Difference between Individual and Family Health Insurance
Address your family’s specific needs when choosing the best health plan for your family. Elderly parents require inclusive coverage to meet their growing healthcare needs. You can compare the costs and options of family health insurance plans by thoroughly understanding your requirements. When it comes to buying the right health insurance, then family insurance is often considered a more practical and beneficial choice for growing families.The table below provides clearer information on the two famous types of health insurance you can choose:
| Individual Health Insurance |
Family Health Insurance |
| Financial coverage for a single individual against medical emergencies. |
Financial coverage for 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 ₹1Cr, depending on the chosen plan. |
Varied sum insured options are available up to ₹6 Cr. |
| The premium charged depends mainly on the individual’s age. |
The premium depends mainly on the age of the family's oldest member. |
| 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). |
How to Buy Family Medical Insurance Plans from Care Health Insurance?
Medical costs are constantly rising, so now is the best time to get healthcare insurance for your whole family. Signing up for our medical policy for families is easy through our digital portal.
Here's how:
Explore and Select Your Plan: Visit our official website and explore the diverse range of family health plans available.
Enter Phone Number: Enter your phone number and click on Get a Quote. You will be redirected to the next page, then click on Calculate Premium.
Select Family Members: Select the members you wish to insure and provide their age. Additionally, input your current residential address pincode for the correct premium based on location.
Review and Customise: Analyse the different plans and their benefits to choose the plan that suits your needs. You can also customise key aspects of your policy, such as tenure, sum insured and add-ons.
Receive Instant Quote: Once selected, you will receive an instant quote for your chosen family health insurance plan.
Provide Required Details: Proceed to purchase by filling in the proposer details, details of insured members, and your KYC details.
Secure Payment: Pay using a secure method such as a payment wallet, net banking, or a debit or credit card. You can also pay the insurance premium in EMI.
Policy Confirmation: Upon successful payment, your policy information, including your policy number and e-card, will be instantly sent to your registered mobile number.
How to File a Claim Under Family Floater Insurance?
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. |
How to Renew Family Health Insurance?
To continue availing of the benefits of family health insurance plans, you must renew the plan before it expires. You can quickly find the expiry date of your policy. Based on your existing policy details and renewal request, a renewal premium will be communicated to you within the specified period before the policy's expiration.
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
- On the Care Health Insurance homepage, click on the ‘Renew the policy’ option.
- Enter your policy number and verify the captcha to proceed.
- Select the renew option available.
- You can make changes in your policy like increasing the sum insured, changing the plan, customising the add-ons, etc.
- Make sure to avail any ongoing offers, discounts, or accumulated bonuses (if any).
- Submit the documents required.
- Make the payment to complete the process.
Mobile App
You can renew the policy by using the following steps through the Care Health-Customer App-
- Download ‘Care Health-Customer App.’
- Log in through Policy Number/ Mobile Number/ Email ID.
- Check the policy summary and click on ‘Quick Renew’ or ‘Modify & Renew.’
- Choose the payment mode and proceed through ‘Quick Renew,’ or modify your details by clicking on the ‘Modify & Renew’ button.
- Post successful payment, you can download the policy certificate from the Thank You page. You will also receive the payment confirmation along with a transaction number via SMS & email.
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.
Documents Needed to File a Family Health Insurance Claim
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:
- Duly filled claim form
- The original discharge summary from the hospital
- The original medicine bills, lab and diagnostic reports
- The original hospital bill payment receipt
In case of an accidental hospitalisation, you need to submit the following documents as well:
- MLC/ FIR copy (if applicable)
- Alcohol history (if applicable)
- Investigation reports (like X-Ray/MRI/CT Scan etc.)
- Attested copy of indoor case papers
- Invoice and the stickers required in case of implant surgery
- In case the claim amount ranges above ₹1 lakh, you must provide a copy of any one of the following KYC documents:
- Aadhaar Card, Passport, Driving Licence, and/or Voter ID
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:
- A copy of the patient's medical ID card
- A copy of the e-health card ( available at Care Health Customer Application)
- Pre-authorisation letter
- A valid government ID proof such as Aadhaar card.
Please note that your policy address must be same as the current residential address to avoid claim rejections.
What is the Process for Adding or Removing Family Members from the Policy?
Under a family floater plan, a child aged between 91 and 180 days can be added mid-policy year. If the child is older than 180 days, they may be added at renewal. Spouse inclusion is also allowed at the time of renewal.
To add or remove family members from the family health insurance policy, follow these steps:
- Contact the Insurer: Reach out to customer service on WhatsApp at 8860402452 or your agent to request the addition or removal of family members from your policy.
- Provide Required Documents: To add a member, you may need to submit documents like identity proof, relationship proof, or birth certificates. No additional documents are usually needed to remove a member, but it is essential to specify the request.
- Recalculate Premiums: Adding or removing members may affect your premium. The insurer will calculate the new premium based on the number of members and their health conditions.
- Get a Policy Endorsement: Once the changes are confirmed, the insurer will issue a policy endorsement, an official document reflecting the updated details.
Why to Buy Health Insurance Plans for Family Online?
Investing in the best health cover for family means fewer financial worries tomorrow. 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 from anywhere. You can also access policy documents online for quick verification.
Readily Available Value-Added Services
It's easy to add benefits to your family insurance policy, such as OPD care, co-payment waivers, and pre-existing diseases, while purchasing our health policy for your family online.
Factors Affecting Family Health Insurance Premium
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 of the Oldest Member
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, risk of developing health issues increases.
Pre-existing Diseases
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.
Lifestyle Habits
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.
Location
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.
Type of Plan Chosen
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.
Add-ons
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/deductibles
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.
Duration of the Policy
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.
Common Mistakes While Opting for Health Insurance Plans for Family
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:
Low-sum Insured
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.
Limiting to Basic Coverage
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.
Communicating Wrong Information
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.
Ignoring the Policy Fine-print
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.
Waiting for the Right Age
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 your family, you need not wait for your youngest member to become old enough. The youngest member, as little as 91 days, can join your plan.Additionally, premiums increase with age. Ensure that all your family members have access to the best medical facilities with a comprehensive family health insurance policy.
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.