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.
Zero
Waiting period
10,500+
Cashless hospitals
100%
Bills covered
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.
ACKO offers simple, affordable, and transparent health insurance plans designed to meet different needs.
A premium plan with sum insured options of ₹1 crore and Unlimited Coverage, featuring:
A budget-friendly plan with sum insured options from ₹10 lakh to ₹1 crore, offering:
Need extra coverage at a lower cost? This top-up plan kicks in after your existing sum insured is used up:
Whether you need comprehensive coverage or a smart top-up plan, ACKO makes family health insurance simple, hassle-free, and truly beneficial.
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.
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:
Here is a detailed comparison between mediclaim plans and health insurance plans.
Feature | Mediclaim | Health Insurance |
Coverage Scope | Covers only hospitalisation expenses | Covers hospitalisation + OPD, daycare, preventive care, etc. |
Sum Insured | Limited sum insured (fixed amount) | Higher coverage options are available |
Pre & Post-Hospitalisation | Usually not covered | Covered for a specified duration |
Daycare Procedures | Not included | Included in most plans |
Additional Benefits | No add-ons like critical illness, OPD | Covers critical illness, wellness benefits, OPD, etc. |
Cashless Claims | Available but limited to hospitalisation | Comprehensive cashless coverage, including pre & post-hospitalisation |
Waiting Periods | Standard waiting periods apply | ACKO has zero waiting periods on Platinum Plans |
Flexibility | Rigid plan structure | More customisation options are available |
Premiums | Generally lower but with fewer benefits | Slightly higher but offers extensive coverage |
Best For? | Those looking for basic hospitalisation cover | Those seeking all-around medical security & extra benefits |
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:
Get financial protection for your entire family under a single policy. It covers:
Maternity and Newborn Care – Some policies have delivery costs covered.
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.
Save taxes while insuring your family's health! You can claim:
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!
Best health insurance plans for family offer the following 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.
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.
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.
Unrelated doctor visits and second opinions during, prior, or after hospitalisation are not covered.
Worldwide hospitalisation is not covered under this plan. Hospitalisation in India is covered.
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.
Here is the eligibility for buying health insurance at ACKO.
Categories | Specifications |
Minimum Entry Age | 18 years |
Maximum Entry Age | 70 years |
Family Members Covered | Up to 10 members (self, spouse, up to 4 dependant children, parents, and parents-in-law) |
Choosing the right family health insurance plan can be overwhelming. To make an informed decision, here’s what you need to consider.
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.
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.
A wider hospital network means better access to cashless treatment. Check if top hospitals near your home or workplace are covered for emergencies.
Good plans include pre-hospitalisation expenses like doctor visits and tests, as well as post-hospitalisation costs such as follow-ups and medicines.
Many treatments, like chemotherapy and cataract surgery, don’t require 24-hour hospitalisation. Ensure your plan covers these to avoid out-of-pocket expenses.
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.
If you prefer treatments like Ayurveda or Homeopathy, check if your policy includes AYUSH hospital-based or outpatient care.
Policies usually exclude cosmetic surgery, dental work, infertility treatments, and self-inflicted injuries. Read the fine print to avoid surprises.
Cashless claims save time, while reimbursement should be easy to file online. Digital-first insurers like ACKO simplify the process through an app.
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!
Choosing between an individual health insurance plan and a family health insurance plan? Here’s a simple comparison to help you decide.
Parameter | Individual Health Insurance | Family Health Insurance |
Coverage for | Covers only one person. | Covers multiple family members under a single policy. |
Coverage Scope | Each person needs a separate policy. | One policy covers your spouse, children, and parents. |
Sum Insured | Fixed sum insured for one person. Cannot be shared. | Sum insured is shared among all family members. |
Cost-Effectiveness | Can be expensive if you buy separate plans for each member. | More affordable as one policy covers everyone. |
Best For | Ideal for senior citizens or individuals with high medical needs. | Ideal for young families with members under 60. |
Key Benefit | Higher coverage per person. Useful for those with frequent health issues. | Cost-effective with easy management. Perfect for growing families. |
What to Focus On | Look 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!
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.
Before selecting a family health insurance plan, keep these important factors in mind:
Look for a plan that covers hospitalisation, pre- and post-hospitalisation expenses, daycare procedures, maternity benefits, and ambulance costs.
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.
Ensure the insurer has a wide network of cashless hospitals so you don’t have to worry about arranging funds during an emergency.
Some policies restrict the hospital room type you can choose. Opt for a plan that offers flexibility in room selection.
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.
Always read the policy documents to check for exclusions and hidden charges that might affect your coverage.
With digital advancements, buying health insurance online has become the preferred choice. Here’s how it compares:
Factor | Online Health Insurance | Offline Health Insurance |
Convenience | Buy anytime, anywhere in just a few clicks. | Requires in-person visits or agent coordination. |
Pricing | No middlemen, lower premiums. | Higher premiums due to agent commissions. |
Transparency | Easy comparison of plans, terms, and benefits. | Limited access to policy details. |
Claim Process | Faster digital claims, cashless hospitalisation. | May involve paperwork and delays. |
Choosing the right sum insured is crucial to avoid out-of-pocket expenses. Consider these factors:
A larger family needs higher coverage to ensure all members are protected.
Healthcare costs are rising—opt for a sum insured that covers future expenses.
If any family member has a chronic illness, choose a plan with higher coverage to manage long-term treatments.
Family Size | Recommended Sum Insured |
Couple | ₹10L – ₹25L |
Couple + 1 Child | ₹25L – ₹50L |
Couple + 2 Children | ₹50L – ₹1 Cr |
Family with Senior Parents | ₹1 Cr+ or consider separate plans for seniors |
Getting your family insured with ACKO is quick and hassle-free. Follow these three easy steps:
âś” 100% Digital | âś” No Paperwork | âś” Quick Claim Process
Protect your family’s health today—get insured in just minutes!
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.
Insurers tie up with hospitals and policyholders can receive cashless treatment.
Before treatment policyholders have to notify their insurer and the hospital. The insurer agrees on the treatment costs beforehand.
The insurer verifies the policy details and treatment needs then it provides an authorisation letter to the hospital.
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.
The insured must pay bills to the hospital, and the insurer pays according to the policy.
Here are the details on how health insurance claims work in India.
To file a claim against ACKO Platinum Plan, follow these steps. Note that this is an overview, exact details can vary.
Visit the hospital’s billing department and approach the TPA desk.
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:
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.
Comprehensive discharge summary outlining the treatment availed, dates of admission and discharge, diagnosis, and instruction given by the physician.
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.
Government IDs to ascertain the identity of the insured including but not limited to; Aadhar card, PAN card, Passport, VoteID and Driving license.
Fill and submit the request for payment authorisation by the hospital if you are going for a cashless claim.
These documents differ depending on the reason for the claim stay.
These are the two parameters that can help you decide whether to select a particular health insurance plan.
A family health insurance plan offers more than just basic medical coverage. Here are some extra perks that make it a smart choice:
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.
Some insurers offer free preventive health check-ups, helping you stay on top of your family’s well-being.
Many plans cover alternative treatments like Ayurveda, Yoga, Unani, Siddha, and Homeopathy.
Covers the cost of an ambulance in case of a medical emergency.
Covers home-based treatment if hospitalisation isn’t possible due to medical conditions.
Some policies cover therapy, counselling, and psychiatric treatment.
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!
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.