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Ramalingam

Ramalingam Kalirajan  |11337 Answers  |Ask -

Mutual Funds, Financial Planning Expert - Answered on Jul 09, 2026

Ramalingam Kalirajan has over 26 years of experience in MF distribution and wealth management. He holds an MBA in Finance from the University of Madras and is a CFP (Certified Financial Planner) credentialed professional. He is the Director of Holistic Investment, a Chennai-based AMFI-registered Mutual Fund Distribution (ARN-4188) and APMI-registered PMS Distribution firm (APRN07386), helping clients build long-term wealth through mutual funds and other investment solutions.... more
Asked by Anonymous - Jun 12, 2026
Money

I am having family floater plan of rs 5 lakh for husband wife and my daughter, now my daughter is 18, we eant a seperate health insurance along with a super top up ,5+50 lakh, please suggest me health insurance with restoration facility and super top up , which cover all benefits including maternity without any sub limit l

Ans: Its good that you are reviewing your family's health insurance now. Many people realise the need only after a medical emergency. Since your daughter is now 18, this is the right time to strengthen your family's health protection.

»Your Present Situation

You have a family floater policy of Rs. 5 lakh covering husband, wife and daughter.
You are planning to add a separate base health policy with a super top-up of Rs. 50 lakh.
This is a sensible approach.
It gives higher protection at a reasonable premium.

»Base Health Insurance

A base cover of Rs. 5 lakh is a good starting point.
Ensure the policy has unlimited restoration of the sum insured.
Restoration should work even if the same illness occurs again, if the insurer provides this feature.
Choose a policy with lifelong renewability.

»Super Top-up Plan

A Rs. 50 lakh super top-up over the Rs. 5 lakh base cover is a very good combination.
It protects your family against major hospitalisation expenses.
Super top-up plans are usually much more cost-effective than buying a very high base policy.

»Features to Look For

Unlimited restoration benefit.
No room rent restrictions.
No disease-wise sub-limits.
Wide cashless hospital network.
Coverage for modern treatments.
Day-care procedures included.
Pre and post-hospitalisation expenses covered.
Organ donor expenses covered.
Domiciliary treatment, wherever required.
Annual health check-up.
No Claim Bonus or cumulative bonus.
Good claim settlement service.
Fast claim processing.

»Maternity Cover

Maternity cover is available only in selected health insurance plans.
Most policies have a waiting period before maternity benefits become available.
Many insurers also keep a maximum payout limit for maternity expenses.
Finding a policy with maternity cover and absolutely no sub-limit is quite rare.
So, read the policy wording carefully before buying.
Compare the waiting period, maternity limit and newborn baby coverage.

»Separate Policy for Your Daughter

Since your daughter is now an adult, buying an individual health insurance policy for her is a good idea.
It helps her build continuity benefits from a young age.
She will also complete waiting periods early.
This can be very useful in future.

»Review the Existing Policy

Before discontinuing your current family floater, check its renewal benefits.
See whether it has accumulated bonus or waiting period credits.
If the existing policy is good, you may even continue it and add the super top-up.
Avoid any gap in health insurance coverage.

»Finally

Your plan of combining a Rs. 5 lakh base policy with a Rs. 50 lakh super top-up is practical and cost-effective.
Give more importance to policy features than premium alone.
A policy with strong restoration benefits, no room rent limits, broad coverage and efficient claim service can make a huge difference during a medical emergency.
Spend time comparing policy wordings before making the final decision. That one effort can protect your family for many years.

