Royal Sundaram Multiplier

Royal Sundaram Multiplier Plan is a health insurance policy offered by Royal Sundaram General Insurance Company Limited. 

If you're looking for an affordable and comprehensive health insurance plan, this option is perfect for you. It offers a wide range of features and benefits that make it a highly favourable choice. Not only does it have competitive pricing compared to similar products in the market, but it also provides coverage for various expenses such as mobility devices like wheelchairs and crutches. Additionally, it even covers app-based cab services, for example, Ola and Uber etc . You also have the benefit of coverage for pre-existing conditions such as Asthma, BP, Cholesterol, and Diabetes starting from the 31st day of purchasing the policy. 

However, please note that the plan does not provide the option for monthly premium payments. Based on our research, we have found that the insurer has received more complaints regarding policy purchases but has a lower number of complaints related to claim settlements.

What are the benefits offered by the Royal Sundaram Multiplier Plan?

• Inpatient hospitalisation coverage: The Royal Sundaram Multiplier Plan offers comprehensive coverage for hospitalisation expenses, encompassing all the costs incurred during a stay exceeding 24 hours. This includes essential services such as nursing care, medical consultations, prescription medication, intensive care unit (ICU) facilities, and any other related expenses.
• Pre-hospitalisation coverage: Pre-hospitalisation coverage encompasses the costs incurred prior to hospitalisation, such as consultations, tests, checkups, and more. In order to qualify for this coverage, the charges must be directly related to the medical condition that ultimately leads to hospitalisation and should be approved as part of the inpatient hospitalisation coverage. With the Royal Sundaram Multiplier Plan, you can rest assured that pre-hospitalisation expenses incurred for 60 days before hospitalisation will be covered up to the sum insured.
• Post-hospitalisation coverage: Post-hospitalisation expenses encompass the medical costs that arise after your hospital stay, such as follow-up consultations with your doctor, medical check-ups, rehabilitation sessions, physiotherapy, and other associated expenses. It's important to note that these expenses are only eligible for coverage if they are directly related to the medical condition for which you were hospitalised and have been approved as part of your inpatient hospitalisation coverage. The Royal Sundaram Multiplier Plan provides coverage for post-hospitalisation expenses up to the sum insured for a period of 90 days following hospital discharge. 
• Daycare treatment coverage: Daycare treatment refers to a medical procedure or surgery that used to necessitate a lengthy hospital stay, but can now be completed within 24 hours thanks to advancements in medical technology. With the Royal Sundaram Multiplier Plan, you can rest assured knowing that all daycare procedures are covered without any limit. This means that all expenses related to daycare treatments are fully taken care of, up to the sum insured that you have chosen. Note that the pre-hospitalisation expenses associated with daycare treatment will be provided for a period of 30 days instead of a duration of 60 days. Also, post-hospitalisation expenses associated with daycare treatment will be provided for a duration of 30 days, instead of the 90-day coverage period.
• Domiciliary treatment coverage: Domiciliary treatments refer to medical procedures provided at home due to the severity of your medical condition or the lack of available hospital beds nearby. In such cases, these treatments are essentially equivalent to those received in a hospital setting but are administered in the comfort of your own home. With the Royal Sundaram Multiplier Plan, you can be assured that expenses related to domiciliary treatments will be covered up to the chosen sum insured.
• Organ donor coverage: The Royal Sundaram Multiplier Plan provides coverage for the hospitalisation expenses of the organ donor, up to the chosen sum insured, in cases where you are the recipient. Note, With organ donor coverage, any pre and post-hospitalisation expenses associated with organ harvesting will not be eligible for coverage.
• Modern treatment coverage: Thanks to the continuous advancements in technology, the field of healthcare is progressing at a remarkable pace, bringing forth innovative and cutting-edge treatments. Stem cell therapy, robotic surgery, and other similar breakthroughs are now being used to tackle diseases that were once thought to be incurable. The Royal Sundaram Multiplier Plan has been specifically designed to keep up with these advancements by providing coverage for the expenses associated with modern treatments, without any limit.
• Non-medical expenses coverage: The Royal Sundaram Multiplier Plan is tailored to cover non-medical expenses such as gloves, nebulization kits, oxygen masks, and other treatment essentials up to the financial limit of INR 50,000/-. However please note this feature is available as an add-on.
• No Claim Bonus: A No Claim Bonus serves as a token of appreciation for not making any claims throughout the duration of your policy year. With the Royal Sundaram Multiplier Plan, you have the opportunity to receive 20% of the sum insured as your No Claim Bonus every year. The best part is that you can accumulate this bonus up to a maximum of 100% of the sum insured. Even if you do make a claim, your accumulated bonus will remain intact and unaffected.
• Super No Claim Bonus: The Super No Claim Bonus is an upgraded variant of the No Claim Bonus and operates in a similar manner. However, it is important to note that the Royal Sundaram Multiplier Plan, does not feature the Super No-Claim Bonus.
• Restoration Benefit: The restoration benefit is an invaluable feature that replenishes the sum insured once it has been depleted within a policy year. The Royal Sundaram Multiplier Plan offers this benefit for both unrelated illnesses and related illnesses. This benefit becomes active only when both the sum insured and the No Claim Bonus are partially utilised. Additionally, it can only be utilised once in a policy year for subsequent claims.

