Health Insurance Plans for Family

Family health insurance is a must-have financial safeguard that covers your entire family under a single plan, offering a shared sum insured for medical expenses. With multiple insurers in India providing various family health insurance plans, choosing the right one can be overwhelming. While traditional insurers may have long waiting periods, hidden costs, and tedious claim processes, digital-first insurers like ACKO offer zero waiting period options, no hidden charges, and a seamless, cashless claim experience. This guide compares the best family health insurance plans available, helping you make an informed decision to secure your family’s health.

Family health insurance is a must-have financial safeguard that covers your entire family under a single plan, offering a shared sum insured for medical expenses. With multiple insurers in India providing various family health insurance plans,...
Family health insurance is a must-have financial safeguard that covers your entire family...
ACKO Health Insurance Plans starting at Rs.21/day*

key-features-0

Zero

Waiting period

key-features-1

10,500+

Cashless hospitals

key-features-2

100%

Bills covered

UID: 5908|*T&Cs Apply
background-image-desktop-widget

What is Family Health Insurance?

Family health insurance is a comprehensive health insurance plan that covers your entire family under a single policy, offering financial protection against medical emergencies and planned treatments. Instead of purchasing separate policies, one best mediclaim policy for family provides a floater sum insured, which any covered family member can use for hospital bills, surgeries, daycare procedures, and more. With ACKO’s family health insurance, you get cashless hospitalization, quick claim settlements, and coverage for your spouse, children, parents, parents-in-law, and other family members—all with a seamless digital experience.

Health insurance plans at ACKO

ACKO offers simple, affordable, and transparent health insurance plans designed to meet different needs.

ACKO Platinum Health Insurance Plan

A premium plan with sum insured options of ₹1 crore and Unlimited Coverage, featuring:

  • Zero waiting period – Coverage starts from day one.
  • No deductions on claims – Covers even non-medical expenses.
  • Doctor-on-call & free preventive health check-ups.

ACKO Standard Health Insurance Plan

A budget-friendly plan with sum insured options from ₹10 lakh to ₹1 crore, offering:

  • No room rent cap – Choose any hospital room.
  • Covers pre- & post-hospitalisation expenses (60 days before & 120 days after).
  • Daycare procedures & ambulance cover included.

ACKO Platinum Super Top-up Plan

Need extra coverage at a lower cost? This top-up plan kicks in after your existing sum insured is used up:

  • High sum insured options – ₹10 lakh to Unlimited Coverage.
  • No waiting period – Immediate coverage post-purchase.
  • Affordable premiums with enhanced protection.

Why Choose ACKO?

App_digital_insurance.svg

100% digital – Buy, renew, and claim online.

Settlement_quick_claims_process_onboarding_200.svg

Quick claim settlements – No long wait times.

no hidden chargers_transparent.svg

Zero hidden charges - What you see is what you get.

Whether you need comprehensive coverage or a smart top-up plan, ACKO makes family health insurance simple, hassle-free, and truly beneficial.

Comparison of ACKO health insurance plans – Standard, Platinum, and Platinum Super Top-Up – with coverage options, premium details, and key benefits.

Comparison of ACKO health insurance plans – Standard, Platinum, and Platinum Super Top-Up – with coverage options, premium details, and key benefits.

Why is health insurance important for Indian families?

With rising healthcare costs, a sudden medical emergency can put a significant financial burden on families. A family health insurance policy ensures that everyone in the family is protected against unexpected medical expenses, offering peace of mind and financial security. Choosing the best health insurance plan for family means getting comprehensive coverage at an affordable premium.

Best Family Health Insurance Plans in India (2025)

If you're looking for the best health insurance for family, here are some of the top 5 health insurance plans for family in India:

  • ACKO Platinum Health Insurance Plan
  • HDFC ERGO Optima Restore
  • Max Bupa Health Companion
  • ICICI Lombard Complete Health Insurance
  • Star Family Health Optima

Mediclaim vs. health insurance for family

Here is a detailed comparison between mediclaim plans and health insurance plans.

