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Most Popular Policies of New India Assurance

  • New India Assurance Senior Citizen Mediclaim Policy
    New India Assurance Senior Citizen Mediclaim Policy offers coverage to the insured against hospitalization expenses for treatment of injury and illness during policy period.
    Key features of New India Assurance Senior Citizen Mediclaim Policy
    • Maximum entry-age is 80
    • Maximum renewal age is 90 years
    • Organ donor transplant expenses are covered
    • Pre-existing hypertension, diabetes melitus are covered upon additional premium
    • Ayurvedic, homeopathic and Unani treatments are covered
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  • New India Family Floater Mediclaim Policy
    New India Assurance Family Floater Mediclaim Policy covers all family members with single sum insured. The coverage is provided for expenses for the treatment of any illness or injury.
    Key features of New India Family Floater Mediclaim Policy
    • The policy comes with lifetime renewal option
    • Good health and loyalty discount are available
    • Coverage available on complications due to pre-existing conditions
    • Organ donor hospitalization expenses are covered
    • Cataract surgery is covered up to certain limits
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  • New India Assurance Janata Mediclaim policy
    New India Assurance Janata Mediclaim policy covers cost of hospitalization (more than 24 hours) expenses and treatment expenses due to injury and illness or injury.
    Key features of New India Assurance Janata Mediclaim policy
    • Good health and loyalty discount are available
    • Ayurvedic, homeopathic and Unani treatments are covered
    • Cumulative Bonus is availble
    • Free health check-up is also available
    • Day care treatments are covered up to certain limits.
    Buy now
  • New India Package Motor Policy
    New India Package Motor Policy offers coverage to expenses due to injury of owner and driver and loss or damage of the insured's vehicle. The policy also covers third party death and liability.
    Key features of New India Package Motor Policy
    • Coverage for personal accident is available
    • Coverage available for expenses to fix damaged accessories
    • Coverage for passengers in the car is available.
    • Coverage is available for employees and paid drivers
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New India Assurance Mediclaim

New India Assurance mediclaim policy has been designed to provide the insured and his/her family members, protection against some unavoidable and unforeseen medical expenses.

How it functions- This insurance policy can be availed by any individual for her/himself, children, spouse and dependent parents. Under this policy, all medically essential reimbursements like injuries or critical illnesses are covered. For general mediclaim policies, each and every individual has separate sum assured and no one can go beyond that. If you are availing family mediclaim policy, you or any member of your family can get reimbursements on the total sum assured. One can choose the policy of sum assured between 1 lakh to 8 lakhs. If the insured is more than 55 years of age, the sum assured could be up to 3 lakhs.

Benefits on availing this policy and continuing it

  • Though this policy is valid for a year, you can renew it to continue receiving medical benefits. There are several benefits provided to the insured and his/her family. Few of them are-
  • Anyone who is aged between 18 to 65 years can avail this policy. Coverage is available for 3 months old children up to their 18 years of age.
  • Insured can avail cashless facility if s/he treats himself or his/her family members in network hospitals.
  • In some cases where the insurer treats him/herself or his/her family members in non-empanelled hospitals, reimbursements can be claimed from TPA for medical expenses where the insured patient remains hospitalized for more than 24 hours.
  • Fast claim processing after you inform TPA about your policy details.
  • Insured can claim for the medical expenses up to 30 days prior to hospitalization.
  • Insured can also claim for medical expenses up to a period of 60 days post-hospitalization.
  • For every claim-free year, the sum assured will increase by 5% and this accumulation benefit can be availed each claim-free year up to 10 years.
  • You can cancel the policy within a period of 45 days, which is also considered as a look up period.
  • The policy can get automatically renewed with auto renewable facility. All you need to do is attach the policy account with your credit card or debit card account with enough balance.
  • You can also get good income tax rebates as per sec. 80D of Income tax Act.

