Future Generali Health Total Vital

Cover amount: ₹5 Lakh

Cashless hospitals: 316

Premium:₹611/month (₹7331 paid annually)

Claim Settlement Ratio: 92%

92% Claim Settlement Ratio

  • This is explained as (Number of Claims Settled / Number of Claims) by the Insurance Company.
  • Source: Public Disclosures (NL25 for 2018-19).

Existing Illness Waiting Period

Covered after 2 years ;50% claim amount in 3rd year,100% from 4th year

 

Why is it Important

The shorter waiting period, the better as the cost of your current illness can be expensive

Network Hospitals covered

6000+ Network hospitals

 

Why is it Important

The higher the number of network hospitals the better as you can avail cashless treatment at more places.

ProTip: Check if the hospital of your choice or those near you are part of the network.

Hospital Room Eligibility

There are no restrictions on the type of room that can be availed under hospitalization; total payment up to sum insured is permitted

 

Why is it Important

A lower cap is better as room rent eats into the claim amount which should be spent on treatment cost.

ProTip: Always opt for rooms within your rent eligibility, In case you opt for a room above this cap, you will have to bear the additional expenses

Day Care Treatments

All day care treatments that take less than 24 hours of hospitalization due to technological advancement but otherwise would have needed a day are covered

 

Why is it Important

The number of day care treatments are increasing every day and it is important that your insurance covers the same.

ProTip: Look for plans which cover maximum Day Care procedures

What’s covered

Covid-19 Coverage

Hospitalization due to omicron and all other variants of covid-19 are covered

 

Why is it Important

Most people infected with the virus will experience mild to moderate respiratory illness and recover without requiring special treatment. However, some will become seriously ill and require medical attention

ProTip: Protect yourself and others from infection by staying at least 1 metre apart from others, wearing a properly fitted mask, and washing your hands or using an alcohol-based rub frequently

Room rent limit

There are no restrictions on the type of room that can be availed under hospitalization; total payment up to sum insured is permitted

 

Why is it Important

A lower cap is better as room rent eats into the claim amount which should be spent on treatment cost.

ProTip: Always opt for rooms within your rent eligibility, In case you opt for a room above this cap, you will have to bear the additional expenses

Restoration of cover

Full reinstatement of Sum Insured for a non-related illness if the original sum insured + no claim bonus exhausted once in policy year

 

Why is it Important

It helps at the time of second hospitalization in the same year

ProTip: The restoration amount varies, please check the plan T&C for when restoration is allowed.

No claim bonus

Incremental cover up to 50% of sum insured added for every claim free year max upto 100%;Bous will decrease by 50% in case of claim

 

Why is it Important

Since the medical expenses are rising every year, this benefit ensures you have sufficient funds for any medical emergency.

Free health checkup

Health checkup permissible upon every renewal

 

Why is it Important

Health checks ensure you are treated before your medical condition gets serious.

ProTip: Look for the type, cost and number of tests your insurer allows.

Co-pay

Full claim paid by Insurer

Existing Illness cover

Covered after 2 years ;50% claim amount in 3rd year,100% from 4th year

 

Why is it Important

The shorter waiting period, the better as the cost of your current illness can be expensive

Maternity cover

This plan provide coverage for maternity & related claims upto 35k ; After 2 yearsSelf+spouse;4 yearsonly self

 

Why is it Important

Higher the maternity cover and a shorter waiting period is better. This allows you to avail the best hospitals and doctors for your new born.

ProTip: Check the waiting period after which you can claim for maternity.

Cashless hospitals

6000+ Network hospitals

 

Why is it Important

The higher the number of network hospitals the better as you can avail cashless treatment at more places.

ProTip: Check if the hospital of your choice or those near you are part of the network.

Pre-hospitalization coverage

Medical expenses that are incurred in 60 days before hospitalisation are covered

 

Why is it Important

Typically there is a period of OPD and diagnostics before one is discharged. Longer the Pre-Hospitalisation cover period, better it is

ProTip: Make sure you claim the medical expenses for the same illness for which you got admitted later on.