FeatureMediclaimHealth Insurance
   
Coverage ScopeCovers only hospitalisation expensesCovers hospitalisation + OPD, daycare, preventive care, etc.
Sum InsuredLimited sum insured (fixed amount)Higher coverage options are available
Pre & Post-HospitalisationUsually not coveredCovered for a specified duration
Daycare ProceduresNot includedIncluded in most plans
Additional BenefitsNo add-ons like critical illness, OPDCovers critical illness, wellness benefits, OPD, etc.
Cashless ClaimsAvailable but limited to hospitalisationComprehensive cashless coverage, including pre & post-hospitalisation
Waiting PeriodsStandard waiting periods applyACKO has zero waiting periods on Platinum Plans
FlexibilityRigid plan structureMore customisation options are available
PremiumsGenerally lower but with fewer benefitsSlightly higher but offers extensive coverage
Best For?Those looking for basic hospitalisation coverThose seeking all-around medical security & extra benefits

Benefits of choosing a Family Health Insurance Plan

A health insurance policy for family is a simple and cost-effective way to shield your loved ones from unforeseen medical costs. Here’s why it’s worth considering:

Health_family_group_medical.svg

Comprehensive coverage for medical expenses

Get financial protection for your entire family under a single policy. It covers:

  • Hospitalisation costs – Including surgeries and room rent.
  • Pre- and post-hospitalisation – Doctor visits, tests, and medicines.
  • Daycare treatments – For procedures like cataract surgery and dialysis.

Maternity and Newborn Care – Some policies have delivery costs covered.

low_premium_price_cost.svg

Cost-effective & budget-friendly

Rather than taking individual policies for every family member, a family floater health plan allows you to pool a sum insured, which is cost-effective and cheaper than individual plans.

Easy_access_Files.svg

Easy to manage

  • Single policy, single renewal date – No more managing multiple policies
  • Less paperwork – All in one place
  • Simplified claims – Single insurer for the entire family

Tax benefits for employers

Tax benefits under section 80D

Save taxes while insuring your family's health! You can claim:

  • Maximum ₹25,000 for yourself, spouse, and children (₹50,000 in case of senior citizen parents)
  • Extra ₹25,000-₹50,000 for parents' insurance

With cashless hospitalisation, fast claims, and no extra charges, ACKO's family health insurance keeps healthcare hassle-free and easy. Compare plans and insure your family now!

What is covered and What is not covered in a Family Health Insurance Plan?

What is covered in a Family Health Insurance Plan?

Best health insurance plans for family offer the following coverages.

1. Hospitalisation coverages

Hospitalisations agreed upon by doctors are covered under this plan. The hospitalisation can be for an emergency, or it can be a pre-planned procedure as well. Here’s a list of hospitalisation coverages of the ACKO Platinum Plan (health insurance plans for family). Please go through the applicable policy wordings for updated coverages.

  • ICU fees
  • Road ambulance charges
  • Pre-hospitalisation up to 60 days
  • Post-hospitalisation up to 120 days
  • Day-care treatment
  • Treatment at home
  • COVID-19 treatment
  • Vision damage due to accident
  • Dental treatment in case of accident
  • Organ donor expenses
  • Consumables
Carousel Circle Pattern

2. Non-hospitalisation coverages

Apart from the hospitalisation coverages, the ACKO Platinum Plan (medical insurance for family) also covers several non-hospitalisation expenses as well. Here’s a list of additional expenses that the ACKO platinum plan covers. Please check the applicable policy wordings for updated coverage details.

  • Annual health check-up
  • Tele-consultations
  • Consultations for a second opinion
  • AYUSH treatments
  • Domestic evacuation
Carousel Circle Pattern

Maternity

Expenses related to maternity, such as childbirth are not covered. Miscarriages are also not covered unless they are due to an accident. Ectopic pregnancy is an exception, as it is covered.

