Future Generali Health Insurance Company Limited

About Future Generali India Insurance Company

Future Generali India Insurance Company Limited commenced its business in the year 2007 as a joint venture company between the Future Group, one of the most prominent players in the Indian retail industry, and Generali Group, one of the largest global insurance providers in Italy. It is a private general insurance provider in India which provides commercial, retail and personal insurance products to both corporate and individuals to meet their insurance needs. Future Generali India is amongst the most trusted insurance companies in India. 

Key highlights of Future Generali India Insurance Company

Key highlights of the company are as follows: 

Awards and achievements of Future Generali India Insurance Company

In the journey to becoming the best insurance provider in the industry and a one-stop solution for its customers, Future Generali India has received many awards and accolades. Some of its achievements are as follows: 

• Future Generali India Insurance Company was recognised as “The Economic Times Best Brand 2020” for its innovation and trustworthiness. 
• The company received the “Best Product Launch PR Campaigns of the Year” award in the year 2019 at the Kamikaze Corporate Communication & PR Leadership Summit. 
• The company received “Golden Star Awards” for best insurance brand under claim service leader: Health Insurance category. 

Key features of Future Generali India Health Insurance plans

Here are some of the common coverage features found in Future Generali health insurance plans –

Common exclusions in Future Generali health insurance plans

Future Generali health insurance plans have a list of exclusions under which the claim is not payable. The exact list of exclusion is plan specific and can be checked in the policy wordings. However, an indicative list of exclusions is given below –

• Pre-existing conditions and their related medical complications are not covered within the specified waiting period. The waiting period is applicable from the date that you buy a fresh policy
• There is a 30-day waiting period for diseases and illnesses. This waiting period also starts from the date that you buy the first policy
• Specific treatments and illnesses are excluded from coverage for the first 2 years of buying the policy. Common examples include cataracts, tonsillectomy, joint replacement treatments, etc.
• Unproven or unscientific medical treatments are not covered
• Claims due to war, nuclear threats, chemical contamination and ionisation are excluded
• Claims due to self-inflicted injuries, attempted suicides, alcoholism, substance abuse, and criminal acts are not covered
• Cosmetic surgeries, weight control treatments, circumcision, etc. are not covered
• The cost of hearing aids, lenses, spectacles, etc. do not form a part of the coverage benefits
• If you suffer a claim when participating in hazardous or adventure activities, the claim would not be covered 

Features of Future Generali health insurance plans

Future Generali offers a range of health insurance plans to its customers. Some of its most popular plans available at PayBima include the following –

1. Health Total Vital Plan

This is a comprehensive health insurance policy that Future Generali offers. The policy provides all the vital coverage benefits in a medical emergency, hence the name. The salient features of the plan are as follows –

• Sum insured restoration

Multiple claims in the same policy year can exhaust the sum insured. That is why this Future Generali health insurance policy allows the benefit of sum insured restoration. Under this benefit, if the sum insured is used up on a previous claim, it is reinstated for a subsequent claim occurring in the same policy year.

• Maternity cover

The plan has an inbuilt coverage for childbirth and pregnancy. You get covered for both normal and C-Section deliveries up to specified limits.

• High no claim bonus

If you don’t make a claim in a policy year, the sum insured increases by 50% by way of a no claim bonus. The maximum increase allowed under the policy is up to 100% of the sum insured. You can, thus, enjoy double the coverage within two claim-free policy years.

• Patient care benefit

If an insured member aged 60 years and above is hospitalised, a patient care benefit is paid. Under this benefit, a daily allowance is paid per day of hospitalisation.  This daily benefit can cover the non-admissible medical costs and prove handy.

• Enhanced cover for accidental hospitalisation

In the case of hospitalisation following an accident, the sum insured is automatically enhanced by 25% so that you can meet the additional medical costs easily.

• Coverage for an accompanying person

If a minor insured member, aged up to 12 years, is hospitalised, a daily cash allowance would be paid to cover the cost of an accompanying person. 

2. Health Total Superior Plan 

The Superior Plan is another variant of the Health Total policy, like the Vital Plan. This variant provides a wider scope of coverage. In addition to the aforementioned features available under the Vital variant, the Superior plan also allows the following coverage benefits –

• New born baby coverage

Besides allowing coverage for maternity and child birth, the Superior plan allows coverage for the newborn baby too. Pre and post-natal hospitalisation expenses of the newborn baby are covered for 90 and 45 days respectively. Moreover, the costs of vaccinations for the first year are also covered up to specified limits.

• Ambulance cover at actuals

If you get hospitalised in a networked hospital, the actual cost of hiring an ambulance would be covered by the policy without any sub-limits.

• Emergency medical evacuation

The plan allows coverage for emergency medical evacuation on a reimbursement basis.

• OPD coverage

Outpatient medical expenses, i.e. those expenses that are incurred without being hospitalised, are also covered. Coverage for outpatient medical expenses incurred for mental treatments is also provided under the policy up to specified limits.

Schedule of benefits

Process to buy Future Generali India Health Insurance plans

Future Generali India Health Insurance plans can be bought online in a very simple way through www.paybima.com.  PayBima provides a very easy and hassle-free process with the benefit of comparison to help you select the best plan at a competitive price. The process is as follows: 

• Go online

Visit the official website of PayBima or simply click on www.paybima.com and select ‘Health Insurance.’

• Feed in the details

Fill in the basic details such as your name, gender, sum insured, etc. PayBima will then calculate the premium of the available plans based on your eligibility and coverage requirements. 

