National Insurance Group Mediclaim Policy

Overview

Buying individual health insurance can be challenging due to high monthly premiums. A group mediclaim policy offers comprehensive health support benefits. The National Insurance Group Mediclaim Policy is an indemnity insurance product that provides coverage for a group of policyholders. The plan caters to the basic healthcare needs of employer-employees and non-employer-employees. