Family Health Insurance Coverage Request Form

To ensure we provide you with the most accurate health insurance quote tailored to your specific needs, please provide the following information for each member requiring coverage

Your email

Select Coverage Type & Amount

For each member, please choose a coverage type and corresponding amount. Short descriptions are provided for clarity:

Basic Coverage: Essential health benefits. Ideal for minimal care needs. Coverage Amount: ₹3 Lakh

Average Coverage: Expanded services including specialist visits. Suitable for moderate medical needs. Coverage Amount: ₹10 Lakh

Premium Coverage: Comprehensive care, lower deductibles, wider specialist network. For extensive medical needs. Coverage Amount: ₹1 Crore