Please remember that the limitations and conditions mentioned in the benefits above apply to a sum insured of Rs. 10 lakhs. 

Royal Sundaram Multiplier: Financial Limits

• Room rent limit: A room rent limit ensures that the costs for the room you occupy during your hospital stay are covered. If the room you opt for falls within the limit set by your health insurance policy, you won't incur any extra charges. However, if the room you choose exceeds the eligible limit, a proportional deduction will be applied. In this case, you will be responsible for paying a proportionate share of the overall bill, rather than just the difference in room rent. Luckily, with the Royal Sundaram Multiplier Plan, you have the freedom to select any room type without any restrictions.
• ICU rent limit:  The ICU coverage provided by your health insurance policy is the maximum amount you can claim for your stay in the hospital. With the Royal Sundaram Multiplier Plan, there is no limit to the coverage for ICU rent. This means that the plan will cover the entire cost of your ICU stay, up to the sum insured.
• Copayment: A copayment is when you are required to contribute a percentage of the claim amount from your own funds. Once this payment is made, the insurer will take care of the rest of the expenses. In the Royal Sundaram Multiplier Plan, you have the option to make a copayment of 5%, 10%, 15% or 20% of the claim amount.
• Deductible: A deductible is the specific amount you are responsible for paying before your medical expenses are covered by your insurance. However, with the Royal Sundaram Multiplier Plan there is no deductible amount to be paid.
• Limits on surgeries/treatments: It is the maximum amount that a health insurance policy will pay for specific medical procedures or treatments. While certain insurers may have restrictions on the amount they will cover for certain procedures, others may not impose such limits. With the Royal Sundaram Multiplier Plan, you can enjoy coverage for cataract treatment and joint replacement surgery up to the sum insured.

Please note that the above financial limits are taken for a 30-year-old individual, opting for a sum insured of Rs. 10 Lakhs.

Royal Sundaram Multiplier : Waiting Periods & Exclusions

👉Waiting period

Once you have procured a health insurance policy, it is important to note that certain illnesses and diseases may not be covered for a specified period of time. This period is known as the waiting period. However, once this waiting period has elapsed, you will be eligible to make claims for these particular conditions. Here are a few examples of the various types of waiting periods:

• Initial waiting period: There is an initial waiting period of approximately 30 days for all medical conditions, excluding accidents. During this time, you will not be eligible to make a claim for any hospitalisation, except in the case of accidents, within the first 30 days of purchasing the policy.
• Waiting period for pre-existing diseases: A pre-existing disease refers to a medical condition or illness that you have had within the last 36 months prior to buying a health insurance policy. With the Royal Sundaram Multiplier Plan, there is a waiting period of 36 months for pre-existing diseases. This means that during this time, you won't be able to make any claims for expenses related to your pre-existing conditions.
• Waiting period for specific diseases: In addition to pre-existing conditions, insurance providers maintain a list of particular medical conditions or illnesses that require a waiting period, regardless of whether you have previously had those diseases or not. The length of this waiting period is determined by the insurer and is not dependent on your present health condition. For the Royal Sundaram Multiplier Plan, there is a waiting period of 24 months for specific diseases.

👉Exclusions

Health insurance policies do not cover certain medical conditions. These are known as exclusions. Here are some of the types of exclusions - 

• Standard permanent exclusions: All insurance providers are required to adhere to the ‘standard permanent exclusions’ established by IRDAI. These include -