Best Regards,

K. Ramalingam, MBA, CFP,

AMFI-Registered MFD – ARN 4188

www.holisticinvestment.in

https://www.linkedin.com/in/ramalingamcfp/
DISCLAIMER: The content of this post by the expert is the personal view of the rediffGURU. Users are advised to pursue the information provided by the rediffGURU only as a source of information to be as a point of reference and to rely on their own judgement when making a decision.
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Ramalingam Kalirajan  |11337 Answers  |Ask -

Mutual Funds, Financial Planning Expert - Answered on Apr 18, 2024

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please suggest best health insurance plan family floater
Ans: For a comprehensive Family Floater health insurance plan, consider the following top-rated options in India:

Star Health Family Health Optima: Offers coverage for up to 16 relationships, including parents, children, and in-laws. It provides lifelong renewability and covers pre and post-hospitalization expenses.
HDFC ERGO Health Suraksha Gold: Provides a wide range of coverage options with flexible sum insured options. It offers lifetime renewability and covers daycare procedures and organ donor expenses.
ICICI Lombard Complete Health Insurance: Offers cashless hospitalization at network hospitals, maternity benefits, and covers pre-existing diseases after a waiting period. It also provides coverage for alternative treatments like Ayurveda, Homeopathy, and Unani.
ManipalCigna ProHealth Insurance: Provides comprehensive coverage with flexible plan options. It offers rewards for maintaining good health and covers alternative treatments and maternity expenses.
Religare Health Insurance Care: Offers comprehensive coverage with no upper age limit for entry. It provides automatic recharge of sum insured and covers daycare procedures and annual health check-ups.
When selecting a Family Floater health insurance plan, consider factors like coverage amount, network hospitals, claim settlement ratio, waiting periods for pre-existing diseases, and additional benefits like maternity coverage, OPD expenses, and alternative treatments. Compare the premiums, features, and benefits of different plans to choose the one that best meets your family's healthcare needs and budget. Consult with a Certified Financial Planner or insurance advisor to help you make an informed decision tailored to your requirements.

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Financial Planner - Answered on Mar 14, 2024

Asked by Anonymous - Mar 13, 2024Hindi
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I am 69. I had an open-heart surgery in July 2000. I have an Oriental Insurance Co. health insurance family floater for self and wife for Rs 10 Lakh. They did not increase the amount to 15 Lalh. I am looking for only self or family floater health insurance for 10 Lakh or top up of Rs 10 lakh. Please advise if possible and to contact which Co.
Ans: Unfortunately, finding a new health insurance policy with pre-existing conditions like open-heart surgery can be challenging, especially at the age of 69. Here's why:

• Pre-existing Conditions: Most insurers are hesitant to cover pre-existing conditions, and open-heart surgery falls under that category.
• Age: As you age, premiums tend to rise, and insurers might be more cautious about taking on new senior citizens.

However, there are still some options to explore:

1. Renew Existing Policy with Oriental:

Check with Oriental Insurance Co. again regarding renewal. While they might not increase the sum insured to 15 lakh, they might still offer renewal on the existing 10 lakh plan.

2. Senior Citizen Mediclaim Plans:

Many insurers offer senior citizen health insurance plans designed for people above 60. These plans may have limitations on pre-existing conditions, but they could offer some coverage. You can explore options from reputable companies like Max Bupa, Care Health Insurance, or Cholamandalam MS. Research these companies online or consult an insurance broker for plan details.

3. Top-up Plans:
These plans work alongside your existing policy and provide additional coverage in case your existing sum insured gets exhausted. However, pre-existing condition exclusions might still apply. Explore top-up plans offered by your existing insurer or other companies.

4. Finding the Right Plan:

• Use online insurance comparison platforms or consult an insurance broker to compare different senior citizen mediclaim or top-up plans.
• Carefully review the policy documents, especially exclusions related to pre-existing conditions.
• Consider factors like network hospitals, co-pay clauses, and claim settlement ratio before finalising a plan.

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Reetika

Reetika Sharma  |642 Answers  |Ask -

Financial Planner, MF and Insurance Expert - Answered on Sep 12, 2025

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I am a 49 year individual. I only have a 4 Lakh Employer's floating health insurance cover for myself, 13 year old daughter and 47 year old wife. I am planning to do a family floater policy. Need some help on the amount of cover (10 lakh, 15 lakh etc) and also on the top up. Would also like some tips that I need to consider while choosing the plocy and some recommendations of the provider (TATA AIG, HDFC Ergo etc). TIA.
Ans: Hi Biswadeep,
Its good for you to think about increasing Health Insurance cover as it is one of the basic requirement these days.
For your family of 3, cover of 15 lakhs is a good amount to decide.

