Future Generali Health Total Policy: Coverage, Claim & Renewal

Published: 18-03-2019 07:50:13 AM

We live in a fast and uncertain time today. The illness or accident may occur to anyone’s life irrespective of age, gender, location or profession. While some precautionary steps may help to reduce the possibility of such occurrences, it cannot be ruled out completely. For some serious illness or accidents, you have to be in a hospital for several days. The cost of hospitalization can spoil your monthly or even yearly budget. Many times such costs run into several lakhs rupees. The better way to handle such situation is to avail health insurance policy in advance. Future Generali Health Total Policy is one such health insurance plan which can help you focus more on the treatment rather than the cost attached to it. You can avail the same for yourself and your family by paying a nominal premium on a yearly basis.

What Is Future Generali Health Total Policy?

Future Generali Health Total is a comprehensive health insurance Policy which provides wider and long term coverage. They have three different plans under their policy and all of them are available with individual and floater option. Based on the desired treatment coverage and budget for premium, you can select the appropriate plan for you.

Types of Future Generali Health Total Policy

There are different plans under Future Generali Health Total Policy which are listed below:

Type	Sum Insured	Who Can Be Covered
Future Generali  Health Total Vital Policy	Rs 3/5/10 lakhs	Self, Spouse, dependent children and dependent parents
Future Generali  Health Total Superior Policy	Rs 15/20/25 lakhs	Self, Spouse, Dependent or non-dependent children, parents, dependent siblings, daughter in law, son in law, parents in law, grandparents and grandchildren (maximum up to 15 members)
Future Generali  Health Total Premiere Policy	Rs 50 lakhs/ 1 Crore	Self, Spouse, Dependent or non-dependent children, parents, dependent siblings, daughter in law, son in law, parents in law, grandparents and grandchildren (maximum up to 15 members)

Eligibility Criteria

Particulars	Min-Max
Policy Term	1-3 years
Entry Age	Day one up to any age Children will be covered as dependents up to 25 years of age
Sum Insured	Rs 3 lakh-Rs 1 crore
Exit Age	No exit age

What Future Generali Health Total Policy Provides? 

• Hospitalization medical expenses
• Day care, pre/post medical expenses
• Organ donor
• Domiciliary expenses
• Outpatient expenses applicable for superior
• Expenses towards consultation, diagnostic tests and medication are covered
• Child vaccination applicable for premiere plan
• New born baby, superior and premiere plan
• Medical treatment abroad for listed conditions, applicable for premiere plan

Claim Process Of Future Generali Health Total

Cashless Claim

• The easiest way to report the claim is to register it to call center number 1860 500 3333 of Future Generali Total Health Insurance. Alternatively, you can approach the office of the insurance company or advisor through whom you might have availed the insurance initially
• Intimate about your hospitalization as soon as possible. If it is planned hospitalization, inform the company in advance. In case of emergency, you can intimate after admission to hospitalization
• For cashless treatment, you can submit the policy documents to the hospital upon admission
• The hospital authorities will send details about illness, treatment, and estimated expenses to the insurance company
• Future Generali will assess the scope and eligibility of the insurance, and send its approval letter to the hospital
• Once approved, you don’t have to worry about hospital expenses. The hospital will receive the payment directly from Future Generali.

Reimbursement Claim

If your hospital is not in the network of Future Generali insurance company, still you can avail any legitimate claim:

• You can intimate about your hospitalization to the insurance company as early as possible
• Compile every original document including hospital bills, test reports, doctors’ consultation, and prescription notes, medical bills
• Fill up the claim form and submit it to the Future Generali office along with necessary documents
• Future Generali will process your claim after due procedure and verification

Documents Required to Claim Insurance

• Filled and signed Claim-form
• OT Notes( In case of operation only)
• Intimation details to the insurance company
• Discharge Summary duly signed and stamped by the hospital
• Death Certificate if applicable
• Payment details from Hospital, including bills and receipt
• Medical test reports
• Prescription and bills from doctors of the hospital
• Medicine invoices

Cases Where You Can’t Claim This Plan (Exclusions)

The insurance company is not liable to pay if the claim arises from the following cases:

• Charges incurred at a hospital not consistent with or incidental to the diagnosis and treatment of the illness
• Cost of an annual health check up
• Injury or illness indirectly caused by war, act of army, war like operation
• Vaccination, inoculation

How Long Does It Take to Payout A Claim?

