Royal Sundaram Family Good Health Plan

Objective

This policy aims to cover entire family under a single policy.

Suited for

It is available as an individual cover as well as a family floater where sum insured can be utilized by any member of the insured family. Individual plan can cover up to four adults of a family with different sum assured for each. As a family floater policy, it can cover up to two adults and three children under same policy.

What does it do?

Apart from hospitalisation expenses, it covers other day care procedures which do not require hospitalisation. The daily cash benefit can be availed to pay for travel, accommodation and food. If hospitalisation exceeds 21 days of continuous stay, the insurer will also pay a lump sum up to Rs 10,000 to assist in recovery.

Pros

Premiums paid towards this policy enjoy a tax benefit under Section 80D.

Cons

Room rent and daily ICU charges are capped.

Our View

The policy is available at reasonable premium rates, which may be due to sub-limits on room rent. Given the lower premiums, you may go for the policy if you are comfortable with sub-limits.

Eligibility

Entry Age (years)
Minimum	18; 91 days for children
Maximum	65; 21 years for children
Maximum Policy Renewal Age (years)	70
Coverage Type	Individual/ Family floater
Sum Insured (Rs)
Maximum	5 lakh
Minimum	2 lakh
Policy Term (years)	1/2
No Claim Bonus	Sum insured increased by 5% for each claim free year subject to maximum of 50%
Pre Policy Medical Check Up	Not required upto 50 years of age
Grace Period for Policy Renewal	15 days
Policy Termination	Insurance company may terminate the policy by giving a 7 days notice. Insured member may also cancel the policy. If no claim has been made, the insurer will refund a proportionate premium
Customer Service
Address	Royal Sundaram Alliance Insurance Company Limited Sundaram Towers 45 & 46, Whites Road, Chennai 600 014
Mail to	[email protected]
Call to	1860 425 0000 (toll free)
SMS	Type FGH and send to 560701
Network Hospitals	Http://www.royalsundaram.in/App/search-hospital-list.aspx

Additions to the Plan

Scope Of Cover
Cashless facility	allowed if treatment is availed in a network hospital
Reimbursement facility	allowed if treatment is availed in a non- network hospital
Pre and Post hospitalisation	covers medical expenses incurred 30 days prior to hospitalisation and 60 days after discharge from the hospital
In patient hospitalisation	covered
Room rent	covered upto 2% of sum insured per day
ICU Charges	covered upto 4% of sum insured
Day Care Procedures	covered
Daily Cash Allowance	Rs 500 for each 24 hours completed in a hospital for maximum of 20 days during the policy term and for a maximum of 60 days for all insured persons in a family
Convalescence benefit(if hospitalisation exceeds 21 days)	lumpsum of upto Rs 10000 and maximum of Rs 20000 for all insured persons of the family
Emergency ambulance	covered upto Rs 1000 per claim
Health Check up	covered upto Rs 750 per insured person after every 4 consecutive claim free years

Exclusions and Waiting Period
Pre-existing diseases	covered after 48 months of continuous policy renewal
No claim period	initial 30 days of policy commencement
Waiting period	Diseases such as Congenital Internal Disease, Stone in urinary and biliary systems, Migrane/Vascular headaches etc., are not covered during first policy year .Certain diseases such as Cataract, Knee/Hip Replacement, Heart Disease, Chronic Renal Failure/ End Stage Renal Failure etc are not covered during first two policy years.

