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Royal Sundaram Health Insurance Plans

Company Overview

Royal Sundaram General Insurance Company Limited is a subsidiary of Sundaram Finance received its license from IRDAI in October 2000. It is a joint venture of Sundaram Finance (leading non-banking financial institutions in India) and Royal & SunAlliance Insurance plc. (oldest general insurance company in the UK). Now, 75.90% equity holding is held by Sundaram Finance and 24.10% is held by other Indian Shareholders. The company has received ISO 9001-2008 certification (effective customer service delivery) for Accident and Health claims process.

The Claim Settlement Ratio is 85% of the company for the year 2018-19.

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Snapshot Of Royal Sundaram Health Insurance Plans

Plan Name Plan Type Min/Max Age Min/Max SI Availability Plan Tenure
Lifeline Health Insurance Plan Individual/Family Floater Adult: 18 years– No limit
Child: 91 days – 25 years
Min SI: 2 Lakh
Max SI: 1.5 crore
Online/Offline Min: 1 year
Max: 3 years
Smart Cash Plan Individual/Family Floater Adult: 91 days – No Limit
Child:
Min SI: Min Daily Benefit: Rs 500
Max SI: Max Daily Benefit: Rs 10,000
Online/Offline Min: 1 year
Max: 3 years

Reasons for buying Royal Sundaram Health Insurance Plans

From the year 2000, it’s been two decades, and still, Royal Sundaram serving with their all, as everything belongs to the customers. Buying an insurance policy is really a big deal that any person ever does in their life, and the deal should be of benefit. If insurance would be a deal for everyone, then they must opt for the beneficial side in the deal and it is said that a deal should always be profitable, so why don't we make a profitable deal by buying an insurance policy? The way we spend the last few years was quite scary and still, the world won’t get over it. In that worst situation, death was not an answer it was a question for all, everyone lock themselves in their house, and just avoided the outside world, and trying to survive, and if you want that it won’t happen again with you then you should opt the policy by Royal Sundaram. 

In today’s hectic lifestyle, it becomes quite tough to take proper care of Health. With rising health-related diseases, it is imperative to buy a Health Insurance Plan. Royal Sundaram General Insurance Company offers customized health insurance plans. The company offers flexible and affordable health plans with a varying sum of insured options to suit your need. 

Because of the way medical cost arising in the upcoming time, it would be a bit expensive to get treatment in a private hospital, during the Covid-19 period how Indian hospitals, doctors, and medical society was excessively busy. One thing that was required to get the best treatment means spending money because there was no bed available in the hospital, no doctor was free, and this was the situation that people have faced during the Covid-19 period. Royal Sundaram provides you with better coverage and the best benefits that you deserve.

Apart from this, Royal Sundaram offers you every kind of policy as per your need and as per your age. The insurance policy provides you protection, from uncertainties that you might not be able to see. A strong gust of wind shakes any throne and gust of wind is like uncertainty in our life and it’ll shake you up, both physically and financially. The insurance policy provides complete protection, it provides you from mentally to financially relaxed even in your absence.

Performance till today

Royal Sundaram (formerly known as Royal Sundaram Alliance Insurance) is a joint venture company between UK-based Royal & SunAlliance Insurance plc, UK, one of the oldest general insurers in the UK, and Sundaram Finance, one of the most respected non-banking financial institutions (NBFCs) in India. Royal & SunAlliance Insurance plc is one of the multinational companies. The company has 156 branches across India, apart from this; the company has 2000 employees, and more than 5000 network hospitals in India. It was people’s trust that makes Royal Sundaram a leading insurer company in India, in 20 years.

Suffice it to say that, how has Royal Sundaram performed best in the last 20 years and the place achieved by Royal Sundaram in the upcoming times is like a miracle? Last year, the performance of Royal Sundaram was quite good, as per IRDAI's released CSR report Royal Sundaram's claim settlement ratio is 85% in the financial year 2018-19. This percentage is just a kind of glimpse because only after such claim settlement ratio report and result, did Royal Sundaram has become the leading insurance company in the country. The claim settlement report is enough to tell you about the performance of the Insurer Company, and the numbers of claims that got settled.

In 20 years, Royal Sundaram did a remarkable job, in terms of the number of insured persons, or in terms of serving people by accepting their claim. It was their marvelous job, which has been coming for 2 decades, and it’s still going on, on their ethics to complete their motive to the insured max number of people and serving some more people.  In these years, Royal Sundaram also did some best job, like as,

  • 2014 Celent recognition for developing an intelligent claims management system to improve the productivity of the staff and increase customer satisfaction.  
  • 2013 Celent recognition for having a Model Insurer Asia component in the area of Distribution/New Business.
  • 2011 Celent recognition for implementing a workflow-enabled policy administration system with externalized engines.   

Claim Process

Every insurance has the same ways of settling the claim, and every company has two options to clear the claim. The claims settlement report of Royal Sundaram is impressive, and it shows that this particular company served people as they demand and as they deserve. Royal Sundaram Insurance Claim settlement is as easy as buying a policy; there is 5000+ network hospital of Royal Sundaram Health across the country. If you want, then you have the option of getting the cashless claim settled or if there is no option of getting treatment in-network hospital then you have an option of getting reimbursement claim settlement.  

