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With the increasing number of critical illnesses and rising medical expenses, health insurance for families in India will become crucial. The cost of healthcare services, including consultations, surgeries, and treatments for chronic diseases, has surged significantly.
Family health insurance provides a financial safety net, covering hospitalisation costs, doctor fees, diagnostic tests, and sometimes even pre- and post-hospitalization expenses. This coverage ensures that families are not forced to deplete their savings or incur debt to manage medical emergencies or routine health issues, thereby offering peace of mind and financial stability.
In this article, you will explore what family health insurance means, what’s covered and what’s not covered, how to buy family health insurance with Digit and the process to file a claim.
A family health insurance policy is a type of health insurance policy customised for you and your family members under one single annual premium.
Family health insurance includes health benefits such as Daycare Procedures, Accidental Hospitalization, Critical Illness Hospitalization, Psychiatric Support, Advance Cash Benefits and Annual Health Checkups, amongst others.
Today, when health expenses and issues rise, family health insurance online assures that you and your family will always be covered and protected during unfortunate medical situations.
Because protecting and caring for the people we love is the most human thing to do.
Dedicated to the ones who always put their family first. For the ones who want to protect their loved ones through it all. Big and small. Major and minor. For the ones who oversee everything, who think about it all.
For the ones who value the importance of both health and wealth. After all, good health is everything. And for your family? More so. More than anything else.
Coverages
Double Wallet Plan
Infinity Wallet Plan
Worldwide Treatment Plan
Important Features
This covers for all hospitalization expenses including due to an Illness, Accident, Critical Illness or even pandemics like Covid 19. It can be used to cover for multiple hospitalizations, as long as the total expenses are up to your sum insured.
You need to wait for a defined period from the first day of your policy to get covered for treatment related to any non-accidental illness. This is the Initial Waiting period.
Exclusive Wellness Benefits like Home Healthcare, Tele consultations, Yoga and Mindfullness and many more available on our App.
We provide a back-up Sum Insured which is 100% of your Sum Insured amount. How does Sum Insured Back Up work? Suppose your policy Sum Insured is Rs. 5 lac. You make a claim of Rs.50,000. Digit automatically triggers the wallet benefit. So you now have 4.5lac + 5 lac Sum Insured available for the year. However, one single claim, cannot be more than the base Sum Insured as in the above case, 5 lac. .
No claims in the Policy year? You get a bonus -an additional amount in your total sum-insured for staying healthy & claim free!
Different categories of rooms have different rents. Just like how hotel rooms have tarrifs. Digit plans give you the benefit of having no room rent cap, as long as it is below your Sum Insured..
Health insurance covers medical expenses only for hospitalizations exceeding 24 hours. Day care procedures refer to medical treatments undertaken in a hospital, requiring less than 24 hours due to technological advancement such as cataract, dialysis etc.
Get a world class treatment with the Worldwide Coverage! If your doctor identifies an illness during your health examination in India and you wish to get a treatment abroad, then we’re there for you.You’re covered!
We pay for your health check-up expenses upto the amount mentioned in your Plan. No restrictions on the kind of tests! Be it ECG or Thyroid Profile. Make sure you go through your policy schedule to check the claim limit.
There may be emergency life-threatening health conditions which may require immediate transportation to hospital. We absolutely understand this and reimburse for expenses incurred for your transportation to a hospital in airplane or helicopter.
Co-Payment means a cost sharing requirement under a Health Insurance Policy that provides that the Policyholder/Insured will bear a specified percentage of the admissible claims amount. It does not reduce the Sum Insured. This percentage depends on various factors like age, or sometimes also on your treatment city called zone based copayment. In our plans, there is no age based or zone based Co payment involved.
Get reimbursed for the expenses of road ambulance, in case you are hospitalized.
This cover is for all expenses before and after hospitalization such as for diagnosis, tests and recovery.
Other Features
The disease or condition that you are already suffering with and have disclosed to us before taking the policy and has been accepted by us has a waiting period as per plan opted and mentioned in your Policy Schedule.
This is the amount of time you need to wait for, until you can make a claim for a specific illness. At Digit it is 2 years and starts from the day of policy activation. For the full list of exclusions, read Standard Exclusions (Excl02) of your policy wordings.
If You sustain an Accidental Bodily Injury during the Policy Period, which is the sole and direct cause of Your Death within twelve (12) months from the date of accident, then We will pay 100% of the Sum Insured as mentioned in Policy Schedule against this cover and as per plan opted.
Your organ donor gets covered in your policy. We also take care of the pre and post hospitalization expenses of the donor. Organ donating is one of the kindest deeds ever and we thought to ourselves, why not be a part of it!
Hospitals can go out of beds, or the patient’s condition may be rough to get admitted in a hospital. Don’t panic! We cover you for the medical expenses even if you get treatment at home.
Obesity may be the root cause of so many health issues. We absolutely understand this, and cover for Bariatric Surgery when it is medically necessary and advised by your doctor. However, we DONOT cover if hospitalization for this treatment is for cosmetic reasons.
If due to a trauma, a member has to be hospitalized for a psychiatric treatment, it will be covered under this benefit, upto INR 1,00,000. However, OPD consultations are not covered under this. The waiting period for Psychiatric Illness Cover is same as Specific Illness waiting period.
Before, during & after hospitalization, there are many other medical aids & expenditures such as walking aids, crepe bandages, belts, etc.,which need your pocket’s attention.This cover takes care of these expenses that are otherwise excluded from the policy.
