Brochure --Future Health Suraksha Family Floater

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  • Future Health Suraksha

    We value your familys health as much as you do.

    coverback65

    Future Groups and Generali Groups liability is restricted to the extent of their shareholding in Future Generali India Insurance Company Limited.

    Future Generali India Insurance Company LimitedRegn. No.: 132

    Regd and Co. Office: Indiabulls Finance Centre, Tower 3, 6th Floor, Senapati Bapat Marg, Elphinstone (W), Mumbai - 400013.Email: [email protected]

    ARN: FG-NL / PD / MKTG / EN / FHS(FP)- 001BR UIN: IRDA / NL - HLT / FGII / P-H / V.I / 71 / 13 -14ISO Ref. No.: FGH / UW / RET / 04 / 02

    Disclaimer: For detailed information on this product including risk factors, terms and conditions etc., please refer to the product brochure, consult your advisor or visit our website before concluding a sale. Tax Benefits are subject to change due to change in tax laws. Insurance is the subject matter of solicitation.

    Family Plan

    Presenting a wide network of hospital tie-ups across the nation.

    The Generali Group has been a leading provider of insurance and financial services in the global market for nearly two centuries. Generali is a name that has become synonymous with security and reliability for millions of clients around the world.

    The Future Group understands what makes you different and offers you services and products that exceed your expectations. With more than sixteen million square feet of retail space and a presence across the country in different formats, the Future Groups vision is to deliver

    everything, everywhere, every time, to every Indian consumer in the most profitable manner. The group considers Indianness its core value and its corporate credo is Rewrite Rules, Retain Values.

    Future Generali is the coming together of these two caring entities. We offer an extensive range of general insurance products, and a network that ensures we are close to you wherever you go. Our skilled and trained individuals understand your insurance needs and will create customised solutions for you.

    Call us at: 1800-220-233, 1860-500-3333, 022-6783 7800SMS FG to 567678.Website: www.futuregenerali.in

    Basis of claims paymenta) We shall make payment in Indian Rupees only.

    b) In respect of surgery for cataracts (after the expiry of the 2 year period referred to in Exclusion 2) above, liability shall be restricted to 10% of the Sum Insured for each eye, subject to a minimum of ` 15000 (or the actual incurred amount whichever is lower) and maximum of ` 50,000/- per eye. This will be our maximum liability irrespective of the number of Health Suraksha policies You hold.

    c) The payment of claim under the medical Section will be as follows

    Basic Plan is for insured who has paid the premium for Zone C region which comprises of rest of India excluding Zone A and Zone B. The eligibility of the claim amount will be 100% for Zone C, 80% for Zone B and 70% for Zone A subject to the Policy terms and conditions.

    *The percentage of amount shown in the above table is with respect to the eligible claim amount.

    **The co-payment stands waived for all plans in case of claims due to any of the medical emergencies stated below

    1) Acute Myocardial infarction 2) Major Accidents requiring immediate hospitalisation and treatment 3) Acute Cerebrovascular Accident 4) Third degree burns

    Benefits may vary from plan to plan. For further details, please refer to the policy wordings.If you are suffering from an illness / disease or if you meet with an accident which requires hospitalisation, please contact us on the following

    Claims DepartmentFuture Generali Health (FGH)Future Generali India Insurance Co. Ltd.Office No. 3, 3rd Floor, A Building , G - O - SquareS. No. 249 & 250, Aundh Hinjewadi Link Road, Wakad, Pune - 411 057.

    Toll Free Number : 1800 103 8889Toll Free Fax : 1800 103 9998Email: [email protected]

    The geographical zones for specific plans as mentioned above are based on the location of the hospital where treatment is taken and not the residence of the insured.

    Platinum plan is for Insured who have paid premium for sum insured 6 lacs and above.

    Gold Plan is for insured who paid the premium for Zone A region which comprises of Mumbai including Thane and Panvel, Delhi including NCR (National Capital Region). The eligibility of the claim amount will be 100% for all the Zones subject to the Policy terms and conditions.

    Silver Plan is for insured who paid the premium for Zone B region which comprises of Chennai, Kolkatta, Bangalore, Ahmedabad and Hyderabad. The eligibility of the claim amount will be 100% for Zone B and Zone C, 80% for Zone A subject to the Policy terms and conditions.

    Platinum Plan

    Benefit Plan Zone A

    No sublimit applicable

    100%*

    80%*

    70%*

    100%*

    100%*

    80%*

    100%*

    100%*

    100%*

    No sublimit applicable

    No sublimit applicable

    Zone B Zone C

    Gold Plan

    Silver Plan

    Basic Plan

    The brochure / prospectus mentions the premium rates as per the age slabs / sum insured and the same would be charged as per the completed age at every renewal.The premiums above are subject to revision as and when approved by the regulator. However such revised premiums would be applicable only from subsequent renewals and with due notice whenever implemented.

    One Adult + 2 Children Basic Plan Floater Premiums

    SI/Age in yrs

    200000 300000 400000 500000

    3100427150047137

    3467479157207779

    4315569368999642

    618183881055313553

    10611143471670418597

    14569177962213324216

    16960193722543929020

    18322209482748431352

    21071240903160636054

    18964216812844632449

    2939427849746945

    90 days - 25 26-35 36-45 46-55 56-65 66-70 71-75 76-80 81-85 86-90 Above 90 yrs

    Silver Plan Floater PremiumsSI/Age in yrs

    3410469855057850

    3814527062928557

    47476262758910606

    680092271160814908

    11672157811837520456

    16026195762434626637

    18656213092798331922

    20155230433023334487

    23178264993476739660

    20861238493129035694

    3232470654717640

    90 days - 25 26-35 36-45 46-55 56-65 66-70 71-75 76-80 81-85 86-90 Above 90 yrs

    200000 300000 400000 500000

    Gold Plan Floater PremiumsSI/Age in yrs

    3717512160008557

    4157574568589327

    51746825827211561

    7412100571265316250

    12722172022002922297

    17469213372653729035

    20335232273050234795

    21968251173295337591

    25264288843789643229

    22738259963410638907

    3523512959648328

    90 days - 25 26-35 36-45 46-55 56-65 66-70 71-75 76-80 81-85 86-90 Above 90 yrs

    200000 300000 400000 500000

    Platinum Plan Floater PremiumsSI/Age in yrs

    600000 750000 800000 900000

    1000000

    1118111503118231320014693

    1255713776155271731719020

    1372714887198962164722405

    2242322824245552746230721

    2941631263331103558837462

    3709940264421634436844740

    4084344327464184884649255

    4901253192557015861459107

    5636461171640576740667972

    5072755054576516066661175

    1152012639142451588717450

    90 days - 25 26-35 36-45 46-55 56-65 66-70 71-75 76-80 81-85 86-90 Above 90 yrs

    Platinum Plan Floater PremiumsSI/Age in yrs

    600000 750000 800000 900000

    1000000

    9317958698521100012244

    1046411480129391443115850

    1143912405165801803918671

    1868619020204632288525601

    2451326053275922965631218

    3091633553351363697337283

    3403636939386824070541046

    4084344327464184884549255

    4697050976533815617256643

    4227245878480435055550979

    960010532118711323914541

    90 days - 25 26-35 36-45 46-55 56-65 66-70 71-75 76-80 81-85 86-90 Above 90 yrs

    Gold Plan Floater PremiumsSI/Age in yrs

    3097426750007131

    3465478757157772

    4312568868939634

    617683811054413542

    10602143351669018581

    14557177812211424196

    16946193562541828996

    18307209312746131326

    21053240703158036024

    18948216632842232422

    2936427449706940

    90 days - 25 26-35 36-45 46-55 56-65 66-70 71-75 76-80 81-85 86-90 Above 90 yrs

    200000 300000 400000 500000

  • Always within reach.Your health is your most important asset. And with Future

    Health Suraksha, we ensure that you will never have to go too far to protect it. Our network of hospitals across the nation will handle any medical problem that arises. Its our way of protecting you even against the unpredictable.

    Benefits In-house Cashless settlement Innovative covers offered Quick settlement of claims No claim cumulative bonus

    EligibilityAge eligibility - age 90 days to 70 years Age at entry is restricted to 70 years Children above age of 90 days eligible if the parent(s) are concurrently insured with Future Generali. Children will be covered as dependants upto 25 yrs of age.

    Life Long Renewals: The policy if renewed continuously without any break will be renewed lifelong.

    Sum assured eligibility: Maximum Upto ` 10 lacs For the insured at age of entry above 55 years the maximum sum insured available would be ` 5 lakhs. For insured persons above 55 years porting from other insur-ance policies the maximum sum insured available would also be ` 5 lacs.

    Pre-acceptance medical tests Pre-acceptance medical tests are not required for all proposers upto the age of 45 yrs irrespective of the sums insured, if the proposal form is clean (without health declaration). For age 46 years and above medical tests are required. In case the policy is issued for that particular client, the client is eligible for 50% of reimbursement of pre-acceptance medical tests charges. All pre-acceptance medical tests will have to be done in Future Generali empanelled diagnostic centers only. The reports would be valid for a period of 30 days from the date of test conducted.

    Family Definition: Family consisting of Self, Spouse and Children will be covered on floater basis. Parents need to be covered separately as self and spouse.

