Family Floater Insurance? Who Can Join the Plan?

• Written by Gungun Bhatia

  Reviewed by Nidhi Goyal

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One Policy to Cover Them All – But Is It Right for Your Family?

Imagine your family is enjoying dinner, and suddenly your dad complains of chest pain. Panic strikes, and the first thing you think about—after his health—is, “Are we financially prepared?” That’s where health insurance can be a lifesaver. But instead of buying separate policies for each member, what if there were a way to protect everyone under a single plan? Enter the family floater policy.

But what exactly is a family floater? Who can join such a plan? Is it better than individual health policies? Let’s decode everything you need to know about family floater insurance, its benefits, drawbacks, costs, and the crucial question of who qualifies for coverage.

What is a Family Floater Policy?

A family floater policy is a type of health insurance plan that provides a common sum insured or coverage amount for the entire family. Instead of purchasing separate plans for every member, this type of policy enables the entire family to share the coverage. Anyone covered can use the money as needed. The coverage lasts until the sum insured is used up. Let's shed some light on the key features:

• One Premium: Pay one premium for multiple members.
• Shared Coverage: The sum insured is utilised by any member.
• Affordable: Typically cheaper than buying separate policies.
• Flexibility: Some plans allow adding family members later.

Example:

Suppose you purchase a ₹10 lakh floater policy covering four family members. In that case, any member can access the shared coverage of the full ₹10 lakh for hospital stays and medical costs during the policy year.

>> Read More: What is a Family Floater Health Insurance?

Who Can Be Covered Under a Family Floater Policy?

You can include the following relations in most family floater policies:

Who Cannot Be Covered Under a Family Floater Policy?

If family floater insurance is a lifesaver, it also has some limitations. Not every family member can be insured under the health insurance umbrella. This is one of the lesser-known disadvantages of a family mediclaim policy. So, let's uncover the groups that cannot get the coverage:

• Non-dependent adults:  such as married children or independent siblings.
• Extended family: cousins, aunts, uncles, etc.
• Friends or roommates: No insurer allows unrelated people.
• Elderly above the insurer’s age cap: Often, members above 60 years may not be allowed in floater policies and may need senior citizen plans instead.

Pro Tip: Some insurance providers exclude parents and in-laws from family plans due to their age and associated health issues. They might suggest separate senior citizens' health insurance plans to secure the health of your elderly parents. 

Family Floater vs. Individual Health Insurance: Which is Better?

When buying health insurance, one of the most common dilemmas is whether to opt a family floater policy or an individual health insurance. Both have their own features and benefits. Let’s compare the two:

Verdict:

• If your family is young and healthy, go for a family floater.
• If your family has elderly members or chronic illnesses, individual policies may offer better protection.

What is the Cost of a Family Floater Policy?

Family floater policies aim to be easy on your wallet. The actual cost will depend on a few factors, such as:

• Age of the eldest member (this affects the premium significantly)
• Sum insured (₹5 lakh, ₹10 lakh, ₹20 lakh, etc.)
• Number of members covered
• Add-ons (room rent waiver, maternity cover, critical illness, etc.)

Sample Cost Estimate:

Disadvantages of Family Mediclaim Policy

Family health insurance plans, while often budget-friendly, do have some downsides. Here are some key disadvantages:

Shared Coverage = Limited Protection

With a family floater plan, the total coverage amount is shared among all family members. This can become a problem if one person needs extensive medical care and uses up most or all of the coverage. If another family member needs hospitalisation later in the same year, there might not be enough money left to cover their expenses.

Premium Based on the Eldest Member’s Age

The cost of a family floater policy is usually based on the age of the oldest person covered. If you propose a policy for parents or senior citizen relatives, the premium can increase significantly. This can make the plan less affordable, especially if you're on a tight budget. Think of it this way: insuring older people generally costs more because they are often more likely to need medical care.

Exit on Age Limit

Many family mediclaim policies have age restrictions for entry and renewal. This is especially common for parents or other senior family members. Once someone reaches the plan's age limit, they may no longer be eligible for coverage under the family policy. They would then need to get an individual health insurance plan.

No Portability for Individual Members

If a family member decides to leave the floater plan and get their own policy, they may lose some benefits. For instance, the floater plan spreads the risk and cost across all members, which usually leads to lower premiums compared to individual plans. Also, things like pre-existing conditions might be covered right away under the floater, but an individual policy could have a waiting period.

Key Features to Look for in a Family Floater Policy

When choosing a plan, it is advisable to consider some factors. Let’s discuss them:

• High Sum Insured Options: Start from ₹10 lakh or more.
• Cashless Hospital Network: Wide network = better access.
• No Claim Bonus (NCB): Increases coverage if you don’t claim.
• Automatic Recharge: Restores coverage if it’s used up in a policy year.
• Maternity & Newborn Cover: Useful for young couples planning a family.
• Daycare Procedures: Covers minor surgeries that require less than  24-hour hospitalisation.
• Pre and Post-Hospitalisation Cover: Look for coverage of medical expenses, at least 30–60 days before and 60–180 days after hospitalisation.

Tax Benefits on Family Floater Policies

One of the hidden advantages of a family floater policy is the tax savings it brings under Section 80D of the Income Tax Act. The government encourages families to byy health insurance by allowing deductions on the premiums you pay. Let’s discuss how:

• Premium paid for self, spouse, and children: Up to ₹25,000 deduction
• Premium paid for parents <60 years: ₹25,000 extra
• Premium paid for parents >60 years: ₹50,000 extra

Maximum tax deduction = ₹75,000–₹1 lakh, depending on age.

Real-Life Use Case: Should I Add My Parents to My Family Floater?

Adding elderly parents seems practical, but may increase premiums drastically and limit benefits. Most experts recommend buying a separate senior citizen health plan for them.

Why?

• Their age affects the premium for everyone.
• Higher chance of hospitalisation.
• May require critical illness cover, which is better separate.

Important Exclusions in Family Floater Policies

Every coin has two sides, and family mediclaim policies are no exception. Hence, it is important to know the exclusions under the family insurance which are not covered. Let’s explore:

• Cosmetic or dental procedures (unless accidental).
• Pre-existing diseases: Have waiting periods (1–3 years).
• Maternity: Often excluded or with a waiting period.
• Lifestyle exclusions: Alcohol, drugs, and self-inflicted injuries, etc.

Note: Always read the fine print before signing.

Which is the Best Family Floater Health Insurance Policy?

When it comes to choosing the best family health insurance policy, Care Health Insurance stands out with comprehensive plans like Care Supreme and Ultimate Care, offering a sum insured of up to 1 crore. These plans offer features like Cumulative Bonus, AYUSH  Treatment, Unlimited Automatic Recharge of the Sum Insured, wide Cashless Hospital Networks, Premium Payback, and much more. With affordable premiums and flexible coverage options, Care Health Insurance delivers both value and peace of mind, making it a top choice for families seeking reliable health protection. 

Final Thoughts: Is Family Floater Policy Right for You?

If you're a young couple or a small family wanting affordable and easy health coverage, a family floater policy is the way to go. However, if you have elderly parents, health issues that frequently arise, or simply want to ensure everyone in your family has their required coverage amount, separate health plans or a combination of both might be more suitable. Like with any insurance, explore around, read the details, and pick the right coverage amount. 

Disclaimer: All plan features, benefits, coverage, and claims underwriting are subject to policy terms and conditions. Kindly refer to the brochure, sales prospectus, and policy documents carefully.