone gets the best care without worrying about the expenses.

So why not any generic health insurance plan?

An individual health insurance plan only covers one person. Getting an individual plan for every member of the family can be cumbersome and not very cost-effective. A family insurance plan on the other hand lets you include yourself, your spouse, and four children (up to the age of 21). You have to pay only one premium for the whole family and get end-to-end healthcare coverage. On top of that, you get tax benefits! Moreover, such a plan also offers ambulance assistance, options for AYUSH treatments if allopathy treatment is not enough

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How to choose the right Family health insurance package for you?

There are certain things you need to keep in mind when buying a family health insurance plan, these include:

Inclusions: Your plan's inclusions or coverages are all the things that it will cover if you meet certain requirements. Ensure that you check what it includes: the type of treatment, the cost of hospitalization, pre-and post-hospitalization, in-patient treatment, other treatment options, day-care information, etc. The coverage scheme may differ among health plans.

Room rent limit:Room rent is essentially the cost of the hospital room. Choosing the wrong room during hospitalization, or missing the room rent limit, may cause the claim settlement amount to be less if the room rent limit is not adhered to. The claim amount would likely be a smaller amount as proportionate to the mentioned rent limit if the room opted for has a higher rent than the limit mentioned. It is better to select the room according to the policy as all medical expenses, including the doctor's fee, vary with the room chosen during hospitalization. When buying, be sure to choose the right room rental limit.

Waiting period: There is a waiting period for people with pre-existing diseases. The waiting period for filing a claim may usually be 30 days. Pre-existing diseases are subject to a waiting period before being accepted into the health plans. There are varying waiting periods under each insurance plan, so make sure you check. It may be to your advantage to choose an insurance plan with a shorter waiting period.

Exclusions:A health plan should be checked both for what is covered as well as what is not covered by the plan. This way, it is easy to determine which treatments are excluded.

Claim Settlement Ratio: When filing a claim with an insurer, you should know the claim settlement ratio to ensure the claim is approved if the claim is genuine and in accordance with the policy specifications.

Your 7-point Checklist for Selecting the Best Family Health Insurance Plan

  • checklist-icons_Apply Now for Diabetes Health Insurance

    Choose the right plan

    Select a health plan that protects you from a wide variety of medical problems, and that provides benefits such as pre- and post-hospitalization care, travel expenses, and illnesses that you may be at risk of because of your family history. If you are looking for health insurance for your family, make sure the plan meets the needs of everyone in the family. Choosing the right insurance plan depends on knowing your needs, considering your options, comparing costs and benefits, and applying some due diligence.
  • checklist-icons_benefits of insured reinstatement

    Choose an affordable plan

    When trying to choose a health plan, it is important that it meets your needs and fits your budget. A budget is crucial to consider when choosing a health plan. But before considering the price of the plan, you need to consider the plan benefits. When starting out, it is a good idea to buy a reasonably priced health insurance policy to ensure that you are covered adequately and that the premiums are also reasonable. As your income, family size, and needs change over time, you can adjust your coverage accordingly.
  • checklist-icons_Family members

    Prefer family over individual health plans

    People who don't have a family to support can benefit from individual plans. For maximum benefits at an affordable price, it is recommended that you purchase a family health plan if you are buying health insurance for yourself and your family.
  • checklist-icons_pre and post hospitalization expenses

    Consider a lifetime renewable plan

    Make sure you check the health plan's renewal options when you purchase a plan. The older you get, the more you'll need a health plan. Therefore, choose a plan that allows lifetime renewals.
  • checklist-icons_Confirm Application

    Compare quotes online

    Ensure that the health plan you buy is right for you by comparing health insurance policies online. You can even get an estimated premium for your policy when you 'request a quote' online. Gather and compare quotes before deciding.
  • checklist-icons_Approach Hospital

    Access to network hospitals

    Selecting a health plan means that you will need to determine if the hospital network includes the hospitals and doctors you prefer. It is always a good idea to choose an insurance provider who has an extensive network of hospitals around the world.
  • checklist-icons_Claim Settlement Ratio

    Look for Value-Added Benefits

    Look for the value-added benefits that different health insurance plans offer when comparing them. Value-added benefits offer extra value along with the coverage and make the health insurance experience even better.
Myth Buster
Don't panic, just build your own package

Here are the coverage offered by Bajaj Finserv Health Family Health Insurance

What's Covered?
What's not Covered?
organ donor expenses

Organ donor expenses

Covers expenses incurred during organ donor treatment.

pre and post hospitalization expenses

Reinstatement benefits

Coverage of 100% of the sum insured is applicable to the same illnesses.

covers ayurvedic & homeopathic

Ayurvedic/Homoeopathic Hospitalization

Coverage of up to 20,000 INR for Ayurvedic/Homoeopathic hospitalizations across the nation.

Choose family health insurance coverage of your choice
5 lakhhealth insurance
5 lakh - Health insurance coverage
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Avail upto 180+ doctor consultation
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61+ lab tests packages
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Wellness benefit upto 38000 Rs.
10 lakhhealth insurance
10 lakh - Health insurance coverage
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Avail upto 180+ doctor consultation
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61+ lab tests packages
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Wellness benefit upto 56000 Rs.

