Oriental Insurance Happy Family Floater Policy Gold vs Royal Sundaram Lifeline Elite
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Introduction
Before we start comparing these two policies we have to set out some ground rules.
Both products are marketed by different insurance companies. Happy Family Floater Policy Gold is sold by Oriental Insurance and Lifeline Elite is sold by Royal Sundaram. So any meaningful comparison should include a comparison of the product alongside the insurers themselves.
Second, we know that both products have massive differences in their core structure. Happy Family Floater Policy Gold is quite basic. It offers little protection and may not be entirely suitable if you are looking for robust protection. However, Lifeline Elite is a premium policy tailored to cover as many use cases as possible. So in all honesty, you are comparing apples and oranges here.
And finally, any comparison is ultimately futile without considering the use case. Who are you buying this policy for? You, your family, your parents?
That’s something you’ll need to answer before using this guide. So with that introduction out of the way, we can get to comparing the actual policies themselves.
Let’s start with Happy Family Floater Policy Gold. The product comes from Oriental Insurance’s stable:
Oriental Insurance is a government-owned company that offers health, vehicle, business, and farmer insurance. The company is a fully-owned component of the Oriental Government Security Life Assurance Company Ltd.
Now because it is a government-owned insurance firm, you can’t expect operational efficiencies across the board. Although, the company does boast a fairly high claim settlement ratio with over 3,264 network hospitals across the country.
Lifeline Elite meanwhile comes from Royal Sundaram’s stable:
Founded in 2001, Royal Sundaram Alliance Insurance Company Limited was India's maiden private sector general insurance company. The insurer is a forerunner in the bancassurance department, extending deep ties with reputable banks and Non-Banking Finance Companies across the country.
They also have a claim settlement ratio of 94% and 10,000+ network hospitals dotted across the country.
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Compare Insurances Insurance Parameters Recommended Not Recommended | Happy Family Floater Policy Gold | Lifeline Elite |
|---|---|---|
| Network hospitals | 3,264 | 10,000+ |
| Claim settlement ratio (avg. of last 3 years) | 96% | 94% |
| Co-payment | No | No |
| Room rent | Any Room (up to 1% of sum insured) | Any Room |
| Disease sub-limit | Yes | No |
| Pre existing diseases waiting | 3 years | 2 years |
| Pre/Post hospitalization | 30/60 days | 60/180 days |
| No claim bonus | 20% per year (up to 100%) | |
| Domiciliary | ||
| Ayush treatments | ||
| Restoration benefit | 100% restoration (once for different illness) | |
| Health check-up | Once every year | |
| Maternity | Available (up to ₹2,00,000 after 3 years) | |
| Out Patient Department | Up to ₹10,000 (Annually) | |
| Day care |
Feature Comparison
Co payment
With a co-payment clause, the insurer will mandate that you pay a part of the bill. So if the bill adds up to Rs. 2,00,000 and the co-payment is set at 20% then you could be asked to pay Rs. 40,000 from the bill. In this case, however, Happy Family Floater Policy Gold doesn’t impose a co-payment clause. And neither does Lifeline Elite.
Room rent
If the policy does impose room rent restrictions then the insurer may only let you stay in a room of a certain specification or impose a cap on the total room rent. If you were to breach either criterion then the insurance company may ask you to pay a portion of all the expenses you incurred while staying in the room. In this case, however, Happy Family Floater Policy Gold only lets you stay in a room whose rent doesn’t exceed 1% of the total sum insured but you can pick any room you want with Lifeline Elite.
Sub limits
Some policies will tell you that they will cover all medical expenses up until the sum insured, but then impose caps on the total costs you can incur while dealing with a very specific list of diseases. We call these caps “Disease Wise Sub Limits.” In this case, Happy Family Floater Policy Gold imposes disease-wise sub-limits on Modern treatments whereas Lifeline Elite doesn’t impose a disease wise sub-limit.
Waiting periods for pre-existing diseases
If you’re suffering from a lifestyle condition or if you’ve had surgery in the past, or if you’re dealing with an acute or chronic illness at the time of buying the policy, then the insurer may classify this as a pre-existing disease. And they may tell you that they will only cover these illnesses after some time. In this case, Happy Family Floater Policy Gold imposes a waiting period of 3 years on pre-existing diseases while Lifeline Elite extends a waiting period of 2 years on existing conditions.
Pre and post Hospitalization expenses
Most people aren’t hospitalized right off the bat. Instead, they’ll have to go through a whole series of diagnostic tests before hospitalization and take medication post-discharge. These costs are outlined as pre-hospitalization expenses and post-hospitalization expenses respectively. In this case, Happy Family Floater Policy Gold covers expenses incurred 30 days before hospitalization and expenses incurred 60 days post-hospitalization. Meanwhile, Lifeline Elite covers expenses incurred 60 days before hospitalization and expenses incurred 180 after hospitalization, although there may be different sub-limits
No claim bonus
Some policies will tell you that they will incentivize you for not making a claim in any given year. And they offer such incentives by offering extra cover on top of the existing sum insured. This extra cover is categorized as a no-claim bonus. In this case, however, Happy Family Floater Policy Gold doesn’t offer a no-claim bonus whereas Lifeline Elite offers a no-claim bonus.
Domiciliary
Imagine you are forced to treat yourself at home because you don’t find a hospital bed, or you have a chronic condition that prevents you from visiting one, then, insurers may choose to cover your treatment even if you’re hospitalized at home. And such costs are collectively categorized as domiciliary treatment costs. In this case, however, Happy Family Floater Policy Gold offers domiciliary cover. And Lifeline Elite also coves domiciliary expenses.
Ayush treatments
Most policies only cover treatments administered in a registered medical facility. However, on some occasions, you may want to pursue alternative treatments including homoeopathy, Ayurveda, Unani and Siddha. These treatments are collectively categorized as Ayush treatments. And in this case, Happy Family Floater Policy Gold covers Ayush procedures and Lifeline Elite also extends coverage for Ayush treatments.
Maternity benefits
If you’re hospitalized during childbirth, then you may have to incur significant costs during delivery of your newborn, child care and other related matters during the course of the hospitalization. These costs are collectively termed maternity costs. And in this case, however, Happy Family Floater Policy Gold doesn’t offer protection for maternity-related hospitalizations whereas Lifeline Elite offers maternity cover.
Out Patient Department (OPD)
Doctor visits and regular consultations aren’t usually covered by health insurance policies. They are categorized as Outpatient consultations (or OPD treatments) and patients have to bear the cost on their own. In this case, however, Happy Family Floater Policy Gold doesn’t offer OPD protection whereas Lifeline Elite offers OPD cover.
Final Conclusion
Since this isn’t a fair comparison, to begin with, we will only tell you this much. If you want something that’s affordable, you could go for Happy Family Floater Policy Gold. However, if you want top-class protection, then it’s a no brainer, Lifeline Elite is your go-to option.
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