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Health Total

Future Advantage Top-Up is a deductible health insurance plan with high Sum Insured options to provide extra coverage at low premium as compared to any traditional health insurance plan. In this plan you have an option to choose the deductible which can be managed either by self-pay or any other insurance and also choose the optimum Sum Insured to take care of your health care. Unlike many top up plans, you do not have to cross the deductible limit at every claims incidence.Read More

The deductible will apply on aggregate basis towards hospitalisation expenses incurred during the policy period.Read Less

FEATURES

PLAN OPTIONS/VARIANTS

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    Future Advantage Top-Up Elite

    • Elite Plan – includes cover for Cancer and ailments related to Heart only, i.e. below features applicable to heart ailments and cancer only
    • Hospitalization Medical Expenses – A minimum period of 24 Inpatient Care consecutive hours.
    • Day Care Treatment expenses- Specified procedures/treatments, where such admission could be for a period of less than 24 consecutive hours.
    • Pre-hospitalisation Medical Expenses –Related medical expenses 60 days prior to hospitalisation.
    • Post-hospitalisation Medical Expenses - Related medical expenses post hospitalisation within 90 days from date of discharge from the hospital
    • Organ Donor Expenses - Charges incurred for an organ donor’s treatment for the harvesting of the organ donated. - covered after 2 year of continuous renewal
    • Road Ambulance Charges - maximum up to Rs. 2000 per Hospitalisation
    • Alternative Treatment Covered - covered after 2 year of continuous renewal
    • Cumulative Bonus - 10% for every claim-free year to max 50%

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    Future Advantage Top-Up Elite

    • Supreme Plan – includes cover for all ailments including Heart related conditions and Cancer
    • Hospitalization Medical Expenses – A minimum period of 24 Inpatient Care consecutive hours.
    • Day Care Treatment expenses- Specified procedures/treatments, where such admission could be for a period of less than 24 consecutive hours.
    • Pre-hospitalisation Medical Expenses –Related medical expenses 60 days prior to hospitalisation.
    • Post-hospitalisation Medical Expenses - Related medical expenses post hospitalisation within 90 days from date of discharge from the hospital
    • Organ Donor Expenses - Charges incurred for an organ donor’s treatment for the harvesting of the organ donated. - covered after 2 year of continuous renewal
    • Road Ambulance Charges - maximum up to Rs. 2000 per Hospitalisation
    • Alternative Treatment Covered - covered after 2 year of continuous renewal
    • Cumulative Bonus - 10% for every claim-free year to max 50%

Eligibility

Eligibility

  • Entry Age – Minimum – 1 Day
  • Entry Age – Maximum – None
  • Cover type – Individual and Family Floater

Documentation

For transaction on net banking – no documentation

For transaction on Mobile App– no documentation

For paper based transactions

  • Health Insurance Proposal form
  • KYC Documents :ID Proof & address proof(PAN & Aadhar)

Exclusions

  • Pre-existing disease: Compulsory waiting period - 2 Years, max liability 3rd year onwards 50%, 4th Year onwards 100%
  • 30-day waiting period - fresh proposals excluding accidental hospitalisation
  • 2-year waiting period for listed conditions
  • 4-year Waiting Period - Mental illness and psychiatric illness
  • 4-year Waiting Period - HIV/ AIDS
  • 4-year Waiting Period - Behavioural and Neuro developmental disorders
  • External Congenital Anomaly and related Illness/ defect
  • Dental Treatment or Surgery of any kind unless requiring Hospitalization as a result of Injury
  • Joint replacement surgery shall be covered after a waiting period of 2 years, unless required due to an accident
  • Use of intoxicating drugs or alcohol

Claims

Cashless Claim - Cashless treatment is only available at a Network hospital. In order to avail cashless treatment, the following procedure must be followed by You:

  • Choose the network hospital.
  • You can find the complete list of network hospitals on our website.
  • Fill in the cashless request form which is available with the Hospital Insurance Help Desk and get it certified by your treating doctor.
  • We will scrutinize the document and convey the decision to the hospital. We will sanction the cashless request or call for additional documents if required.
  • On approval of a cashless claim, the hospital bills will be settled directly.

