Key highlights of Future Generali India Insurance Company
Key highlights of the company are as follows:
Asset Under Management |
INR 6,748 crore in FY 2022-23 |
Insurance agents |
20,000 + individual insurance agents |
Cashless hospitals |
8430 + hospitals |
Branches |
121 branches across India |
Gross Written Premium |
INR 4,627 crore in FY 2022-23 |
Corporate clients |
3,000+ corporate clients |
Policies sold |
3.2 million insurance policies sold across India |
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 recognized 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 the 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 –
Coverage features |
Description |
Hospitalisation coverage |
This coverage pays for the medical bills that you incur when you are hospitalized for 24 hours or more. The feature covers room rent, ICU room rent, doctor’s fees, medicine and oxygen costs, nurse’s fees, etc. |
Pre - hospitalization expenses |
If you incur medical expenses before being hospitalized, such expenses are termed pre-hospitalization expenses. Future Generali covers such pre-hospitalization expenses up to a specific number of days |
Post -hospitalization expenses |
Post-hospitalization 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 hospitalization, 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 hospitalization 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 |
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
s 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 of buying a fresh policy
- There is a 30-day waiting period for diseases and illnesses. This waiting period also starts from the first day of policy purchase
- Specific treatments and illnesses are excluded from coverage for the first 2 years of buying the policy. Common examples include cataract, tonsillectomy, joint replacement treatments, etc.
- Unproven or unscientific medical treatments are not covered
- Claims due to war, nuclear threats, chemical contamination, and ionization 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 will 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 –
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 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 hospitalized, a patient care benefit is paid. Under this benefit, a daily allowance is paid per day of hospitalization. This daily benefit can cover the non-admissible medical costs and prove handy.
- Enhanced cover for accidental hospitalization
In the case of hospitalization 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 hospitalized, a daily cash allowance would be paid to cover the cost of an accompanying person.
- 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 –
Besides allowing coverage for maternity and childbirth, the Superior plan allows coverage for the newborn baby too. Pre
- and post-natal hospitalization 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 hospitalized 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.
Outpatient medical expenses, i.e. those expenses that are incurred without being hospitalized, 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
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 |
Daycare treatments |
Covered |
Covered |
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
Cesarean delivery – Rs.25,000 to Rs.45,000 |
Normal delivery – Rs.30,000 or Rs.40,000
Cesarean 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 |
Patient care |
Available
Rs.350/day |
Available
Rs.500/day |
Sum insured enhancement for accidental hospitalization |
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 |
Available
Rs.500/day for up to 30 days |
Domiciliary treatments |
Available
Up to 10% of the sum insured |
Available
Up to 10% of the sum insured |
AYUSH treatments |
Available |
Available |
Ambulance cover |
Available
Rs.1500 |
Available
At networked hospitals – at actual
At non-networked hospitals – up to Rs.2000 |
Emergency medical evacuation |
Not available |
Available |
Second e-opinion |
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
Half-yearly
Quarterly
Monthly |
Pre-existing waiting period |
2 years |
The 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:
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 based on their coverage and premium. You can then select the plan which offers the maximum coverage benefits at a reasonable premium.
A 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 about the lifestyle habits and medical history of the insured.
- Pre-issuance medical checkup
Based on your age, lifestyle habits, medical history
, and sum insured, you might be required to undergo a medical screening before the issuance of the policy. You can avail of the pre-medical check-up at the network facility of the insurance company.
The 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 send an email to
paybima.care@mahindra.com.
The process to claim 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 8430
+ 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 of cashless treatment
- Fill the pre-authorization claim form
To get authorization from the insurer for cashless settlement of the claim, you will have to fill out 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 inform 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 out 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 us at 1800 267 67 67 or mail us at
paybima.care@mahindra.com and we will help you with your claim settlement.
The documents required to be submitted along with the claim form for a 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 customized 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-ups 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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