Future Health Suraksha Individual Plan: Coverage, Claim & Renewal

Updated: 15-01-2024 07:18:27 AM

With health care costs touching towering heights, affording quality health care can become a budget-boggling task. And sometimes, medical expenses can take out big chunks from your wallet if you’re not well-prepared. That’s why the advent of health plans like Future Health Suraksha Individual Plan.

What is Future Health Suraksha Individual Plan?

By occupying a tiny share in your monthly expenses, Future Health Suraksha Individual Plan protects you from uncertainties and takes care of your hospital and medicine bills. No matter how well you keep yourself and your family in the pink of health, there may arise a time when you’ll need to loosen your pocket for a setback. And that’s when this plan takes the forefront to act as the savior to your financial plans.  Let’s look at the details of this plan and comprehend it in better manner.

Eligibility Criteria

Under this plan by Future Generali, there are some pre-requisites that need to be followed and certain points to be considered. These are as follows:

Particulars	Details
Entry Age	Adults: 18 years – 70 years Children: 3 months – 25 years
Maximum Sum Insured	For entry age of up to 55 years: Rs.10 lakh For entry age above 55 years: Rs.5 lakh
Maximum Policy Term	1 year
Renewal	Lifelong
Pre-Medical Tests	For entry age up to 45 years: Not Required For entry age above 45 years: Required; 50% of the test charges reimbursed

 

What all Future Health Suraksha Individual Plan covers?

The Future Health Suraksha Individual Plan is a specially designed plan to cater to your health expenses that may arise planned or out of a sudden. Although this is more of a comprehensive plan, one should be well-aware of all the conditions and expenses that are covered before buying the same. Read further to know the scope of this health insurance plan:

• Along with hospitalization expenses, you also get covered for pre & post hospitalization costs
• Ambulance charges
• Daily patient expenses
• Expenses incurred on person accompanying the patient
• Day care expenses
• Expenses incurred on treatment of accidental on paying additional premium
• 50,000 sum insured available for dependent children

Claim Process

Making a claim for Future Suraksha Individual Plan:

You can initiate the process through phone call, e-mail, a visit to the nearest branch, or via their online portal, where you have to provide the following information:

• Patient name
• Hospital ID number
• Mobile number
• Hospital details (name, doctor’s name and contact number, address)
• Date of admission and discharge
• Nature/name of illness
• Expenses incurred
• Proof of all the bills and prescription

If you are willing to make a claim through a phone call, their claim help-line numbers are:

• 1800 103 8889
• 1800 209 1016

To make a claim through e-mail, you can reach them at fgh@futuregenerali.in.

Also Read: Future Health Suraksha Family Plan

Cases where you can’t make a claim

Although, this individual health policy by Future Generali is a coherent one, there are certain exclusions to this. These situations/conditions are:

• Pre-existing ailments will not be covered until 48 months (4 terms) since the initiation of the policy
• Diseases contracted within 30 days of policy initiation
• Non-allopathic treatments i.e. alternative medicine
• Conditions such as gall- bladder stone and renal stones will be covered only after one year of commencement of the policy
• Expenses pertaining to HIV positive (AIDS) will not be covered under the policy
• Congenital diseases are not covered
• Unless medically required due to accident, joint-replacement surgery expenses will be reimbursed after 3 years

How long does it take to pay out a claim?

• For cashless claims the turnaround time that this policy provides is just 90 minutes.
• In case of reimbursement claims, they will be settled within 14 working days if all the necessary documentation is submitted.

Renewal Process of Future Health Suraksha Individual Plan

The Future Health Suraksha Individual Plan by Future Generali comes with the option of lifetime renewal. If you wish to continue with the benefits of the policy, you are free to renew the same anytime you need. But if in case the policy has expired and you now wish to continue, you can renew it within 30 days of expire of the policy. This span of 30 days is called the grace period.

Advantages of buying this plan

• According to the guidelines under Insurance Regulatory and Development Authority of India (IRDAI), you can port your existing health policy with this one and avail more benefits
• If more than one individual is covered under the same policy, you are liable to receive 10% family discount
• Even after the policy has expired you are given a grace period of 30 days for renewal of policy
• You can get free health check-ups after every four claims made under the policy if all the required documents are submitted
• You are liable to receive income tax relief for premium payment according to Section 80(D) of the Income Tax Act
• If no claims are made in the policy, 10% of basic sum is provided in a cumulative manner, up to 50% of the total sum ensured
• You are provided with a free-look period within 15 days of issuing the policy

Also Check: Future Health Suraksha Personal Accident Insurance

 FAQs

Q1. I feel that I am healthy right now, why should I opt for health coverage?

If that is the case, it is the perfect time for getting coverage because several lifestyle diseases arrive at the age range of 36-45. Also getting cover against accidents is sensible at any age.

Q2. Can I get my insurance amount in cashless mode?

The vast network of hospitals registered under Future Generali in India offer cashless facility.

Q3. Are income tax benefits available with the policy?

Yes, you are liable to receive income tax returns for the premium paid according to Section 80D of the Income Tax Act.

Q4. If I make no claims during the policy, do I still get any benefit?

If no claims are made during the policy, you can get 10% returns of the base amount at a cumulative rate until the maximum rate of 50% cumulative bonus.

Q5. If I am discharged within 24 hours, do I still get a claim for that?

Yes, it is considered as a day care procedure, and under the policy, 130 types day care procedures are covered

Q6. Can I get additional benefits other than the ones covered under the basic plan?

Yes, if you sign up under the PRIVILEGE program, you can get an extensive range of benefits such as discounts for OPD Care, medicines, dental care, vision care, gyms, physiotherapy, as well as spa treatments.