Eligibility criteria for family health insurance plan:

Minimum and Maximum Age Limit:The members of the family must be between the age group of 18-65 years.

Age of Dependent Children:Dependent children should be between the age of 3 months to 30 years.

Eligibility criteria for family health insurance plan:

  • Eligible age

    Minimum & Maximum age of family members
    18-65 years

  • eligibility of children age

    Age of Dependent Children
    3 months to 30 years

Myth Buster
Don't worry about price, just check it

How to calculate health insurance premium?

  • Personal Details

    1

    Enter your name and mobile number.

  • Family members

    2

    Select the family members whom you want to insure.

  • Age of eldest member

    3

    Enter the eldest member's age

  • Premium Calculated

    4

    Get your premium

10 factors that affect your health insurance premium:

India’s Leading Company

Health Insurance is a must for any individual or family who are looking to secure their health and financial future. Owing to medical inflation in the recent years, the cost of medical treatment and procedures often drains one’s lifetime savings and acts a burden. However, getting a health insurance means adding a fall-back cushion to safeguard savings as well as get tax benefits.

As you apply for a health insurance plan, the insurance providers do a thorough check/assessment of your health. Basis your health status, they offer a premium amount for the plan.

Age

Your age is a major factor on which the health insurance premium will be decided. Most companies follow this mantra – the higher the age of the insured, the higher the premium to be paid. This is because older people are prone to illnesses. It is advisable to buy a health insurance plan when you are younger to enjoy more benefits and pay a lower premium.


occupation

Your occupation or the nature of your work will also determine the health risks you may be exposed to. Given our hectic lifestyles and sedentary jobs, you will be prone to stress, anxiety, etc. which will lead to other health issues. So, for example, if you have a high stress job, your premium will be higher.


Medical history

Medical history plays a vital role too in deciding the premium. If you have a chronic illness, or have suffered from any past major illnesses, or if family history points to any pre-existing illnesses, your health insurance premium will go up.


Copay feature

If you have a co-pay feature in your health insurance plan, then your premium will be lower as a certain percentage of the medical costs will be borne by you and the rest by the insurance provider..


Habits

Habits. Yes, your habits matter a lot. For example, if you are a smoker, you are at risk of serious illnesses like cancer. If you drink regularly, you are at risk of chronic diseases. So, your premium will be higher.


Duration

Duration of your policy will also affect your premium. If have a longer duration for your policy, you will pay less premium.


BMI

Your BMI or Body Mass Index also affects your premium. If your BMI is high, then you are at a higher risk of chronic or lifestyle illnesses. This means you will pay a higher premium.


Location

Location If you stay in locations where food, water, air quality is an issue, it will lead to serious health issues and therefore, your premium will be higher.


plan type

Your plan type affects your premium amount.


Why to buy Family Health Insurance online?

Platinum Plan:Per claim-free year, a bonus of 50% is added to the total bonus.

Multiple sum insured options:You can select from 3 plan options, along with options for covering sums ranging from 1.5 lakhs to 1 crore

Immediate family cover:This policy covers you, your spouse, and your children

Ayurvedic and homoeopathic treatment:With the Gold & Platinum Plan, policyholders are covered for inpatient hospitalization expenses (up to Rs 20,000) in a recognized Ayurvedic/Homoeopathic hospital with the admission period not less than 24 hours.

Convalescence benefit:A continuous hospitalization claim for more than 10 days is eligible for a benefit pay out of Rs 7500 per year, provided the hospitalization claim is admissible.

Sum insured reinstatement: The amount insured, along with any cumulative bonus (if any), will be reinstated if it has been exhausted by the end of your policy year.

Road ambulance cover:Ambulance expenses incurred during the policy period will be covered up to Rs. 20,000.

Daily cash benefit: As an accommodation expense benefit, one parent or legal guardian may claim Rs 500 per day for up to 10 days during a policy year, to stay with a minor insured under the policy.

Day-care procedures cover:Under this policy, listed day-care procedures and surgeries are covered for medical expenses incurred during treatment.

Bariatric surgery cover:Medical advice is required for bariatric surgery coverage, subject to certain terms and conditions.

Pre and post hospitalization:The policy covers medical expenses 60 days prior to and 90 days following hospitalization.

Maternity/new born baby cover: The policy covers maternity expenses as well as medical expenses incurred for treating a newborn. However, certain terms and conditions apply.

How to buy Family Health Insurance from Bajaj Finserv Health

  • Login

    1

    Step 1
    Log on to the website www.bajafinservhealth.in or download the ‘Bajaj Finserv Health’ app on your phone and sign up.

  • Search for Diabetes Insurance

    2

    Step 2
    Search for the Family Health Insurance Plan.

  • Apply Now for Diabetes Health Insurance

    3

    Step 3
    Click on ‘Apply Now’ and enter your basic details.

  • Confirm Application

    4

    Step 4
    Check and confirm application by entering the OTP received on your mobile number.

