Individual Health Insurance with Per Person Sum Insured
Protecting your health is crucial. Individual Health Insurance with per person sum insured offers dedicated coverage for each family member under one policy. Unlike floater plans, each member has their own sum insured, ensuring maximum financial protection and flexibility.
What is Individual Health Insurance?
This policy provides a distinct sum insured for each family member. In case of hospitalization or medical treatment, the insured person can claim up to their individual limit. Claims by one member do not reduce coverage for others, giving full control over each member’s protection.
How Per Person Sum Insured Works
Example for a family of four:
- Proposer: Rs. 5 Lac
- Spouse: Rs. 5 Lac
- Son: Rs. 5 Lac
- Daughter: Rs. 5 Lac
The total policy sum insured is Rs. 20 Lac, but each member can claim up to their own Rs. 5 Lac limit. Policyholders can also assign different coverage amounts to each member based on health or age.
Key Features
- ✅
Dedicated Sum Insured for each member. - ✅
Flexible coverage: Rs. 50,000 to Rs. 50 Lac or more. - ✅
Independent claims per member. - ✅
No Claim Bonus applied individually. - ✅
Renewal flexibility for dependents moving to independent policies. - ✅
Optional add-ons: critical illness, maternity, ambulance, outpatient care.
Advantages Over Floater Plans
- Each member gets maximum coverage without sharing limits.
- High-value treatments for one member do not affect others.
- Customizable sum insured per member.
- Separate No Claim Bonus per member for cumulative benefits.
- Better for families with elderly members or pre-existing conditions.
Eligibility & Coverage Options
- Adults aged 18-65 years (renewable lifelong in many plans)
- Dependent children from 91 days to 25 years (varies by insurer)
- Optional coverage for parents in some plans
Policyholders can select sum insured from Rs. 50,000 to Rs. 50 Lac or more. Additional benefits like maternity cover, critical illness, ambulance charges, and outpatient treatments can be added for extra protection.
Claim Process & Benefits
- Cashless hospitalization at network hospitals.
- Claims settled per person as per sum insured.
- No reduction in other members’ coverage due to one claim.
- Individual No Claim Bonus accumulation per member.
- Dependent members can move to a separate policy while retaining benefits.
Conclusion
Individual Health Insurance with per person sum insured ensures that each member of the family has dedicated coverage. Claims by one member do not reduce coverage for others. Additional benefits and bonuses apply individually, and dependents can later take independent policies without losing accrued benefits.
This policy provides complete health protection, financial security, and peace of mind for every member, making it an ideal choice for modern families seeking maximum health coverage.
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