Future Health Suraksha Family Plan: Coverage,Claim & Renewal

Updated: 25-08-2023 07:24:23 AM

Living the life of a millennial has its pro and cons and while the pros are so many to count, there is one big loophole that can make anyone sink deep. That is the hefty medical costs that one has to incur to afford quality medical care, thus, Future Health Suraksha Family Plan.

What is Future Health Suraksha Family Plan? 

If you’re a family person and are looking for a coherent health plan, then Future Health Suraksha Family Plan is your final destination. Due to increase in medical costs, it has become highly important to safeguard your budget so that as the need arises, your savings don’t suffer the burn. This health plan is a family floater plan which aims to shoot all your medical expenses with a single arrow.

Eligibility Criteria

Before investing in an insurance policy, it is advisable to check the terms of eligibility for the required policy. The terms of eligibility for Suraksha Family Plan are:

Criteria	Term of Eligibility
Maximum Term	1 Year
Entry Age	Adults: 18 – 70 years Children: 3 months – 25 years
Renewal	Lifelong

Eligibility Regarding the Sum Assured:

Age	Maximum Eligible Amount
For age below 55 years	10 Lakhs
For age below 55 years	5 Lakhs

Pre-Acceptance Medical Test to be eligible for the plan

A pre-acceptance medical test is a test required by the insurance company for checking the current status of health of the individual/members applying for health cover in order to check if there are any pre-existing conditions before the policy starts.

• For members aged below 45 years, pre-acceptance medical test is not required, regardless of the sum insured under the policy.
• For members aged above 46 years, pre-acceptance medical test is required. If the policy from Future Generali is issued to the individual, they are eligible to receive 50% payment for the test.

What is a Free-Look Period?

Free-Look period is the benefit of getting a trial run before all the terms of the policy are in place, in which you can return the policy. If you are not satisfied with the terms of the policy, you can return the policy documents within 15 days of receiving the policy.

You are also liable to receive a specific portion of the premium paid if no claim has been made within the time period. One of the 3 options are applicable according to the respective conditions:

1. The entire premium paid except the expenses incurred by Future Generali i.e. stamp duty charges and medical test expenses.
2. If the risk period has commenced, proportionate risk cover will be deducted from the payable amount
3. If the risk has initiated in a partial manner, equivalent risk premium will be deducted according to the amount of risk covered.

What all Future Health Suraksha Family Plan covers?

• Pre-hospitalization expenses for 60 days prior to admission in hospital
• Post-hospitalization expenses for up to 90 days after admission in hospital
• 130 types of day care procedures
• If have opted for the platinum plan, you are liable to receive hospital cash benefit
• Patient care expenses amounting to up to Rs.350 per day for those who are over 60 years of age
• Pre-existing conditions of the insured members are covered after 4 consecutive terms of policy withdrawal
• Patient care compensation is given at the rate of INR 350 per day if the age of individual is over the age of 60
• In case of accident-related hospitalization, the amount limit is extended by up to 25% of the insured sum, which goes to a maximum amount of INR 1 lakh
• Joint-replacement surgery expenses will be reimbursed on regular basis if required in urgency due to an accident

Claim Process

This is one of the important steps to understand if you are availing health cover. When a medical condition emerges including day care procedures or hospitalization, you need to initiate a claim to get reimbursed for the medical expenses. In this plan of Future Health Suraksha Family Plan, you can do so in 4 ways:

1. You can call Future Generali help executives on these numbers-

• 1800 103 8889
• 1800 209 1016

2. You can locate the nearest Future Generali branch and visit the same physically to be assisted by one of the executives
3. You can access the online portal of the website and submit the claim form that requires details such as-

• Patient name
• Patient hospital id
• Patient contact number
• Hospital name
• Doctor in charge and contact number
• Hospital address
• Claim amount
• Date of admission and discharge
• Details about the condition

How long does it take to pay out a claim?

The cashless settlement with the facility is done within 90 minutes. When it comes to re-imbursement claims, the settlement can be done within 14 working days.

Cases where you can’t claim Future Health Suraksha Family Plan

• Any disease contracted within 30 days of policy initiation
• Any treatment done through alternative medical methods (non-allopathic treatment)
• HIV Positive (AIDS)
• Condition emerging from use of intoxicating drugs or alcohol

Advantages of buying Future Health Suraksha Family Plan

• Cashless settlement provided under the policy ensures that the burden on the insured member and the subsequent members is reduced
• Direct claim settlement of expenses with relevant hospital/medical facility
• If no claim is made during the policy tenure, 10% of cumulative claim will be provided for the year, which can be accumulated for up to 50% of the policy amount
• Free health check-ups after every four claims are available at empanelled medicals centers
• Grace period of 30 days for renewal of policy is provided
• You are liable to receive income tax benefit for premium payment as per Section 80(D) of the Income Tax Act
• Premiums charged are inclusive of GST which means no hidden costs
• Free health check-up at empanelled diagnostic centers after every four claim-free years subject to all required documentation/information being submitted

Important Aspects

• Any pre-existing conditions before the start of your first policy term until 4 policy terms are complete
• There is a waiting period for reimbursement for conditions such as cataract, tumor, and hernia
• Surgeries such as gall-bladder stones and renal stones are compensated for after a period of 1 year

Also Read: Future Health Suraksha Individual Plan

FAQs

Q1. I have a family floater plan with another insurance provider. Can I port the same to this policy?

Yes, Future Health Suraksha Family Plan comes with the portability option which means you can post your existing policy to this one.

Q2. If I’m hospitalized for less than 24 hours, will the expenses incurred for the same be covered?

Yes, this health plan by Future Generali covers treatment done in any of its 130 day care centres where 24 hours pre-requisite is not needed.