Future Health Suraksha Individual Plan
Future Health Suraksha is a health insurance plan designed for an individual’s basic health insurance requirements. The plan has all the rudimentary coverage options along with other additional features which make the coverage comprehensive in nature.
Key Features
The plan is designed only for an individual’s coverage. Children can too be covered under the plan if they are above 91 days of age and below 25 years only if either of the parents is also covered in another or the same plan of the company.
There are four plan variants which are Basic, Silver, Gold and Platinum. The Platinum plan is available for Sum Assured levels of Rs.6 lakhs and above.
The plan promises lifelong renewability.
The Sum Assured is increased by 10% if a claim is not made in any year. The maximum increment allowed is limited to 50%.
In case of hospitalization due to an accident, the Sum Assured is increased by 25% to a maximum of Rs.1 lakh.
Free health check-ups are available after every 4 continuous policy years.
The plan provides cashless approvals within 90 minutes at across 4200 hospitals in 492 cities.
Benefits
Being a health insurance plan, a range of benefits are provided under the plan which are mentioned below:
| Pre and post hospitalization | Covered for 60 and 90 days respectively |
| Inpatient hospitalization | Covered |
| Day care procedures | 130 procedures are covered |
| Hospital cash benefit | Allowed for Platinum Plans |
| Ambulance cost | Up to Rs.1500 |
| Daily cash for accompanying person | Rs.500 per day |
| Patient Care benefits for individuals aged above 60 years | Rs.350 per day |
The plan offers a Family Discount. If more than one family member is covered under the same policy, a premium discount of 10% is allowed.
For each year where the proposer has not made any claim in the policy, the Sum Assured is increased by 10% subject to a maximum of 50% increment in the Sum Assured.
If the proposer wants to port his existing health insurance plan taken from another company to this plan, he can do so. Such portability should be requested at least 45 days before the expiry of the previous policy which is being ported.
A cooling off period or a free look period of 15 days is granted to the policyholder after the policy issuance to review the policy terms and conditions. If found unsatisfactory, the plan can be cancelled within this period and the premium paid would be refunded after deducting the relevant mortality charge, service tax, cess and stamp duty paid.
A grace period of 30 days is allowed for paying the premium after the due date during which the policy cover continues.
How it works
- The policyholder chooses the Sum Assured. Based on the coverage amount and age, premiums are determined.
- Claims paid under the plan would depend on the geographical location of the hospital where treatments are taken. The locations are sub-divided as follows:
| Zones | Cities |
| Zone A | Mumbai, Delhi and NCR regions. |
| Zone B | Chennai, Kolkata, Bangalore, Ahmedabad and Hyderabad. |
| Zone C | Rest of India |
- The Platinum Plan has no sub-limits and entire claims are payable under it. Gold Plans are for Zone A region and pay 100% of the claim if treatment is taken in any of the above zones. The Silver Plan is for Zone B and pays 100% of the claim if treatment is taken in Zone B or C. However, for treatments taken in Zone A, only 80% of the claim is payable. Basic Plan is for Zone C which pays 100% claims only if treatment is taken in Zone C regions. For treatments taken in Zone A only 70% of the claim is payable while for treatments in Zone B 80% is payable.
Eligibility
The plan can be bought only by permanent Resident Indians for themselves. The other eligibility criteria of the plan include:
| Minimum | Maximum | |
| Entry age | 90 days | 70 years |
| Plan tenure | 1 year | |
| Premium payable | Depends on the age and Sum Assured chosen | |
| Sum Assured | Age up to 55 years – up to Rs.10 lakhs Age above 55 years – up to Rs.5 lakhs |
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Exclusions
- Pre-existing illnesses are covered completely only after a continuous coverage period of 48months.
- Specific treatments like cataract, hernia, fistula, joint replacement, etc. are not covered in the first two years of the policy.
- Hospitalization within the first 30 days of the policy is excluded.
- Maternity related coverage is not available.
- Epidemic ailments and debilitating ailments are excluded.
- Hospitalization due to suicide or self-inflicted injury, alcohol or drug abuse, participation in hazardous sports and activities, criminal act, war, commotion, consequential loss, pregnancy and related causes, defense related operations, curative treatments, aviation, radioactive contamination, circumcision, cosmetic treatments, STD or HIV, etc. would also be excluded.