Let us look at the amount to be considered on various medical expenses-

Reimbursements on medical expenses Amount to be considered
Room rent, nursing, food and lodging expenses Not more than 1% of sum assured
ICU and ICCU expenses Not more than 2% of sum insured
Fees of surgeon, Medical Practitioner, Anesthetist and consultant Variable
OT charges, surgical Appliances, diagnostic test and other related expenses Variable
Ayurvedic/ Unani/ Homeopathic treatment coverage 25% of the sum assured
Organ Transplant cost and hospitalization expenses Sum assured/80% of admissible claim amount
Cataract operation and related expenses 20% of the sum assured
30 days of pre-hospitalization medical costs Entire amount
60 days of post hospitalization medical costs Entire Amount

Key features of New India Assurance Mediclaim policy-

  •  Cashless facilities
  • Quick reimbursements
  • Covers all the major chronic and critical illnesses
  • Cash benefit on being hospitalized
  • Payment of ambulance charges
  • 5% additional benefit for every claim-free year
  • Up to 30 days of medical expenses prior to hospitalization
  • Up to 60 days of medical expenses post-hospitalization

Additional features of the policy-

  • Insured is entitled for medical check-up cost reimbursements after each 3 claim-free years
  • Auto renewal from your Credit/Debit card account
  • Increase in sum assured amount can be done within 61 to 65 years age
  • Lifetime renewal of policy
  • Accident claims can be done even within 30 days of buying the policy
  • Free look up period for 45 days
  • Income tax rebate under section 80 D

What the policy covers-

  • Hospitalization for Critical illnesses
  • ¢ Hospitalization for accidents
  • Medical expenses prior to hospitalization (up to 30 days)
  • Medical expenses after hospitalization (up to 60 days)
  • Miscellaneous expenses for hospitalization (ambulance costs etc.)

Exceptions-

Though most of the cases are looked after in this policy, there are few exceptions too. Given below is a list of what the policy doesn’t cover-

  • Pre-existing diseases and chronic illnesses
  • General weaknesses and run downs
  • HIV (AIDS) or other sexually transmitted diseases
  • Cosmetic surgeries or plastic surgeries unless required due to illness or injury
  • Circumcision until needed due to illness or injury
  • Inoculation or vaccination
  • Naturopathy
  • Pregnancy or complications related to child birth
  • Overseas treatment
  • War, nuclear weapon, ionizing radiation, act of foreign enemy and so on
  • Experimental treatment
  • External equipments like cochlear implants or contact lenses
  • Home treatment

Who can avail the policy?

Who can avail the benefits Age Limits
Any individual within 18-65 years
Family (including spouse, children and dependent parents) 3 months-25 years

The upper age limit does not include a mentally challenged child and an unmarried daughter who is dependent on the insured

Premium chart-

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This chart shows the amount of premium one needs to pay depending on the sum assured and age.

Frequently asked questions on the mediclaim policy-

Am I eligible to avail health benefits under this mediclaim policy?

Anyone aged between 18- 65 years can avail this mediclaim policy. S/he can also avail coverage for her/his family in a single policy.

If I decide not to further with the policy, can I withdraw it?

Yes you can, there is a free look out period for 45 days. Within those 45 days, you can withdraw the entire amount if you decide not to go forward for the policy. If you exceed that period, you need to pay some charges for the withdrawal.

Can I avail mediclaim benefits immediately after buying the policy?

There is a locking period of 30 days after which you can avail mediclaim benefits. However, in case of accidents, you are able to avail the benefits even within 30 days.

How can I avail cashless facility?

It is easy to avail cashless facility. If you have been hospitalized in any of the network hospitals, all the expenses are generally settled by Third Party Administrators on behalf of the insurance providers. However, it is important to have a prior approval from TPA before hospitalization. While hospitalizing, you need to show the hospital authorities the proof of insurance and your ID proof.

How do I claim the cost of medical expenses from the insurance provider?

All you need to do is fill a claim form and furnish the bills of medical expenses, miscellaneous costs and other necessary documents required and send it to the TPA within 7 days post release from the hospital. You can get entire amount refunded provided it is within the sum assured and complies with the rules and regulations of the hospital.

Is there any age limit for renewal of policy?

There is no upper limit for policy renewal. All you need to do is pay the premium before the expiry date of the policy. However, you cannot take a fresh policy after 65 years of age. It is, therefore, important to pay the premium in time so that your policy doesn’t get lapsed.

Some of the premium health insurance plans you might consider from other insurance providers-

  • Apollo Munich Optima Restore
  • United India Insurance Family Medicare policy
  • Religare Care Plan
  • Max Bupa Heartbeat Family Medicare policy

Other health insurance plans that can be considered-

  • New India Top Up Mediclaim
  • New India Floater Mediclaim Policy
  • Janata Medicliam Policy
  • Mediclaim 2007 policy