Royal Sundaram Health Insurance – Compare Plans, Features, Benefits

Royal Sundaram General Insurance Company was the first private general insurance company which was licensed in October 2000. When it was being formed, Royal Sundaram was jointly owned by Sundaram Finance and other stakeholders from India. However, in February 2019, the company’s composition changed when Ageas Insurance International NV bought 40% of the company’s shares from the stakeholders of the company. Currently, therefore, Sundaram Finance owns 50% of the business, Ageas holds 40% and the remaining 10% is held by various Indian shareholders.

Ever since it was formed, Royal Sundaram has been selling a range of general insurance products, including health insurance plans. Here are some facts about the company which you should know –

Facts about Royal Sundaram General Insurance

1. The company is serving more than 4.5 million customers across India
2. The company’s branches are spread across 143 locations with an employee strength of more than 2000 individuals
3. Royal Sundaram was the first insurance company which introduced the concept of cashless claim settlements in its health insurance plans
4. The company has received ISO 9001:2015 certification for its efficient customer services

Key features of Royal Sundaram health insurance plans

Here are some highlights relevant to Royal Sundaram health insurance plans –

1. The company offers a range of health insurance plans for its customers. You can find both indemnity oriented health plans as well as fixed benefit health insurance plans
2. Retail, corporate, group as well as micro health insurance plans are offered by Royal Sundaram
3. You can buy, renew as well as make claims under your Royal Sundaram health insurance plans online as the company allows easy and seamless online facilities

Benefits of buying Royal Sundaram health insurance plans

Here are the benefits that you would get when you invest in Royal Sundaram health insurance plans –

1. The plans’ coverage benefits are varied so that they can suit the varied coverage needs of different individuals
2. The premium rates of the policies are low and reasonable making them light on your pockets
3. The company has been honoured with the Celent Model Insurer Asia Award for its technology driven claim management system. This system ensures that your claims are settled hassle-free and at the earliest
4. The company has a wide range of networked hospitals to serve you with cashless treatments. This ensures that you don’t face any financial dilemmas in case of medical emergencies

List of Royal Sundaram Health Insurance Plans

Here’s a complete list of all health insurance policies offered by Royal Sundaram along with their features and eligibility criteria –

1. Royal Sundaram Hospital Benefit Plus Insurance Plan

This is a fixed benefit hospital cash plan which allows a fixed benefit if you are hospitalised for any illness or injury. Moreover, the plan covers a host of other contingencies too. The features of the policy are as follows –

• A daily cash benefit is paid in case of hospitalisation for 24 hours or more
• In case of accidental hospitalisation, the daily cash benefit is doubled
• If you are admitted to the ICU, the benefit is tripled
• The plan comes in four variants and the daily cash benefit depends on the variant selected
• In case of hospitalisation for more than 21 days, a lump sum convalescence benefit would be paid
• A worldwide coverage for accidental death and disablement is also inbuilt in the plan
• No pre-entrance health check-ups are required to buy the policy
• You get a no claim bonus if no claims are made in a policy year. This bonus increases the sum insured free of cost
• A premium discount of 10% is also allowed if you cover three or more family members under the policy

Eligibility criteria of Royal Sundaram Hospital Benefit Plus Insurance Plan

Entry age	1 year to 70 years
Term of the plan	1 year
Hospital daily benefit	INR 500 to INR 2000
Sum insured for personal accident cover	INR 5 lakhs to INR 10 lakhs
No claim bonus	5% increase in the sum insured up to a maximum of 25%

2. Royal Sundaram Smart Cash Plan

This is also a fixed benefit health insurance plan which pays cash benefit in case of hospitalisation. The features of the plan are as follows –

• There are three plan variants of Silver, Gold and Platinum
• In case of hospitalisation, a daily benefit is paid. This benefit is doubled up in case of accidental hospitalisation
• A lump sum convalescence benefit of INR 10,000 is paid if hospitalisation exceeds 15 continuous days
• Seven critical illnesses are covered under the policy and a lump sum benefit is paid if the insured is diagnosed with any of the covered illnesses
• Childbirth is covered under the Gold and Platinum plans and a lump sum benefit is paid in such cases
• Pre-existing illnesses are covered after a waiting period and in case of hospitalisation due to such illness, a daily cash allowance is paid up to a specified period
• Free health check-ups are allowed once after every four policy years
• Coverage for compassionate visit of a family member from abroad is allowed under Gold and Platinum plans
• Optional personal accident benefit is also available under the policy