Things for you to consider while choosing policy:
- Select your insurer which has wide hospital network.
- Check the claim settlement ratio. More the ratio, better is the insurer.
- Check online reviews regarding claim process.
- Check room rent limits.
- Check co-pay and deductible clause.
- Check waiting period of any pre-existing diseases. It is usually between 3 to 5 years for different policies.
- Ensure the policy also cover day care procedures.

Also make sure to avoid the one with lower premiums. Lower premiums usually comes with extra cost and hidden T&C's.
And avoid mixing insurance with investments such as LIC policy or ULIPs.

Working with a Certified Financial Planner - a CFP can guide you with exact insurance and investments keeping in mind your age and risk profile.

Best Regards,
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Ramalingam

Ramalingam Kalirajan  |11337 Answers  |Ask -

Mutual Funds, Financial Planning Expert - Answered on Jul 09, 2026

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Me , my wife and my daughter are having a 5 lakh family floater health insurance plan from HDFC ergo. Rs 5 lakh no claim bonus has been accumulated Now my daughter has turned 18 and going out of City for proff courses. I want to buy a super top up health insurance plan for her. Please suggest
Ans: – Your daughter is now 18 and will be staying away from home.
– This is the right time to review her health insurance needs.
– Medical costs are rising fast, especially in larger cities.
– Having extra protection through a Super Top-Up plan is a sensible step.

» First Check the Existing Floater Rules

– Many family floater policies allow children only up to a certain age.
– Since your daughter has turned 18, check whether she can continue under the family floater and for how long.
– Also confirm whether she is financially dependent and eligible to remain covered.
– This should be verified with the insurer.

» Is A Super Top-Up Alone Enough?

– In most cases, a Super Top-Up works after a deductible amount is crossed.
– If your daughter gets separated from the family floater in future, the Super Top-Up alone may not provide complete protection.
– Therefore, please look at both:

A separate individual health insurance policy for her.
A Super Top-Up policy over and above that cover.

– This creates a stronger protection structure.

» What Kind Of Super Top-Up To Consider?

– Look for a plan with:

High sum insured.
Reasonable deductible.
Nationwide hospital network.
Cashless treatment facility.
Coverage for modern treatments.
Day-care procedures.
Ambulance cover.
Good claim settlement service history.

– Since she will be living in another city, network hospitals become very important.

» How Much Cover May Be Suitable?

– At 18 years of age, premiums are generally lower.
– Buying adequate cover early helps.
– A combination of base cover plus Super Top-Up can provide meaningful protection against major medical expenses.
– Focus on adequacy rather than only low premium.

» Important Points Before Buying

– Check waiting periods carefully.
– Read exclusions.
– Verify room rent conditions.
– Ensure there are no restrictive sub-limits.
– Understand claim procedures before purchase.

» Emergency Fund Still Matters

– Health insurance and emergency savings should go together.
– Even with cashless claims, some expenses may need to be paid upfront.
– Keep a dedicated emergency fund for your daughter's education period.

» Final Insights

– A Super Top-Up for your daughter is a good idea.
– However, do not depend only on the Super Top-Up.
– Review whether she will continue under the family floater.
– If there is any chance of moving out of the floater later, consider an individual health policy along with a Super Top-Up.
– This can provide better long-term protection and continuity of coverage.

Best Regards,

K. Ramalingam, MBA, CFP,

AMFI-Registered MFD – ARN 4188

www.holisticinvestment.in

https://www.linkedin.com/in/ramalingamcfp/

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DISCLAIMER: The content of this post by the expert is the personal view of the rediffGURU. Investment in securities market are subject to market risks. Read all the related document carefully before investing. The securities quoted are for illustration only and are not recommendatory. Users are advised to pursue the information provided by the rediffGURU only as a source of information and as a point of reference and to rely on their own judgement when making a decision. RediffGURUS is an intermediary as per India's Information Technology Act.

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