Carousel Circle Pattern

Unrelated doctor visits

Unrelated doctor visits and second opinions during, prior, or after hospitalisation are not covered.

Carousel Circle Pattern

Worldwide hospitalisation

Worldwide hospitalisation is not covered under this plan. Hospitalisation in India is covered.

Carousel Circle Pattern

Note: For a detailed list of what’s covered and what’s not, please refer to the policy wordings of your chosen health insurance plan.

Eligibility Criteria to Buy a Family Health Insurance Plan

Here is the eligibility for buying health insurance at ACKO.

CategoriesSpecifications
  
Minimum Entry Age18 years
Maximum Entry Age70 years
Family Members CoveredUp to 10 members (self, spouse, up to 4 dependant children, parents, and parents-in-law)

10 Things to Check Before Buying the Best Family Health Insurance Plan

Choosing the right family health insurance plan can be overwhelming. To make an informed decision, here’s what you need to consider.

1. Sum Insured – Get Enough Coverage

This is the maximum amount your insurer will pay for medical expenses. If your parents are elderly or have pre-existing conditions, opt for higher coverage to manage costs better. Lifestyle factors like smoking or drinking should also be considered. While budget matters, being underinsured can be risky.

2. Premium – Balance Cost & Coverage

Premiums vary based on the sum insured and the age of the eldest member. A 50-year-old might pay ₹15,000 annually, while a 60-year-old could pay ₹20,000. Adding critical illness or accidental cover increases the premium, so find a balance between affordability and protection.

3. Hospital Network – Ensure Easy Access

A wider hospital network means better access to cashless treatment. Check if top hospitals near your home or workplace are covered for emergencies.

4. Pre & Post-Hospitalisation – Cover More Than Just Hospital Stay

Good plans include pre-hospitalisation expenses like doctor visits and tests, as well as post-hospitalisation costs such as follow-ups and medicines.

5. Daycare Treatments – Short-Term Procedures Matter

Many treatments, like chemotherapy and cataract surgery, don’t require 24-hour hospitalisation. Ensure your plan covers these to avoid out-of-pocket expenses.

6. Ambulance Cover – Emergency Transport Matters

Some policies cover ambulance costs, including air ambulances. Check if there’s a limit (e.g., ₹5,000 per trip) and whether all emergencies are covered.

7. Alternative Therapies – AYUSH & More

If you prefer treatments like Ayurveda or Homeopathy, check if your policy includes AYUSH hospital-based or outpatient care.

8. Exclusions – Know What’s Not Covered

Policies usually exclude cosmetic surgery, dental work, infertility treatments, and self-inflicted injuries. Read the fine print to avoid surprises.

9. Claim Process – Should Be Quick & Hassle-Free

Cashless claims save time, while reimbursement should be easy to file online. Digital-first insurers like ACKO simplify the process through an app.

10. Reviews – Learn from Others’ Experiences

Check customer reviews on claim settlement and service quality before buying. Feedback from friends and family can also be helpful.

ACKO’s digital-first approach makes buying and claiming simple, fast, and paperless. Now that you know what to check, pick the best plan to secure your family’s health!

Individual Health Insurance vs. Family Health Insurance: Which one is right for you?

Choosing between an individual health insurance plan and a family health insurance plan? Here’s a simple comparison to help you decide.

ParameterIndividual Health InsuranceFamily Health Insurance
   
Coverage forCovers only one person.Covers multiple family members under a single policy.
Coverage ScopeEach person needs a separate policy.One policy covers your spouse, children, and parents.
Sum InsuredFixed sum insured for one person. Cannot be shared.Sum insured is shared among all family members.
Cost-EffectivenessCan be expensive if you buy separate plans for each member.More affordable as one policy covers everyone.
Best ForIdeal for senior citizens or individuals with high medical needs.Ideal for young families with members under 60.
Key BenefitHigher coverage per person. Useful for those with frequent health issues.Cost-effective with easy management. Perfect for growing families.
What to Focus OnLook for extensive coverage and high sum insured.Ensure the sum insured is enough for all family members.

