Future Generali Health Insurance

Future Generali is one of the major general insurance firms in the country. The company has a diverse range of health insurance policies to provide financial security to customers against various medical threats.

Future Generali general Insurance Company is a joint venture between the Future Group of industries, an Indian Company and Generali group, an Italy based Company. Future Generali offers a wide spectrum of general insurance products like Motor Insurance, Health Insurance, Travel Insurance, Personal Accident & Home Insurance.

Future Generali general Insurance Highlights _{Updated on 22 Sep 2019}

Features	Specifications
Network Hospitals	4300+
Waiting Period for Pre-existing Disease	4 years
Incurred Claims Ratio	75.72%
Number of Policies Issued	48113
Grievances Solved	99.73%%
Renewability	Lifetime

*For Year 2017-2018

Overview of Future Generali India Insurance:

The coming together of India’s business behemoth, Future Group, and Italy’s insurance major, Generali Group, resulted in the formation of a new insurance provider in India viz. Future Generali India Insurance Co. Ltd. which provides general assurance solutions. (Future Generali India Life Insurance Co. Ltd. provides life assurance solutions)

Future Generali India Insurance Co. Ltd., headquartered in Mumbai, began operations in the year 2006. This private insurance company aims to service its customers by combining the global leadership expertise of Generali Group and the local market knowledge of Future Group. Together, these two business powerhouses offer the general insurance industry the best practices from within and outside India.

The Future Group of India is a force to reckon with in the retail segment of the Indian markets. It is well known for its flagship chains in the supermarket sector viz. Food Bazaar, Big Bazaar and other retail stores that deal in fashion and electronics like Central, Home Town and E-Zone to name a few. The Future Group has strong capabilities in identifying market gaps and opportunities and filling them successfully and innovatively, all the while staying true to its core principle of ‘keeping things Indian’.

Its operations are not limited to fashion and lifestyle products. It also deals with logistics, supply chain and infrastructure. Additionally, it develops and promotes brands that consistently make their mark on Indian consumers. They have strong market reach, servicing over 300 million customers in over 90 cities and 60 rural areas.

Generali Group has grown since its humble start in 1831 to become a top insurance provider, known the world over for its superior management capabilities. It brings in business from over 60 countries with a customer-base of over 65 million. They aim to leverage on their key strength of successfully trading off risks and profitability by increasing their footprint in developing markets. Their admirable capital and financial position has them poised to meet the challenges of an emerging market like India.

Future Generali offers a range of general protection solutions for all lines including home, motor and health insurance among others. It also devises complex solutions to meet large-scale requirements through products like engineering and marine insurance.

Among its are the below plans which provide coverage to both individuals and their families.

Future Generali Health Suraksha Individual Plan
Future Generali Health Suraksha Family Plan
Future Health Surplus Insurance Plan
Future Generali Criticare Critical Illness Plan
Future Generali Future Hospicash Insurance Plan

Its base plans viz. Future Health Suraksha, can be topped up with separate policies i.e. Future Health Surplus, Future Criticare and Future Hospicash to enhance protection at marginal costs. This gives customers an opportunity to avail of comprehensive coverage.

Important details of each plan are tabulated below.