Post-hospitalization coverage

Medical expenses that are incurred in 90 days post hospitalisation are covered

 

Why is it Important

There are usually expenses on medicines and treatments even after hospitalization. This benefit helps to cover the same.

ProTip: More the number of days covered, the better it is

Day care treatment

All day care treatments that take less than 24 hours of hospitalization due to technological advancement but otherwise would have needed a day are covered

 

Why is it Important

The number of day care treatments are increasing every day and it is important that your insurance covers the same.

ProTip: Look for plans which cover maximum Day Care procedures

Hospitalization at home

Treatments done at home due to patient condition or unavailability of hospital bed are covered upto Sum Insured

 

Why is it Important

The higher the cover amount, the better as sometimes — especially during seasonal outbreaks like dengue — hospitals may not have accomodation.

ProTip: Look out for the cover amount and the number of days at home treatment is covered.

Alternate medicine (AYUSH)

Up to Sum Insured for utilizing AYUSH

 

Why is it Important

This benefit covers you for alternative treatment options which are becoming more and more popular.

ProTip: Don’t forget to check if your insurance plan covers AYUSH treatment

Ambulance charges

Up to Rs 1,500 per hospitalization offered for utilizing ambulance services; payable with hospitalization claim

ProTip: Check if your insurance plan covers the Ambulance cost and how much

E-consultation

Provide complimentary access to doctors-on-call for maximum 2 consultations in a year

 

Why is it Important

It is a value-added service and you get a convenient second opinion.

Cover for organ donor

Medical expenses of organ donor are covered Upto SI

 

Why is it Important

It ensures that expenses of the donor are covered, and the insured gets the organ that is required in time

ProTip: Make sure the cover amount is high as the organ transplant is expensive.

Daily cash allowance

Rs 500 daily cash for hospitalization upto 30 days if accompanying a child<13 years

 

Why is it Important

The money can be used for meeting additional expenses that are not covered by health insurance

ProTip: The higher the daily cash allowance the better as these additional costs do add up during hospitalization.

What’s not covered

Worldwide coverage

No coverage provided outside India even under emergency

ProTip: The higher the coverage the better as medical treatments abroad are expensive.

Domestic evacuation

No cover for emergency evacuation services

Discount on Renewal

Not covered

Out patient consultation benefits

No coverage for treatments not requiring hospitalization, such as consultations

 

Why is it Important

The higher the coverage the better as most treatments do not require hospitalization.

ProTip: If you stand to lose your NCB, it is advisable not to claim OPD expenses.

Animal bite vaccination

No coverage provided for vaccination against animal bites

 

Why is it Important

This add-on is beneficial as stray animals are everywhere and you can’t predict when one might bite you.

About Future Generali

Every day, Future Group brings multiple products, opportunities and services to millions of customers in India. Through more than over 17 million square feet of retail space, we serve customers in 102 cities across the country. Most of all, we help India shop, save and realize dreams and aspirations to live a better quality of life every day.Future Group understands the soul of Indian consumers. As one of India’s retail pioneers with multiple retail formats, we connect a diverse and passionate community of Indian buyers, sellers and businesses. The collective impact on business is staggering: Around 300 million customers walk into our stores each year and choose products and services supplied by over 30,000 small, medium and large entrepreneurs and manufacturers from across India. And this number is set to growhttp://www.futuregroup.in/about-us/about-group.html

Most Asked Question For Your Profile

Are PPE kits and other consumable items covered in Health Insurance policies?
Mostly policies don’t cover it by default, however you can buy some very low cost riders and get consumables like PPE kits covered. These include riders such as Care Shield with Care Health Products, or Safeguard with Max Bupa products.

 

Is HomeCare treatment covered in my Health Insurance policy?
Many Comprehensive health plans provide Home Care treatment where Hospitalisation was required, but patients couldn’t be hospitalised because beds weren’t available. This will include the cost of treatment, diagnosis, medication, oxygen, etc. Check with your advisor for options where HomeCare for Covid-19 is also covered

 

Will my Health policies cover Black Fungus or any other complications of Covid-19?
Absolutely, Health Insurance covers Covid-19 and all its related complications such as Black Fungus.