    Free Look Period1. The insured will be allowed a period of at least 15 days from the date of receipt of the policy to review the terms and conditions of the policy and to return the same if not acceptable2. If the insured has not made any claim during the free look period, the insured shall be entitled to a refund as given in the policy terms and conditions.

    Other benefits1. Subject to no claim, cumulative bonus of 10% on the basic sum insured will be provided up to a maximum of 50% of the sum insured.2. Portability can be offered as per the Portability guidelines.3. There will be no loading on premium for adverse claims experience.

    Tax benefit Premium paid by any mode other than cash is eligible for tax relief as provided under Section 80-D of the Income Tax Act.

    Exclusions Any condition, ailment, injury or related condition(s) for which you have been diagnosed, received medical treatment, had signs and / or symptoms, prior to the inception of your first policy until 48 months from the date of inception. Any disease contracted during the first 30 days from the

    commencement of the policy. Diseases like cataract, hernia and tumour shall be covered after a waiting period of two years. Diseases / surgeries like gallstones, renal stones shall be covered after a waiting period of one year. Non-allopathic treatment. Congenital diseases. All expenses related to AIDS and related diseases. Joint replacement surgery shall be covered after a waiting period of three years, unless required due to an accident. Use of intoxicating drugs or alcohol

    Details of the coverage With Health Suraksha, the member has access to cashless facility at our empanelled hospitals across India. Pre and post hospitalisation expenses incurred from 60 days prior up to 90 days after hospitalisation. Ambulance charges upto ` 1500/- 130 Day-care procedures. Hospital cash benefit for Platinum Plan. Pre-existing disease covered after four years of consecutive renewal. Free Medical check-up in our empanelled diagnostic centres after every four claims free years. The above benefit would be available for any two of the insured family members. Patient care expenses up to a maximum of ` 350 per day for persons above 60 yrs of age. Accompanying person expenses up to ` 500 per day. Additional accidental hospitalisation limit enhanced by 25% of balance sum insured, subject to a maximum of ` 1 lakh. Grace period of 30 days from date of expiry for renewal.

    Porting of similar health policy to Future Health Suraksha as per portability guidelines.

    1 2 3 4

    Max Policy Term 1 Year

    Min Age at entry 90 Days

    Max Age at entry 70 Years

    Renewal Lifelong

    Family Floater Premiums Premium would applicable as per the age of the eldest member in the family.Premium is excluding Service taxTwo Adults