Eligibility criteria of Royal Sundaram Smart Cash Plan

Entry age	91 days onwards
Term of the plan	1 year to 3 years
Hospital daily benefit	INR 500 to INR 10000
Sum insured for personal accident cover	INR 10 lakhs to INR 25 lakhs
Pre-existing waiting period	4 years

3. Royal Sundaram Hospital Cash Insurance Plan

This is a hospital cash health insurance plan which pays fixed cash benefit on hospitalisation which is independent of the medical costs incurred. The features of the plan are as follows –

• Daily cash benefit is provided per day of hospitalisation if such hospitalisation exceeds 24 hours
• If three or more family members are insured under the plan, a 10% premium discount can be enjoyed

Eligibility criteria of Royal Sundaram Hospital Cash Insurance Plan

Entry age	1 year to 70 years
Term of the plan	1 year
Hospital daily benefit	INR 500 to INR 3500

4. Royal Sundaram Surgical Shield Plan

This is a fixed benefit health insurance plan which is effective in covering major surgeries undertaken by the insured. Moreover, the plan also has other coverage benefits and the following features –

• 100 surgeries of different types are covered under the plan. In case the insured undertakes any surgery a specified part of the sum insured would be paid in lump sum
• A daily hospital cash benefit is also paid which is INR 250/day of hospitalisation
• Costs incurred in availing diagnostic procedures are also covered up to INR 10,000
• The cost of hiring an ambulance for hospital transportation is covered under the plan

Eligibility criteria of Royal Sundaram Surgical Shield Plan

Entry age	91 days to 65 years
Term of the plan	1 year
Sum insured	INR 3 lakhs

5. Royal Sundaram Secure All Plan

Secure All is a comprehensive health insurance plan which covers actual costs incurred on hospitalisation. The features of the plan are given below –

• Expenses incurred on hospitalisation are covered under the policy
• No claim bonus is awarded in the form of increase in the sum insured if no claims are made under the plan
• A daily benefit is paid in case of hospitalisation for 24 hours or more
• A lump sum recovery benefit is also paid if you are hospitalised for a continuous period of 15 days
• The plan has an inbuilt personal accident cover which covers accidental death and disablement and the coverage is available worldwide
• A premium discount of 5% or 10% is allowed if 2 or more family members are covered under the plan

Eligibility criteria of Royal Sundaram Secure All Plan

Entry age	91 days to 65 years
Term of the plan	1 year or 2 years
Sum insured	INR 1.5 lakhs to INR 5 lakhs
No claim bonus	5% increase in the sum insured up to a maximum of 50%
Pre-entrance health check-ups	Not required till 60 years of age
Pre-existing waiting period	48 months

6. Royal Sundaram Critical Illness Lump sum Plan

This is a critical illness health insurance policy which pays a fixed benefit if the insured is diagnosed with any of the critical illnesses covered by the plan. The salient features are as follows –

• Nine major critical illnesses are covered under the plan
• Coverage can be taken for up to INR 25 lakhs

Eligibility criteria of Royal Sundaram Hospital Benefit Plus Insurance Plan

Entry age	91 days to 65 years Dependent children can be covered up to 25 years
Term of the plan	1 year
Sum insured	INR 25,000 to INR 25 lakhs

7. Royal Sundaram Surgicare Plan

This is a fixed benefit health insurance plan covering specific surgeries. The benefits of the plan are as follows –

• 140 surgeries are covered under the plan
• A hospital cash benefit is also paid in case of hospitalisation for 24 hours or more
• You can seek a free medical second opinion from some of the best medical professionals through the company’s empanelled doctors

Eligibility criteria of Royal Sundaram Surgicare Plan

Entry age	Adults – 18 years to 65 years Dependent children – 91 days to 21 years
Term of the plan	1 year to 3 years
Sum insured	INR 1.5 lakhs or INR 3lakhs

8. Royal Sundaram Hospital Cash Insurance Plan

This is a hospital cash benefit plan which has the following features –

• The daily cash benefit can be claimed up to 180 days in a policy year
• Premium discount of 10% is allowed if three or more individuals are covered

Eligibility criteria of Royal Sundaram Hospital Cash Insurance Plan

Entry age	1 year to 70 years
Term of the plan	1 year
Hospital daily benefit	INR 500 to INR 3500

9. Royal Sundaram Family Health Floater Policy

This is a family floater health insurance policy which covers the actual medical expenses incurred on hospitalisation. The features of the plan are as follows –

• No claim cumulative bonus is allowed for not making claims under the policy
• Free health check-ups are allowed after every 4 policy years

