Overview
The Royal Sundaram Multiplier Health Insurance plan is a distinctive offering that provides comprehensive health coverage with a unique multiplier benefit. It offers sum insured options of up to ₹25 lakhs, and includes essential benefits such as inpatient care, pre- and post-hospitalization expenses, daycare treatments, domiciliary hospitalization, and AYUSH treatments. Notably, it features a 4X multiplier benefit for life-threatening conditions, where the sum insured (including No-Claim Bonus) is multiplied by four, providing substantial coverage during critical medical situations.
Experts Review
Written by Nikhil Nair
Senior Writer
The Royal Sundaram Multiplier Health Insurance plan is a standout offering in the health insurance market due to its unique 4X multiplier benefit, which multiplies the sum insured, including the No-Claim Bonus, by four in the event of a life-threatening medical condition. Additionally, the plan offers a long-term multiplier benefit of up to 11 times the base sum insured at the end of 5 years, subject to no claim being reported over time, providing robust financial security for unforeseen medical emergencies.
The policy includes comprehensive coverage such as inpatient hospitalization, pre- and post-hospitalization expenses for 60 and 90 days respectively, AYUSH treatments, and domiciliary care up to the cover amount. It also provides a flexi reload benefit that restores 100% of the base sum insured during the policy year if exhausted. Modern treatments like robotic surgeries are covered up to the sum insured, and additional benefits like an add-on for teleconsultations and wellness programs enhance its overall appeal.
However, the 4X multiplier benefit comes with a limitation—it can only be used four times during the policy term, which might restrict its utility for frequent claims. Despite this, the plan’s high claim settlement ratio of 94% and extensive network of over 10,000 hospitals make it a reliable choice. Its ability to cover pre-existing conditions like asthma, blood pressure, cholesterol, and diabetes from the 31st day (post-underwriting) further adds to its value, even though it’s only available through an add on.
Pros
Feature set is satisfactory.
Great pick if you're looking for something affordable.
Insurer has a solid track record with great claim and service metrics.
Offers 4X Multiplier Benefit, which makes this policy stand out.
Cons
Maternity benefits not offered, which is a notable gap.
Royal Sundaram
Key Insights
Founded
2001
Royal Sundaram was established 24 years ago and has built strong credibility over time, backed by its long-standing presence in the market.
Claims Experience
93% claims settled in 30 Days
Royal Sundaram settles 93% of all claims it receives demonstrating strong credibility.
Network Hospitals
10,000+
Royal Sundaram maintains a moderate network of 10,000 hospitals, offering reasonable coverage across key locations.
Complaints
17 complaints per 10,000 claims registered
Royal Sundaram experiences a moderate number of complaints, indicating room for improvement in addressing customer concerns.
Features
All
Great
Good
4X Multiplier Benefit
STANDOUT
In case of a life-threatening condition (as described in the policy schedule), the sum insured including NCB will be multiplied 4 times and the total cover can be used for any illness. But remember, this benefit can be used for up to 4 times in the policy lifetime across family members.
Co-payment
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.
Customisable
Choose a co-payment between 5% and 20% to reduce premiums.
Room Rent
Shared room, single room, deluxe room or any room that’s available. The insurer won’t nitpick on your choice of room since the policy has no restrictions on room rent.
Disease sub-limit
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.
Pre existing diseases waiting
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.
Customisable
For Asthma, Hypertension, High Cholesterol, and Diabetes.: Pre existing disease waiting period is reduced from 3 Years to 30 Days.
Add-ons
ABCD Benefit
Recommended
For Asthma, Hypertension, High Cholesterol, and Diabetes.: Pre existing disease waiting period is reduced from 3 Years to 30 Days.
Health & wellness plus
Get access to health and wellness app to track the physical activities with syncing facility with fitness bands (wearables) and free video / teleconsultations, virtual health coach, discounts on diagnostic centers, discounts on mobility devices, discounts on medical devices, discounts on OPD consultations with specified network. This benefit is complimentary if one opts for ABCD Benefit.
Voluntary Co-Payment
Choose a co-payment between 5% and 20% to reduce premiums.
Hospital Plus
Covers the cost of consumables and mobility devices such as crutches, wheelchairs, prosthetics, etc., which have been advised as a part of treatment to deal with the disability induced by an accident up to specified limits.
Permanent Exclusions
Conditions or treatments that the policy clearly says it will not cover.
Ancillary Hospital Charges
Expenses related to any admission primarily for diagnostics and evaluation purposes are excluded.
Diagnostic expenses not related or incidental to current diagnosis and treatment are excluded.
Expenses for admission primarily for bed rest and not for treatment are excluded.
Custodial care at home or in a facility for help with daily activities is excluded.
Disclaimer: For illustration purposes only - exact terms are in the policy wording.
Specific Illness
The following illnesses are not covered under the policy for 2 years.
Cataract
Stones in biliary and urinary systems
Hernia / Hydrocele (all types)
Hysterectomy for any benign disorder
Lumps / Cysts / Nodules / Polyps / Internal tumours
Waiting Period
30 days Initial waiting period
2 years Specific illness waiting period
3 years Pre-existing disease waiting periodCustomisable
Ditto's Take
◦ Excellent ◦
Waiting periods on this policy are excellent. This policy also further allows to reduce the PED waiting period to 30 Days for certain diseases.
What's missing in the policy
Maternity benefits not offered.
Customer Reviews
A
Anand J.
The 4X multiplier benefit for life-threatening conditions is incredible! Sum insured becomes huge when needed most.
B
Bhavna K.
Long-term multiplier benefit up to 11 times the base SI over time is simply outstanding.
C
Chetan P.
Flexi reload benefit restoring 100% of base SI is great for multiple hospitalizations.
J
Jatin U.
Understanding all the multiplier conditions can be complex. Need to read carefully.
H
Hema R.
The 4X multiplier can only be used four times during policy term. This limitation is a bit concerning.
F
Faisal Q.
Teleconsultations and wellness programs are good additions for overall health management.
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Frequently Asked Questions
Does Multiplier Health have waiting periods?
- 30-Day Waiting Period: Hospitalizations won’t be covered for the first 30 days of the policy unless it’s an accident.
- Specific Illness Waiting Period: There’s a 2-year waiting period for a list of diseases which is a mandate before you can start claiming.
- Pre-Existing Disease Waiting Period: There's a 3-year waiting period for any pre-existing disease you may have while buying the policy.
Does Multiplier Health have room rent restrictions?
Does Multiplier Health offer a restoration benefit?
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