Family Floater Health Plan - Introduction

For the first time in India, one single policy takes care of the hospitalisation expenses of your entire family. Family Floater Health Plan takes care of all the medical expenses during sudden illness, surgeries and accidents.Click here to know how the plan works.

	Dial-A-Policy - Call Now ! Toll Free: 1800 209 6677
	Accessible even from your mobile phone

Policy Coverage

The policy covers medical expenses:

• Incurred as an inpatient during hospitalisation for more than 24 hours, including room charges, doctor/ surgeon's fee, medicines, etc.
• 30 days prior to hospitalisation.
• 60 days post hospitalisation.
• Day Care expenses incurred on advanced technological surgeries and procedures like Dialysis, Radiotherapy, and Chemotherapy, requiring less than 24 hours of hospitalisation.
• This policy also covers you for hospitalisation# in case of Swine Flu / H1N1 influenza. Protect your Family in case hospitalisation# for Swine Flu, get insured with our Family Floater Health Policy.

# If it's not a pre-existing illness
Pre-existing disease can be covered after the 4th year provided the policy is renewed with us for four consecutive years

Click here to view the Premium Table.

Key Benefits

• One Policy – One Premium for the entire family*. The floater health plan covers your entire family* under one policy with one sum insured and one premium. This takes care of hospitalisation expenses in case of a sudden illness, accident or planned surgery of the entire family*.
• Income Tax benefit under Section 80D.Click here to know more about Tax Benefit.
• 5% of the policy sum insured will be the Additional Sum Insured per renewal, up to a maximum of 50%
• No health check up required upto the age of 55 years (as on last birthday).
• Hassle free claims procedure.
• Cashless claim facility available at over3,500 network cashless hospitals across India.

Additional Benefits:

• Up to 2-year Cover- We offer a continuous 2-year auto renewal protection with no increase in premium in the second year. This one time payment of premium for 2 years takes care of your renewal hassles next year. Option for 1 year cover also available.
• Single Policy- Single document, single premium, and single date to track. No need for separate policy for family members.

Top

Eligibility

• The customer can buy the policy for any family member(s) children and/or dependent parents.
• The senior most person to be insured should be between 5 to 60 years of age.
• The Proposer needs to be aged above 18 years
• To cover children aged between 91 days to 5 years, the policy must also cover at least 1 adult under the same policy.
• Children under less than 91 days old cannot be covered.
• Individual(s) proposed for Insurance whose age is 56 years & above have to undergo medical tests at ICICI Lombard designated diagnostic centers.
• The policy cover is renewable till the age of 70 years
• Income Tax benefits u/s 80D can only be availed for policies bought for Self, Spouse, dependent children or dependent parents.
• Floater benefit under the policy is available up to the age of 60 years. All floater policies thereafter will be renewed under individual plan up to the age of 70 years.

Top

Policy Exclusions

All health policies have following set of temporary and permanent exclusions:

30 Days exclusion
Medical charges incurred, except those arising out of accidental injuries, within the first 30 days from the start date of the policy are not covered. This clause does not apply for subsequent renewal (without a break) of this policy with us.

2 Years exclusions
Expenses incurred on treatment of following diseases within the first two years from the start date of the policy are not covered:

These above diseases are covered from third year, if the policy is renewed with us for two consecutive years (4 years, if these are pre-existing diseases at the time of inception of the policy).

Permanent

Top

Terms of Renewability

• The policy can be renewed under the then prevailing Family Floater Health Insurance Plan or its nearest substitute approved by IRDA in the event that the plan has been discontinued.
• Renewal Premium - Premium payable on renewal and on subsequent continuation of cover are subject to change with prior approval from IRDA.
• Maximum Entry Age – The maximum entry age under this policy is 60 years.
• Maximum Renewal Age – This policy can be renewed up to a maximum age of 70 years.
• Floater Benefit – The floater benefit under this policy is available up to the age of 60 years. All the insured above age of 60 years will be renewed under an individual plan.
• Grace Period - The Policy may be renewed by mutual consent and in such event the renewal premium shall be paid to the Company on or before the date of expiry of the Policy and in no case later than 15 days (Grace Period) from the expiry of the Policy. However, the Company shall not be liable for any claim for the period for which premium is not received by the Company.
• Cumulative Bonus - An Additional Sum Insured of 5% would be provided on cumulative basis on each renewal upto a maximum of 50% in case their is no claim under the policy. However, 10% of the Sum Insured will be reduced from the accumulated Additional Sum Insured, in case there is a claim under the policy.
• Sum Insured Enhancement – Sum Insured can be enhanced only upon renewal, subject to underwriters' approval.
• Inclusion / Exclusion of Insured – This policy allows to include or exclude a member in the plan only at the time of renewal.
• Loading in case of Claims – The renewal premium shall be calculated as per the age of the senior most insured member as covered under the policy. A loading may be charged on the premium in case there is a claim in the expiring policy. The loading of premium is calculated as per the following scale :
• In case of claim not pertaining to chronic Illness –

• For subsequent renewals, there will be no loading unless there is a claim in any renewal policy.
• In case of claim pertaining to chronic illness like heart diseases, cancer, brain diseases, organ failure and cirrhosis of the liver, loading of 75% on the base premium will be applicable. The loading will be applicable for all subsequent renewals. If there are claims in the subsequent renewals , further loading of 75% would be applicable, subject to a maximum of 200% on the base premium.
  
  The extent of loading thus derived would be applicable for all subsequent renewals.
  
  For the purpose of determination of loading on renewal policies, chronic ailments mean any condition or Illness which is normally prolonged or recurrent, including but not limited to heart diseases, cancer, brain diseases, organ failure and cirrhosis of the liver.
  
  
  Family Floater health Insurance
  Product Code: Misc 34E

Top

• Health Advantage Plus