Royal Sundaram Family Good Health Plan

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Royal Sundaram Family Good Health Plan

	Objective			This policy aims to cover entire family under a single policy.
Suited for			It is available as an individual cover as well as a family floater where sum insured can be utilized by any member of the insured family. Individual plan can cover up to four adults of a family with different sum assured for each. As a family floater policy, it can cover up to two adults and three children under same policy.
What does it do?			Apart from hospitalisation expenses, it covers other day care procedures which do not require hospitalisation. The daily cash benefit can be availed to pay for travel, accommodation and food. If hospitalisation exceeds 21 days of continuous stay, the insurer will also pay a lump sum up to Rs 10,000 to assist in recovery.
Pros			Premiums paid towards this policy enjoy a tax benefit under Section 80D.
Cons			Room rent and daily ICU charges are capped.
Our View			The policy is available at reasonable premium rates, which may be due to sub-limits on room rent. Given the lower premiums, you may go for the policy if you are comfortable with sub-limits
Eligibility
Entry Age (years)
Minimum		18; 91 days for children
Maximum		65; 21 years for children
Maximum Policy Renewal Age (years)		70
Coverage Type		Individual/ Family floater
Policy Term (years)		1/2
Sum Insured (Rs)
Maximum		5 lakh
Minimum		2 lakh
No Claim Bonus		Sum insured increased by 5% for each claim free year subject to maximum of 50%
Pre Policy Medical Check Up		Not required upto 50 years of age
Grace Period for Policy Renewal		15 days
Policy Termination		Insurance company may terminate the policy by giving a 7 days notice. Insured member may also cancel the policy. If no claim has been made, the insurer will refund a proportionate premium
Customer Service
Address		Royal Sundaram Alliance Insurance Company Limited Sundaram Towers 45 & 46, Whites Road, Chennai 600 014
Mail to		customer.services@royalsundaram.in
Call to		1860 425 0000 (toll free)
SMS		Type FGH and send to 560701
Network Hospitals		Http://www.royalsundaram.in/App/search-hospital-list.aspx

 

	Scope Of Cover
Cashless facility		allowed if treatment is availed in a network hospital
Reimbursement facility		allowed if treatment is availed in a non- network hospital
Pre and Post hospitalisation		covers medical expenses incurred 30 days prior to hospitalisation and 60 days after discharge from the hospital
In patient hospitalisation		covered
Room rent		covered upto 2% of sum insured per day
ICU Charges		covered upto 4% of sum insured
Day Care Procedures		covered
Daily Cash Allowance		Rs 500 for each 24 hours completed in a hospital for maximum of 20 days during the policy term and for a maximum of 60 days for all insured persons in a family
Convalescence benefit(if hospitalisation exceeds 21 days)		lumpsum of upto Rs 10000 and maximum of Rs 20000 for all insured persons of the family
Emergency ambulance		covered upto Rs 1000 per claim
Health Check up		covered upto Rs 750 per insured person after every 4 consecutive claim free years

 

	Exclusions and Waiting Period
Pre-existing diseases		covered after 48 months of continuous policy renewal
No claim period		initial 30 days of policy commencement
Waiting period		Diseases such as Congenital Internal Disease, Stone in urinary and biliary systems, Migrane/Vascular headaches etc., are not covered during first policy year .Certain diseases such as Cataract, Knee/Hip Replacement, Heart Disease, Chronic Renal Failure/ End Stage Renal Failure etc are not covered during first two policy years.

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