ACKO insurance
ACKO insurance Image Credit: Supplied

Given the dynamic nature of health care, families are always looking for the best options to safeguard their loved ones' wellness, ACKO Insurance said in a release.

The beginning of 2024 has brought out a new form and structure to the various health plans which are changing with the trends for addressing fresh challenges, ACKO said. Comprehending these shifts is critical because families try to find their way in the multi-layered labyrinth of health insurance plans.

What makes people buy health insurance plans for family?

While buying a health insurance plan, confusion may arise about whether to take an individual plan or go for a family Health Insurance plan.

Choosing the right health insurance plan for the family is of utmost importance for the safety of the family members. A family health insurance plan not only covers you but also your family members, including spouse, dependent children and dependent parents (sometimes).

One of the main benefits of having a health insurance plan for a family is – the whole family is covered under one plan. Another benefit is that you can easily manage one policy for the whole family rather than handling multiple individual plans.

Talking about the premiums, under an individual health insurance plan, you need to pay separate premium payments for each family member, while health insurance plans for the family require only a single premium payment. Therefore, premium payment for the family health insurance plan is more cost-effective than individual policies.

Under the family health insurance plan, each family member shares a fixed sum insured. This means that any member of the family can avail the coverage up to the policy’s limit. But, when one member exhausts the significant part of the sum insured, the coverage for the other members may be affected until the plan is renewed.

So it is recommended that a health insurance plan that has a high sum insured, such as Rs. 10 lakh, Rs. 25 lakh, Rs. 50 lakh or Rs. 1 crore should be considered. For instance, if you choose Rs. 1 crore as a sum insured for your family, then each covered member can avail up to Rs. 1 crore. Furthermore, most health insurance plans for family offer coverage for critical illnesses, such as cancer.

Introducing health plans offered by ACKO

ACKO offers three types of health insurance plans. Let’s dive into the details of these plans.

ACKO Standard Health Insurance Plan: ACKO’s Standard Health Insurance plan provides sum insured options like Rs. 10L, 25L, 50L, and Rs. 1 Cr., ensuring suitable financial support during medical emergencies. Under this plan, a range of medical costs are covered, including hospitalisation, daycare treatments, post-birth complications and ambulance costs. Some features of this plan are zero deductions on claims, critical illness coverage, wide coverage for senior citizens and quick claim settlement.

ACKO Platinum Health Plan: With ACKO’s Platinum Health Insurance plan you can select from Rs 1 Cr. or Unlimited sum insured. Here you can get coverage for hospitalisation, doctor consultations and other medical expenses. Furthermore, this plan provides many features, including No waiting Period, Zero Deductions on the claims, No Room Rent Cappings, quick claim settlement and more.

ACKO Platinum Super Top-up Plan: This plan provides the best financial backup in case of medical emergencies. You can buy super top-up with or without a base plan and set a deductible limit. If a medical emergency strikes, your base plan or you will bear the cost up to the deductible. The amount that exceeds the deductible limit will be paid by your Super Top-up plan. You get all the benefits of the ACKO Platinum Plan under the Super Top-up plan, like Zero Waiting Period, No deductions on claim amount (after the deductible), No room rent limit, and much more.

What are the plans available?

The Health Insurance plans for family offer higher sum-insured, broader coverage and a range of benefits, making you save money on medical costs.

With cost-effective premiums, family health insurance is a great way to cover the medical expenses of each family member within the fixed sum insured. So, let’s take an example to understand how the family floater insurance plan works.

For instance, you have bought a Family Floater Health Insurance policy of Rs. 10 lakh for yourself, your spouse and two children. Now suppose, you were hospitalised due to some illness, the medical expense incurred by you was Rs. 2 lakh. The bill amount was covered by your Family Floater Health Insurance plan. So, now the remaining amount Rs. 8 lakh can be availed by you or any other family member covered under the policy during the same year.

What policy to choose

As various Health Insurance plans are available in the market, choosing the right one for you requires great effort. Not a single Health Insurance plan meets all your requirements. So, it’s important to understand the different types of policies to pick the best ones for you. Each policy offers different benefits and coverage; hence, you need to consider factors, like what is covered or what is excluded before selecting one.

Individual Health Insurance Policy: Only a single person can choose an individual health insurance policy. Usually, individuals between the ages of 18 to 65 can buy the plan depending upon the terms and conditions of the insurance company.

Family Floater Health Insurance Policy: All family members are covered under this policy, including spouse, children, parents, and parents-in-law.

Senior Citizen Health Insurance Policy: Designed for individuals above 60 years, it provides coverage for medical costs and healthcare needs of senior citizens.

Critical Illness Health Insurance Policy: These plans provide a financial back-up for listed critical illness, if diagnosed within the policy period.

Group Health Insurance Policy: This policy provides coverage to a group of people working in an organisation. Additionally, some companies allow you to add a spouse, dependent children and dependent parents as well.

As per the thumb rule, at least twice of your annual income should be the sum insured amount. Therefore, if your earning is Rs. 10 lakh, then you should choose the Health Insurance plan of Rs. 20 lakh.

In conclusion, the evolution of health insurance plans for family in 2024 reflects a commitment to personalised, accessible, and technology-driven healthcare solutions. By staying informed, proactive and advocating for their needs, families can navigate the complexities of the healthcare landscape with confidence, ensuring the well-being of their loved ones now and in the future.