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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.
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  • 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 Family Floater Mediclaim Policy

New India Family Floater mediclaim policy

has been designed for providing cover to all the family members in a single sum assured. The policy is an extension of New India Individual Mediclaim Policy 2007.

How this policy functions?

This policy covers hospitalization expenses for the treatment of critical illnesses and accidental injuries. This policy is different from other policies as it offers a floater option where all family members are covered under a single sum insured. For example, if the total sum assured is of 5 lakhs, anyone in the family can avail the treatment benefit on a maximum of 5 lakhs. Additional benefits too are provided at par with the sum assured. This policy covers the proposer, spouse and a maximum of two dependent children and the proposer can insure in between a minimum amount of 2 lakhs and a maximum of 5 lakhs. The premium depends on the highest age among the family members.50% loading is applicable for spouse’s coverage, while for each dependent child, the loading amount will be 25% of the sum assured.

Benefits of availing this policy

Many a times, the individual sum assured amount remains unused but can never be used for the other member who needs more than his/her individual sum assured amount to meet the treatment expenses. The prime benefit of availing this policy is that it can be used by any of the family members to meet the treatment and hospitalization costs.

Floater mediclaim policy: what is covered?

  • Hospitalization costs when the insured person has been kept hospitalized for more than 24 hours
  • Pre hospitalization expenses up to 30 days
  • After discharge medical expenses for 60 days
  • Some specific advanced surgeries and day-care treatments where 24 hours of hospitalization is not required
  • Ambulance charges for carrying patient from residence to hospital
  • 25% of sum assured is paid if the patient takes treatment from registered Ayurvedic, Homeopathic or Unani treatment providing centre
  • Pre-existing and chronic diseases are covered after four years of claim free renewals with the company
  • Pre-existing conditions like Diabetes, Hypertension and complications raised from that are covered after 2 years of continuing the policy and paying additional premium

Who can avail the benefits of this policy and who cannot?

  • This policy provides coverage for the proposer, spouse and a maximum of 2 children.
  • Parents or other relatives cannot get any coverage under this policy even if they are residing with the insurer.

Prime features of this policy

  • Floater plan where a single sum can be utilized by any family member
  • Provides coverage for entire family
  • Provides coverage for critical and chronic diseases
  • Provides coverage on complications raised due to pre-existing conditions
  • Miscellaneous hospitalization and medical costs covered
  • Pre and post hospitalization expenses covered for respectively 30 and 60 days
  • Lifetime renewability
  • Specific advanced day care treatments are reimbursed
  • Cashless mediclaim in network hospitals
  • Fast reimbursement when treatment taken from non-network hospitals

Additional features of this policy

  • Loyalty discount is provided
  • Good health discount provided
  • Expenses of health check up provided
  • Income tax benefit under section 80D

Benefit chart-

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
Ambulance services 1% of the sum assured (maximum of rs. 2500)
Cataract operation and related expenses 24% of the sum assured
30 days of pre-hospitalization medical costs Entire amount
60 days of post hospitalization medical costs Entire Amount

What are the exclusions in this policy?

  • Treatment of diseases or critical illnesses contracted within 30 days of insurance except accidental injuries
  • General debility or run down conditions
  • Dental treatment except arising of any accident
  • Circumcision, plastic surgery or cosmetic surgery unless required fror medical needs
  • HIV or sexually transmitted diseases
  • Pregnancy and complications related to child birth
  • Overseas treatment cost
  • Inoculation and vaccination
  • War or act of foreign enemy
  • Injuries caused by nuclear weapon or ionizing radiation
  • Naturopathy
  • Unproven or experimental treatment
  • Domiciliary treatment
  • Expenses for external equipment like cochlear, contact lenses, etc.

The zonal distribution according to payable policy premium rates

The policy is divided as five economic zones. No matter what sum assured, one has to pay the premium on the basis of his/her location which is divided in four zones.

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  • Persons paying Zone I premium can avail treatment in any zone
  • Person paying zone II premium can avail treatment in Zone II, Zone III, Zone IV
  • Person paying Zone II premium but availing Zone I treatment will have to bear an additional 10% as co-pay for every admissible claim
  • Persons paying Zone III premium can avail treatment in Zone III and Zone IV. There will not be any zone deduction in such cases.
  • Persons paying Zone III premium but availing treatment in Zone II will have to bear 10% as Co-Pay for each admissible claim.
  • Persons paying Zone III premium but availing treatment in Zone I will have to bear 20% as Co-Pay for each admissible claim.
  • Person paying Zone IV premium can avail treatment in Zone III. There will not be any zone deduction in such cases.
  • Person paying Zone IV premium but availing treatment in Zone II will have to bear 10% as Co-Pay for each admissible claim.
  • Person paying Zone IV premium but availing treatment in Zone I will have to bear 20% as Co-Pay for each admissible claim.

Premiums

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Sum Assured-

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Procedure involved in availing the claim-

Claims are administered by TPAs or third party administrators. You can get their details in the policy document. In case of cashless treatment, the insured or any of his/her relatives must inform the TPAs and must carry the necessary policy documents and your ID card as a proof of insurance policy holder. Reimbursement facilities are available only when they are informed about insured’s hospitalization.

Frequently asked questions-

Am I eligible for this policy?

If you are a citizen of India and within 50 years age, you are eligible for this policy.

Can I include my family in this policy?

This is a mediclaim policy that has been specially designed for the family. A minimum of 2 and a maximum of 6 family members can be included in this policy.

Do I need to pay premium separately for each and every member?

No, you can pay a single premium and get your family covered under a single sum assured. Unlike other policies where there are individual sum assured for each family member, here each member can get medical benefits worth total sum assured.

What is the maximum amount of sum assured in this policy?

One can start with a minimum of 2 lakhs sum assured and go up to 8 lakhs. The payable premium ranges accordingly.

Other policies from New India Assurance-

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

Similar policies from other insurance providers-

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