Verdict:

âś… Go for an Individual Plan if you need personalised coverage, especially for senior parents.

âś… Opt for a Family Plan if you want affordable protection for multiple members under one policy.

Both options provide financial security during medical emergencies—choose based on your family’s needs! 

How to choose the best Family Health Insurance Plan?

Choosing the right family health insurance plan can be overwhelming with so many options available. The key is to find a policy that provides comprehensive coverage, affordability, and ease of access. Here’s a detailed guide to help you make an informed decision.

 

Factors to consider before buying health insurance

Before selecting a family health insurance plan, keep these important factors in mind:

Coverage Benefits

Look for a plan that covers hospitalisation, pre- and post-hospitalisation expenses, daycare procedures, maternity benefits, and ambulance costs.

Waiting Period

Some policies have a waiting period for pre-existing diseases and maternity benefits. Choose a plan with a shorter waiting period or one that offers zero waiting period options like ACKO Platinum Health Insurance.

Cashless Network Hospitals

Ensure the insurer has a wide network of cashless hospitals so you don’t have to worry about arranging funds during an emergency.

No Room Rent Capping

Some policies restrict the hospital room type you can choose. Opt for a plan that offers flexibility in room selection.

Claim Settlement Process

A fast and hassle-free claim process ensures you get medical care without delays. Digital insurers like ACKO provide seamless cashless claims with minimal paperwork.

Exclusions & Hidden Costs

Always read the policy documents to check for exclusions and hidden charges that might affect your coverage.

Online vs. offline health insurance: Which is better?

With digital advancements, buying health insurance online has become the preferred choice. Here’s how it compares:

FactorOnline Health InsuranceOffline Health Insurance
   
ConvenienceBuy anytime, anywhere in just a few clicks.Requires in-person visits or agent coordination.
PricingNo middlemen, lower premiums.Higher premiums due to agent commissions.
TransparencyEasy comparison of plans, terms, and benefits.Limited access to policy details.
Claim ProcessFaster digital claims, cashless hospitalisation.May involve paperwork and delays.

Why buy online? ACKO offers zero paperwork, instant policies, and lower premiums—making it a smarter choice.

Sum insured options & how much coverage is sufficient?

Choosing the right sum insured is crucial to avoid out-of-pocket expenses. Consider these factors:

Family_02.svg

Family size

A larger family needs higher coverage to ensure all members are protected.

Medical_expenses.svg

Medical inflation

Healthcare costs are rising—opt for a sum insured that covers future expenses.

pre-existing_diseases_cover.svg

Pre-existing conditions

If any family member has a chronic illness, choose a plan with higher coverage to manage long-term treatments.

How to buy Family Health Insurance online from ACKO in 3 simple steps

Getting your family insured with ACKO is quick and hassle-free. Follow these three easy steps:
 

Step 1.svg

Get a quote

  • Simply scroll up and enter your details in the form
  • Click “Check Prices” and enter details like family members, age, and health history to view customised plans.

Step 2.svg

Choose & customise your plan

  • Compare the available family health insurance plans.
  • Select your sum insured
  • Click “Buy New Plan” and enter your details.

Step 3.svg

Make payment

  • Review the plan details and proceed with secure online payment

âś” 100% Digital | âś” No Paperwork | âś” Quick Claim Process

Protect your family’s health today—get insured in just minutes!

What are cashless claims?

Cashless claims are a type of health insurance claims that help the policyholder to get instant treatment without worrying much about the hospital bills. Once the treatment is approved, the insurance company settles the bill directly with the hospital. Cashless claims offer financial assistance and ease during medical crises. Here are the details of how cashless family health insurance works.

Network Hospitals

Insurers tie up with hospitals and policyholders can receive cashless treatment.