Co-payment |
No |
Room Rent Capping |
No |
Cashless Hospitals |
10500+ Network Hospitals across India |
Inbuilt Personal Accident Cover |
Yes |
Wellness Benefits |
Available from 10+ Wellness Partners |
City Based Discount |
Up to 10% Discount |
Worldwide Coverage |
Yes* |
Good Health Discount |
Up to 5% Discount |
Consumables Cover |
Available as an Add-on |
Family health insurance policies can be classified into 2 categories:
Under the family floater health insurance plan, the complete family shares the sum insured. For example, if your plan SI is Rs 10 lakhs, the family must share this amount for the policy period.
Under the individual family health insurance plan, every family member gets an individual sum insured. For example, if your plan SI is Rs 10 lakhs, each family member can use up to 10 lakhs each for that policy period. If you’re buying an individual plan for three members, the sum insured for the three would be Rs 30 lakhs.
With all digital friendly and hassle-free process, buying Insurance at Digit is as easy as A.B.C. with just a few simple steps:
Log into your Digit account using your pin code and mobile number. Add family members for insurance, focusing on the age of the oldest member, then customize your plan.
Choose your Sum Insured, your Plan and any additional benefits like the consumables cover. You will also see our discounts listed here.
Enter your and your family members’ complete details.
Enter your and your family members’ complete details.
Digit emphasizes a simple and paperless process. While the exact requirements may vary, common documents for family health insurance are mentioned below.
With us, you do not need to carry hard copies of your insurance policy. You can simply download it from our website or app.
The policy document will be at your fingertips without any hassle.
Given the importance of a health insurance, it is highly imperative that our healthcare policy is always active because we never know when we might need it. Hence, paying the health insurance premium on time is of utmost importance.
With an absolutely simple and digitally friendly process at Digit, you can renew your health insurance in just a few simple steps:
Step 1: Visit the Renewals tab on our website or My Policy section in Digit App and login with your registered mobile number or your policy details.
Step 2: Click on the Renew Option for the Policy which is Pending for Renewal.
Step 3: Review the plan details, verify and click 'Pay Now.'
Step 4: Make the payment and it's done!
OR
You receive regular communication from Digit to renew your health insurance policy a few days prior to the renewal. These communications come with a renewal link that you can use to directly make the payment and renew your policy.
Below is a concise overview of the essential documents required to file your claim.
You can claim tax benefits for health insurance premiums paid under Section 80D of the Income Tax Act, 1961 Income Tax Department, Government of India.
₹5000 for preventive ‘health check-up’ is included in the above maximum limits.
The maximum that one can save under Section 80D (₹25,000) for those paying 5.20 per cent, 20.8 per cent and 31.2 per cent tax is ₹1,300, ₹5,200, and ₹7,800, respectively. This will exceed anything you can save under Section 80C of the Income Tax Act.
The best health insurance plan aligns with your family’s health requirements and financial constraints while offering the most comprehensive coverage.
In India, health insurance is often underutilized, misunderstood, and bought with little thought and precision. However, now that things have gone digital, health insurance is also made available online.
This now makes it easier for you to evaluate your options at your own pace, read about the different benefits and customize your plan accordingly online. Moreover, online health insurance ensures zero paperwork and less time wasted!
We know this could confuse you if you’ve never bought health insurance online. But that’s why we’ve always kept our insurance simple, and here we’ll give you a basic guide on how to compare health insurance plans wisely and eventually make the right choice for you and your family.
So, how exactly do we calculate your family health insurance premium?
Age: of you and your family members: As we age, the probability of certain diseases or conditions may increase, which is why we need to factor in the ages of both you and your family members.
Lifestyle: Certain habits or lifestyles may invite a higher risk of diseases or conditions, which affect your premium. But you need to declare everything about you or your family members honestly, as when a claim is made, the investigation will automatically show the cause of the illness or condition. If it is due to a habit that was not declared, like smoking or heavy drinking, then it may result in a claim denial.
Pre-existing Diseases or Conditions: If any condition, ailment or injury (applicable to you or any members of your family) for which there were signs or symptoms or which was diagnosed within 48 months before the first policy issued by the insurer or renewed continuously after that, you need to declare the same to the insurance company at the time of buying or renewing the policy.
This also might affect your premium. However, as for lifestyle, even these conditions or diseases should be declared beforehand so that one can serve the waiting period (the time until a claim cannot be made for that condition or disease).
Location: Different cities have different pollution levels, accident risks, medical costs, etc., so the premium may vary by the city you and your family live in.
As the name suggests, a cashless claim is when you won’t be required to pay anything from your pocket. However, this is only possible if you’re being treated at one of our network hospitals.
One of the most common claims used is the reimbursement claim. This is mainly because, whether you go to one of our network hospitals or not, this kind of claim can be used at any hospital in India. All you have to do is submit the required documents in due time and receive the reimbursement amount from us.
Know more about the Sum Insured in Health Insurance.
An add-on anybody can opt for; this benefit specifically covers you and your family members for any critical illnesses and all expenses arising out of them. These critical illnesses include all types of Cancer treatments and medications, Kidney Failure, Heart Attacks, and Paralysis, amongst others.
Know more about Critical Illness Insurance.
If you or your spouse is below 40 and planning to have your first or second child soon, opt for the Maternity cover. This cover usually has a waiting period (so it’s better to opt for it in advance) and covers all expenses during labor hospitalization.
It also covers any complications in the pregnancy and necessary medical termination of the pregnancy. The ideal time to opt for it is when you’re getting married or at least one to two years before you plan on having your baby.
Honestly, the earlier, the better! That way, you’ll have a lower premium and cross the waiting period for select benefits. We live in a time when health issues are rising, and healthcare expenses aren’t getting any lower! Family Health Insurance won’t only protect you but all your family members under one single armour.
Good health is everything. After all, it affects everything else in our lives. Here are some brief tips to ensure a healthy and happy life.