Health Insurance Plans for Family – Top 10 Family Health Insurance Plans 2024, Inclusions and Exclusions

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12 min read

Updated on Dec 26, 2023

Good health directly impacts the stability and happiness of the entire family. It fosters both physical and emotional well-being. If the health of even a single family member is disturbed, it destroys the harmony in the family. In this post, we discuss the top family health insurance plans in India in 2024 to help you choose the best health policy for your family.  

With the rise in the number of new and deadly diseases, hospital visits have increased. And this has increased the healthcare costs for different treatments in the country. The enhanced expenses in treatment have emptied your pockets while paying towards the various healthcare expenses. Thus, to keep your savings intact, you must seriously contemplate getting comprehensive family health insurance coverage. This will allow you to avail of cashless treatments in case of any medical emergency.

Let us look at the top family health insurance policies in 2024 offered by different insurance companies in India.<h2

What do you mean by a Family Health Insurance Plan? 

A Family Health Insurance Plan is a healthcare policy that caters to the needs of all family members. Hence, these policies protect all your loved ones under a single coverage and allow you peace of mind in terms of the health of your loved ones. Most of these policies cover your spouse and your dependent children, while others cover your parents and parents-in-law’s healthcare costs too.

Family Health Insurance Plans – Key Features

Here are the key features of a family floater health insurance policy in India:

  • The plan offers unlimited restoration as the coverage gets refilled by INR 1 crore if it gets exhausted
  • Cashless claim settlement through 8000+ network hospitals
  • Family coverage of self, spouse, dependent children and parents
  • The plan offers coverage up to INR 50 lakhs
  • You are also covered for emergency ambulance charges of up to INR 20,000 per year
  • The plan allows the insured to avail of tax benefits
  • The cashless claim process under the plan can be availed within 30 minutes of the claim initiation
  • The plan covers 586 daycare procedures
  • NCB of 10 to 50% on the sum insured is available under the plan

Individual vs Family Health Insurance Plans

Features  Individual health policy  Family health policy  
Plan One individual is covered under the plan  It covers all the members of a family under one policy 
Coverage The sum insured covers the healthcare costs of the individual policyholder The sum insured is shared among all the members insured under the policy
Benefits The individual receives extensive coverage An affordable option for multiple-member coverage
Cons Expensive policy Affordable as compared to individual plan as the sum insured is shared by all members

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Best Family Health Insurance Plans, Sum Insured & Benefits

Plan Name  Sum Insured (SI) Benefits 
Niva Bupa Health Plus plan Up to INR 10 lakh – Cover pre- and post -hospitalization expenses for up to 30 and 60 days respectively

– Covers daycare treatments and domiciliary costs

– Covers expenses for organ transplant

Manipal Cigna Pro-Health Group plan Up to INR 10 lakh – Available with and without co-pay

– Covers daycare treatments and domiciliary cost

– Covers AYUSH treatments

Bajaj Allianz Health Guard plan Up to INR 50 lakh – Offers contemporary methods of treatments

– Covers diseases like bariatric surgery, maternity costs, organ donor process, etc.

Aditya Birla Group Active Health Plan Up to INR 10 lakh – Covers diseases like Asthma, BP, cholesterol, and diabetes

– Cover pre- and post -hospitalization expenses for up to 30 and 60 days respectively

– Also covers 527 daycare treatments

Top 10 Health Insurance Plans for Family 2024

Below are some of the best health insurance plans you can avail of to cover your entire family. 

Family health company 

Health Insurance Plan

Sum assured (INR)

Care Health Care Insurance Plan

Care Health Insurance Plan 4 Lakh- 6 Crore
Bajaj Allianz Health Insurance Bajaj Allianz Family Floater Health-Guard

1.5-50 Lakh

Aditya Birla Health Insurance

Aditya Birla Activ Health Platinum Plan

2 lakh – 2 Crores

Bharti AXA Health Insurance

Bharti AXA Smart Super Health Insurance Policy

5 Lakh- 1 Crore

Edelweiss Health Insurance

Edelweiss Family Floater Health Insurance Plan

5 Lakh-1 Crore

Niva Bupa Health Insurance

Niva Bupa Companion Family Health Insurance Plan

Silver plan – 3-15 lakhs

Gold plan – 3-50 lakhs

Platinum plan – 15-50 lakhs

Raheja QBE Health Insurance

Raheja Health QuBE Plan 1-50 Lakh
SBI Health Insurance SBI Arogya Premier Policy

10-30 Lakh

Manipal Cigna Health Insurance

Manipal Cigna Family Floater – ProHealth Protect Plan 2.5- 50 Lakh
IFFCO Tokio Health Insurance Iffco Tokio Family Health Protector Plan

1.5-30 Lakh

Let us now understand the plans in detail:

1. Care Health Insurance

This policy allows coverage for pre- and post-hospitalization for 30 and 60 days, respectively. Other features include room rent coverage, ambulance charges, daily cash option, no limit on ICU charges, etc. It also offers free annual medical check-ups and add-on facilities like air ambulance benefits and personal accident cover, among others.