Future Generali Health Suraksha Individual Plan

Eligibility	Cover	Features/Benefits
Minimum Entry Age - 90 days (children are eligible only if parents are covered; children are considered to be dependants until 25 years) Maximum Entry Age - 70 years	Sum Assured Chosen amount applies to each individual insured person/family member. - Up to Rs.10 lakhs for entrants up to 55 years of age. Basic Plan, Silver Plan and Gold Plan - Rs.50,000 to Rs.5 lakhs (in increments of Rs.50,000); Platinum Plan - Rs.6 lakhs, Rs.7.5 lakhs, Rs.8 lakhs, Rs.9 lakhs and Rs.10 lakhs. - Rs.5 lakhs for entrants above 55 years of age (age limit applicable to those switching from other insurers). - Rs.50,000 for dependant children (only if parents are covered under the same plan).	Free Look Period - 15 days from policy receipt for policy cancellation with refund of premium paid (adjusted).
Maximum Renewal Age - No Limit	At any of the company’s network hospitals.	Cumulative Bonus - 10% awarded for every claim-free year. - Up to 50%.
Medical Screening - Not required up to 45 years. - Mandatory (at authorised medical centres only) for proposer above 45 years of age (50% of screening expenses will be reimbursed if the proposer is subsequently accepted as a client)	Premiums Payable for Plans taken on Individual Basis Basic Plan - Rs.713 to Rs.4,630; Silver Plan - Rs.785 to Rs.5,093; Gold Plan - Rs.855 to Rs.5,552; Platinum Plan - Rs.7,454 to Rs.11,633; Depends on the chosen sum assured and age of the insured person.	Free Health Checks - At authorised centres. - Every 4 claim-free years.
	Pre-hospitalisation expenses - Up to 60 days.	Portability allowed.
	Post-hospitalisation expenses - Up to 90 days.	Tax benefits U/S 80D of the IT Act for premiums paid (not applicable to cash payments).
	Ambulance Charges - Up to Rs.1,500.	Cashless facilities.
	Day Care Treatment - For 130 procedures.	Renewal Grace Period - 30 days from policy expiry.
	Hospital Cash Benefits - Applicable under the Platinum Plan only.	Claim Payments - Depends on plan chosen. - 80% to 100% for Basic, Silver, Gold. - No sub-limit applicable for Platinum. - Further depends on zone applicable i.e. location. - For cataract surgery claims will be the lower of actual expenses or 10% of chosen sum assured (per eye) or Rs 50,000.
	Pre-Existing Diseases - Upon completion of 4 consecutive years of this policy.
	Patient Care Expenses - For insured members above 60 years of age. - Up to Rs.350 per day. - Up to Rs.500 per day for person accompanying the insured member.
	Additional cover - For accidental hospitalization. - 25% of sum assured or Rs.1 lakh, whichever is lower.
	Cataract, Hernia, Tumour (similar ailments) - Upon completion of 2 policy years.
	Gallstones, Kidney stones (similar ailments) - Upon completion of 1 policy year.
	Joint Replacement Surgery (necessitated for reasons other than due to accident) - Upon completion of 3 policy years.

Exclusions:

Known pre-existing conditions, injuries, illnesses for which guidance, treatment or consultation was received, prior to policy inception, will not be eligible for coverage under this plan until completion of 4 consecutive policy years.
Cover will not be provided for illnesses arising during the first 30 days of policy period.
Non-allopathic procedures.
Ailments of congenital nature.
AIDS and related diseases.
Ailments arising from drug or alcohol usage.

Future Generali Health Suraksha Family Plan

(Family means the proposer and his/her spouse and 2 dependant children)

