12 min read
Updated on Mar 30, 2023
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 the company are as follows:
|Asset Under Management||INR 5,300 crore|
|Insurance agents||20,000 + individual insurance agents|
|Cashless hospitals||63000 + hospitals|
|Branches||121 branches across India|
|Claim settled||2.6 lakh + claims|
|Corporate clients||3,000+ corporate clients|
|Policies sold||3.2 million insurance policies sold across India|
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:
Here are some of the common coverage features found in Future Generali health insurance plans –
|Hospitalisation coverage||This coverage pays for the medical bills that you incur when you are hospitalised for 24 hours or more. The feature covers room rent, ICU room rent, doctor’s fee, medicine and oxygen costs, nurse’s fee, etc.|
|Pre hospitalisation expenses||If you incur medical expenses before being hospitalised, such expenses are termed pre-hospitalisation expenses. Future Generali covers such pre hospitalisation expenses up to a specific number of days|
|Post hospitalisation expenses||Post-hospitalisation expenses are those that are incurred after the discharge. If you incur expenses on medicines, tests, and doctor’s consultations, such expenses would be covered under this head.|
|Ambulance cover||If you hire an ambulance for hospitalisation, the cost of the ambulance would be covered up to a specific limit|
|Daycare treatments||In some cases, treatments do not take more than a few hours. As such, the hospital stay is for a few hours after which a discharge is granted. Such treatments are called daycare treatments and they are covered under Future Generali health insurance plans|
|Domiciliary treatments||If you are treated at your own home because of the unavailability of hospital beds or because you cannot be transported to the hospital, such treatments would be called domiciliary treatments. Many Future Generali health insurance plans cover domiciliary treatments|
|Organ donor cover||Under this cover, the cost of harvesting an organ from a donor and the cost of the donor’s hospitalisation is covered provided that the insured member would be undergoing the organ transplant surgery|
|Alternative treatments||Alternative treatments mean non-allopathic AYUSH treatments. Future Generali health insurance plans allow coverage for these alternative treatments for an all-round protection|
|Free health check-up||You can avail of free health check-ups to monitor your health at regular intervals. The facility of free health check-ups is allowed at specified intervals provided that you renew the coverage continuously|
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 –
Future Generali offers a range of health insurance plans to its customers. Some of its most popular plans available at PayBima include the following –
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 –
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.
The plan has an inbuilt coverage for childbirth and pregnancy. You get covered for both normal and C-Section deliveries up to specified limits.
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.
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.
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.
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.
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 –
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.
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.
The plan allows coverage for emergency medical evacuation on a reimbursement basis.
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.
|Features||Vital Plan||Superior Plan|
|Hospitalisation cover||Covered up to the sum insured||Covered up to the sum insured|
|Pre and post hospitalisation||60 days and 90 days respectively||60 days and 120 days respectively|
|Sum insured restoration||Available, up to 100% of the sum insured||Available, up to 100% of the sum insured|
|No claim bonus||50% increase in the sum insured up to 100%||50% increase in the sum insured up to 100%|
|Maternity cover||Normal delivery – Rs.15,000 to Rs.25,000
Caesarean delivery – Rs.25,000 to Rs.45,000
|Normal delivery – Rs.30,000 or Rs.40,000
Caesarean delivery – Rs.50,000 or Rs.60,000
|Pre and post-natal coverage for newborn baby||Not available||90 days and 45 days respectively
Up to the coverage available for maternity
|First year vaccinations of a newborn baby||Not available||Available
Up to Rs.3500
|Organ donor cover||Available||Available|
|Sum insured enhancement for accidental hospitalisation||25% increase in the sum insured
Up to a maximum of Rs.10 lakhs
|25% increase in the sum insured
Up to a maximum of Rs.10 lakhs
|Accompanying person cover||Available
Rs.500/day for up to 30 days
Rs.500/day for up to 30 days
Up to 10% of the sum insured
Up to 10% of the sum insured
At networked hospitals – at actuals
At non-networked hospitals – up to Rs.2000
|Emergency medical evacuation||Not available||Available|
|OPD expenses||Not available||Available
Individual cover – up to Rs.3000
Family floater cover – up to Rs.10,000
|Sum insured||Rs.3 lakhs, Rs.5 lakhs, Rs.10 lakhs||Rs.15 lakhs, Rs.20 lakhs, Rs.25 lakhs|
|Entry age limits||1 day onwards|
|Premium payment frequency||Annually
|Pre-existing waiting period||2 years|
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:
Visit the official website of PayBima or simply click on www.paybima.com and select ‘Health Insurance.’
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.
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 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.
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.
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.
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 email@example.com.
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:
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.
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
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.
The hospital will begin the treatment by receiving confirmation and approval from the insurance company.
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 firstname.lastname@example.org 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:
|Health Insurers in India|
|Universal Sompo General Insurance Company Limited||Aditya Birla Health Insurance Company Limited|
|Bajaj Allianz General Insurance Company Limited||HDFC Ergo General Insurance Company Limited|
|Care Health Insurance Company Limited||ICICI Lombard General Insurance Company Limited|
|Chola MS General Insurance Company Limited||Manipal Cigna Health Insurance Company Limited|
|Niva Bupa Health Insurance Company Limited||Royal Sundaram General Insurance Company Limited|
|SBI General Insurance Company Limited||Tata AIG General Insurance Company Limited|
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.
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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