Future Generali – Health Total: Claims settlement, benefits, restrictions, and more

Future Generali - Health Total - A Moneycontrol-SecureNow review

We've chosen this insurance plan based on its overall scores of 76 percent for the 30-year category and 83 percent for the 45-year category, in the Moneycontrol SecureNow Health Insurance Ratings.

These ratings are quite selective, devised after in-depth research, assigning an 'A' grade only to plans that surpass an overall score of 65 percent. This indicates that the plan not only meets, but exceeds our stringent criteria for comprehensive coverage, benefits, and overall value. The overall score takes into account a host of parameters, including features and claim settlement record.

High on claim settlement

Per company data, under this plan, 84 percent of claims are paid within 30 days, and the claim settlement rate is 89 percent. This indicates that claims are processed efficiently.

There is no co-pay in this plan, which offers policyholders financial relief by eliminating out-of-pocket expenses for covered services. Additionally, the absence of a room rent limit ensures that policyholders have access to quality healthcare facilities without concerns about accommodation expenses exceeding their coverage.

Also read: Your guide to picking the right health insurance policy 

Policyholders should note certain restrictions though, such as disease-wise sub-limits for specific treatments like cataract, which may affect the coverage for certain medical procedures.

The plan comes with a standard waiting period of two years for pre-existing diseases / conditions like congenital anomalies, hernia of all types, deviated nasal septum, and four years for conditions like joint replacement because of degeneration, gout, and rheumatoid arthritis.

Additionally, the plan provides maternity benefits, covering both normal and caesarean deliveries up to Rs 45,000, and offers comprehensive coverage for expectant mothers during pregnancy and childbirth.

Also read: How to use Moneycontrol-SecureNow Health Insurance Ratings 

What doesn’t work

Despite its strengths, it's important to acknowledge the limitations, such as a relatively higher claims complaint rate (11.57 per 10,000 claims), compared to other A-rated plans. However, the plan's solid overall performance and A-rated classification underscore its reliability and value.