    Two Adults + 1 Child

    Gold Plan Floater Premiums

    SI/Age in yrs 200000 300000 400000 500000

    3717512160008557

    4157574568589327

    51746825827211561

    7412100571265316250

    12722172022002922297

    17469213372653729035

    20335232273050234795

    21968251173295337591

    25264288843789643229

    22738259963410638907

    3523512959648328

    90 days - 25 26-35 36-45 46-55 56-65 66-70 71-75 76-80 81-85 86-90 Above 90 yrs

    Platinum Plan Floater Premiums

    SI/Age in yrs 600000 750000 800000 900000

    1000000

    1118111503118231320014693

    1255713776155271731719020

    1372714887198962164722405

    2242322824245552746230721

    2941631263331103558837462

    3709940264421634436844740

    4084344327464184884649255

    4901253192557015861459107

    5636461171640576740667972

    5072755054576516066661175

    1152012639142451588717450

    90 days - 25 26-35 36-45 46-55 56-65 66-70 71-75 76-80 81-85 86-90 Above 90 yrs

    Platinum Plan Floater Premiums

    SI/Age in yrs 600000 750000 800000 900000

    1000000

    1304413420137931540017142

    1465016072181152020322190

    1601517368232122525526139

    2616126628286483203935841

    3431936474386284151943705

    4328246974491905176252197

    4765051715541555698757464

    5718062058649856838368958

    6575771366747337864179301

    5918164230672607077771371

    1344014745166191853520358

    90 days - 25 26-35 36-45 46-55 56-65 66-70 71-75 76-80 81-85 86-90 Above 90 yrs

    Basic Plan Floater PremiumsSI/Age in yrs

    200000 300000 400000 500000

    3616498358388326

    4045559066749075

    50346641804911249

    721297861231215812

    12379167381948821696

    16998207622582128252

    19787226012967933857

    21376244403206536577

    24583281053687442063

    22125252953318737857

    3428499158038103

    90 days - 25 26-35 36-45 46-55 56-65 66-70 71-75 76-80 81-85 86-90 Above 90 yrs

    Silver Plan Floater PremiumsSI/Age in yrs

    3978548164229159

    4450614973419983

    55387306885312374

    7933107651354317393

    13617184112143723866

    18697228382840331077

    21765248613264737242

    23514268843527140235

    27041309154056146270

    24337278243650541643

    3771549063838913

    90 days - 25 26-35 36-45 46-55 56-65 66-70 71-75 76-80 81-85 86-90 Above 90 yrs

    Gold Plan Floater Premiums

    SI/Age in yrs 4336597470009983

    48506702800210881

    60367963965013487

    8647117341476218958

    14843200682336726014

    20380248943096033874

    23724270983558540594

    25630293033844643856

    29474336984421250434

    26528303293979145391

    4111598469589715

    90 days - 25 26-35 36-45 46-55 56-65 66-70 71-75 76-80 81-85 86-90 Above 90 yrs

    200000 300000 400000 500000

    200000 300000 400000 500000

    One Adult + 1 Child Basic Plan Floater Premiums

    Silver Plan Floater PremiumsSI/Age in yrs

    2842391545876542

    3179439252437131

    3956521863248838

    56667689967312424

    9726131511531217047

    13355163132028822198

    15547177582331926602

    16795192032519428739

    19315220822897233050

    17384198752607529745

    2694392145606367

    90 days - 25 26-35 36-45 46-55 56-65 66-70 71-75 76-80 81-85 86-90 Above 90 yrs

    200000 300000 400000 500000

    SI/Age in yrs 2583355941705947

    2890399347676482

    3596474457498035

    51516990879411294

    8842119551392015497

    12141148301844420180

    14133161432119924183

    15269174572290326126

    17559200752633830045

    15803180682370527041

    2449356541455788

    90 days - 25 26-35 36-45 46-55 56-65 66-70 71-75 76-80 81-85 86-90 Above 90 yrs

    200000 300000 400000 500000

    Two Adults + 2 Children

    Platinum Plan Floater Premiums

    SI/Age in yrs 600000 750000 800000 900000

    1000000

    1490815337157641760019591

    1674318368207032309025360

    1830319849265282886329873

    2989830432327403661640962

    3922141684441474745049949

    4946553685562175915759654

    5445759102618916512865674

    6534970923742687815278809

    7515181561854098987590629

    6763673405768698088881567

    1536016852189942118323266

    90 days - 25 26-35 36-45 46-55 56-65 66-70 71-75 76-80 81-85 86-90 Above 90 yrs

    Basic Plan Floater PremiumsSI/Age in yrs

    200000 300000 400000 500000

    4133569466729516

    46236388762710372

    57547590919812856

    8242111841407018071

    14148191292227224796

    19426237282951032288

    22613258303391938693

    24430279313664641802

    28094321204214148073

    25286289083792743266

    3918570466329261

    90 days - 25 26-35 36-45 46-55 56-65 66-70 71-75 76-80 81-85 86-90 Above 90 yrs

    Silver Plan Floater PremiumsSI/Age in yrs

    45466264734010467

    50867027839011409

    632983491011814141

    9066123031547719878

    15562210422450027275

    21369261013246135516

    24875284133731142563

    26873307244031045983

    30904353324635652880

    27814317994172047592

    43106274729510187

    90 days - 25 26-35 36-45 46-55 56-65 66-70 71-75 76-80 81-85 86-90 Above 90 yrs

    Gold Plan Floater Premiums

    SI/Age in yrs 49566828800011409

    55437659914512436

    689991011102915414

    9882134101687021667

    16963229352670529730

    23292284503538338713

    27113309704066946393

    29291334894393850121

    33685385115052857639

    30317346614547551876

    46986839795211103

    90 days - 25 26-35 36-45 46-55 56-65 66-70 71-75 76-80 81-85 86-90 Above 90 yrs

    200000 300000 400000 500000

    200000 300000 400000 500000

    SI/Age in yrs 200000 300000 400000 500000

    3100427150047137

    3467479157207779

    4315569368999642

    618183881055313553

    10611143471670418597

    14569177962213324216

    16960193722543929020

    18322209482748431352

    21071240903160636054

    18964216812844632449

    2939427849746945

    90 days - 25 26-35 36-45 46-55 56-65 66-70 71-75 76-80 81-85 86-90 Above 90 yrs

    Basic Plan Floater Premiums

    Silver Plan Floater Premiums

    SI/Age in yrs 200000 300000 400000 500000

    3410469855057850

    3814527062928557

    47476262758910606

    680092271160814908

    11672157811837520456

    16026195762434626637

    18656213092798331922

    20155230433023334487

    23178264993476739660

    20861238493129035694

    3232470654717640

    90 days - 25 26-35 36-45 46-55 56-65 66-70 71-75 76-80 81-85 86-90 Above 90 yrs