Eligibility 

  • Age of entry –Adults – 18 years, Children – 3 months
  • No max entry age, Lifelong renewability
  • Maximum members covered – 6
  • Waiting period for PED – 48 months
  • Waiting period for policy-specified diseases – 24 months

2. Bajaj Allianz Family Floater Health Guard Plan

This family health plan covers the entire family under a single plan. It allows coverage for pre- and post-hospitalization for 60 and 90 days, respectively, along with other facilities like room rent, domiciliary facility, ambulance charges, daycare facility, daily cash benefit, and more.

Eligibility 

  • Age of entry –Adults – 18 years, Children – 3 months
  • Maximum Age of Entry – Adults – 65 years, Children 25 years
  • Lifelong renewal option
  • Maximum members covered – 6
  • Waiting period for PED – 48 months
  • Waiting period for policy-specified diseases – 24 months

3. Aditya Birla Activ Health Platinum Plan:

This plan covers in-patient hospitalization and pre- and post-hospitalization up to 60 and 180 days, respectively. Further, it covers charges for daycare treatment, ambulance charges, domiciliary hospitalization, organ donor costs, second opinion costs in case of critical illnesses, etc.

Eligibility 

  • Age of entry – 91 days
  • No maximum age limit
  • Maximum members covered – self, spouse, and children up to 25 years of age
  • Waiting period for PED – 48 months

4. Bharti AXA Smart Super Health Insurance Policy

This policy is available in three variants, namely Value, Classic, and Uber. The coverage offered includes hospitalization, domiciliary hospitalization, Ayush Treatment NCB benefit, critical illnesses coverage, and domestic air ambulance cover (Uber plan).

Eligibility 

  • Age of entry – 5 years
  • Maximum entry age – 65 years
  • Maximum members covered – self, spouse, and children up to 23 years of age
  • Waiting period for PED – 48 months

5. Edelweiss Family Floater Health Insurance:

This comprehensive health policy is available in three variants: Silver, Gold, and Platinum. The coverage offered includes pre- and post-hospitalization (ranging between 30 and 120 days, depending on the plan variant). The policy has no co-payment clause for policyholders below 60 years. 60-year-old people can have a 20% co-pay under this plan.

Eligibility 

  • Age of entry – 3 months
  • Maximum entry age – 21 years
  • Maximum members covered – self, spouse, and children
  • Waiting period for PED – 48 months

6. Niva Bupa Health Companion Insurance Plan:

The policy offers an auto-refill option for the sum insured if it gets exhausted. The premium is reasonable and does not cause a hole in your pocket. It also allows higher daily cash benefits.

Eligibility 

  • Age of entry – Adults – 18 years, kids – 3 years
  • Maximum entry age – No maximum limit, Lifelong renewability
  • Maximum members covered – up to 6, including 4 adults and 2 kids
  • Waiting period for PED – 48 months
  • Waiting period for policy-specified diseases: 24 to 36 months

7. Raheja Health QuBE Comprehensive Insurance Plan:

Under this all-inclusive health policy, the coverage received includes in-patient hospitalization, pre- and post-hospitalization, domiciliary treatment, etc. The plan also covers over 140 daycare procedures requiring less than 24 hours of hospital admission.

Eligibility 

  • Age of entry – Adults – 18 years, kids – 90 days
  • Maximum entry age – Adults – 65 years, kids – 17 years
  • Maximum members covered – parents and children
  • Waiting period for PED – 48 months
  • Waiting period for policy-specified diseases: 24 to 36 months

8. SBI Arogya Premier Policy:

This is another family floater health plan that allows entry without any medical check-up till the age of 55 years. The plan offers coverage for pre- and post-hospitalization for up to 60 and 90 days, respectively. It provides coverage for daycare procedures, alternative treatment costs, etc.

