A family health insurance plan is a policy that insures the health of your entire family. You can include your spouse, children, dependent siblings, parents and parents-in-law in these plans. You need to pay a single premium and the sum assured is shared across all members. The coverage is generally extended to up to six members of the family. 

Types of health insurance plans for your family

You can buy 2 types of health insurance plans for family:

  1. Individual family health insurance policies that cover each family member separately.
  2. Family floater health insurance policy where the entire family is covered under a single policy.

If you buy individual plans for each member of your family, the total premium would be quite high. However, if you buy a family health insurance plan, then the premium will generally be much lower and the entire family will be covered under one plan, making it a simpler process. 

Health insurance for parents

You can either include your parents in the family health insurance plan or buy a separate plan for them. However, do note that the maximum entry age for most plans is 65. If they are senior citizens, then customised policies for senior citizens are also available. 

It’s important to remember that the premium value increases with the age of the eldest insured family member. So, depending on their age, it might be more cost-effective to buy a separate health insurance for parents rather than include them in the family floater policy.

Companies offering best family health insurance plans in India

Here’s a list of some of the best Family health insurance plans & policies offered by various companies –

Company 

Family Health Insurance Plan 

Coverage and Features

Range of sum assured (in INR)

Maximum entry age 

Waiting period 

HDFC ERGO General Insurance Company Limited 

Health Suraksha Plus Regain-

Gold&

Silver

Domicilliary, hospitalisation, day care, ambulance charges, donor expenses, AYUSH, health check-ups, restore coverage

3 – 10 Lakh

No limit

30 days for any claim,

2 years for certain ailments,

4 years for pre-existing

TATA AIG General Insurance Company Limited

Mediprime

Domicilliary, hospitalisation, day care, ambulance charges, donor expenses, AYUSH, health check-ups, hospital cash benefit

2 – 10 Lakh

65 years

30 days for any claim,

2 years for certain ailments,

4 years for pre-existing

Bajal Allianz General Insurance Company Limited

Health Guard Family Floater Gold

Hospitalisation, day care, ambulance charges, donor expenses, AYUSH, health check-ups, hospital cash benefit, convalescence benefit, restore coverage, bariatric, 

3 – 50 Lakh

65 years

30 days for any claim,

2/3/6 years for certain ailments,

3 years for pre-existing

Universal Sompo General Insurance Company Limited

Complete Health Care

Domiciliary, hospitalisation, day care, ambulance charges, donor expenses, AYUSH, health check-ups, hospital cash benefit, convalescence benefit

1 – 5 Lakh

65 years

30 days for any claim,

2/3 years for certain ailments,

6 years for pregnancy and related issues

3 years for pre-existing

National Insurance Company Limited 

Parivar Mediclaim 

Domicilliary, hospitalisation, day care, donor expenses, ambulance, AYUSH, hospital cash benefit, infertility

1 – 10 Lakh

65 years 

30 days for any claim,

1/2/4 years for certain ailments

4 years for pre-existing

Star Health & Allied Insurance Company Limited 

Family Health Optima

Domicilliary, hospitalisation, day care, ambulance charges, donor expenses, AYUSH, health check-ups, hospital cash benefit, infertility 

1 – 25 Lakh

65 years 

30 days for any claim,

2/4 years for certain ailments

3 years for infertility

The Oriental Insurance Company Limited

Happy Family Floater Policy

Domicilliary, hospitalisation, day care, ambulance charges, donor expenses, AYUSH, health check-ups, hospital cash benefit, infertility, restore coverage, life hardship survival

1 – 20 Lakh

65 years 

30 days for any claim,

1/2/4 years for certain ailments

The New India Assurance Company Limited

Family Floater Mediclaim 

Domicilliary, hospitalisation, day care, ambulance charges, donor expenses, AYUSH, health check-ups, hospital cash benefit, restore coverage

2L-5L

65 years 

30 days for any claim,

2/4 years for certain ailments

HDFC Ergo Health Insurance Company Limited

Optima Restore

Domicilliary, hospitalisation, day care, ambulance charges, donor expenses, AYUSH, health check-ups, hospital cash benefit, restore coverage, stay active discount

3 -50 Lakh

65 years

30 days for any claim,

2 years for certain ailments

3 years for pre-existing diseases

Max Bupa Health Insurance Company Limited 

Health Companion family floater

Domiciliary, hospitalisation, pre and post hospitalisation, day care, ambulance charges, donor expenses, AYUSH, health check-ups, hospital cash benefit

5 – 12.5 Lakh

None

30 days for any claim,

2 years for certain ailments

4 years for pre-existing diseases

Benefits of family health insurance 

Here are the benefits which you can avail if you invest in the best health insurance plans for family in India–

Covers all family members: You can buy a single policy for the entire family, making sure that everyone gets the best treatment possible. Parents and parents-in-law can also be included. A new member can be added to the existing family floater health plan with ease. This helps you avoid paying multiple premiums for multiple policies. 

