Future Generali Individual Plan

Product Overview

Future Generali - Individual Plan is a hospitalization policy, which covers inpatient treatment for a minimum period of 24hrs, along with other benefits like day care treatments, Ayurvedic treatment, etc.

Unique Features of Future Generali Individual Plan

• This plan offers Pre-Hospitalisation expenses upto 60 days & Post-Hospitalisation expenses upto 90 days.
• Family discount - 10% discount is available on the premium if more then one person is insured under the same policy.
• This plan offers some Organ Specific Illness like gallstones, renwal stones, etc. covered after a waiting period of 1 year.

Critical features of Future Generali Individual Plan

• Room rent:
  Limits imposed towards room and ICU rent expenses

1. This Plan has 4 variants Gold, Silver, Basic and Platinum Plan.
2. This plan has 1% for room rent &ICU- 2 % of sum insured-applicable in sum insured upto Rs 1.5 Lac and No limit in Sum Insured beyond Rs 2 Lac
3. Overall up to 40% of the Sum Insured per claim.

• Co-Pay:
  Specific % of admissible claim amount to be borne by Insured
  The payment of claim under the medical Section will be as follows
  Platinum Plan - No Co-payment for any zone
  Gold Plan - No Co-payment under any zone
  Silver Plan - 20% Co-payment in Zone A and No Co-payment under Zone B & C
  Basic Plan - 30% Co-payment in Zone A, 20% Co-payment in Zone B & No Co-payment in Zone C
• No Claim Bonus:
  Health Insurance policies may offer Cumulative Bonus wherein for every claim free year, the Sum Insured is increased by a certain percentage at the time of renewal
  10% of basic sum insured up to a maximum of 50 % for each unclaimed year in case opted for(The cumulative bonus is reduced by 10 % of sum insured once a claim is made)
• Pre-Existing Diseases:
  Means any condition, ailment or injury or related condition(s) for which you had signs or symptoms, and / or were diagnosed, and / or received medical advice/ treatment, within 48 months prior to the first policy issued by the insurer
  This plans has a waiting period of 4 years is case of pre-existing diseases

Eligibility Criteria

• Minimum Age of Entry:- Children - 91 days to 25 years/Adults - 18 years
• Maximum age of Entry:- 70 years
• Renewal Age:- Life Long Renewal
• Sum Insured:- 1.5 Lakhs to 10 lakhs
• Policy Tenure:- 1 year
• Premium Calculated on Basis of:- Age (i.e. sum Insured Chosen)

Add-ons

• Accidental Cover:
  Additional Accidental Hospitalisation: Limits can be enhanced by 25% of the sum insured on date up to maximum of Rs. 1 lakh.

Additional discounts

• Family discount of 10% is available in case more than one person

Waiting Period

• Covered from Day 1:
  Accidental Injuries
• Covered after 30 Days:
  All incidences apart from specified surgeries, Permanent exclusion & Pre-existing diseases (if any)
• Covered after 1 Year:
  Gallstones; renal stones etc
• Covered after 2 Years:
  Cataract, hernia and tumour etc
• Covered after 3 Years:
  Joint replacement surgery

Exclusions

• War, Invasion, Act of Foreign Enemy,Vaccination/ inoculation, cosmetic treatments
• Non-allopathic treatment,treatment of obesity,intentional self-Injury,Maternity expenses
• Congenital Internal and/ or external Illness,Genetic disorders
• All expenses related to AIDS and related diseases
• Use of intoxicating drugs or alcohol,Treatment for any mental Illness
• Personal comfort and convenience items or services

 

Note: Any claims arising out of or attributable to any of the following is not covered,Please refer policy T & C for detailed list of exclusions.

Tax Benefits

The premium paid for health insurance policy is liable to get a tax rebate under section 80D of the Income Tax Act, 1961.

Claim Process

In case you would like to know about the Claim Process or would like to register a Claim please click the link below

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