Eligibility 

  • Age of entry – Adults – 18 years, kids – 3 months
  • Maximum entry age – Adults- 65 years, Children- 23 years
  • Maximum members covered – self, spouse, and dependent children
  • Waiting period for PED – 48 months

9. Manipal Cigna Family Floater ProHealth Protect Plan:

This family health plan is available with an extensive range of sum insured. The coverage offered under the plan includes pre- and post-hospitalization, in-patient hospitalization, diagnostic procedure costs, medical aids, and more. It further covers alternative treatments such as Ayurveda, Siddha, Unani, and homeopathy under AYUSH treatment.

Eligibility 

  • Age of entry – Adults – 18 years, kids – 91 days
  • Maximum entry age – No maximum age limit for adults, kids – 23 years
  • Maximum members covered – elf, spouse, dependent kids, dependent parents
  • Waiting period for PED – 48 months

10. IFFCO Tokio Family Health Protector Plan:

Last but not least, the IFFCO Tokio family health plan covers features like room rent costs, doctor fees, and other medical expenses. It also covers daycare costs, domiciliary hospitalization, AYUSH treatment, etc. It further covers 11 critical illnesses.

Eligibility 

  • Age of entry – Adults – 18 years, kids – 3 months
  • Maximum entry age – Adults- 65 years, Children- 23 years
  • Waiting period for PED – 48 months

Family Health Insurance Plans – Benefits

Below are some benefits of family health insurance plans:

  • They are easy to manage as all members are covered under one plan, so you don’t have to manage separate plans for different family members
  • These plans come with a high sum insured which ranges from INR 1.5 lakh to INR 2 crore
  • They allow more family members to be added to the plan so that you can accommodate your growing family
  • These policies also allow the insured to avail of several add-on covers such as maternity and newborn benefits, AYUSH, bariatric, and so on
  • These plans mostly do not require the policyholder to go through a pre-medical examination

Family Health Insurance Plans – Inclusions

Below are some inclusions of the family health insurance plans:

  • In-patient hospitalization including room rent, ICU charges, doctor’s fees, etc.
  • Daycare procedures that do not require hospitalization of more than 24 hours are covered under these plans like chemotherapy, dialysis, etc.
  • The plan covers pre- and post-hospitalization expenses including doctor’s fees, diagnostic tests, etc.
  • These plans also offer maternity coverage including delivery expenses, newborn coverage, and so on
  • The family health insurance plans also offer coverage for AYUSH treatments among others

Family Health Insurance Plans – Exclusions 

Some exclusions include:

  • These policies do not cover PEDs or pre-existing diseases during the duration of the PED waiting period
  • They do not cover STDs or sexually transmitted diseases like AIDS, Herpes, etc.
  • They also do not cover diseases caused by drug or alcohol overdose/abuse

Family Health Insurance Plans – Eligibility Criteria

Here are some criteria to be eligible to buy family health insurance plans:

  • The applicant should be at least 18 years of age to be eligible to buy a family health insurance plan, whereas the maximum age is 65 years
  • For dependent children, the age limit has to be from 3 months to 30 years
  • Family health plans may also cover parents and parents-in-law under the policy

Family Health Insurance Plan – Things to consider before buying 

The most significant things to consider while buying a family Mediclaim policy include:

  • Sum insured to meet your family’s healthcare needs
  • List of network hospitals of the insurer
  • Claim settlement ratio (CSR) of the insurer
  • PEDs and other waiting periods under the policy

Why buy a health policy for your family?

Buying a health insurance policy for your family is important to keep your near and dear ones safe and secure against various diseases and to take care of the inflation in the healthcare sector. A family health plan protects the entire family against injuries and diseases while taking care of your budget as well.

Here are some factors that make a family health insurance plan a significant purchase:

One policy covers all members – Under a family floater health insurance plan, you can include all your family members within the umbrella of protection of one policy. Many floater plans cover your spouse, dependent kids, parents, and parents-in-law. Hence, this turns out to be a cost-effective mediclaim policy supporting the entire family.

Savings Intact – Looking at the rising inflation in the healthcare sector, the only way to keep your savings safe is to get covered under a comprehensive family health insurance plan. This way, you can avoid a dent in your savings.

Sum restored – Many health insurance policies offer the facility of sum insured restore wherein you can get 100% reinstatement of your coverage amount if it gets exhausted within a policy year.

Stress-free recovery – A health insurance policy offers the facility of cashless treatment to the insured. Hence, you can focus on recovery and better treatment facilities as compared to worrying about the hospital bill.

