Why Choose National Health Insurance?
Factors to Consider While Buying a Health Insurance Plan
Choosing a health insurance plan can be stressful and confusing. It's crucial to have a clear understanding of what a plan offers and covers. Once you are positive about the plan benefits, it becomes easier to make informed decisions. Let's check out some factors you should consider before buying a health insurance policy:
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Individual or Family Floater Plan
When choosing a plan, first determine if it's for an individual or your family. Family floater plans are often more beneficial for securing a family as they are generally more affordable than individual plans.
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Cover Amount
With growing inflation, medical expenses are increasing. Health insurance helps meet these expenses. It's important to choose a policy that offers maximum coverage for your health claims.
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Co-Payment Clause
Every policy has clauses you need to follow, including a co-payment clause. This means you have to bear a certain percentage of the claim amount for every claim you make. Always check the co-payment percentage your policy requires.
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Hospital Network
Always check the list of hospitals included in your policy. Keep in mind what kind of medical facilities you might need in the future.
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Waiting Period
Check the waiting period before you can claim reimbursement. Some policies also impose a waiting period on critical illnesses, which you should be aware of.
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Lifetime Renewal
As you age, healthcare needs may increase. Look for a policy that provides lifetime renewal options.
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Compare the Premiums
You should always compare premiums from more than two policies. This thoughtful action can prevent you from overpaying for less coverage or vice versa.
Why Choose National Health Insurance Plans?
National Health Insurance Company is known for creating flexible products that meet diverse customer requirements. Here are some key benefits of choosing National Insurance as your health insurance partner:
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Great Company Profile
National Health Insurance is a well-known company in the health insurance market. With over a century of experience, the company has built an amazing portfolio and trust among its customers.
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Network Hospitals
National Insurance offers a vast network of hospitals across India where policyholders can avail cashless treatment. National Health policies enable access to cashless network hospitals, facilitating customers to benefit from the best healthcare without compromising their financial situation.
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Solvency Ratio
According to IRDAI, it is mandatory to maintain a Solvency Ratio of 1.5. National Health Insurance currently has a Solvency Ratio of 0.31.
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Annual Premium
This indicates the total number of policies sold and premiums collected by an insurance company. As per the IRDAI Annual Report 2021-22, National Health Insurance's Annual Gross Premium was ₹13,076.83 crores.
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Claim Support
National Health Insurance has a claim settlement ratio of 86.28% according to IRDAI reports, indicating the company's reliability and commitment to its customers. It is advisable to choose an insurance company with a good claim settlement ratio.
What is Covered by National Health Insurance Company?
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Pre and Post Hospitalization Expenses
National Health Insurance understands the impact of rising medical expenses, thus ensuring their insurance products cover pre and post-hospitalization expenses related to in-patient hospitalization.
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AYUSH Treatments
Most National Health Insurance plans have in-built alternative treatment cover. AYUSH treatments include Ayurveda, Unani, Siddha, and Homeopathy treatments.
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Hospitalization Expenses
National Health Insurance plans cover hospital expenses like room rent, ICU charges, surgery expenses, doctor consultations, and other related expenses.
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Day Care Treatments
Many medical procedures do not require 24-hour hospitalization. Therefore, most National Health Insurance plans are designed to cover daycare procedures for policyholders.
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Domiciliary Hospitalization
Upon a doctor's recommendation, a policyholder can avail medical care at home. National Health Insurance plans cover domiciliary hospitalization up to specified sub-limits.
What is Not Covered by National Health Insurance Company?
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Self-Inflicted Injuries
National Health policies will not cover injuries or hospitalization caused by self-harm.
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Cosmetic Procedures
National Health Insurance plans do not cover any cosmetic surgeries or treatments.
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Adventure Sports
National Health Insurance plans will not cover hospitalizations or accidents caused by adventure sports.
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Obesity or Weight Control Treatments
National Health Insurance plans mostly do not cover treatments related to obesity and weight management, such as bariatric surgeries.
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Involvement in Illegal Activities
National Health Insurance company plans do not cover individuals or families for hospitalization or injuries caused due to illegal activities.
What Are the Different Waiting Periods in National Health Insurance Plans?
The various waiting periods associated with National Health plans include:
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Initial Waiting Period
This period begins from the date of purchase and typically lasts up to 30 days for most National Health Insurance plans.
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Pre-existing Disease Waiting Period
National Health Insurance plans require you to serve specific waiting periods if you are diagnosed with Pre-Existing Diseases (PEDs) such as hypertension, diabetes, or any other condition.
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Survival Period
Like waiting periods, National Health Insurance plans with critical illness coverage have a survival period. During this period, policyholders diagnosed with any listed critical illness must survive the specified duration to be eligible for coverage benefits.
National Health Insurance Plans Buying Process
If you are looking to purchase National Health Insurance online, follow these simple steps:
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Step 1: Visit the PolicyX health insurance page, and enter your details such as name, age, number of members to be covered, and your city.
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Step 2: Click on 'Get free quotes' and compare National Health Insurance plans as per your needs.
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Step 3: Select your preferred National Health Insurance plan and pay premiums online.
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Step 4: Our team of insurance experts at PolicyX will provide you with all the assistance required regarding claims and other queries after purchasing your National Health Insurance plan.
Why Choose Online Procedure to Buy Mediclaim Policy?
Purchasing a medical insurance policy online, either from PolicyX or directly from the company, offers numerous benefits. Here's why:
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Easy to Compare
Online platforms allow you to compare different National Health plans in one place. You can choose the right plan by comparing premiums.
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Buying Insurance within 5 Minutes
At an online platform, you can choose and buy your policy within 5 minutes, without any hassle.
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24x7 Customer Service
Our experts are always at your service. You can contact them anytime to clarify your doubts.
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Instant Quote
Online accessibility allows you to get instant quotes with just one click. You can collect several quotes and choose the right one.
Documents Required for National Health Policy Claim Settlement
When filing for National Health claims, submit the following documents:
- Duly completed and signed claim form, in original
- Valid photo ID proof
- Medical practitioner's referral letter and prescription
- Original bills, receipts, and discharge cards from the hospital/medical practitioner
- Original bills from pharmacy/chemists
- Original pathological/diagnostic test reports, radiology reports, and payment receipts
- Indoor case papers
- First Information Report (FIR) and final police report, if applicable
- Post-mortem report, if applicable
- Any other document required by the company to assess the claim
National Health Insurance Plan Claim Process
You can file for both cashless and reimbursement claims for your National Health Insurance plans by following these easy steps:
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Step 1: Visit the website of National Health Insurance, and select the "Claim" option. Then click on "Intimate Claim" to access the form.
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Step 2: Select "health claim" and provide the required information, including policy number, date of birth, and other requested details.
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Step 3: Select the "claim type" (cashless or reimbursement). Click on 'Authorize' and you will receive an OTP on your verified mobile number.
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Step 4: Verify with the OTP and fill in the required hospital admission information. Select the hospital, and provide hospital details if it's a non-network hospital.
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Step 5: Upload the requested documents and click on the "Review" button.
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Step 6: After reviewing, submit the intimation for the company's review. You will receive a claim intimation number, which you should note down for future reference.
How to Renew National Health Insurance Plan?
Follow these steps for National Health Insurance policy renewal:
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Step 1: Visit the official website of National Health Insurance Company.
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Step 2: Click on the ‘Renew’ tab.
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Step 3: Enter your Policy Number and Date of Birth.
For assistance with National Health Insurance policy renewal, connect with our insurance experts at 1800-4200-269.
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