Objective

This policy aims to cover all family members under a single policy and reduce multiple policy handling costs and efforts.

Suited for

This policy is suitable if you are looking for a single policy to cover your family.

What does it do?

It works like any other floater health insurance policy that provides medical expenses incurred in treating a covered ailment. A floater cover is beneficial as any insured family member can use the cover if need arises, up to maximum of the sum insured. The policy also pays a daily cash benefit of Rs 250 or 500 on paying extra premium. Daily cash allowance can be used to pay for any other daily expenses which are not covered under the policy.

Pros

This policy can be bought online through company's website and premium paid is eligible for tax benefit under section 80D of the Income Tax Act.

Cons

There are sub-limits on room rent, boarding and ICU charges.
A 10 per cent deductible is applicable on all admissible claims for persons above 60 years of age. Deductible is the amount that the insured will have to shell out of his pocket before the insurance company pays the claim.

Our View

This family floater gives a basic coverage for hospitalisation expenses along with sub-limits on certain benefits. However, it is fairly priced for the benefits offered. A policy without any sub-limits is preferred over policies containing limits. So, if your budget allows, consider other policies without sub-limits.

Eligibility

Entry Age (years)

Minimum

18

Maximum

80

Coverage Type

Family floater

Policy Term (years)

1

Sum Insured (Rs)

Maximum

1000000

Minimum

100000

Discount

No claim discount of 3% on premium after three continuous claim free years and subsequent years subject to a maximum of 15%

Pre Policy Medical Check Up

Not required upto 45 years of entry age

Policy Termination

Insurance company may cancel the policy by giving a 7 days notice period. Insurance company in such a case will repay the pro-rata premium to the insurer if claim has not been made. Insurer may also cancel the policy at any time.

Customer Service

Address

United India Insurance Co. Ltd.
24, Whites Road,
Chennai - 600014

Mail to

customercare@uiic.co.in

Call to

1800 425 333 33(toll free), 91-044-28520161

Scope of Cover

Cashless facility

available if treatment availed in a network hospital

Reimbursement facility

available if treatment availed in a non-network hospital

Pre and post hospitalisation

covers medical expenses incurred during 30 days prior to admission to hospital and 60 days after discharge upto maximum of 10% of Sum Insured

Inpatient hospitalisation

covered

Room rent, boarding and nursing expenses

covered upto 1% of sum insured per day

I.C.U charges

covered upto 2% of sum insured per day

Surgeon, anaesthetist, medical practitioner, consultants, specialist fees, blood, oxygen, chemotherapy, Radiotherapy, Artificial limbs, Cost of prosthetic devices implanted during surgical procedure like pacemaker etc., X-Ray

covered

Other benefits

organ donor's hospitalisation expenses

medical expenses for treatment of organ donor in case of major organ transplant is covered

Cost of health check-up

reimburses an amount upto maximum of 1% of average basic sum insured once after every 3 continuous claim free years

Cataract

10% of SI subject to maximum of Rs25000

Hernia

15% of Sum Insured subject to maximum of Rs.30000

Hysterectomy

20% of Sum Insured subject to maximum of Rs.50000

Following Specified major surgeries -i. Cardiac Surgeriesii. Cancer Surgeriesiii. Brain TumourSurgeriesiv. Pacemaker implantationFor sick, sinussyndromev. Hip replacementvi. Knee joint replacement

70% of Sum Insured subject to maximum of Rs.4 Lac

Optional benefits (require extra premium)

Ambulance charges

covered upto Rs 2500 per policy period upon payment an additional premium of Rs 100

Daily Cash benefit

allowed

Exclusions and Waiting Period

Pre-existing illnesses

will be covered after 4 continuous renewals with the company

No claim period

initial 30 days since inception of the policy

Waiting period

certain illnesses such as Hernia, Piles, Cataract, Hypertension, Diabetes etc, will be covered after a waiting period of 2 years

Deductible

10% applicable on all admissible claims for persons above 60 years of age