It is the norm to process your claim within seven days in case of accident claim and within 15 days in case of illness claim. Your timely and complete submission of claim-form with documents will help to expedite the process. 

Renewal Process Of Future Generali Health Total

Lifelong renewal facility is offered in all the three plans offered by Future Generali. A grace period of 30 days is provided to the policyholder to pay the premium for the given policy on time. In case, renewal proposal is given after a grace period, all waiting period including health check-up would apply fresh.

Advantages Of Future Generali Health Total Plan

• Under this plan, 100% of the sum insured and bonus if exhausted will automatically be restored for the particular policy year
• This plan also covers miscellaneous charges such as patient care, accompanying person, wellness care and road ambulance charges
• The insured can also avail e-opinion in respect of an illness or injury and alternative treatment
• There will be an increase in the sum insured by 25% subject to maximum 10 maximum in case of Accidental Hospitalisation
• Emergency medical Evacuation where the insurance company will reimburse the expenses incurred for medical evacuation is offered to the insured if they have opted for the superior and premiere plan
• Family discount of 10% will be provided to the insured if more than one person is covered in case of Individual
• The policy holder can avail long term discount up to 10% in case policy term is more than 1 year

Points To Consider Before Purchasing Future Generali Health Total Insurance Plan

1. Insure Yourself Adequately

Many people take health insurance for the sake of taking it or for the tax saving. However, if the cover is not sufficient, at the time of claim you have to spend hospitalization expenses from your pocket. It may take away your several months’ earnings. Having inadequate insurance is equivalent to not having insurance at all.

2. Disclose Pre-existing Disease

The health insurance is issued in good faith. Any pre-existing disease has a waiting period of two to four years. If it is discovered at a later date that any pre-existing disease was not declared, the claim shall not be paid, and policy may be forfeited. Moreover, you may not get health insurance from any other company in case of serious misrepresentation.

3. Avail Health Insurance Early

As the age advances, the premium of health insurance also increases. After a certain age, health-related issues increases. Once the disease is discovered, the insurance company may not give you the cover of pre-existing disease for certain years. Some disease may be excluded permanently. Hence, it is recommended to avail health insurance at a younger age, when you do not need it!

Features

Features
Claim Type (In-House or TPA)	In House settlement
Pre-Hospitalization	Expenses incurred 60 days prior to hospitalisation
Post-Hospitalization	Expenses incurred 90/120/180(varies from plan to plan) days after the discharge from hospital
Room Eligibility	Covered
Share Claim Payments	20%-40%
Restoration of Cover	Yes,100% of sum insured will be restored
No Claim Bonus	50% for every claim free year to a maximum of 100%
Ambulance Charges	Covered, Rs 1500-actuals
Worldwide Coverage	Covered only in the premier plan
Maternity Cover	Covered, Rs 15,000-Rs1,00,000
Hospitalization at Home	Covered
Day Care Treatment	Covered
Non-Allopathic Treatment Coverage	AYUSH Covered
Emergency Ambulance	NA
Health Check up	Covered

FAQ’s

Q1- Is it important to undergo pre acceptance medical tests?

If the policy seeker is up to the age of 50 years and opting for the Vital Plan, then the pre-acceptance medical tests are not required. However, if the age of the person is above 50 years then pre acceptance medical tests are required.

If the insured is opting for the superior and premier plan, then the pre acceptance medical tests are necessary from the age of 18 years onwards.

Q2-Can I pay in installments for my Future Generali Health Total policy?

Yes, it provides you options to pay the premium on monthly, quarterly, half-yearly or annual basis in case the polices are on long term. However, maximum of 5% of loading will be applicable on standard premium.

Q3- Is there any tax benefit on this policy?

Yes, the premiums paid for this policy are eligible for tax relief as per section 80D of the income Tax Act.

Q4- Is there any waiting period associated with this plan?

Yes, there are some disease/illness which are covered after a certain period of time and it is given below:

• Any illness whether diagnosed or diagnosable except those incurred as a result of injury will be covered after a waiting period of 30 days
• Pre-existing conditions will be covered after two years of waiting period.
• Organ transplant, joint replacement disease due to degenerative condition will be covered after 48 months of waiting period.