Royal Sundaram Family Good Health Plan
Objective
This policy aims to cover entire family under a single policy.
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.
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.
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. |
Cost Details
| 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 | ||||||||