Pre-Authorisation

Before treatment policyholders have to notify their insurer and the hospital. The insurer agrees on the treatment costs beforehand.

Verification

The insurer verifies the policy details and treatment needs then it provides an authorisation letter to the hospital.

Treatment

Insured people are not required to pay at the time of services rendered. Hospitals send the bill directly to the insurer. In some cashless health insurance plans for family, the insured may have to pay around 10% of the hospital bill out-of-pocket.

Settlement

The insured must pay bills to the hospital, and the insurer pays according to the policy.

Health insurance claim settlement process

Here are the details on how health insurance claims work in India.

 

How to file a claim for a Family Health Insurance Plan

To file a claim against ACKO Platinum Plan, follow these steps. Note that this is an overview, exact details can vary.

Cashless claim

Visit the hospital’s billing department and approach the TPA desk.

  • Display your health card from the ACKO app.
  • Fill out the form shared by the TPA.
  • Receive confirmation from TPA about the process in a few hours.
Carousel Circle Pattern

Reimbursement claim

  • Open the ACKO app and raise a claim.
  • Submit the required documents.
  • Track the progress.
  • Receive the applicable claim settlement in your registered bank account.
Carousel Circle Pattern

Documents required to claim Family Health Insurance

When filing a claim for family health insurance, it can be a bit overwhelming if you are not properly organised. Here are some key documents you are required to include for a seamless experience:

Hospitalisation Bills and Receipts

Account statements detailing the services provided including treatment, room charges, and other related medical expenses along with payment receipts indicating the covering of the bills.

Discharge Summary

Comprehensive discharge summary outlining the treatment availed, dates of admission and discharge, diagnosis, and instruction given by the physician.

Medical Reports & Prescription

Doctor-prescribed medication or any treatment’s prescription during the stay in the hospital and corresponding medical reports which include pathology tests, imaging reports, etc. which were part of the treatment.

Identity Proofs

Government IDs to ascertain the identity of the insured including but not limited to; Aadhar card, PAN card, Passport, VoteID and Driving license.

Pre-Authorisation For Cashless Claims

Fill and submit the request for payment authorisation by the hospital if you are going for a cashless claim.

Any Other Relevant Documents

These documents differ depending on the reason for the claim stay.

Waiting Period and Claim Settlement Ratio

These are the two parameters that can help you decide whether to select a particular health insurance plan.

Pre-existing disease coverage & waiting periods

  • Most insurers have a waiting period of 2-3 years for pre-existing conditions. However, ACKO Platinum Health Insurance offers zero waiting periods.
Carousel Circle Pattern

Claim settlement ratio & turnaround time

  • A high claim settlement ratio (CSR) indicates reliability. ACKO has a high CSR with a quick turnaround time.
Carousel Circle Pattern

7 Additional Benefits of Family Health Insurance

A family health insurance plan offers more than just basic medical coverage. Here are some extra perks that make it a smart choice:

No-Claim Bonus (NCB)

If no claims are made in a year, your sum insured increases at no extra cost. This means more coverage for your family over time.

Free Annual Health Check-ups 

Some insurers offer free preventive health check-ups, helping you stay on top of your family’s well-being.

AYUSH Treatment Coverage

Many plans cover alternative treatments like Ayurveda, Yoga, Unani, Siddha, and Homeopathy.

Emergency Ambulance Cover

Covers the cost of an ambulance in case of a medical emergency.

Domiciliary Treatment

Covers home-based treatment if hospitalisation isn’t possible due to medical conditions.

Mental Health Coverage

Some policies cover therapy, counselling, and psychiatric treatment.

Critical Illness & Personal Accident Cover

Add-ons for serious health conditions like cancer, stroke, or heart disease provide financial security during tough times.

A family health insurance plan doesn’t just protect—it ensures peace of mind. Choose a plan that fits your needs and enjoy comprehensive coverage for your loved ones!

