Royal Sundaram
NextGen
The Royal Sundaram NextGen plan is a basic health insurance policy offering customizable features like reduced waiting periods for pre-existing conditions (Asthma, Hypertension, High Cholesterol, Diabetes), consumables cover and OPD add-ons, and enhanced pre- and post-hospitalization benefits. The plan has no co-payment clause and no disease wise sub-limits, ensuring full coverage up to the sum insured without additional out-of-pocket expenses.
What's good here?
Maternity benefits not offered
The insurer does not cover expenses related to maternity
The insurer does not cover expenses related to maternity
You’ll never have to split the bill
The insurer will bear the entire cost of treatment (up to the sum insured). You won’t have to pay a single penny. Meaning this policy has no co-payment.
Pre & Post hospitalization expenses covered
No worries if the doctor had to run a host of diagnostic tests before or after hospitalizing you. The insurer has your back. They will cover this amount in full for a pretty reasonable duration - 30 days before you are hospitalized and 60 days after discharge. This includes the cost of medication by the way.
Free Health Checkups every year
If you’re planning on getting a full body checkup every year just to make sure you’re in fine working condition, the insurer will cover the costs.
Covers Alternative Medicine
Think of getting Ayurvedic, Homeopathic or other alternative treatments to cure an illness? Your insurer will cover you fully, up to the sum insured.
You always have full cover irrespective of the disease
No funny business here. If your insurer hasn’t explicitly stated they won’t cover a certain illness, you can claim the full amount up to the sum insured, irrespective of the disease you’re dealing with. Meaning this policy doesn't impose the dreaded disease wise sub-limits.
Day Care treatments covered
If you’re hospitalized for less than 24 hours in lieu of a minor procedure, then the insurer will cover these costs too. Think dialysis, chemotherapy or minor surgeries.
Full coverage even if you are forced to hospitalize at home
The insurer will bear the costs even if you are hospitalized at home due to a condition or the hospital running out of beds. In insurance lingo, they call this a policy with domiciliary cover.
What's bad here?
Gym benefits aren't included in this policy
Gym benefits aren't included in this policy.
Gym benefits aren't included in this policy.
What's okay here?
You can pick a Single Private room but nothing fancy
You can share a room or you could have a single room for yourself. But if you are looking for anything slightly fancy, be ready to foot a part of the bill.
You can share a room or you could have a single room for yourself. But if you are looking for anything slightly fancy, be ready to foot a part of the bill.
Reasonable waiting period for pre-existing diseases
If you’re already dealing with diabetes, cardiovascular problems or any such illnesses, the insurer will cover all costs arising out of these pre-existing problems after you wait for 3 years.
Special Bonus for being healthy and not claiming insurance
Your sum insured increases by 10% each year, so long as you make no claims during this period. But before you get too ahead of yourself, do note that they’ll stop offering you the bonus when your sum insured increases by 50%. Also, the bonus amount will reduce at same rate each time you make a claim. But hey, it's still a bonus.
Consumables aren't covered in this policy
Consumables aren't covered in this policy.
Some Restoration Benefit
Even after you claim part of the cover on one occasion, you will have 100% of the cover restored, if you are hospitalized one more time in a bid to treat a different complication. In the same year, by the way.
Doctor consultations are not covered
Doctor consultations are not covered.
Add-ons
Pre-Post Hospitalisation Cover
With this add-on, the insurer extends the pre-hospitalization from 30 days to 60 days and post-hospitalization from 90 days to 180 days.
Treatment at Home
With this add-on, the insurer will cover the expenses for treatment taken at home for a maximum of 15 days upto ₹50,000 per incidence. A maximum of 2 incidences will be covered in a policy year.
Frequently Asked Questions
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