Cashless hospitalisation for family: Cashless hospitalisation is extended to all family members covered under the family health insurance plans. 

Save money: The premium for a family floater policy generally works out to be lesser than the total premium on separate policies for individual members. 

Claim tax benefit: The premium paid for family health insurance plans is eligible for tax exemptions under Section 80D of the Income Tax Act.

Restore coverage: These days, most companies offer a special benefit called restore benefit. This is particularly useful for family health insurance plans. Under this, if the entire sum insured is exhausted by one family member, the entire sum insured is again reinstated so other family members still stay covered. Restore coverage can be availed by the same family member too, but only for unrelated claims.

Enhancement of sum insured: A flexible family health insurance plan allows you to increase sum insured during renewal.

Higher coverage for each member: This is easier to understand with an example. 

Let’s assume you have 4 members in your family. You can do one of the following 2 things.

  1. Buy individual policies with sum insured of Rs 1 lakh for each. In this case, the maximum coverage amount for each person is Rs 1 lakh. So if one member is hospitalised and the expenses are 1.5 lakh, you will have to pay the difference of Rs 50,000 yourself. 
  2. Buy a health insurance plan for family with sum insured of Rs 4 lakh. In this case, the maximum coverage amount for the entire family is Rs 4 lakh. So, if one member is hospitalised and the expenses are 1.5 lakh, the entire cost will be borne by the insurance company, provided the amount has not been exhausted by other members in the policy year.

So, even the cheapest health insurance for family offers higher coverage to each member, at a lower overall premium.

Common Inclusions under best family health insurance plans

Category

Description

In-patient Hospitalisation

Medical expenses if the insured is hospitalized for more than 24 hours.

Pre and post-hospitalization

Prescribed tests, medications, treatment etc for a certain defined period before and after hospitalisation

Emergency ambulance charges

Expenses for ambulance needed for an emergency situation

Day-care 

Medical expenses if the insured is hospitalized for less than 24 hours.

Domiciliary treatment

Medical expenses for certain ailments when the insured is being treated at home

Organ donor expenses

In case an organ donation is required, then expenses incurred by the organ donor

AYUSH

Medical expenses if the insured undergoes Ayurveda, Yoga, Unani, Siddha or Homeopathy treatment

Vaccinations

Vaccinations that result from an animal bite

Common Exclusions under best family health insurance plans

Category

Any claim raised within 30 days of purchase of policy, unless caused due to an accident

Pre-existing illnesses are not covered before a pre-defined duration

Sexually transmitted diseases

Treatment for problems aesthetic or cosmetic in nature

self-inflicted injury

illness caused due to drug or alcohol abuse

Experimental or unapproved treatment

Any OPD treatment unless specified in the policy

Any other exclusions specified in the policy document

What is the importance of family health insurance?

Medical emergencies can happen anytime, anywhere. Moreover, the growing number of lifestyle diseases and the rising cost of healthcare has made it necessary to have health insurance plans for all members of your family. Though most organizations these days have health insurance facility for their employees, quite often the coverage is inadequate. Therefore, you need to buy a personal health insurance policy that is customized based on your family’s requirements. 

Difference between family health insurance and individual health insurance

A mediclaim policy for family is quite different from an individual health insurance plan. The differences between these plans are as follows –

Family floater health insurance plan

Individual health insurance plan

Covers all family members under a single policy

Covers only one individual under a single policy

The sum insured can be used jointly and independently by all insured members of the family under a mediclaim policy for family

Under individual health plans, the sum insured is used only by the insured individual

The collective premium for all family members works out to be cheaper

If you buy individual health plan for each family member, the aggregate premium payable would be higher than mediclaim policy for family

The premium is calculated based on the age of the eldest insured member

The premium is calculated based on the age of the insured member

Thus, both family floater and individual health insurance plans are different from one another. You should, therefore, understand these differences and then choose the most suitable policy for your family.