• Compare available plans

Once you have submitted all your details, a list of all the plans with their features will be displayed including Future Generali health plans. You can compare the available plans on the basis of their coverage and premium. You can then select the plan which offers the maximum coverage benefits at a reasonable premium.

• Proposal form

Proposal form is an application to the insurance company to issue the policy. After selecting the plan, fill in the proposal form answering questions about your health and submit it online. Ensure to fill in all the details correctly and completely. 

• Premium payment and policy issuance

Pay the premium of the plan online and the policy will be issued instantly after the payment is made provided there are no adverse declarations made in the proposal form with regards to the lifestyle habits and medical history of the insured. 

• Pre-issuance medical check up

Based on your age, lifestyle habit, medical history and sum insured, you might be required to undergo a medical screening before the issuance of the policy. You can avail the pre-medical check-up at the network facility of the insurance company. 

Process to renew Future Generali India Health Insurance plans

Renewal of a health insurance policy is necessary to enjoy uninterrupted coverage. You can renew your health insurance plan through PayBima. To enjoy non-stop coverage, you should renew the plan within the due date. 

You can renew your health plan online by providing your policy number and other policy details. At the time of renewal, you can view your policy details and its coverage and make changes if any. You can increase or decrease the coverage of the plan or add-on riders with the plan. However, the addition of riders will enhance your premium. To renew the Future Generali India Health Insurance plan, you can call PayBima at 1800 267 67 67 or email at paybima.care@mahindra.com. 

The process to make a claim for the Future Generali India Health Insurance Plan

Filing a claim for a Future Generali India health insurance plan is an easy process. You can file a claim through PayBima. PayBima provides a quick and simplified claim settlement process. Follow the following steps for making a successful claim: 

• Locate and visit the hospital

If you want to avail cashless claim facility then the first thing you need to do is locate the nearest network hospital. You can either call the helpline of the insurance company or visit its official website to check the nearest network hospital. Future Generali India Insurance has a tie-up with 63000+ hospitals across India. 

• Verify yourself and get admitted

The network hospital of the insurance company will verify your identity through your health card and ID proof. You can then get admitted without any deposit and avail cashless treatment

• Fill the pre-authorisation claim form

To get authorization from the insurer for cashless settlement of the claim, you will have to fill and submit a pre-authorization claim form. The form can either be downloaded from the insurance company’s website or can be taken from the hospital insurance desk. Fill and submit the pre-authorization form at least three to four days before a planned admission. In the case of emergency admission, you can intimate the insurer within 24 hours of being hospitalized. 

• Get the approval

The hospital will begin the treatment by receiving confirmation and approval from the insurance company. 

• Reimbursement claims

In reimbursement claims, the insured has to pay all the bills of the hospital and collect all the original medical documents. You will have to inform the insurer beforehand. In case of emergencies, you can inform the insurance company after admission to the hospital but before discharge. After discharge, download and fill the claim form along with hospital bills, expenses incurred and medical documents for reimbursement. The company will verify your claim and reimburse the expenses that you have incurred.  

You can seek PayBima’s help to guide you through the claim settlement process. You can call up at 1800 267 67 67 or mail at paybima.care@mahindra.com and we would help you with your claim settlement. 

The documents required to be submitted along with the claim form for smooth and successful claim settlement are as follows: 

• Identity proof of the insured
• Health Card
• Bank Account details or copy of passbook for payment of reimbursement claims
• Doctor’s prescription advising hospitalization
• Original medical bills
• Original hospital bills
• Hospital reports and their bills, consultation notes and prescriptions. 
• Pre-authorization form for cashless claims

Review of Future Generali India Health Insurance plans

• The company provides customised and innovative products to cater to the rapidly changing requirements of the insurance industry and its customers. 
• Future Generali India provides 24*7 assistance for any queries that you might have
• The company has tie-up with leading health providers of India allowing you to locate a hospital easily for cashless treatment. 
• The company provides a quick and hassle-free claim settlement process. 
• You can also avail of premium discounts and make your coverage comprehensive and affordable at the same time. 

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Frequently Asked Questions

Q: Do Future Generali health insurance plans have any co-payment clause?

Yes, a co-payment clause is applicable under both the Vital and Superior plan variants. Under this clause, you have to pay the specified part of the claim if an insured individual is aged 60 years and above when buying a new policy.

The co-payment ratio starts at 20% and goes up to 40% depending on the age at which you are buying the policy. 

Q: Would I get complete coverage for pre-existing illnesses after the waiting period of 2 years is over?

Under Superior and Vital plans, coverage for pre-existing illnesses is restricted in the 3rd year after the waiting period of 2 years is over. In the 3rd policy year, 50% of the claim would be paid for pre-existing conditions. However, from the 4th policy year onwards, you can avail of 100% claim settlement for your pre-existing conditions. 

Q: What discounts are available under the Vital and Superior health insurance plans?

Both Vital and Superior plans allow two main discounts. The first discount of 10% is allowed if you renew the policy after the death of the policyholder. Additionally, a family discount of 10% is available if you insure your family members under the policy on an individual basis. 

Q: What is the e-opinion coverage available under the Health Total Plans?

If you suffer from any illness or injury, you can avail of an online doctor’s opinion from Future Generali’s team of medical experts. This is called the e-opinion facility. The e-opinion facility is available up to 2 times in one policy year.

Q: Which family members can be covered under the floater version of the Vital and Superior policies?

You can avail coverage for the self, spouse, up to 2 dependent children and 2 dependent parents under the Vital Plan. The Superior plan, however, allows coverage for your extended family members too. You can cover up to 15 members under the Superior policy.