Royal Sundaram General Insurance Co. Ltd was earlier known as Royal Sundaram Alliance Insurance Company Limited. This company offers comprehensive insurance plans. They also provide innovative insurance solutions to various categories like the families, individuals and businesses. This company offers different general insurance products like car, personal accident, health, home, two wheeler and travel insurance. Royal Sundaram General Insurance Company was the 1st private insurance company to get its IRDAI license in October 2000 in India. In the beginning this Company was promoted as a collaboration of Sundaram Finance and Royal & SunAlliance Insurance Pvt Ltd Co. This Company was awarded the ‘Celent Model Insurer Asia Award’ in the year 2013 and 2014 for its efficient claims management system for improving their staff productivity and increased customer satisfaction!
Pre-existing diseases– Pre-existing diseases are covered after 3 years of waiting period.
Co-payment– The plan has no co-payment policy.
Discounts: Royal Sundaram Health Insurance provides a discount of 7.5% or 12% if you opt for a 2 years and 3 years plans respectively.
Royal Sundaram Health Insurance offers pocket-friendly health insurance plans with a variety of benefits offering the best care to you and your family members. The plans offered are flexible and gives you an option to choose your sum insured as per your capability.
Offers 100% reload of the sum insured absolutely free of cost for the treatment of different illnesses in the event of complete exhaustion of sum assured and NCB.
Offers coverage for treatment of Organ Donor covered up to the sum insured.
The plan covers medical expenses for 30 days prior to hospitalization and 60 days post hospitalization only for related medical expenses.
Covers expenses of the Ambulance up to Rs.3,000.
AYUSH Treatment – Inpatient hospitalization covered up to Sum Insured in Government Hospitals and up to Rs.20, 000 in other hospitals.
Offers preventive Healthcare and Wellness.
Any pre-existing diseases would be covered only post completion of 4 year from the date of the policy issuance. These pre-existing conditions should be however declared during the policy issuance. Claims are void if there is any gap in policy renewal.
Any medical conditions except injuries occurred within 30 days of the policy issuance would not be covered.
The plan covers medical expenses for 60 days prior to hospitalization and 90 days post hospitalization only for related medical expenses.
Covers expenses of the Ambulance up to Rs.5,000.
AYUSH Treatment – Inpatient hospitalization covered up to Sum Insured in Government Hospitals and up to Rs.30, 000 in other hospitals.
Offers preventive Healthcare and Wellness by giving access to networks that offers discounts to Diagnostic Centers, Pharmacies, OPD centers, GYM/Weight Management center, etc.
Any pre-existing diseases would be covered only post completion of 3 year from the date of the policy issuance. These pre-existing conditions should be however declared during the policy issuance. Claims are void if there is any gap in policy renewal.
The plan covers medical expenses for 60 days prior to hospitalization and 180 days post hospitalization only for related medical expenses.
Covers expenses of the Ambulance up to Rs.10,000.
AYUSH Treatment – Offers coverage for inpatient hospitalization up to Sum Insured in Government Hospitals and up to Rs.50, 000 in other hospitals.
Any pre-existing diseases would be covered only post completion of 2 year from the date of the policy issuance. These pre-existing conditions should be however declared during the policy issuance. Claims are void if there is any gap in policy renewal.
Offers coverage for OT charges, charges for equipment and supplies, doctor’s charges etc.
Covers expenses of the Ambulance up to Rs.1,000.
This plan offers a regular health cover wherein a certain amount is made available for 24 hours of hospitalization. This amount could be utilized for travel expenses, accommodation of the attendant and related expenses.
Entry Age For individual plan, the minimum entry age is 91 days and the maximum limit is 70 years.
Offers coverage for a period of 180 days including any treatment to be taken abroad while on an official visit or on a holiday.
You can avail the Smart Cash Plan through different plans including daily benefits that range between Rs.500 to Rs.10, 000/- each day of hospitalization, beyond a period of 24 hours.
Offers a lump sum amount of Rs.10, 000 in case the hospitalization goes above 15 days.
The daily cash benefit is doubled in case the hospitalization involves due to air/road/ or rail accident, for a maximum period of 15 days.
The cost reimbursement benefit for health check-up is applicable depending upon the plan that is chosen.
Offers parental accommodation in case the insured hospitalized is less than 12 years old. This benefit is offered in addition to the hospitalization benefit as per the selected plan.
In simple terms, for making a claim on cashless basis, the treatment must be done only at a network hospital of the insurance company servicing your policy. For availing the treatment, you would have to first seek an authorization as per the procedures laid down and in the prescribed form.
In case of claims on reimbursement basis, the insurance company has to be informed as per their prescribed procedures. The policyholder has to ensure that documents such as claim form, discharge summary, prescriptions and bills to be submitted for the claim on reimbursement are obtained after hospitalization.
Royal Sundaram Health Insurance has a well-defined claim processing system.
Relationship of insured with the person who is hospitalized.
In case of a planned hospitalization, kindly intimate the TPA. It is important to seek cashless authorization at least 72 hours prior to hospitalization.
In case of any emergency hospitalization, it is important to inform TPA within 24 hours of the hospitalization.
Inform the service provider within 24 hours of hospitalization.
Your eligibility as per the request made would be verified by the Service Provider and you will receive a call for more information or details, if required.
The Service Provider will get in touch with the hospital immediately in case the pre-authorization request has been approved or denied.
In case of approval of the pre-authorization request, your bill will be settled directly with the hospital by the service provider.
The insured should immediately inform the service provider post diagnosis of a Specified Critical Illness. The same needs to be informed also before travelling overseas for the treatment. You may call on the helpline number specified in the Schedule of Insurance Certificate requesting for a pre-authorization for the treatment.
In case of any emergencies, you need to inform Royal Sundaram Health Insurance within 24 hours of the admission. In case of planned emergencies, the notification has to reach the company 48 hours prior to the hospitalization.
Royal Sundaram Health Insurance offers an array of reasonably priced health insurance policies. Their plans are made-to-measure to shield you against your mounting financial responsibilities towards your family during and after hospitalization and medical treatments. They boast of a very good claim settlement ratio amongst other private insurers. Their continuous efforts to offer excellent customer service is their ultimate performance. Royal Sundaram General Insurance Company was one of the first private insurance company to tie up with banks to sell their retail products.
Hence, if you are scouting for an insurer who will deliver dependability, competence and brilliant post sales services in consort with the products specific to your requirements, Royal Sundaram Health Insurance is a won over alternative.