फैमिली हेल्थ इंश्योरेंस क्या है?

What is Family Health Insurance? – Benefits of family health insurance

10 minutes, 33 seconds Read

Cover your entire family under one health plan so Family health insurance is important.

फैमिली हेल्थ इंश्योरेंस क्या है?
फैमिली हेल्थ इंश्योरेंस क्या है?

When it comes to your family’s safety, nothing you do is taken for granted. You take extra care in everything, be it making sure your kids get the best education or taking care of your aging parents and loving spouse, you leave no stone unturned. This is why when it comes to keeping your family safe, you should never settle for anything. There are many insurance products available in the market, but a family health insurance plan stands out.

Family health insurance plan allows you to cover a maximum of 6 family members under one mediclaim policy. It is a type of health insurance plan for which you pay a single premium amount for a family floater plan and the sum assured is divided among all the covered members. If a family member has a serious medical condition, he/she can use the entire cover to manage the treatment expenses.

Who can be covered under Family Medical Insurance?

  • to myself
  • husband wife
  • Dependent children (maximum 4)
  • Parents or father-in-law (maximum 2)

What is Family Health Insurance? – फैमिली हेल्थ इंश्योरेंस क्या है?

Family health insurance plans are health plans that cover your entire family. The differentiating factor between individual plans and family plans is that family plans provide coverage to each member of your family at the same premium. This means that you do not have to pay separate premiums for each individual, irrespective of their age. The best family health insurance plans in India cover spouse, children, parents and even parents-in-law under a single policy.

Top 10 Family Floater Health Insurance Plans - फैमिली हेल्थ इंश्योरेंस क्या है?
Top 10 Family Floater Health Insurance Plans – फैमिली हेल्थ इंश्योरेंस क्या है?

Why Buy Family Health Insurance?

As we all know there has been a huge increase in the cost of healthcare sector. High inflation makes it very difficult to cover the cost of doctor visits, hospitalization and medicines. It is also clear that a health emergency can strike at any time and affect people of all ages. This is why family medical insurance is so important. It protects your entire family with the necessary financial cover in tough and unprecedented times.

There are several benefits of buying family health insurance:

  • The chances of suffering from a serious illness are increasing every day, which is why buying adequate health insurance for your family members is no longer an option but a necessity. Family health insurance plans make it affordable to cover your family members. The advantage of health insurance plans for family is that you pay a single amount for one plan and insure all under it.
  • Paying premiums for different policies can be a hassle, tedious and confusing, which is why family health plans are convenient and hassle-free. A family plan bridges this gap and simplifies payments, making the process completely stress-free.
  • It also lets you claim tax benefits on premiums paid for family health insurance plans under section 80D.
  • You can enjoy family discounts depending on the number of members and their age and several benefits like maternity cover, these additional features make family packs a more viable option than individual plans.

Eligibility Criteria for buying family health insurance plan in India.

Every health insurance plan in India for family comes with eligibility criteria. The table below shows the general eligibility criteria for health insurance plans for family in India .

Top Family Insurance Plans

There is a wide range of family medical insurance plans in India, among which to make your search easier for families, here are some of the top health insurance policies. PolicyX has shortlisted these plans on the basis of maximum cover amount, comprehensive coverage and benefits, flexibility, reliability of the insurance provider, a vast list of network hospitals, etc.

plans Sample Annual Premium
2A+2C | 30Yr | 10L
the gain eligibility
Star Health Comprehensive Plan Rs 24686
  • auto restoration
  • hospital daily cash
  • Air Ambulance Expense
Sum Assured: 5 Lakh to 1 Crore
Entry Age: 3 Months to 65 Years
Star Family Health Optima Rs 20345
  • daycare procedures
  • Before and after hospitalization
  • road ambulance
Sum Assured: 3 Lakh to 25 Lakh
Entry Age: 18 Years to 65 Years
care plan INR 2017
  • organ donor cover
  • Domiciliary Hospitalization
  • ambulance cover
Sum Assured: 3 Lakh to 75 Lakh
Entry Age: 91 Days No upper age limit
Niva Bupa Health Companion Rs 21631
  • emergency ambulance
  • Rome Rent Cover
  • animal bite vaccination cover
Sum Assured: 2 lakh to 1 crore
Entry Age: 91 days with no upper limit
Niva Bupa Health Resure 20421 rupees
  • emergency ambulance
  • housing cash benefit
  • day care treatment
Sum Assured: 3 Lakh to 1 Crore
Entry Age: 18 Years to 65 Years

You can find the details of the above mentioned family insurance plans in the below section:

Star Health Comprehensive Plan
This policy is designed to provide complete protection to you and your family against all health care incidents.

Unique Features

  • Health checkup for claim-free years.
  • hospital cash benefit
  • 100% Automatic Restoration

Family Health Optima Insurance Policy

This plan is ideal for families who wish to be covered under a single sum insured.

Unique Features

  • auto reset of SI
  • Instant recharge up to 30% of SI
  • Newborn baby cover from day 16

care plan

A comprehensive health plan for individuals and families, offers a wide range of sum insured options ranging from Rs 3 lakh to Rs 6 crore with global coverage benefits.

unique advantages

  • in-built maternity cover
  • No upper age limit for enrollment
  • Coverage for advanced treatments

You can find the most popular and best health insurance policies at PolicyX.com

health insurance companies

Explore top health insurance companies to buy the most suitable mediclaim policy for families.