Both options are easy, but the reimbursement option might take more time and more effort than cashless claim settlement. Cashless Claim Settlement takes only 2 hours to get settled, but in the reimbursement option, you have to submit all the bills and after this, they’ll verify your claim and after satisfying your claim they’ll transfer the fund that you deserve.  

Let’s try to know what is the process of claim settlement, and what you have to do?

Cashless Claim Settlement

1. First go to the reception desk in the network hospital, and let them know that you are insured with Royal Sundaram General.

2. Intimate the Third Party Insurer (TPA) within 24 hours of emergency hospitalization and 48 hours before admission in case of planned hospitalization.

3. Show your policy Royal Sundaram cashless card to the hospital team for identification purposes, with one photo of the proof. Basically, you should verify yourselves in the hospital.

4. After this, a team of doctors will verify all documents related to the insured person, and also evaluate them. After that, they will cover you with claiming in and as per terms and conditions of your opted plan.   

5. After completion of some necessary process, the claim would be settled as your opted plan’s terms and conditions.

6. Being an insurer company “Royal Sundaram” provides claim service assistance with their customer, to avoid the wrong information filled by the insured person in the claim settlement form and other help.

Reimbursement Claim Settlement

In reimbursement claim settlement, first, you have to get the complete treatment by spending your money, after getting the treatment as soon as you are discharged from the hospital, you have to keep one thing in mind you have to bring the below-listed documents. Because in reimbursement claim settlement, documents play a vital role in getting the claim settled.

But the one thing that we should keep care of while buying any policy, they should check whether the insurance company from which you are buying insurance has any network-hospital in your area, and only after that decide to buy insurance or else you will have to go through the indemnity claim.  

Documents must carry with you.

  • First doctor’s prescription
  • Hospital bills
  • Related treatment prescriptions
  • Diagnostic reports
  • Discharge from hospital
  • FIR copy, if any
  • Patient’s identity card
  • Copy of health card

 Claim Settlement Process

1. First fill out the Claim form, and attach all the bills and receipts with the form. After that just go and submit the form to your nearest Royal Sundaram General branch.

2. As per your plan’s terms and conditions your claim will be settled, and you will get your fund.

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Main USP’s of Royal Sundaram Health Insurance Plans are:

  • Avail health cover up to Rs 1.5 crore
  • Choose plan variants to fulfill you/your family’s healthcare needs
  • Enjoy cashless hospitalization in-network hospitals
  • 100% restoration of the sum insured
  • Worldwide emergency hospitalization
  • No Claim Bonus Benefit for claim-free years
  • Alternative Treatment is covered
  • Avail family discount
  • Portability to enjoy benefits and services

Policy as per need

Criteria

Policy

Family Plan

Arogya Sanjeevani Policy

Family Plus

Individual Plan

Lifeline

Covid-19

Corona Kavach Policy

Key Benefits of Royal Sundaram Health Insurance Plans

  • In-patient hospitalization expenses are covered up to the sum insured applicable
  • Pre-hospitalization expenses are covered for 60 days prior hospitalization and post-hospitalization expenses are covered for 180 days after hospitalization
  • All the listed day care procedures/surgeries are covered up to the sum insured
  • Organ Donor medical expenses are covered
  • Domiciliary Hospitalization expenses are covered
  • Convalescence Benefit is payable after continuous hospitalization of 5 days
  • Hospital daily cash is payable, subject to applicable terms
  • Maternity benefits are available up to 2 deliveries, depending on the plan opted
  • Outpatient benefits are available, depending on the plan chosen
  • Accidental Joint Hospitalization benefit payable is double the daily benefit
  • ICU Benefit payable is double the daily benefit
  • Tax benefits are applicable for the premiums paid under section 80D of the Income Tax Act

Value Added Benefits under Royal Sundaram Health Insurance Plans

  • No Claim Bonus up to 20% of base sum insured, subject to a maximum of 100% of sum insured
  • Reload of 100% sum insured is available
  • Health check is available as per policy terms
  • Second Opinion for specified critical illnesses are available
  • International Treatment abroad for specified critical illnesses
  • Ayurvedic Treatment is covered
  • Preventive Healthcare & Wellness is available
  • Worldwide Emergency Hospitalization is covered
  • Covers Vaccination in case of animal bites
  • Health Check up cost reimbursement is available, depending on the plan chosen
  • Parental Accommodation Benefit is payable
  • Emergency Family Member visit expenses are paid
  • Child Birth Benefit is payable, subject to the limit specified

List of Royal Sundaram Health Insurance Plans

1. Royal Sundaram Lifeline Health Plan

Lifeline Health Insurance Plan covers the health insurance needs of your & your family. Under this plan, you can cover yourself, your spouse and children. This plan offers flexible health cover ra ... Read more

2. Royal Sundaram Smart Cash Plan

Smart Cash Plan is a health plan providing daily cash benefit for your stay in the hospital, due to any accident or illness. It is a supplement to health insurance plan as covering out of pocket expen ... Read more

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