Objective

A policy with an objective to cover several relationships under a single policy to reduce time and efforts on multiple policy handling.

Suited for

It covers many relationships under a single policy which makes it suitable for a big family. However, it covers all members on an individual sum insured basis.

What does it do?

It is a policy with a provision to cover several relations under a single policy. It can cover brother, sister, mother-in-law, father-in-law, grandfather, grandmother, grand-daughter, grandson, daughter-in-law, son-in-law. Each family member can select a sum insured that cannot be shared among other insured members. Platinum Plus plan covers out-patient treatment charges as well. Additional offers that sets this policy apart are Indexation benefit and Accidental hospitalisation cover. With increasing age and rising insurance needs, this policy allows sum insured to increase by 10% on an annual basis till it reaches 50%. Apart from this, the policy gives an extra protection for accidental hospitalisation which can be utilized only after exhaustion of basic sum insured.

Pros

This policy offers lifelong renewals.
Premiums paid towards this policy enjoy a tax benefit under Section 80D.
Reduces time and efforts to handle multiple individual policies.

Cons

Room rent and ICU charges are capped.

Our View

A comprehensive policy covering maternity, Out patient treatment and providing a daily cash allowance for related expenses as well.
Accidental hospitalisation though is a good additional feature, it does not provide disability benefits so, cannot replace a standalone accident cover.
Premiums for this policy are already higher than other comprehensive policies which means that the cost of Indexation benefit has already been taken care of.

Eligibility

Entry Age (years)

Minimum

18; 91 days for children

Maximum

65; 21 years for children

Maximum Policy Renewal Age (years)

Lifelong

Coverage Type

Individual/ Family/ other legal dependents on individual basis

Policy Term (years)

1

Sum Insured (Rs)

Maximum

10 lakh under Platinum Plan

Minimum

7.5 lakh under Platinum Plan

Discount

10% Family discount to cover 3 or more members
5% No claim discount on renewal premium

Pre Policy Medical Check Up

Not required upto 50 years of age for sum insured of Rs 3 lakhs and upto 45 years of age for sum insured above Rs 3 lakhs and upto Rs 10 lakhs. Insurer will reimburse 50% of costs if proposal gets accepted

Grace Period for Policy Renewal

30 days

Policy Termination

Either of the parties may terminate this policy. Policyholder may cancel this policy anytime and the insurer would pay proportionate premiums if no claim has been made.

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

SMS 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 60 days prior to hospitalisation and 90 days after discharge from the hospital

In patient hospitalisation

covered

Room rent

No limit

ICU charges

No limit

Day care procedures

147 in number are covered

Emergency ambulance

covered upto Rs 1500 per claim upto total of Rs 3000 policy limit

Health Check up

allowed after every 4 claim free years for upto Rs 3000

Accident hospitalisation

covered for upto 50% of basic sum insured

Indexation benefit

Sum Insured increases by 10% each year till it reaches 50% irrespective of claim in expiring policy

Maternity Benefit(allowed for first two children)

pays 10% of sum insured upto Rs 50000

Outpatient Treatment Charges

covers consultation fees/ pharmacy bills/ diagnostic test charges for maximum upto Rs 2500

Hospital Cash Allowance( for upto 30 days)

Rs 1000 per day

Exclusions and Waiting Period

Pre-existing diseases

covered after 3 years 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.certain diseases such as Osteoarthritis of any joint, treatment of joint replacement surgery etc shall be covered after first three policy years. 3 years for maternity benefits

Other Exclusions

Ayurvedic or any other non-allopathic treatmentAIDS or related condition