  1. Star Health Insurance
  2. Care Health Insurance
  3. Aditya Birla Health Insurance
  4. HDFC ERGO Health Insurance
  5. Apollo Munich Health Insurance
  6. Max Bupa Health Insurance
  7. ICICI Lombard Health Insurance
  8. Tata AIG Health Insurance
  9. Bajaj Allianz Health Insurance
  10. SBI Health Insurance
  11. Royal Sundaram Health Insurance
  12. Manipal Cigna Health Insurance

Factors to consider while buying a health insurance plan for family

Buying a health insurance plan for a family is a huge responsibility as it provides you with the necessary medical assistance, health care facilities and ease of getting quality medical treatment in case of an emergency. Hence, there are several aspects to be considered carefully before buying a mediclaim for family to ensure that it meets all your requirements. These are:


Check out the coverage benefits offered under the plan such as expenses covered, sum insured option, core benefits, add-on riders, critical illness cover , etc.

network hospitals

Check out the list of network hospitals to avail cashless hospitalization facilities. Choose an insurance plan from the insurer, offering a wide range of network hospitals.


Always go for the plan that meets your needs in terms of sum assured, number of members covered, minimum and maximum entry age.

Benefits of family health insurance

Health insurance policies for families provide various benefits to the insured members such as:

Benefits of family health insurance
Benefits of family health insurance

Required coverage for family health insurance

The family cover should be at least 200% of your annual income.

Calculate the ideal coverage amount for the family to get adequate medical assistance under health insurance. Consider the following aspects while deciding the cover for a family mediclaim policy

  • Number of members covered
  • Age of members covered
  • Health history of covered members
  • Lifestyles of Covered Members

Tip: If you have 2 senior citizen covers under your family floater plan, choose a higher cover. Or you can buy a senior citizen plan for them and cover your partner and children under health insurance for the family.

To get a better idea of ​​how much coverage is required in different scenarios and how the premium will be affected, we have shared some sample coverages and premiums below:

2 adults + 1 child

Policyholder’s age sum insured Premium Annual Samples
30 years 1.5 million INR 27,790

2 adults +2 children

1 adult+1 child+1 senior citizen

check your premium

What is covered under Family Health Insurance?

Health insurance policies for families offer comprehensive, flexible, customized and affordable coverage, depending on the mediclaim policy you choose for your family. If you or a family member insured under a health insurance plan for family, the following coverage is provided:

Disclaimer: The number of coverages offered and their amount may vary depending on the type of plan or health insurer.

Family Health Insurance Exclusions

Medical insurance for families usually does not cover certain health care expenses and medical conditions. Some of the exclusions under mediclaim policies for families are mentioned below:

  • OPD treatment
  • sexually transmitted diseases
  • self-inflicted injury
  • Illness due to drug and alcohol abuse
  • Injury caused by adventure sports

Read Also: सीनियर सिटीजन हेल्थ इंश्योरेंस प्लान

buy family health plan

You can buy a mediclaim policy for your family from the brand website of your desired insurance company or through PolicyX.com as it comes with an easy and user-friendly buying process that is safe, quick and hassle-free to take you anywhere. Allows you to buy your policy from anywhere and anytime.

How to buy a health insurance policy insuranceinhindi
How to buy a health insurance policy insuranceinhindi

Family Health Insurance Claim Process

There are 2 types of claim process available for family health insurance claims. Choose any one as per your convenience.

planned hospitalization

  • Inform the insurer 48 to 72 hours before hospitalization
  • The insurance company will provide a confirmation letter
  • Submit your health card and confirmation letter
  • The insurance company will settle all the bills directly with the hospital

emergency hospitalization

  • Inform the insurer about the hospitalization (within 24 hours)
  • Fill and submit the claim form
  • Submit other required documents
  • The hospital will receive an authorization letter from the insurer
  • Medical bills will be paid directly by the insurer


If you compare health insurance plans in India, you will find that a family plan is incredibly cost-effective and easy to manage. It takes away your worries, provides the best benefits to each and every member of the family, and gives you peace of mind to move forward. Investing in a family health insurance plan is the need of the hour, so make sure you buy a suitable plan soon.

Family Health Insurance: Frequently Asked Questions

1. What is the policy term option for Family Health Insurance?

2. How many people can be covered under Family Health Insurance?

3. Which family member can I cover under the Family Health Plan?

4. What is Mediclaim Insurance for Family?

5. Are family health plans cheaper than individual health plans?

6. What is the average cost of a family floater plan for aged families?

7. Which health insurance is better to buy – family or individual?

8. What is the difference between mediclaim policy for a family and mediclaim policy for an individual?

9. My parents are above 60, can I cover them under family floater plan?

10. Can I convert my family health insurance policy into an individual health plan?

11. Can I add my daughter-in-law under my family floater plan?

12. What is Family Floater Health Insurance Plan?

13. Does family health insurance provide coverage for AYUSH treatment?

14. What will happen to the family floater policy on the death of the proposer?

15. I am planning to start a family. Which type of health insurance would be better for me- Individual or Family floater?


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