Investor Education
Royal Sundaram Health Insurance Plans Online
What is Royal Sundaram Health Insurance ?
Formerly Royal Sundaram Alliance Insurance Company Limited, Royal Sundaram General Insurance Co. Limited was initially promoted as a joint venture between Sundaram Finance – one of the most renowned NBFC (non-banking financial companies) in India and other Indian shareholders. However, in February 2019, Ageas Insurance International N.V. acquired 40 percent stake from the existing Indian shareholders. Royal Sundaram General Insurance offers myriad products for individuals, families as well as businesses directly and through intermediaries. The company has over 150 branches across India. Amongst the many offerings of the insurer are health insurance plans that offer financial stability in the face of medical emergencies. Here you will find all the critical information you need before buying a Royal Sundaram health insurance plan.
Why Choose Royal Sundaram Health Insurance
Royal Sundaram are one of the sought-after health insurance companies in India. One of the reasons to pick a Royal Sundaram health insurance plan is their affordability. Moreover, there are numerous health plans that help you choose the one that suits you the best. Another reason to opt for a Royal Sundaram health insurance policy is the insurer’s vast network of hospitals. The company has tie ups with more than 7000 medical treatment facilities across India. Thus, you will never have trouble finding a hospital with cashless treatment option during medical emergencies. The claim settlement ratio for Royal Sundaral health insurance stood at 81.5 percent as on March 31, 2020; meaning that the insurer settled almost 82 percent of all claims received.
Features of Royal Sundaram Health Insurance Plans
Some of the common benefits of Royal Sundaram health insurance policies are:
| Cover for Day Care Procedures | Cover for Hospitalization (including COVID-19) | Cover for Pre and Post Hospitalization Expenses |
| Cumulative Bonus (No Claim Bonus) | Cover for Modern Age Treatment | Cover for AYUSH Treatment |
| Free Annual Health Check-up | Coverage Refill at no Extra Cost | Organ Donor Expenses |
| Free Medical and Dietary Advice | Maternity Benefit for Mother and Child | Worldwide Emergency Hospitalization |
Please note that the above-mentioned facilities are not included in all Royal Sundaram health insurance plans. Kindly check all inclusions and exclusions carefully before buying a health insurance policy.
Watch this Video to get more information about Royal Sundaram Health Insurance Plan
Royal Sundaram Health Insurance Plans Exclusions
Before buying a health insurance plan – be it from Royal Sundaram or any other insurance company in India – it is significant to note that there are some exclusions that are common to most health insurance policies. These are medical treatments that are not covered by the insurance. These are explained in detail below:
Pre-existing Diseases: Expenses for the treatment of any disease that existed at the time of buying a Royal Sundaram health insuranc plan are not covered during the waiting period which varies with the plan. While the waiting period for the Life Line Classic Plan is 48 months, it is 36 months in the Life Line Supreme Plan.
Illnesses Contracted during the Cool Off Period: A period of 30 days after the purchase of a health insurance policy are referred to as cool off period. Illnesses contracted during this time are excluded from coverage.
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Specified Diseases during Intial 24 Months: There are 16 specific diseases listed in the terms and conditions of Royal Sundaram health insurance plans that are excluded from coverage within the first two years of purchase of a health insurance policy.
Cosmetic Surgery: All cosmetic or plastic surgeries, unless made necessary due to an accident, are not covered by Royal Sundaral health insurance plans.
Treatment Due to Self Harm: The insurer is also not liable to incur any medical expenses for treatment required due to self harm by the insured person.
Other Exclusions: These exclusions include acupressure, health supplements, weight management, hazardous or adventure sports, ancillary hospital charges, hereditary conditions, private nurse charges pre or post hospitalization, preventive care, and more.
Making a Claim for Royal Sundaram Health Insurance
Royal Sundaram offers cashless treatment as well as reimbursement facility. The claim process under both options is explained in detail below:
Claim for Cashless Hospitalization
- File a claim within 24 hours of hospitalization in case of emergency medical treatment and 48 hours prior to scheduled hospitalization.
- The hospital reaches out to the insurance company and the later initiates claim processing.
- Royal Sundaram settles the medical expenses at the time of discharge, and you only have to pay the amount not covered by the health insurance (in case any).
Claim through Reimbursement
- In case you or your loved one receive treatment at a non-network hospital, then you must let the insurer know about the hospitalization within 24 hours in case of emergencies and 48 hours in advance in case of scheduled hospitalization.
- Upon discharge, you can share all the invoices and reports with the TPA or third-party administrator for reimbursement.
- The TPA verifies the claims and reimburses you for all the medical expenses eligible under your Royal Sundaram health insurance plan.
Here are some documents required for health insurance claim:
- Name of the patient (insured person)
- Diagnosis
- Details of the Hospital – Name, Address and Contact number
- Details of the Treating Doctor – Name & Contact no.
- Date of Hospitalization
- Expected Discharge Date
Health insurance plans offer you not only financial stability against medical expenses, but also a chance to save taxes. Under Section 80D of the Income Tax Act in India, you can enjoy a tax rebate of up to INR 75000. Check out the table below to understand the tax benefits on different health insurance plans.
| Coverage | Tax Rebate |
| Self / spouse / children | INR 25000 |
| Self / Spouse / Children / Parents (below 60) | INR 50000 |
| Self / Spouse / Children / Parents (above 60) | INR 75000 |
Q. Where can I find Royal Sundaram health insurance hospital list?
A. The list of all the hospitals in Royal Sundaram’s network is available on the official website of the insurer.
Q. Where can I find details about my existing Royal Sundara health insurance?
A. You can write an email to the insurer or get in touch with a representative on the Royal Sundaram health insurance customer care helpline number.
Q. What factors should I consider while picking the right health insurance plan for myself?
A. The adequacy of sum insured, network hospitals, day care treatments, cashless treatment facility, pre and post hospitalization coverage, maternity benefits, limitations on room rent and ambulance charges, and affordability of insurance premiums, are amongst the most significant factors to take into account while choosing the right health insurance policy for yourself or your loved ones.
Q. Why should I buy health insurance online?
A. There are several reasons for buying health insurance online, and one of these is time saving. You can easily access all the information and make an educated decision about whether to buy a health insurance plan and which one to pick. Moreover, you can also conveniently compare different plans by different insurance companies and pick the best one for you.
Q. What is the eligibility for Royal Sundaram Health Insurance Plans
A. Any resident of India who is above the age of 18 years can buy a Royal Sundaram health insurance policy.
Q. I already have one health insurance plan, can I buy a Royal Sundaram health insurance plan?
A. There is no policy that limits an insured person from buying another health insurance plan. You can easily buy a second health insurance policy in case you want to increase your sum insured or get additional coverage for medical complications not covered in your first health insurance plan.
Q. Can a person with pre-existing medical condition buy Royal Sundaram health insurance?
A. Yes. Even if you have a pre-existing medical condition, you can buy a Royal Sundaram health insurance plan. However, it is important to note that the policy may not cover the illness, or there might be a waiting period of three to four years before the concerned illness is covered by the plan.
Q. What factors affect Royal Sundaram health insurance premiums?
A. Pre-existing medial conditions, medical history, lifestyle, age of the person to be insured, insurance plan, and location of residence are among the many factors that affect health insurance premiums.
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