Documents required to buy a family floater health insurance plan?

Below is a list of documents that may be needed to submit at the time of buying a family health insurance plan:

  • Identity Proof such as passport, Aadhaar, Driving license, etc.
  • Address proof such as ration card, driving license, electricity bill, etc.
  • The birth certificate of each member covered under the plan
  • Records of any PEDs or other medical conditions in the past
  • Salary slips or any other income proofs

How to Buy a Family Health Insurance Plan Online?

Here are the steps to follow:

  • Visit the website of paybima.com and click on the health insurance tab
  • Fill in the application with some basic details like name, gender, and phone number
  • Next, click on the ‘Get Quote’ option
  • You can see a list of policies on the page that appears. Choose the best family health plan as per your requirement
  • Compare policies and check the coverage amount and other requirements to suit your need
  • Choose the policy term and premium as per the plan opted for
  • Fill in the additional details as required in the next step by clicking on the proceed button
  • Make the payment online and buy the chosen policy

Family Health Insurance Plans – Process to file a claim

You can file family health insurance claims in two different ways – cashless claims and reimbursement claims

Cashless claims

  • Go to the hospital where you want to get your treatment done and approach the TPA
  • Show your health insurance card from the insurer and submit details in the form as required
  • The form along with some documents will be submitted to the insurer for verification
  • Once they are verified, you will get confirmation from the insurer and your treatment at the network hospital will commence within a few hours

Reimbursement claims 

  • For reimbursement claims, make the payment of the hospital bill at discharge
  • Within a specified time as per your policy terms and conditions, raise the reimbursement claim
  • Submit all the documents, hospital bills, and other papers required along with the reimbursement form
  • The papers will be verified and you can track the progress of the process
  • Once the verification and other procedures are complete, you will receive the claim amount in your bank account that is registered with the insurer

Alternatively, you may seek a home visit option of Paybima health insurance experts to explain the policies in detail and help you make an informed decision. Further, you can visit the official website of the insurance company to buy a family health insurance plan.

Popular Health Insurance Companies 2024

To Sum Up

Health insurance policies serve as a protective cover to safeguard your pocket and your savings during health emergencies. They allow the head of the family to stay worry-free in health emergencies, especially from monetary hassles. Compare different policies to choose the best health plan in India to protect yourself and your dear ones from health concerns.

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FAQs: Top 10 Health Insurance Plans for Family

Can I avail an INR 50 lakh health insurance?

Yes, INR 50 lakhs is a reasonable enough sum insured for health insurance plans as it can allow adequate coverage to your family.

What is the average premium cost of health insurance for a family of 4?

The premium for a family health insurance plan with coverage of INR 10 lakh/year would cost between INR 15,000 to INR 25,000 per annum.

Which is better - individual or family health insurance?

The best thing to do is to opt for a family health insurance policy for yourself, your spouse, and your children and to buy a separate plan for your parents (senior citizens). This is because the coverage amount available to your parents under a family health plan might be insufficient.

How does an individual health insurance plan differ from a family health plan?

An individual health insurance plan covers the healthcare expenses of an individual (a single person), whereas a family health insurance plan covers the healthcare expenses of all the members of a family covered under the plan.

Does a family health insurance plan cover PEDs or pre-existing diseases?

Yes, a family health insurance plan covers pre-existing diseases but only after a waiting period of a few years depending on the terms and conditions of the plan. So, you have to go through the PED waiting period of 2-4 years as per your plan to raise a claim against any PEDs

What are the various documents required to raise a claim of reimbursement under family health insurance plans?

- Discharge summary
- Detailed hospital bill
- Payment receipt
- Doctor’s consultation papers
- Bank details

Discharge summary Detailed hospital bill Payment receipt Doctor’s consultation papers Bank details

Yes, a family health plan covers multiple members of a family. Hence, even if the key insured person dies, the other eligible members can renew the policy.

Can family health insurance coverage be increased at low premium rates?

You may evaluate the health insurance plan to increase coverage at a low premium. Other options like higher deductibles can also be opted for to lower premiums.

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Jul 23, 2023
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PayBima is an Indian insurance aggregator on a mission to make insurance simple for people. PayBima is the Digital arm of the already established and trusted Mahindra Insurance Brokers Ltd., a reputed name in the insurance broking industry with 17 years of experience. PayBima promises you the easy-to-access online platform to buy insurance policies, and also extend their unrelented assistance with all your policy related queries and services.

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