Eligibility criteria of Royal Sundaram Family Health Floater Policy

Entry age	91 days to 65 years
Term of the plan	1 year or 2 years
Sum insured for personal accident cover	INR 1 lakh to INR 3 lakhs
No claim bonus	5% increase in the sum insured up to a maximum of 50%

10. Royal Sundaram Top-up Insurance – Health XS and Super Health XS

This is a top-up health insurance plan which allows you to enhance the coverage without pinching your pockets. The benefits of the plan are as follows –

• You can choose from a top-up or super top-up plan in Health XS and Super Health XS
• Hospital cash benefit is allowed for each day of hospitalisation
• There is an optional rider benefit for accidental death benefit rider
• The policy can be taken on an individual or family floater basis

Eligibility criteria of Royal Sundaram Top-up Insurance

Entry age	91 days to 65 years Dependent children are covered up to 21 years
Term of the plan	1 year to 3 years
Sum insured	INR 2 lakhs to INR 15 lakhs
Deductible limit	INR 1 lakh to INR 5 lakhs
Pre-existing waiting period	48 months

11. Royal Sundaram Health Forever Insurance Plan

This is an indemnity health plan which covers the actual medical costs that you incur when you are hospitalised. The features include the following –

• A critical illness cover is inbuilt under the plan which covers cancer, stroke, CABG and organ transplants. In case of any of the covered illnesses, a lump sum benefit is paid
• Hospital cash allowance is paid for hospitalisation
• In case of ICU hospitalisation for 7 days or more, a lump sum benefit would be paid
• In case of normal hospitalisation which exceeds 15 days, a lump sum convalescence benefit is paid
• Premium discount is allowed for covering your family members under the policy

Eligibility criteria of Royal Sundaram Health Forever Insurance Plan

Entry age	91 days to 75 years
Term of the plan	1 year to 3 years
Sum insured	INR 1 lakh to INR 5 lakhs
No claim bonus	15% increase in the sum insured up to a maximum of 60%
Pre-existing waiting period	48 months

12. Royal Sundaram Lifeline Insurance Plan

Lifeline is a comprehensive health insurance plan offered by the company which has a range of coverage benefits and also ensures coverage for your whole family. The features of the policy are mentioned below –

• All day care treatments are covered under the plan
• The sum insured is reinstated if it is exhausted in any policy year in paying earlier claims
• Coverage is available for vaccination expenses in case of animal bites
• Worldwide hospitalisation is allowed under the plan
• 11 critical illnesses are covered under the plan and if you suffer from any covered illness, you can take international treatments and such treatments would be covered
• OPD expenses are covered which are incurred on dental treatments, cost of lenses or spectacles
• Maternity and newborn baby coverage is also available under the plan
• There are optional coverage benefits which help you in expanding the coverage of the policy
• The plan comes in three variants of Classic, Supreme and Elite
• Various premium discounts are available under the policy for affordable premiums

Eligibility criteria of Royal Sundaram Lifeline Insurance Plan

Entry age	Adults – 18 years onwards Children – 91 days to 25 years
Term of the plan	1 year to 3 years
Sum insured	INR 2 lakhs to INR 1.5 crores
No claim bonus	10% or 20% increase in the sum insured up to a maximum of 50% or 100% respectively
Pre-existing waiting period	48 months

13. Royal Sundaram Family Plus Insurance Plan

This is another comprehensive health insurance plan which offers coverage on a family floater basis. The features of the policy are as follows –

• Up to five family generations can be covered under a single plan
• The sum insured is reloaded if it is ever exhausted on previous claims
• You can get free medical second opinion if you suffer from any of the covered 11 critical illnesses
• Free annual health check-ups are allowed under the policy
• Maternity and newborn baby cover is available as an inbuilt benefit under the plan
• 15% premium discount is allowed if you live in non-metro cities

Eligibility criteria of Royal Sundaram Family Plus Insurance Plan

Term of the plan	1 year to 3 years
Sum insured for personal accident cover	INR 2 lakhs to INR 50 lakhs
No claim bonus	2% increase in the sum insured up to a maximum of 100%
Pre-existing waiting period	36 months

What is covered under Royal Sundaram health insurance plans?