1. Investigation and evaluation: Hospital admission for observation or monitoring.
2. Rest, rehabilitation, and respite care: Admission to a facility for bed rest without active treatment. 
3. Obesity/weight control: Treatment or surgery related to weight control or obesity.
4. Gender reassignment: Treatments aimed at altering the body’s characteristics to match the opposite gender. 
5. Plastic/Cosmetic surgery: Medical treatment or surgery intended to modify body characteristics or appearance.
6. Profession in hazardous or adventurous sports: Medical expenses resulting from participating in adventurous activities such as mountaineering, river rafting, scuba diving, etc. as a professional.  
7. Breach of law: Expenses incurred in treating a person who has committed or attempted to commit a criminal act.
8. Excluded providers: Treatments received from medical practitioners or hospitals excluded by the insurance company.
9. Narcotics: Treatment for addiction to substances such as alcohol, drugs, etc.
10. Treatments in establishments arranged for domestic purposes: Medical expenses incurred for treatments received in health spas, nursing homes, or similar establishments arranged entirely or partially for domestic reasons. 
11. Dietary supplements, substances purchased without subscription: Vitamins, minerals, etc., not prescribed by a medical practitioner.
12. Refractive error: Expenses associated with correcting refractive errors of up to a maximum of 7.5 diopters to improve vision.
13. Unproven treatments: Surgeries, medical procedures, or medical treatments that are not proven to be effective.
14. Expenses related to birth control, sterility, infertility: Costs incurred for artificial insemination, contraception, sterilisation, advanced reproductive technologies including IVF, ZIFT, GIFT, ICSI, gestational surrogacy, etc. 
15. Maternity expenses: Expenses related to pre/post-natal care, childbirth-related hospitalisation, etc. 

• Additional permanent exclusions: It is important to take note that, in addition to above exclusions, insurance providers may also apply permanent exclusion on certain medical conditions, if they find those too risky to cover. The insurers, however, can only apply permanent exclusions on diseases listed by the IRDAI.
• Non-standard exclusions (Specific exclusions): The Royal Sundaram Multiplier Plan has specific exclusions that pertain to medical conditions not covered by the health insurance policy. These exclusions are in addition to the standard permanent exclusions set by the IRDAI. It's important to note that these specific exclusions may vary among different insurance providers and are dependent on the terms and conditions of the policy. Here are some of the notable specific exclusions under the Royal Sundaram Lifeline Multiplier Plan -

1. Costs associated with non-allopathic or alternative therapies, excluding AYUSH treatments, are not covered.
2. Circumcision will only be covered if deemed necessary due to an accident or for medical reasons.
3. Any injury or illness resulting from acts of terrorism, war, riot, nuclear or chemical contamination will not be covered.
4. Expenses for the treatment of external birth defects are not included in the coverage.
5. Outpatient treatments, with the exception of vaccination for animal bites, are not covered.
6. Costs for preventive care, vaccination, inoculation, and immunisation other than post-animal bite treatment are not covered.
7. Treatment for intentional self-inflicted injury or attempted suicide by any means is not covered.
8. Expenses for products or medical supplies such as elastic stockings, diabetic test strips, wigs, toupees, etc., are not covered.
9. Injuries or illnesses resulting from nuclear, chemical, or biological attacks or weapons are not covered.
10. The utilisation of a ventilator for a patient in a vegetative state, where there is no hope for recovery due to brain death.

What to expect in terms of claims experience if you buy from Royal Sundaram General Insurance Company Limited?

• Speed of claims: Royal Sundaram General Insurance Company has demonstrated a high level of efficiency in processing claims. It has settled 99.94% of claims within 30 days. 
• Claim-related complaints: According to our research, Royal Sundaram General Insurance Company has received a lower number of complaints regarding claims, as compared to other insurance providers, accounting for just 0.13%. This implies that their process of settling claims is smooth and effective.
• Claims incurred ratio: It reflects the financial performance of the company. It represents the total number of claims incurred by the insurance company compared to the total premiums they collected in a given financial year. Royal Sundaram General Insurance Company has a claim incurred ratio of 92.06%. 
• Claim settlement ratio: This refers to the percentage of claims successfully settled by the insurer compared to the total number of claims received in a financial year. The claim settlement ratio of the Royal Sundaram General Insurance Company is 84.90%. 
• Network hospitals: Royal Sundaram General Insurance Company has a network of over 11,800+ hospitals. Such a vast network enables you to receive cashless treatments from a wide range of healthcare providers across various locations.

How is the customer service of Royal Sundaram General Insurance Company Limited?

• Policy purchase-related complaints: According to our research, Royal Sundaram General Insurance Company has received a higher number of complaints related to their after-sales service, as compared to other insurers, accounting for 0.02%.
• Response on toll-free: As per our research, Royal Sundaram General Insurance Company's response on their toll-free number is average, as compared to other insurance companies.
• Response on Twitter: Royal Sundaram General Insurance Company's response on their Twitter channel is also average when compared to other insurance companies.

About Royal Sundaram General Insurance Company Limited

Royal Sundaram General Insurance Company Limited, formerly recognised as Royal Sundaram Alliance Insurance Company Limited, proudly holds the title of being the pioneering private sector general insurance company in India to be licensed by the IRDAI. The company offers an extensive range of products to cater to different needs. These include motor insurance, personal accident insurance, health insurance, travel insurance, and home insurance for individuals. Additionally, they provide specialised insurance solutions such as fire insurance, marine insurance, liability insurance, and more for corporate clients. Established in 2001, the company is based in Chennai, Tamil Nadu. Mr. S. Viji serves as the chairman of the company.