Eligibility criteria for family health insurance

To buy mediclaim for family, you need to fulfil some specified eligibility criteria laid down by the insurance plan. While the exact eligibility parameters depend on the policy that you buy, some of the most common parameters are as follows –

  • Members who can be covered

    All policies of mediclaim for family cover the policyholder, spouse and dependent children, both biological and adopted. Coverage for dependent parents, however, varies across plans of mediclaim for family. Some plans allow dependent parents to be covered under the policy while some don’t. In fact, some health insurance plans for family even extend coverage to siblings, grandparents, parents-in-law and other relatives that you might have.

  • The sum insured

    Sum insured under plans of mediclaim for family range from INR 1 lakh to up to INR 6 crores. You can choose any sum insured depending on your coverage needs and the premiums are calculated accordingly. However, if any member of the family suffers from a severe medical condition, the insurance company might impose a limit on the maximum sum insured which you can avail under mediclaim for family.

  • Policy tenure

    All health insurance plans for family have coverage duration of one year. Some plans also allow coverage for two or three years at once if you pay the aggregate premium upfront.

  • Age limits

    Plans of mediclaim for family are available for adult proposers who are aged 18 years and above. Dependent children can be covered from 91 days onwards. The maximum entry age for adults is usually restricted to 65 years under most plans while some plans don’t have any such restrictions. Dependent children are covered under the floater policy for up to 23 or 25 years of age, depending on the policy terms and conditions, after which they should be covered under an individual plan.

Claim process for family health insurance

For making a claim under a mediclaim policy for family, the following steps should be followed –

  • The insurance company should be informed immediately of the claim
  • In case of cashless treatments, you should get admitted in a networked hospital
  • A pre-authorization form should be filled and submitted to the insurance company to get an approval for cashless claims. This form should be submitted 3-4 days before planned hospitalisation or within 24 hours of an emergency hospitalisation
  • Once the insurance company approves the cashless claim based on the pre-authorization form, you can avail cashless treatments
  • Upon discharge from the hospital, fill up and submit a claim form and all medical documents pertaining to the claim
  • The insurance company would verify the documents and settle the claim
  • In case of a reimbursement claim wherein you were hospitalised in a non-networked hospital, get treated at the hospital and pay for the medical expenses that you incur. After being discharged, file a claim with the insurance company and submit all your original medical documents with bills. The insurance company would verify the documents and reimburse you for the expenses that you incurred.

Why Choose Turtlemint?

Turtlemint makes your entire decision-making process fast, simple and convenient when you want to buy best family health insurance plan. Starting from research to the final purchase, it’s a single destination for all your requirements.

  • Compare all family health insurance planswith one click and find the best family floater health insurance plansin India.
  • Calculate the premium using our free premium calculator to understand the cost.
  • Contact our experts to resolve all your queries through online chat or telephonic discussions.
  • Download all brochures and policy documents from one place.

Once you have decided on the policy that best fits your requirements, buy and renew health insurance plans for family quickly.


FAQ’s

There is a waiting period before family health insurance plan can become active. This differs for every insurance company and can be 15, 30 or even 90 days. Waiting period for pre-existing diseases is usually 3 to 4 years.


Family health insurance policies can be renewed online or offline, at least 15 days before expiry. Some basic details like policy number, expiry date etc. need to be provided. Once the payment is done, a digitally signed copy of the renewed policy is generated. The details of the renewed policy can also be checked online at the insurer’s website.


The primary policyholder should be between 18-65 years of age. However, lifelong renewal of policy is provided by most insurance companies. Medical tests of the members of the family is usually necessary after the age of 45.


A family health insurance plan is for the entire family. The sum assured covers all members and only a single premium needs to be paid annually. This premium is much lower than the sum of premiums of individual health insurance policies for each member of the family.


A health insurance plan which offers a comprehensive scope of coverage at affordable premiums and covers all the members of the family would be the best health insurance plan for family. A family floater policy is the best health insurance plan for family as it covers all the members of the family under a single policy and at a lower premium.


Family floater health insurance plan is one which covers all members of the family under a single plan. There is a single sum insured and all insured members of the family can claim up to the sum insured of the policy.


All health insurance companies offer family floater plans which offer attractive coverage benefits. You should, therefore, compare the available plans and then choose one which offers the most comprehensive coverage benefits at the most reasonable premium rates. Some of the best plans which you can consider include HDFC Ergo Health Optima Restore, Star Health Family Health Optima, Oriental’s Happy Family Floater Policy, etc.