Eligibility	Cover	Features/Benefits
Minimum Entry Age - 90 days (children are eligible only if parents are covered; children are considered to be dependants until 25 years) Maximum Entry Age - 70 years	Sum Assured One amount applies to all insured members/family members. - Up to Rs.10 lakhs for entrants up to 55 years of age. Basic Plan, Silver Plan and Gold Plan - Rs.50,000 to Rs.5 lakhs (in increments of Rs.50,000); Platinum Plan - Rs.6 lakhs, Rs.7.5 lakhs, Rs.8 lakhs, Rs.9 lakhs and Rs.10 lakhs. - Rs.5 lakhs for entrants above 55 years of age (age limit applicable to those switching from other insurers). - Rs.50,000 for dependant children (only if parents are covered under the same plan).	Free Look Period - 15 days from policy receipt for policy cancellation with refund of premium paid (adjusted).
Maximum Renewal Age - No Limit	Policy Period - 1 year.	Cumulative Bonus - 10% awarded for every claim-free year. - Up to 50%.
Medical Screening - Not required up to 45 years of age. - Mandatory (at authorised medical centres only) for proposer above 45 years of age (50% of screening expenses will be reimbursed if the proposer is subsequently accepted as a client)	Premiums Payable Based on the age of the oldest insured person. Basic Plan - Rs.3,100 to Rs.9,261; Silver Plan - Rs.3,410 to Rs.10,187; Gold Plan - Rs.3,717 to Rs.11,103; Platinum Plan - Rs.11,181 to Rs.23,266. Depends on the chosen sum assured, age of insured and family size i.e. 2 adults or 2 adults and 1 child or 2 adults and 2 children.	Free Health Checks - At authorised centres. - Every 4 claim-free years.
	Pre-hospitalisation expenses - Up to 60 days.	Portability allowed.
	Post-hospitalisation expenses - Up to 90 days.	Tax benefits U/S 80D of the IT Act for premiums paid (not applicable to cash payments).
	Ambulance Charges - Up to Rs.1,500.	Cashless facilities.
	Day Care Treatment - For 130 procedures.	Renewal Grace Period - 30 days from policy expiry.
	Hospital Cash Benefits - Applicable under the Platinum Plan only.	Claim Payments - Depends on plan chosen. - 80% to 100% for Basic, Silver,Gold plans.. - No sub-limit applicable under Platinum plan. - Further depends on zone applicable i.e. location. - For cataract surgery claims will be the lower of actual expenses or 10% of chosen sum assured (per eye) or Rs 50,000.
	Pre-Existing Diseases - Upon completion of 4 consecutive years of this policy.
	Patient Care Expenses - For insured members above 60 years of age. - Up to Rs.350 per day. - Up to Rs.500 per day for person accompanying the insured member.
	Additional cover - For accidental hospitalization. - 25% of sum assured or Rs.1 lakh, whichever is lower.
	Cataract, Hernia, Tumour (similar ailments) - Upon completion of 2 policy years.
	Gallstones, Kidney stones (similar ailments) - Upon completion of 1 policy year.
	Joint Replacement Surgery (necessitated for reasons other than due to accident) - Upon completion of 3 policy years.

Exclusions:

Known pre-existing conditions, injuries, illnesses for which guidance, treatment or consultation was received, prior to policy inception, will not be eligible for coverage under this plan until completion of 4 consecutive policy years.
Cover will not be provided for illnesses arising during the first 30 days of policy period.
Non-allopathic procedures.
Ailments of congenital nature.
AIDS and related diseases.
Ailments arising from drug or alcohol usage.

Future Health Surplus Insurance Plan

Deductible Option Policy; Top-up plan/Additional Policy for a larger and more comprehensive cover, Ideal to meet hospitalisation expenses incurred due to accident/illness.

Eligibility	Cover	Features/Benefits
For persons already covered under a hospitalization health insurance policy - expenses will be covered over and above the deductible amount. For persons who are not covered under a health insurance policy - the proposer has to bear deductible amounts for each hospital stay.	Sum Assured and applicable deductible: - Rs.3 lakhs; the applicable deductible is Rs.2 lakhs. - Rs.5 lakhs; the applicable deductible is Rs.2 lakhs or Rs.3 lakhs. - Rs.7 lakhs; the applicable deductible is Rs.3 lakhs. - Rs.10 lakhs; the applicable deductible is Rs.5 lakhs.	Family Discounts - 20% to 60% on premiums. - For plans on family floater basis.
Minimum Entry Age - 3 months to 5 years (where both parents are covered under this plan). - 6 years to 18 years (where at least one parent is covered under this plan). - Persons between 18 years to 25 years can be considered to be either dependants or independent proposers.	Premiums Payable - Rs.1,008 to Rs.27,804. - Depends on the age of the insured person, the chosen sum assured and applicable deductible. - Loading for underwriting up to 10%.	Free Look Period - 15 days from policy receipt, for policy cancellation with refund of premium paid (adjusted).
Maximum Entry Age - 65 years.	Basis - Individual or Family Floater (Family includes proposer, spouse and children).	Portability allowed.
Maximum Renewal Age - No Limit.	Pre-hospitalisation expenses - Up to 60 days. Post-hospitalisation expenses - Up to 90 days.	Tax benefits U/S 80D of the IT Act for premiums paid (not applicable to cash payments).
Medical Screening - Not required up to 55 years of age. - Required (at authorised medical centres only) for proposer above 55 years of age or when advised (50% of screening expenses will be reimbursed if the proposer is subsequently accepted as a client).	Inpatient hospitalisation expenses - Surgeon, Anaesthetist, Medical Practitioner, Consultants, Specialists, Anaesthesia, Blood, Oxygen, OT, Surgical Equipment, Medicines, Drugs, Diagnostic Equipment, X-Ray, Pacemaker, Prosthesis, Implants, Other vital operation expenses.	Cashless facilities.
	Joint Replacement Surgery (necessitated for reasons other than due to accident) - Upon completion of 3 policy years.