Coverage under Royal Sundaram health insurance plans is available for the following common heads –

1. Inpatient hospitalisation which covers hospitalisation expenses if hospitalisation is for 24 hours or more
2. Pre-hospitalisation expenses which include costs incurred before being hospitalised
3. Post-hospitalisation expenses which include costs incurred after being discharged from the hospital
4. Day care treatments which are treatments which do not require 24 hour hospitalisation
5. Organ donor treatments wherein the costs of organ harvesting from a donor are covered
6. Domiciliary treatments which are treatments taken at the insured’s home due to unavoidable circumstances
7. Ambulance costs
8. Health check-ups after specified policy tenures
9. Maternity expenses incurred on child birth and pre and post-natal care
10. Newborn baby expenses incurred on treating a new born baby for any medical anomaly

Exclusions under Royal Sundaram health insurance plans

There are some common instances which are not covered under Royal Sundaram health insurance plans. These instances are called exclusions and they include the following –

1. Illnesses occurring within the first 30 days of buying the policy are not covered
2. There is a waiting period of one year or two years for allowing coverage for specific treatments like treatments for hernia, piles, fistula, cataract, etc.
3. Pre-existing diseases are not covered during the specified waiting period which can be three years or four years depending on the plan selected
4. Maternity expenses are not covered under all health plans. They would be covered only if they are included in the plan’s scope of coverage
5. Cosmetic treatments, dental treatments and unproven treatments are not covered
6. HIV/AIDS and other sexual illnesses are not covered
7. Illnesses or injuries due to war, radiation, criminal activities, participation in dangerous activities, substance abuse, etc. are not covered
8. Circumcision is not covered
9. Self-inflicted injuries and attempted suicides are excluded from the coverage of all health insurance plans
10. Mental and congenital disorders are also not covered under health insurance plans

How to buy Royal Sundaram health insurance plans?

You can buy Royal Sundaram health insurance policies in any of the below-mentioned ways –

• Through the company’s branches

  Royal Sundaram has a wide network of branches spread all over India. You can visit any of the nearest branches of the company and buy the desired health insurance policy from there itself. You would have to fill up a proposal form, pay the premiums and apply for the policy.

• Through an agent

  Royal Sundaram also has a vast network of agents who help in selling its health insurance plans. You can get in touch with any agent of the company and buy the policy from him/her. A proposal form would have to be filled and you would also have to pay the premium to apply for the desired Royal Sundaram health insurance plan.

• Through the company’s website

  Royal Sundaram allows the online purchase facility for individuals looking to buy its health insurance plans online. You can visit the website of the company https://www.royalsundaram.in/health-insurance, choose the health insurance policy that you need, generate the premium quote and apply for the plan. The proposal form would be filled online and you have to pay online premiums to buy the plan.

Things to know before buying Royal Sundaram health insurance policies

Before you buy Royal Sundaram health insurance policies, here are some important things which you should keep in mind –

1. All your family members should be covered under the policy either on an individual sum insured basis or on a floater basis
2. The sum insured should be sufficient to ensure that the expensive medical costs would be covered by the policy in case of a medical contingency
3. You should make sure that the premiums are affordable so that you can renew the plan every time
4. The coverage features of the plan should be suitable for your coverage needs
5. Opt for add-ons and riders if you need them for a wider scope of coverage
6. Look for premium discounts to lower your premium outgo

How to renew Royal Sundaram health insurance plans?

Renewal of Royal Sundaram health insurance policies can also be done online through the company’s website. Just visit the homepage of the company www.royalsundaram.in and choose ‘Insta Renew’. A new window will open where you should enter your policy number and the expiry date. You would then be able to check your existing policy’s details and the renewal premium payable. Pay the renewal premium and the policy would be easily renewed.

How to make a claim under Royal Sundaram health insurance plans?

In case of a claim, if you want a cashless settlement of your claim, you should be admitted to a networked hospital and the following procedure should be followed –

1. Inform Royal Sundaram of your claim and register your claim with the insurance company
2. Obtain a pre-authorization form from the hospital or the insurance company. Submit this form 3-4 days before a planned hospitalisation. If, on the other hand, you face an emergency hospitalisation, submit the form within 24 hours of your hospitalisation
3. Based on the form, the insurance company would approve your cashless claim
4. Once the claim is approved, the hospital would give you cashless treatments
5. After being discharged, collect the discharge summary and file your claim with the insurance company to get the settlement

If, on the other hand, you are admitted to a non-networked hospital, you should pay the medical costs yourself. After being discharged, file your claim and the costs incurred would be reimbursed by the company.

Documents required for claims

1. Claim form
2. Policy bond
3. Identity proof of the insured
4. Discharge summary
5. Medical and hospital bills
6. Medical and hospital reports
7. Doctor’s prescriptions