Find your suitable insurance plan
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The very first private general insurance company in India, Royal Sundaram General Insurance Company Limited was licensed by Insurance Regulatory and Development Authority of India in 2008 as Royal Sundaram Alliance Insurance Company Limited. Royal Sundaram General Insurance Company is a joint venture between Ageas Insurance, Sundaram Finance and other Indian stakeholders with 40%, 50% and 10% stake respectively.
The company offers innovative general insurance products to business, families and individuals both directly as well as through it partners and intermediaries. It offers all products across the insurance sector ranging from health, motor, personal, accident to marine, fire, liability & business and engineering insurance.
The highlights of the company are as follows:
| Gross Direct Premium | Rs 2,822 Cr in F.Y 2020-21 |
| Employees | 2000+ employees |
| Branches | 159 branches across India |
| Customers | 28 million customers across India |
In its journey to become the best insurance provider in private sector and to become a one step solution for all the insurance needs, Royal Sundaram has achieved various awards and accolades. Some of them are highlighted as follows:
Some of the common coverage benefits of Royal Sundaram health insurance plans are as follows –
| Coverage benefit | Description |
| Hospitalisation cover | If you are admitted to a hospital and you stay for 24 hours or more, the expenses incurred would be covered |
| Pre hospitalisation cover | Before you are admitted to a hospital, if you incur medical expenses on the diagnosis and treatment of the illness or injury, such expenses would be covered up to a specific number of days |
| Post hospitalisation expenses | After you are discharged from the hospital if you incur medical expenses on recovery, such expenses would be covered for a specific number of days |
| Ambulance expenses | If you need an ambulance when being admitted to a hospital, the cost of the ambulance would be covered up to specified limits |
| Organ donor cover | If you receive organs from a donor, the hospitalisation cost of the donor and the cost of treatments for harvesting the organ would be covered |
| Daycare treatments | If you are admitted to a hospital wherein the treatment takes only a few hours, such hospitalisation would be covered even when you are not admitted for 24 hours |
| AYUSH cover | Many plans of the company allow coverage for non-allopathic treatments that include Ayurveda, Unani, Siddha and Homeopathy |
| Domiciliary treatments | If you are treated at your home because there are no empty hospital beds or because you cannot be shifted to the hospital in your condition, the underlying medical expenses would be covered |
| Free health check-ups | Royal Sundaram plans allow free health check-ups at specific intervals so that you can monitor your health regularly |
Royal Sundaram health insurance plans do not cover all types of medical expenses that you might incur. Though the plans are comprehensive, some claims are beyond the scope of coverage. The actual instances which Royal Sundaram plans do not cover vary across plans. However, some of the common exclusions found in most plans are as follows –
As mentioned earlier, Royal Sundaram offers a range of health insurance plans. Some of its leading plans that are also available on PayBima are as follows –
A simple and basic health insurance plan which allows comprehensive coverage, Lifeline Classic boasts of the following features –
If you use your sum insured, partially or fully, on a previous claim within the same policy year, the policy would restore 100% of the sum insured back for any subsequent claim that you suffer. So, in the case of multiple claims, you don’t have to worry about your coverage running out.
If you get bitten by an animal, the cost of vaccination would be borne by the plan.
If you don’t claim your policy, the sum insured increases by 10% as a no claim bonus. This bonus accrues every year and you can accumulate an enhanced sum insured, free of cost, up to a maximum of 50% of the basic sum insured.
After every second consecutive renewal, you can avail of free health check-ups. The list of check-ups is specified under the plan and you can avail of such check-ups free of cost.
A more comprehensive version of the Lifeline plan compared to the Classic variant, Lifeline Supreme has the following coverage benefits allowed in addition to the benefits available under the Classic Plan –
For every claim-free year, you get a no claim bonus of a 20% increase in the sum insured. You can enjoy up to a 100% increase in the sum insured if you don’t make any claim for 5 consecutive years.
In the case of life-threatening medical emergencies, coverage is allowed for domestic evacuation if you are to be shifted to another hospital or city.
You can avail of free health check-ups every year after you renew the policy.
Lifeline Supreme covers 11 specific critical illnesses. If you are diagnosed with any of these illnesses, you can avail of a free medical second opinion.
This is the most comprehensive Lifeline variant which enhances the coverage available under the Supreme variant. The unique coverage benefits of this variant are as follows –
You can get coverage for international hospitalisation, anywhere in the world except USA and Canada. The cost of such hospitalisation would be covered under the policy provided it is due to an emergency medical condition.