Exclusions:

Pre-existing conditions for which treatment or consultation was received prior to policy inception will have a waiting period of 4 years.
Ailments arising during the first 30 days of policy period.
Non-allopathic procedures.
Congenital ailments.
AIDS/Illnesses arising due to AIDS.
Illnesses/Injuries due to drug or alcohol usage.

Future Generali Criticare Critical Illness Plan

Standalone cover for 12 Critical Illnesses; Additional policy/Top-Up Plan; Fixed Payout.

Eligibility	Cover	Features/Benefits
Minimum entry age - 6 years. Maximum entry age - 65 years.	Sum Assured: Minimum - Rs.1 lakh. Maximum - Rs.50 lakhs for persons up to 45 years and Rs.20 lakhs for persons above 45 years. Maximum Sum Assured on Renewal: - Rs.1 lakh for persons between 66 years and 70 years. - Rs.2 lakhs for persons above 75 years. - Rs.5 lakhs for persons between 71 years and 75 years.	Medical Screening Reimbursement - 50% of costs when the proposer is accepted as a customer.
Maximum renewal age - No Limits.	Premiums Payable - Rs.262 to Rs.2,65,660. - Depends on the age of the insured person and the chosen sum assured. Premium Loading - 10% to 25% for renewals for persons above 65 years. Premium Discounts - For plans taken on family floater basis. - 5% to 50% depending on age of the insured members.	Free Look Period - 15 days from policy receipt, for policy cancellation with refund of premium paid (adjusted).
Renewability - Cover terminates for an insured member upon contracting and successfully processing claims relating to any of the specified illnesses	Basis - Individual or Family Floater (Family includes proposer, spouse, 2 dependant children up till age 25 years and 2 dependant parents)	Portability allowed
	12 critical Illnesses provided the insured person lives for 28 days post diagnosis/relevant surgical procedure - Cancer (depending on severity) including leukemia, lymphoma and sarcoma - Dialysis for Kidney Failure - Primary Pulmonary Arterial Hypertension - Liver Failure - Multiple Sclerosis - Bone Marrow/Major Organ Transplant - Open Chest Coronary Artery Bypass Graft - Aorta Graft Surgery - Stroke with permanent effects - First Heart Attack (depending on severity) - Coma (depending on severity) - Total Blindness

Exclusions:

Pre-existing conditions known to the proposer, not specified in the policy and accepted by the insurer, for which treatment or consultation was received prior to policy inception will have a waiting period of 4 years.
Waiting period of 90 days from policy inception.
Unrecognised, unscientific procedures/treatment i.e. not allopathic
Congenital ailments/ birth defects
AIDS/Illnesses arising due to AIDS
Illnesses/Injuries due to drug or alcohol usage
Unrequired medical treatment/treatment not provided by a qualified doctor
Procedures for birth control and hormone replacement
Plastic/Sex change surgery.
Suicide attempts.
Fallouts from war, terrorism and related acts.
Injuries sustained from dangerous sports/hobbies.
Illnesses occurring due to infections or other ailments (except due to accidents).
Diagnosis done abroad not confirmed in India.

Future Generali Future Hospicash Insurance Plan

Daily cash benefits to meet expenses of hospitalisation; Additional plan to enhance base policy coverage.

