Family Health Insurance Plan is one of many types of Medical Insurance Policies in India. It is a unique health insurance plan that covers all members under a single health policy.
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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.
Family Health Insurance Plans | Sum Insured (₹) | Zero Waiting Period | 100% Bill Coverage | Other Key Benefits |
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ACKO Platinum Health Insurance Plan | ₹5 lakh to Unlimited | ✅ Day-1 coverage | ✅ 100% hospital bills |
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ACKO Platinum Super Top-up Plan | Up to Unlimited | ✅ Immediate post-purchase | ✅ 100% hospital bills |
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ACKO Standard Health Insurance Plan | ₹5 lakh to ₹1 crore | 30-days initial waiting | ✅ 100% hospital bills |
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Other Market Health Plans | ₹1 lakh to ₹2 crore | ❌ ~30 - 90 days initial waiting | ❌ Often ~85% after deductions |
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Choosing the right sum insured is crucial to avoid out-of-pocket expenses. Consider these factors:
Family size: A larger family needs higher coverage to ensure all members are protected.
Medical inflation: Healthcare costs are rising—opt for a sum insured that covers future expenses.
Pre-existing conditions: If any family member has a chronic illness, choose a plan with higher coverage to manage long-term treatments.
Family Size | Recommended Sum Insured |
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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 |
Best Choice: Plans like ACKO Platinum Health Insurance offer sum insured options of ₹1 crore and Unlimited coverage, ensuring your family is financially secure.
Type of City | Family Health Insurance Coverage |
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Tier 1 Cities (Metro) | ₹15k – ₹30k |
Tier 2 Cities (Emerging) | ₹13.5k – ₹27k |
Tier 3 / Rest of India | ₹12k – ₹25k |
When it comes to family medical insurance, there are many reasons to choose ACKO Health Insurance.
Here’s why many families already feel protected with ACKO.
Trusted by 8 crore+ Indians: Crores of people trust ACKO to protect their family’s health and peace of mind.
India’s No.1 insurance app: With the ACKO app, you can buy, manage, and claim insurance easily. It’s fast, simple, and fully digital.
11,500+ network hospitals: Get quality care at top hospitals, including Max, Manipal, Fortis, Apollo, Narayana, and Aster across India.
100% hospital bill payment: Access cashless claims easily so you can focus on recovery, not on bills or paperwork.
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 coverage 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
Apart from the hospitalisation coverages, family health insurance plans also cover several non-hospitalisation instances as well. Here’s a list. Please check the applicable policy wordings for updated coverages.
Annual health check-up
Tele-consultations
Consultations for second opinion
AYUSH treatments
Domestic evacuation
Medical insurance for family may not cover the following.
Expenses related to maternity, such as childbirth are not covered under some plans. Miscarriages are also not covered unless they are due to an accident. Ectopic pregnancy is an exception, as it is covered.
Worldwide hospitalisation is not covered under this plan. Hospitalisation in India is covered.
Unrelated doctor visits and second opinions during, prior, or after hospitalisation are not covered.
Here is the eligibility for buying health insurance at ACKO. Our plan is one of the best family health insurance plans in India.
Categories | Specifications |
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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) |
It’s usually not recommended to add your elderly parents to your family health insurance plan. This is because older parents are more likely to face health issues and need medical care. As a result, insurers charge higher premiums for them, which can make your overall policy more expensive.
Moreover, if your parents make frequent claims, the sum insured may get used up, leaving less coverage for the rest of the family. You might even lose your No Claim Bonus (NCB) because of their medical claims. That’s why it’s better to buy a separate health insurance policy for your parents. It ensures they get the right coverage for their age while your family plan stays affordable and protected.
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:
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
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.
Single policy, single renewal date – No more managing multiple policies
Less paperwork – All in one place
Simplified claims – Single insurer for the entire family
Under Section 80D of the Income Tax Act, just like the tax benefits you get on your individual health insurance premiums, your family health insurance premiums are also eligible for tax deductions. It’s a small but thoughtful step that many people take to protect their family and save on their yearly taxes.
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.
A few years ago, a hospital visit might have cost just a few thousand rupees. Today, the same treatment can run into lakhs of rupees. That’s how fast medical inflation has been rising in India. Over the past few years, medical inflation in India has stayed between 12% and 14% and as per Aon’s Global Medical Trend Rates Report 2025, it’s expected to reach 13% in 2025.
That means the cost of hospital stays, surgeries, doctor visits, and even simple tests continues to climb every year. Families that once managed medical expenses from their savings are now finding it harder to do so.
The National Family Health Survey-5 (2019-20) shows that in 11 states, less than 40% of families have health insurance. That means most Indian households are still paying out of pocket when a medical emergency strikes.
Here’s what the coverage looks like across states:
Jammu and Kashmir: 12.7% | Bihar: 14.5% | Manipur: 14.2% |
Maharashtra: 20% | Nagaland: 20.5% | Sikkim: 25.7% |
Karnataka: 28.1% | West Bengal: 29.3% | Tripura: 33% |
Himachal Pradesh: 34.5% | Gujarat: 39% | Mizoram: 46.4% |
Kerala: 51.5% | Assam: 60% | Telangana: 60.8% |
Meghalaya: 63.5% | Goa: 66% | Andhra Pradesh: 70.2% (the highest coverage in India) |
When you have a family health insurance plan in place, you protect your loved ones from rising medical expenses caused by medical inflation. It’s about saving money and protecting your family from financial stress when they need care the most.
When you buy a family health insurance plan, you not only protect your family from medical expenses but also save on taxes. Under Section 80D of the Income Tax Act, you can claim tax deductions on the premiums you pay for family health insurance in two ways:
If you buy a family health plan, you can claim up to ₹25,000 a year for premiums paid for yourself, your spouse, and your children.
If you buy a health insurance plan for your senior citizen parents (aged 60 years or above), the tax deduction limit goes up to ₹50,000.
So, with the family medical insurance plan, you can save up to ₹75,000 a year in taxes. Additionally, the reduction of GST from 18% to 0% has made health insurance coverage even more affordable.
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 |
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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. |
Go for an Individual Plan if you need personalised coverage, especially for senior parents.
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.
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.
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!
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
Getting your family insured with ACKO is quick and hassle-free. Follow these three easy steps:
Review the plan details and proceed with secure online payment.
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: Hospitals raise bills, which are then settled by the insurer in accordance with the policy terms.
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.
Cashless claim
Reimbursement 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.
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.
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.
Below are some of the frequently asked questions on Family Health Insurance
Yes, most insurance companies let you add new people like a baby or husband/wife.
Yes, you can move your policy to another insurance company and keep your benefits.
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.
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.