Annual Premium Option for 1 year Policy Term
Age (in years)	1A	2A	2A +1C	2A +2C	2A + 3C	1A +1C	1A+2C	1A+3C
	Sum Insured : Rs. 2 lakh
91 days - 35	2489	3385	3870	4306	4740	2973	3408	3843
36 - 45	2973	4043	4539	5005	5473	3467	3935	4401
46 - 50	4328	6925	7977	9008	10040	5380	6411	7444
51 - 55*	4328	6925	7977	9008	10040	5380	6411	7444
56 - 60*	5597	8952	10247	11542	12836	6892	8185	9481
61 - 65*	7313	11701	12998	14291	15586	8608	9903	11197
66 - 70*	7313	11701	12998	14291	15586	8608	9903	11197
	Sum Insured : Rs. 3 lakh
91 days - 35	3402	4626	5214	5741	6270	3988	4517	5044
36 - 45	3833	5214	6186	7100	7883	4805	5719	6501
46 - 50	5830	9329	10959	12563	14164	7462	9065	10666
51 - 55*	5830	9329	10959	12563	14164	7462	9065	10666
56 - 60*	7569	12111	13744	15377	17011	9203	10836	12470
61 - 65*	11251	18001	19851	21703	23556	13102	14954	16806
66 - 70*	11251	18001	19851	21703	23556	13102	14954	16806
	Sum Insured : Rs. 4 lakh
91 days - 35	3968	5398	6032	6603	7175	4602	5174	5747
36 - 45	4801	6532	7183	7795	8407	5453	6066	6677
46 - 50	7331	11728	12876	14000	15125	8477	9602	10725
51 - 55*	7331	11728	12876	14000	15125	8477	9602	10725
56 - 60*	9535	15256	17322	19389	21453	11601	13668	15734
61 - 65*	14191	22706	22769	27389	29729	16533	18873	21214
66 - 70*	14191	22706	25047	27389	29729	16533	18873	21214
	Sum Insured : Rs. 5 lakh
91 days - 35	6334	8615	9407	10121	10836	7126	7840	8556
36 - 45	8890	12092	12906	13672	14437	9705	10470	11235
46 - 50	13557	18439	19656	20850	22043	14775	15968	17164
51 - 55*	13557	18439	19656	20850	22043	14775	15968	17164
56 - 60*	17626	23974	26169	28363	30559	19822	22017	24211
61 - 65*	23142	31472	33960	36447	38935	25630	28117	30606
66 - 70*	23142	31472	33960	36447	38935	25630	28117	30606
^Premium Rates are exclusive of service tax and cess
*Age band applicable for renewals only

Annual Premium Rates Option for 2 year Policy Term
Age (in years)	1A	2A	2A +1C	2A +2C	2A + 3C	1A +1C	1A+2C	1A+3C
	Sum Insured : Rs. 2 lakh
91 days - 35	4728	6432	7353	8178	9006	5650	6475	7301
36 - 45	5648	7683	8624	9510	10397	6590	7476	8362
46 - 50	8224	13157	15156	17116	19076	10222	12182	14143
51 - 55*	8224	13157	15156	17116	19076	10222	12182	14143
56 - 60*	10634	17011	19470	21930	24390	13094	15554	18015
61 - 65*	13896	22233	24693	27153	29614	16356	18818	21278
66 - 70*	13896	22233	24693	27153	29614	16356	18818	21278
	Sum Insured : Rs. 3 lakh
91 days - 35	6464	8790	9904	10909	11913	7577	8582	9587
36 - 45	7283	9907	11752	13491	14978	9130	12402	14883
46 - 50	11077	17723	20824	23868	26911	14179	17221	20264
51 - 55*	11077	17723	20824	23868	26911	14179	17221	20264
56 - 60*	14381	23010	26115	29218	32322	17484	20589	23693
61 - 65*	21377	34202	37719	41236	44753	24895	28411	31929
66 - 70*	21377	34202	37719	41236	44753	24895	28411	31929
	Sum Insured : Rs. 4 lakh
91 days - 35	7542	10257	11460	12547	13633	8744	9831	10917
36 - 45	9122	12409	13648	14810	15973	10361	11523	12687
46 - 50	13928	22286	24464	26600	28735	16097	18241	20376
51 - 55*	13928	22286	24464	26600	28735	16097	18241	20376
56 - 60*	18116	28985	32910	36837	40764	22042	25968	29894
61 - 65*	26963	43142	47589	52038	56485	31412	35859	40306
66 - 70*	26963	43142	47589	52038	56485	31412	35859	40306
	Sum Insured : Rs. 5 lakh
91 days - 35	12035	16369	17873	19230	20588	13540	14898	16256
36 - 45	16892	22974	24522	25976	27431	18439	19894	21348
46 - 50	25759	35034	37347	39616	41883	28073	31149	33816
51 - 55*	25759	35034	37347	39616	41883	28073	31149	33816
56 - 60*	33492	45551	49721	53891	58061	37662	43302	48209
61 - 65*	43969	59798	64524	69250	73977	48696	55092	60653
66 - 70*	43969	59798	64524	69250	73977	48696	55092	60653
^Premium Rates are exclusive of service tax and cess
*Age band applicable for renewals only

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