Policy review · United India Insurance Company
United India Family Medicare
United India Insurance Company's individual plan, reviewed on the clauses that actually decide your claim — room rent, co-pay, sub-limits, waiting periods and the insurer's claims record.
InsuranceScope score
4
★★★★☆
The verdict
United India Family Medicare is an individual health insurance plan from United India Insurance Company. It stands out for no co-payment, built-in restoration and modern-treatment cover. On the downside, disease-wise sub-limits apply on some treatments — worth weighing before you buy. On the insurer side, it reports 88.10% of claims settled by count and a 14,000+ cashless hospital network.
Where it wins
No co-payment — the insurer pays the full approved claim, with nothing deducted as your share.
Restoration is included — the sum insured refills once in a policy year, triggered on partial exhaustion of sum insured, for a unrelated illness.
Cover grows by 20% for first 5 slabs, 10% for subsequent slabs for each claim-free year, up to 10% of the base sum insured; the accumulated bonus is reduced if you make a claim.
Modern treatments such as robotic surgery and other advanced procedures are covered, usually up to a specified limit.
Day-care procedures that take under 24 hours — cataract, dialysis, chemotherapy and similar — are covered.
Consumables like gloves, syringes and PPE are paid rather than deducted from your claim at discharge.
Where it stings
Room rent is limited to Capped — choosing a costlier room can trigger proportionate cuts across the whole bill.
Disease-wise sub-limits apply — some treatments are capped below your sum insured, so verify the caps for conditions like cataract or joint replacement.
Waiting periods
No cover in this window except for accidental hospitalisation.
Named conditions such as cataract, hernia and joint replacements wait this long.
Conditions you already have are covered only after this period.
Claims snapshot
United India Insurance Company, latest IRDAI disclosure year — how the insurer behind the plan actually performs.
Approved by number of claims.
Claims paid vs premium collected.
How quickly claims are paid.
On overall claims — lower is better.
Key features
Limited to Capped; a costlier room can reduce the rest of the claim.
No separate cap on ICU charges.
None — the insurer bears the full approved claim.
Applies — certain treatments are capped below the sum insured.
The sum insured refills once in a policy year, triggered on partial exhaustion of sum insured, for a unrelated illness.
Cover grows by 20% for first 5 slabs, 10% for subsequent slabs for each claim-free year, up to 10% of the base sum insured; the accumulated bonus is reduced if you make a claim.
Pre-hospitalisation 30 days and post-hospitalisation 60 days of connected medical costs are covered.
Procedures under 24 hours, such as cataract and dialysis, are covered.
Advanced procedures like robotic and laser surgery are covered, usually up to a limit.
Non-medical items like gloves, syringes and PPE are paid, not deducted.
Donor hospitalisation costs are covered (No (up to sum insured)).
At-home treatment is covered when hospital admission is not possible.
Common exclusions
Typical across most Indian health plans — always confirm the exact exclusions in United India Family Medicare's policy wording.
Cosmetic or aesthetic treatment, unless needed to reconstruct after an accident or burns.
Self-inflicted injuries and conditions arising from alcohol or substance abuse.
Treatment arising from war, nuclear or allied perils.
Admissions purely for investigation, evaluation or bed rest with no active treatment.
Unproven or experimental treatments not backed by established medical practice.
Frequently asked questions
No. United India Family Medicare does not require a co-payment under the base cover.
Room rent under United India Family Medicare is Capped. Choosing a costlier room can reduce the rest of your claim.
3. Claims for conditions you already had are covered only after this waiting period.
Yes. United India Family Medicare refills the sum insured after it is exhausted (once in a policy year).
Yes. United India Family Medicare covers day care procedures that take under 24 hours, such as cataract surgery or dialysis.
14,000+ cashless network hospitals are reported for United India Family Medicare, where the insurer settles bills directly.
Yes. United India Family Medicare covers modern treatments such as robotic surgery, usually up to a specified limit.