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New India Assurance Mediclaim Policy

New India Assurance Co. Limited

New India Assurance is a government owned insurance company with its headquarters in Mumbai. It has a global presence in over 28 countries. It offers a range of Mediclaim policies for individuals and families.

Mediclaim is a boon to the common man as hospitalization and other medical expenses threaten to disrupt one’s financial stability. Unforeseen medical complications and its treatments come with a hefty price, which in the absence of a Mediclaim would be difficult to manage.

General Features and Benefits of New India Assurance Mediclaim Policy

  • Cashless hospitalization facilities in network hospitals
  • Re-imbursement if treatment is obtained from a non-network hospital
  • Cover extends to family members as well
  • Relevant medical expenses before and after hospitalization can be claimed
  • Cumulative bonus buffer
  • Daily allowance of hospital cash for hospitalization exceeding 24 hours
  • Re-imbursement of health check-up and ambulance charges
  • Payments made towards health insurance are eligible for tax deduction
  • Critical care benefit under certain plans

New India Mediclaim Policy

This policy covers unforeseen hospitalization expenses of the proposer, proposer’s spouse, parents and children up to a maximum of 6 persons. The age eligibility for this policy is between 18 and 65 years. A baby born to an insured mother will be covered from birth till the expiry of the policy. Members of over 50 years will be required to undergo pre-acceptance medical check-up.

Sum Insured

Sum insured is the maximum amount payable by the insurer in the event of hospitalization. The proposer can choose a Sum Insured of up to 15 lakhs under this policy. The premium would depend on the Sum Insured. In circumstances where the insured has been hospitalized more than once, the Sum Insured shall not exceed the total of all amounts paid

  • For all hospitalization expenses
  • Medical expenses paid prior to hospitalization
  • Medical expenses paid post discharge
  • Any other payment made under the policy

Add-on covers under New India Mediclaim

This plan offers optional add-on covers for an extra premium to customize the policy to suit your needs. You can choose from a range of optional covers available.

  • No Proportionate Deduction for policies with Sum Insured of Rs. 2,00,000 and more.
  • Maternity Expenses Benefit for Sum Insured of Rs. 5,00,000 and above. This claim is available for the delivery of first two children.
  • Revision in limit of cataract can be opted by insured person whose Sum insured is above Rs. 8,00,000
  • Voluntary co-pay of 20% will entail a 15% discount on premium

New India Premier Mediclaim Policy

This policy is tailored to give you and your family, protection from unexpected hospitalization expenses. The policy offers two plans namely Plan A and Plan B.

Sum Insured

Plan A offers sum insured of Rs. 15,00,000 and Rs. 25,00,000. Under Plan B the sum insured is Rs. 50,00,000 and Rs. 100,00,000. This is the maximum liability of the insurer towards all payments defined by the policy. Covers under the policy

This policy covers the following expenses:

  • Room rent including boarding and nursing expenses
  • Intensive Care Unit and Intensive Cardiac Care Unit expenses
  • Surgeon, Anesthetist, Medical Practitioner fees
  • Anesthesia, Blood, Oxygen, relevant Laboratory/ Diagnostic Expenses
  • Organ transplant expenses
  • Critical care benefit for over 11 major illnesses
  • Ayurvedic, Homeopathic and Unani treatment up to 20% of sum insured
  • Ambulance charges including Air Ambulance
  • Cost of OPD Treatments
  • Maternity and Childcare cover for 36 months
  • Treatment for infertility
  • HIV/AIDS and other sexually transmitted disease
  • Psychiatric, obesity treatments
  • Concierge service
  • Congenital diseases and treatment
  • Medical expenses prior and post hospitalization
  • Hospitalization expenses for specified medical conditions

Family Floater Mediclaim Policy

The Family Floater Mediclaim Policy covers the family members under one sum insured. The coverage extends to the proposer, proposer’s spouse and a maximum of two dependent children. It does not cover family members like parents, parents-in-law, siblings.

Sum Insured and Premium

The Sum Insured ranges between Rs. 2 lakhs and Rs. 5 lakhs. The premium will be calculated based on the highest age of the family member.

Coverage under the policy

  • Hospitalization expenses when the hospitalization period is over 24 hours
  • Pre-hospitalization expenses for up to 30 days prior
  • Post-hospitalization expenses for a period of up to 60 days
  • Daycare treatments and advanced surgeries
  • Ambulance charges up to a specified limit
  • Ayurvedic, homoeopathic, unani treatments to the extent of 25% sum insured
  • Pre-existing diseases will be covered after four continuous claim free renewals
  • Pre-existing Hypertension and diabetes will be covered after two years of continuous insurance on payment of additional premium

Exclusions under the policy

The insurer will not be liable in the following circumstances

  • Disease contracted within 30 days of insurance
  • Dental treatment except when arising out of accident
  • Disease contracted within 30 days of insurance
  • Dental treatment except when arising out of accident
  • Debility and general run down conditions
  • Sexually transmitted diseases
  • Circumcision and cosmetic surgeries
  • Vaccination and Inoculation
  • Pregnancy and childbirth
  • Treatment outside India
  • Naturopathy
  • Domiciliary treatment

Overseas Mediclaim Policy

Medical expenses caused by injury or disease occurred outside India are covered under this policy. Claims will be settled abroad in foreign currency while the premium is payable in Rupees. It has two plans under this policy namely Business & Holiday Plans and Employment and Studies plans. Persons aged between 6 months and 70 years are eligible for this policy. Discounts like Loyalty discount and Good Health Discount can be availed under this plan. Premium is calculated based on the age of the insured and geographical area of treatment.

Covers provided by Business & Holiday plans

  • Medical expenses
  • Repatriation of remains
  • Loss of checked in baggage
  • Delay of checked in baggage
  • Loss of passport
  • Personal liability

Covers provided by Employment & Studies plans

  • Medical expenses
  • Repatriation of remains
  • Reunion expenses

Senior Citizen Mediclaim Policy

Residents of India aged between 60 and 80 years can avail this policy. If the policy is renewed consistently without a break, then the cover may be extended up to 90 years. It also offers 10% discount on the premium for voluntary excess of Rs. 10,000 and 10% Family discount if the spouse is also covered. The policy provides two Sum Insured to choose from, Rs. 1,00,000 and Rs. 1,50,000. The premium falls between the range of Rs. 3850 and Rs. 7650.

Coverage provided by the policy

The policy covers the following:

  • Hospitalization expenses
  • Pre and post hospitalization expenses up to 30 and 60 days respectively
  • Ambulance charges
  • Pre-existing diseases are covered only after 18 months of continuous payment of insurance Medical complications and emergencies have adverse effects on one’s physical, financial and emotional balance. Buy New India Assurance Mediclaim Policy and protect yourself and your family from the impact of unpredictable medical emergencies.