11 critical illnesses are covered by the policy. If you suffer from any of the covered illnesses, you can avail of international treatments for them. Such international treatments, availed in any country except USA and Canada, would be covered by the policy
Maternity coverage is allowed as an inbuilt benefit under the policy. Under this coverage, the cost of childbirth, coverage for the newborn baby and the cost of the baby’s first-year vaccinations are covered.
Doctor’s consultations and diagnostic tests that are taken on an outpatient basis, i.e. without being admitted to the hospital, are covered under the policy. You also get coverage for the cost of hearing aids, spectacles, contact lenses and dental treatments for up to 30% of the coverage allowed for OPD treatments
Here is a comparative table underlining the coverage benefits and eligibility of all the three plan options –
| Detail | Lifeline Classic | Lifeline Supreme | Lifeline Elite |
| Inpatient hospitalisation | Covered
Up to the sum insured |
Covered
Up to the sum insured |
Covered
Up to the sum insured |
| Pre and post hospitalisation | 30 and 60 days | 60 and 90 days | 60 and 180 days |
| Daycare treatments | Covered
Up to the sum insured |
Covered
Up to the sum insured |
Covered
Up to the sum insured |
| Ambulance cover | Up to Rs.3000 | Up to Rs.5000 | Up to Rs.10,000 |
| Domiciliary hospitalisation | Covered
Up to the sum insured |
Covered
Up to the sum insured |
Covered
Up to the sum insured |
| Organ donor cover | Covered
Up to the sum insured |
Covered
Up to the sum insured |
Covered
Up to the sum insured |
| Sum insured reload | Available
100% of the sum insured |
Available
100% of the sum insured |
Available
100% of the sum insured |
| No claim bonus | 10% of the sum insured up to 50% | 20% of the sum insured up to 100% | 20% of the sum insured up to 100% |
| Vaccination for animal bite | Up to Rs.2500 | Up to Rs.5000 | Up to Rs.7500 |
| AYUSH treatment | Government hospitals – up to the sum insured
Private hospitals – up to Rs.20,000 |
Government hospitals – up to the sum insured
Private hospitals – up to Rs.30,000 |
Government hospitals – up to the sum insured
Private hospitals – up to Rs.50,000 |
| Emergency domestic evacuation | Not covered | Up to Rs.1 lakh | Up to Rs.3 lakhs |
| Worldwide emergency hospitalisation | Not covered | Not covered | Up to 50% of the sum insured, subject to a maximum of Rs.20 lakhs |
| International treatment for critical illnesses | Not covered | Not covered | Up to the sum insured
Airfare – up to Rs.3 lakhs |
| Health check-ups | On second renewals | Annually | Annually |
| Second opinion for critical illnesses | Not covered | Available once every policy year | Available once every policy year |
| Preventive healthcare and wellness benefits | Available | Available | Available |
| Maternity cover | Not available | Not available | Rs.2 lakhs to Rs.2.5 lakhs
Newborn baby cover – Rs.6.25 lakhs to Rs.37.5 lakhs First-year vaccinations – up to Rs.10,000 |
| OPD treatments | Not available | Not available | Up to Rs.10,000 |
| Sum insured levels | Rs.2 lakhs to Rs.4 lakhs | Rs.5 lakhs to Rs.1 crore | Rs.25 lakhs to Rs.1.5 crores |
| Pre-existing waiting period | 48 months | 36 months | 24 months |
| Entry age | Adults – 18 years onwards
Children – 91 days to 25 years |
||
| Policy term | 1 to 3 years | ||
Royal Sundaram Health plans are available online in a very simple manner through PayBima.com. PayBima offers a very smooth and hassle-free buying experience with the benefit of easy comparison to select the most suitable plan. The process to buy Royal Sundaram health plans is as follows:
Go online and visit the official website of PayBima or just click on www.paybima.com and then select the option ‘Health Insurance’
PayBima helps you find health plans based on your requirements. Once you select ‘health insurance,’ PayBima will ask you to fill a form with certain personal as well as medical details to assess your coverage requirements. Details such as your age, gender, number of dependents, location PIN code, lifestyle habits, pre-existing illness, sum assured, etc. are to be filled in. Then, provide your contact number to get personalized consultation from PayBima which will help you in buying a suitable health plan easily.
No sooner do you submit your requirements and details, a list of health plans will be displayed with their features and premium. You will find all the leading health plans with their key highlights and features. You can easily compare the coverage of the plans vis-à-vis the premium and select one which best suits your requirements at an affordable premium.