Reimbursement Claim - If treatment is taken in a Hospital which is not on our Network or if You do not wish to avail cashless facility the following procedure must be followed by You for reporting a claim:

  • Intimate Us through the toll free number - 1800 103 8889 immediately on admission not later than 15 days from the date of discharge from a Hospital.
  • Avail treatment and settle all the bills with the hospital and then file a claim for reimbursement.
  • Claim documents may be submitted at below address:
  • Claims Department,
    Future Generali Health (FGH), Future Generali India Insurance Co. Ltd. Office No. 3, 3rd Floor, “A” Building , G - O – Square, S. No. 249 & 250, Aundh Hinjewadi Link Road, Wakad, Pune - 411 057.
    Toll Free Number: 1800 103 8889
    Toll Free Fax : 1800 103 9998
    Email: fgh@futuregenerali.in

Claim Documents

  • The indicative list of claim documents required is mentioned below
  • The claim form specified by Us duly completed and signed by the claimant or a family member
  • First consultation letter
  • First prescription from the Medical Practitioner
  • Original vouchers
  • Original Hospital bills giving a detailed break up of all expense heads mentioned in the bill
  • Money receipt duly signed with a revenue stamp
  • Birth/death certificate (as applicable)
  • The original Hospital discharge card
  • All original laboratory and diagnostic test Reports such as X-Ray, E.C.G, USG, MRI Scan, Haemogram, etc
  • If medicines have been purchased in cash and if this has not been reflected in the Hospital bill, please enclose a prescription from the Medical Practitioner and the supporting medicine bill from the chemist
  • If diagnostic or radiology tests have been paid for in cash and it has not been reflected in the Hospital bill, please enclose a prescription from the Medical Practitioner advising the tests, the actual test reports and the bill from the diagnostic centre for the tests.

Health Total

Disclaimer

1Tax deductions under Section 80D is as per applicable provision of the Act (including any amendments thereto) and are subject to changes in the tax laws. 2Factors determining the renewal premium are (i) age slab of the senior most insured member at the time of renewal (ii) any change in the renewing policy. 10Following is an indicative list of the policy exclusions. Please refer to the policy clause for the complete list.Read More

“For detailed information on risk factors, term & conditions etc., please refer to the product brochure and policy wordings, consult your advisor/agent or visit Future Generali’s website before concluding a sale” Future Advantage Top-Up . FGIHLIP2155V022021.Read Less

FREQUENTLY ASKED QUESTIONS

What is Future Advantage Top-up Policy?

Future Advantage Top-Up is a high deductible health insurance plan which pays for inpatient medical expenses in excess of the prescribed deductible limit. The deductible will apply on aggregate basis towards hospitalisation expenses incurred during the policy period.

What is deductible?

Deductible means a cost sharing requirement under a health insurance policy where the insurance company will not be liable for eligible medical expenses up to a specified rupee amount, that incur in a policy period, as opted i.e. it is the amount up to which the insurance company will not pay for all the claims incurred in a policy year under the policy.

Why should I prefer high deductible policy?

In cases where the actual medical expenses cross the threshold limit i.e. deductible, this policy will help. Moreover this policy provide extra coverage at low premium and can be opted in combination with other Health Insurance Policies (e.g. Future Health Suraksha/ Health Total) to provide higher coverage at reasonable premium.

Can one take Future Advantage Top-up Policy as a stand-alone plan?

Yes, Future Advantage Top-up Policy can be taken as a stand-alone plan. It can also be taken along with other Health Insurance Policies (e.g. Future Health Suraksha) or Group Insurance Plans.

What are the plans available Future Advantage Top-up Product?

Supreme Plan – includes cover for all ailments including Heart related conditions and Cancer.

Elite Plan – includes cover for Cancer and ailments related to Heart/

Do I need to undergo Medical tests for taking this policy?

Yes, Pre-insurance medical examination will be conducted on the basis of adverse medical declarations in the proposal form, age of member, sum insured and deductible opted.

Are pre-policy tests charges reimbursed and what is the amount?

There is 100% reimbursement of Pre-Policy Tests charges, subject to policy issuance and 64 VB compliance.

More FAQs