Frequently Asked Questions About Family Health Insurance

To purchase ACKO’s family health insurance policy, visit the ACKO website’s homepage and click on the health tab. Simply follow the next steps to insure your family. You can also buy family insurance plans via the ACKO app. Simply select the type of policy, answer a few questions related to your health profile, and you will be ready to buy the plan.

Yes, you can move your policy to another insurance company and keep your benefits.

Yes, ACKO’s family plan insurance does cover pre-existing conditions. Do check out the policy’s terms and conditions for any specific illness or pre-existing condition that you may be concerned about.

Yes, most insurance companies let you add new people like a baby or husband/wife.

If you have any questions regarding Mediclaim for family, you can reach out to the ACKO customer support team via email ([email protected]) and via call (1800 266 2256).

The average cost of health insurance for a family of 4 in India varies based on factors like location, coverage, and insurance provider. It can range from Rs. 10,000 to Rs. 20,000 per month.

Please contact ACKO customer support via email ([email protected]) or phone (1800 266 2256) to learn how to add family members, depending on your plan’s details (coverage, policy type, etc.).

Whether 2 lakh health insurance is enough for a family in India depends on individual circumstances. It's advisable to assess your family's healthcare needs and budget to make an informed decision.

Coverage for genetic disorders depends on the policy; some plans may include it, so check the terms.

Yes, cashless hospitalization is typically available at network hospitals.

The 5-lakh health insurance by the Government of India covers up to Rs. 5 lakh for medical expenses, ensuring better healthcare access for individuals and families.

Yes, many plans cover alternative treatments like Ayurveda under specific conditions.

A child can generally stay on family health insurance until the age of 25, as per insurance regulations.

A 1 crore policy for health insurance provides extensive coverage for a family, ensuring financial security in case of major medical expenses. It's important to review the terms and conditions of the policy.

To choose a health insurance plan for a family in India, consider factors like coverage, network hospitals, premiums, and family healthcare needs. Compare options to find the most suitable plan.

Some plans give you a refill benefit, which tops up your insured amount if you use it all. At ACKO, you get the chance to refill your insured amount.

The maximum mediclaim limit for family health insurance can vary based on the insurance provider and policy. It's recommended that policy details be reviewed for specific information.

The best health insurance policy for family would balance coverage and cost-effectiveness. Look for plans that offer good coverage for essential needs without straining the budget.

Private family health insurance costs can vary significantly based on coverage, location, and insurance provider. It's best to compare options to find a plan that fits your budget and needs.

The best health insurance for a middle-class family would balance coverage and cost-effectiveness. Look for plans that offer good coverage for essential needs without straining the budget.

The average cost of family health insurance can range from Rs. 8,000 to Rs. 25,000 per month, depending on several factors, including location, coverage, and insurance provider.

Family health insurance costs for self-employed individuals in India can vary based on factors such as age, location, and coverage requirements. On average, it may range from Rs. 4,000 to Rs. 12,000 per month.

To increase your family health insurance coverage at the lowest cost, consider evaluating your current plan. You may also explore bundling options or opt for a higher deductible for reduced premiums.

Disclaimer: The plans, services, features, processes, and other details mentioned on this page are subject to availability and changes. Please check the applicable policy wordings before making any insurance-related decisions. Feel free to reach out to us at [email protected] for any queries.

Author photo Icon

Written by Roocha Kanade

2K Linkedin Followers Author dot Icon

Reviewed by Rupinderjit Author info Icon

A content enthusiast who turns complex topics into easy, binge-worthy reads—fueled by SEO, creativity, and way too much chai! Loves juggling multiple projects, cracking impossible deadlines, and sprinkling humor into the mix. When not geeking out over digital trends, you'll find her lurking on Quora and Reddit, planning the next getaway, or passionately decoding all things health and insurance!

Explore More Articles on Family Health Insurance

Explore Our Comprehensive Health Insurance Options