  • Pay your premium

    5

    Step 5
    Pay the premium via credit/debit card, UPI, mobile wallet, etc.

  • Get Details on Whatsapp

    6

    Result
    You will receive the details of your membership via email/WhatsApp.

Myth Buster
All set to buy ?

Tax savings with Family Health Insurance

Tax planning is one of the most effective ways to save on health insurance. When you purchase either an individual health insurance policy or a family health insurance policy, you will be able to take advantage of several tax benefits.

An overview of the same is provided below:.

  • For Preventive Health Check-Ups:An annual deduction of Rs. 5,000 can be claimed for health check-up expenses. The costs for check-ups of all family members - yourself, your spouse, your children, and your parents - are included.
  • Under Section 80DDB:For specific illness-related expenses, you can claim an additional tax deduction if you, your family, or your parents incur them. If the amount incurred is less than or equal to Rs. 40,000 (for yourself and your family), the deduction amount can be claimed. A maximum of Rs. 1 lakh can be claimed by senior citizens under this section.
  • Under Section 80DD:For nursing, training, medical treatment, preservation, and rehabilitation of a disabled dependent, you can obtain tax benefits up to Rs. 75,000. In cases of extreme disability, you can receive up to Rs. 1.25 lakh in tax benefits.
Explore Our Robust Network

You can avail all your health insurance benefits PAN India. Explore our vast network partners.

Explore Our Robust Network

You can avail all your health insurance benefits PAN India. Explore our vast network partners.

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An Easy, Hassle-Free And Quick Procedure

How to Claim Your Healthcare Benefits?

We have 98% Claim Settlement Ratio!
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India’s Leading Company
We have 98% Claim Settlement Ratio!
With the Bajaj Finserv Health Insurance plan, you can avail health benefits and hospitalization benefits across the vast Bajaj Finserv network partners PAN India.
1
STEP ONE
Download the Bajaj Finserv Health app or go to www.bajajfinservhealth.in and log in to your account.
2
STEP TWO
Go to your health plan and select the benefit you want to redeem or get reimbursed.
3
STEP THREE
Follow the steps and claim your health plan benefits instantly.

How to make cashless claims & reimbursements

Cashless Claims
Reimbursement
Approach Hospital
Approach Network Hospitals
Approach Network Hospitals for complete cashless facility & once details are verified, send the duly filed pre-authorization form to the insurer
Verification of all details
Verification of all details
The insurer will duly verify the details of the pre-authorization request with policy benefits and intimate their decision to the healthcare provider
Myth Buster

One useful tip just for you!

Family health insurance plans are better, cheaper and offer a lot more than buying individual health insurance plans for each family member.

Myths Busted

Myth #1: My family is young. I can wait to insure us all.

Truth: Having a young family is a good thing but to underestimate health problems is foolhardy. Health problems can crop up suddenly causing financial upheaval. Therefore, it is only prudent to protect your family with a family health insurance policy.

Myth# 2: If the health insurance contract is broken, you will lose all the benefits.

Truth: You must read the fine print before you invest in a health insurance policy at the time of health insurance purchase or renewal.

Myth #3: If I don’t declare my pre-existing diseases, no one will know.

Truth: Be honest about your health and existing conditions when investing in an insurance policy. While you may have to pay a higher premium, you can reap many health benefits too. Dishonesty can lead to fraud and legal action.
Hear It From Our Customers
testimonial-icon
Female, 23
Pune
Shruti Shivhare
This has been very helpful to me and my family during the pandemic. I could reach out to the best doctors online and get the right treatment for my parents at reasonable pricing. Also, with preventive health check-ups as a part of the plan, it is a very good purchase.
testimonial-icon
Male, 23
Hyderabad
Kauser
This has been very helpful to me and my family during the pandemic. I could reach out to the best doctors online and get the right treatment for my parents at reasonable pricing. Also, with preventive health check-ups as a part of the plan, it is a very good purchase.

FAQs


Family health insurance covers the entire family. The family plan covers every member of your family for a single premium, in contrast to the individual plan. Thus, no separate premiums are required for any of the individuals, regardless of their age.


Typically, children are much more susceptible to illness than adults. And since kids tend to get sick more frequently, it is important to make sure they have a safe and affordable health insurance plan. That way, you can handle hospitalization and medical expenses for their treatment without a hassle and focus on just being there for the little one.


Bajaj Finserv Health offers the best cashless health insurance in India.


The concept of a family floater refers to a health insurance plan that covers the entire family. Because of a floater, all members of the family receive benefits from the same pool.


Yes, you can add your parents in the family health insurance, however, there may be an increase in the premium amount, depending upon their age and pre-existing diseases.


In a family health insurance plan, for a single premium amount, separate policies are given to each members of the family based on their age and requirement. On the other hand, in a family floater plan, all the members are covered under one umbrella policy with the same benefits.


The premiums will be determined by the age and amount of insurance of each individual. However, most insurers will give you a 10 percent discount if you are insured with more than one family member at the same time. The sum insured by other members remains intact if a claim is made by one member.


Price starting @
₹592 x 10 months

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