Family floater insurance policy gives you the ability to get a single insurance for an entire family. Family floater health insurance take away the pain of managing health insurances for each person in you family.
Happy Family Floater Health Insurance from United India Insurance Company
- This is a Health Insurance Policy.
- Floater‐Implies single Sum Insured for entire family.
- Family includes‐Self , Spouse, Children, Parents and Parents in laws.
- Available in two plans Silver and Gold
- Available in two plans‐Silver and Gold.
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Salient Features Of The Policy:
- A floater covering the proposer and his / her family under one sum insured under one policy.
- The sum insured floats over all the beneficiaries under the policy.
- No medical examination for persons upto the age of 60 years.
- Pre-existing conditions cover after four consecutive renewals with the Company.
- Coverage under two options – SILVER and GOLD Covers.
- SILVER offers sum insured slabs of 1 to 5 lacs
- SILVER is subject to 10% Co-pay
- GOLD offers sum insured slabs of 6 to 10 lacs.
- Policy covers the hospitalisation expenses for the covered diseases / accident upto specific limits.
- GOLD plan offers as an inbuilt cover daily cash allowance and attendant allowance upto limits specified.
- Personal Accident cover is offered as add
on cover under both the covers. In addition GOLD cover offers add on
cover of life hardship survival benefit.
- Discount in OMP premium when family floater policy is taken.
- Option of TPA and non TPA services.
- Discount in premium if TPA services not opted.
Coverage Under The Policy
The following reasonable and necessary expenses (subject to limits) are payable under the policy for various benefits: |
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HOSPITALISATION BENEFITS |
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BENEFIT |
SILVER PLAN
(Limit of Reimbursement ) |
GOLD PLAN
(Limit of Reimbursement) |
(a) |
Room, Boarding and Nursing Expenses as provided by the Hospital /Nursing Home. |
Not exceeding 1 % of the Sum Insured per day |
Not exceeding 1 % of the Sum Insured per day. |
(b) |
Intensive Care(IC) Unit Expenses as provided by the Hospital /Nursing Home. |
Not exceeding 2% of the Sum Insured per day. |
Not exceeding 2% of the Sum Insured per day. |
No of days of stay under a and b above should not exceed total number of days of admission in the hospital. |
(c) |
Surgeon, Anaesthetist, Medical Practitioner, Consultants, Specialists Fees |
As per the limits of the sum insured. |
As per the limits of the sum insured. |
(d) |
Anaesthesia, Blood, Oxygen, Operation
Theatre Charges, Surgical Appliances, Medicines & Drugs, Diagnostic
Material and X-Ray, Dialysis, Chemotherapy, Radiotherapy, Cost of
Pacemaker, Artificial Limbs & and similar expenses. |
As per the limits of the sum insured. |
As per the limits of the sum insured. |
(e) |
Ambulance services charges as defined hereinafter under |
Rs.1,000/- per illness andlimited to
maximum 1% of the sum insured or Rs. 3,000/- whichever is less, for the
entire policy period. |
Rs.2,000/- per illness and limited to
maximum 1% of the sum insured or Rs. 6,000/- whichever is less, for the
entire policy period. |
(f) |
DAILY HOSPITAL CASH ALLOWANCE, AS DEFINED HEREINAFTER under |
NIL. |
0.1% of sum insured per day per illness
subject to a maximum compensation for 10 days per illness. The overall
liability of the Company during the policy period will be limited to
1.5% of the sum insured. |
(g) |
Attendant allowance as hereinafter defined under |
NIL |
Rs.500/- per day of hospitalisation per
illness and upto 10 days per illness. The overall liability of the
Company during the policy period will be limited to compensation for 15
days of hospitalisation. |
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Premium
SILVER Plan: |
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A.PRIMARY MEMBER PREMIUM |
Sum Insured |
Domiciliary Hos limit |
AGE BAND |
21-35 |
36-45 |
46-55 |
100000 |
10000 |
1320 |
1580 |
2470 |
150000 |
15000 |
1940 |
2320 |
3640 |
200000 |
20000 |
2490 |
2980 |
4720 |
250000 |
25000 |
2980 |
3570 |
5720 |
300000 |
25000 |
3480 |
4160 |
6730 |
350000 |
25000 |
3910 |
4670 |
7640 |
400000 |
25000 |
4340 |
5180 |
8560 |
450000 |
25000 |
4770 |
5700 |
9480 |
500000 |
25000 |
5200 |
6210 |
10400 |
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B.FAMILY MEMBER PREMIUM (PER PERSON) |
Sum Insured |
Domiciliary Hos limit |
AGE BAND |
3m-20 |
21-35 |
36-45 |
46-55 |
56-60 |
61-70 |
above70 |
100000 |
10000 |
240 |
260 |
320 |
490 |
700 |
1310 |
1760 |
150000 |
15000 |
350 |
390 |
460 |
730 |
1040 |
1940 |
2630 |
200000 |
20000 |
450 |
500 |
600 |
940 |
1350 |
2530 |
3450 |
250000 |
25000 |
540 |
600 |
710 |
1140 |
1640 |
3080 |
4230 |
300000 |
25000 |
630 |
700 |
830 |
1350 |
1930 |
3640 |
5020 |
350000 |
25000 |
700 |
780 |
930 |
1530 |
2210 |
4160 |
5750 |
400000 |
25000 |
780 |
870 |
1040 |
1710 |
2480 |
4680 |
6490 |
450000 |
25000 |
860 |
950 |
1140 |
1900 |
2750 |
5200 |
7230 |
500000 |
25000 |
940 |
1040 |
1240 |
2080 |
3020 |
5730 |
7970 |
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C. PERSONAL ACCIDENT |
Sum Insured |
100000 |
200000 |
300000 |
400000 |
500000 |
PREMIUM PER PERSON |
60 |
120 |
180 |
240 |
300 |
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Total premium will be the sum of A and B above. If add on cover is taken, premium under C is also to be added. |
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GOLD Plan (without add on covers) |
A. PRIMARY MEMBER PREMIUM |
Sum Insured |
Domiciliary Hos limit |
AGE BAND |
21-35 |
36-45 |
46-55 |
600000 |
50000 |
7140 |
8520 |
14210 |
700000 |
50000 |
8320 |
9930 |
16570 |
800000 |
50000 |
9500 |
11340 |
18920 |
900000 |
50000 |
10670 |
12750 |
21280 |
1000000 |
50000 |
11850 |
14150 |
23640 |
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B. FAMILY MEMBER PREMIUM (PER PERSON) |
Sum Insured |
Domiciliary Hos limit |
AGE BAND |
3m-20 |
21-35 |
36-45 |
46-55 |
56-60 |
61-70 |
above70 |
600000 |
50000 |
1290 |
1430 |
1700 |
2840 |
4120 |
7800 |
10860 |
700000 |
50000 |
1500 |
1660 |
1990 |
3310 |
4800 |
9100 |
12660 |
800000 |
50000 |
1710 |
1900 |
2270 |
3780 |
5490 |
10400 |
14470 |
900000 |
50000 |
1920 |
2130 |
2550 |
4260 |
6170 |
11700 |
16280 |
1000000 |
50000 |
2130 |
2370 |
2830 |
4730 |
6860 |
13000 |
18080 |
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Total premium will be the sum of A and B. |
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