Eligibility	Cover	Features/Benefits
Minimum entry age - 6 months. Maximum entry age - 65 years.	Premiums: 30 days - Rs.261 to Rs.8,660; 60 days - Rs.287 to Rs.9,526; 90 days - Rs.301 to Rs.10,002; 180 days - Rs.318 to Rs.10,515. Depends on the plan and plan period chosen. Premium calculations on Family Floater Basis: Proposer - based on the age of the oldest covered member; Spouse - 50% of the proposer’s premium; Child - 25% of the proposer’s premium.	Tax benefits U/S 80D of the IT Act.
Existing coverage under hospital cash policies - Total daily benefits of all existing policies of the proposer (if any) should not exceed Rs.6,000.	Policy Period - 1 year.	Free Look Period - 15 days from policy receipt for cancellation with refund of premiums paid (adjusted).
Maximum renewal age - No Limits.	Basis - Individual or Family Floater (Family includes the proposer, his/her spouse and 2 dependent children until age of 25). Irrespective of basis, only one plan can be chosen which will apply equally to all members covered by the plan.	Portability allowed.
Medical Screening - Required for entrants over 55 years under Plans C and D.
Income Requirements: Plan A - No limits; Plan B - No limits; Plan C - Above Rs.50,000 p.m.; Plan D - Above Rs.75,000 p.m. If total daily benefits across multiple policies taken is over Rs.3,000 - 125% of proposer’s income per day.	Cash benefits (according to plan chosen). Plan period options - 30, 60, 90 or 180 days. Plan A - Rs.500 hospitalization allowance. - Rs.1,000 ICU allowance (limited to 10 days) if availed in city of residence; Rs.1,500 if availed outside city of residence. Plan B - Rs.1,000 hospitalization allowance. - Rs.2,000 ICU allowance (limited to 10 days) if availed in city of residence; Rs.3,000 if availed outside city of residence. Plan C - Rs.2,000 hospitalization allowance. - Rs.4,000 ICU allowance (limited to 10 days) if availed in city of residence; Rs.6,000 if availed outside city of residence. Plan D - Rs.3,000 hospitalization allowance. - Rs.6,000 ICU allowance (limited to 10 days) if availed in city of residence; Rs.9,000 if availed outside city of residence. Rs.5,000 Convalescence allowance (all plans) for hospital stay more than 10 successive days.

Exclusions:

Known pre-existing conditions are subject to a waiting period of 48 months from policy inception.
Specific diseases like benign prostatic hypertrophy, hernias, hydrocele etc. are subject to a waiting period of 24 months from policy inception.
Hospitalization for following procedures: cosmetology, plastic surgery, refractive error correction, experimental and other non-allopathic treatments
Maternity or fertility treatment.
Psychiatric treatment.
Harm to self.
STD ailments.
Hospitalization in countries other than India.

How to File a Health Insurance Claim with Future Generali?

There are 2 types of health insurance claims one can make with Future Generali Health:

Cashless Claim: Visit a network hospital of the insurer and display the FGH health card at the helpdesk. The hospital will send a duly-filled pre-authorisation request form to the insurer. Upon receiving approval from the insurer, the hospital will provide cashless treatment to the insured member. The insurer will settle the medical bills directly with the hospital. Upon rejection, the insured member can seek treatment but will have to pay the medical bills out of his or her pocket and after discharge make a reimbursement claim.
Reimbursement Claim: The insured member will have to pay the medical bills upfront. Within 15-30 days of date of discharge from the hospital, the insured member has to submit a duly-filled reimbursement claim form along with the original medical documents to the insurer. The claim will be approved or denied as per the policy terms and conditions.

Incurred Claims Ratio of Future Generali Health Insurance for the Year 2017-18

Net Earned Premium (in Crore)	Net Claims Paid (in Crore)	Incurred Claims Ratio (in %)
Rs.256.26 crore	Rs.224.03 crore	87.42%

Also Read: How to File a Claim with Future Generali?

Also Read: Check Incurred Claim Ratio of Health Insurers