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.