The proposal form is an application to the insurance company to issue you the selected plan. After finalizing your health plan, fill the proposal form correctly and completely. Then, affix your signature and submit it online.
Payment of premium is the last step of buying a health plan. You can easily pay the premium online through secured payment modes offered by PayBima. Once you make the payment the policy will be issued instantly provided there are no adverse declarations about medical illness and lifestyle habits in the proposal form.
Based on the sum insured, your age, lifestyle habits, existing illness, medical history and health conditions, you might have to undergo a pre-entrance health check-up. You can avail of pre-entrance check-ups at the insurer’s networked facility.
PayBima offers the facility to not only buy a health plan but also to renew it. Health insurance policies come with lifelong renewal benefits. As such, if you renew your Royal Sundaram health insurance plan within the due date of the plan, you can enjoy non-stop coverage benefits.
Renewal of a health plan is an online process in which you just have to provide your policy number and other details of the policy, pay the premium and your policy will be renewed instantly. You can also check the coverage and other details of your plan and make changes to it if required. You can also add riders with your plan at the time of renewal. For any help renewing your Royal Sundaram health insurance plan, you can call PayBima at 1800 267 6767 or drop a mail at paybima.care@mahindra.com.
Claiming your Royal Sundaram Health Insurance plan is very simple and easy. PayBima provides a hassle-free claim settlement experience to its customers in which the entire process can be done online. The claim process of the Royal Sundaram health insurance plan through PayBima is discussed as follows:
The first step is getting admitted to a network hospital after locating one nearest to your place. You can locate a network hospital either on the website of the insurance company or by contacting PayBima. Royal Sundaram General Insurance has tie-up with leading hospitals in the country making it easy to avail cashless facilities. You can get admitted by showing your identity and health card issued by Royal Sundaram.
You should fill and submit a pre-authorisation claim form to inform the company of your claim. Fill in the details such as your name, diagnosis, date of hospitalisation, hospital and treating doctors’ details and submit it at least 48 hours before your planned hospitalisation or within 24 hours after hospitalisation in case of emergencies.
Royal Sundaram will check your coverage according to your eligibility and then approve a cashless authorisation letter to the concerned hospital within three days after which the hospital will proceed with your treatment. All the bills will then be paid directly to the hospital by the insurer. However, if the insurance company rejects the cashless settlement of the claim, you can opt for a reimbursement claim facility.
If you are hospitalised in a hospital that does not have a tie-up with Royal Sundaram or if the cashless claim has been rejected, you can claim on a reimbursement basis. In such cases, you will have to pay all the bills. After discharge send a duly filled claim form along with all original bills and relevant documents to the insurer within 30 days. On receipt of claim documents, Royal Sundaram will reimburse the cost incurred.
You can call PayBima at 1800 267 6767 to help you with the easy settlement of the claim. You can also drop your query in an email at Paybima.care@mahindra.com and our executive will resolve your query.
List of documents that are required to make a successful claim of Royal Sundaram health insurance plan:
Royal Sundaram health insurance plans are quite innovative and comprehensive in their scope of coverage and competitively priced. Other highlights of its health plans include:
Yes, the premium paid for Royal Sundaram’s health insurance policy would be allowed as a deduction under Section 80D. You can claim a deduction of up to Rs.25,000 if your age is below 60 years. For senior citizens, the limit is Rs.50,000. If you insure your parents, you can claim an additional deduction. The deduction is Rs.25,000 if your parents are below 60 or Rs.50,000 if their age is 60 years or above.
There is no maximum entry age. Individuals of all ages can invest in the Lifeline policy.
Yes, a range of optional coverage features is available with Royal Sundaram health insurance plans. The coverage benefits would depend on the policy that you choose.
You can cover a maximum of 2 adults and 5 children under the policy.
Firstly, if you live in a city that falls under Zone 2, you get a flat discount of 15% on the premium. Thereafter, discounts are allowed if you buy a multi-year policy. The discount is 7.5% for buying a 2-year policy and 12% for buying a 3-year policy. Employees of the Sundaram group can enjoy an additional 5% discount.
Also read: Keyman Insurance Policy – A detailed guide on benefits and eligibility criteria for keyman insurance | Why Would it be Wrong to Look at Insurance as a Mere Tax Saving Tool? | Differences Between Life Insurance and General Insurance?
Browse PayBima Blogs to read interesting posts related to Health Insurance, Car Insurance, Bike Insurance, Term Life Insurance, and Investment section. You can visit PayBima to Buy Insurance Online.
PayBima Team
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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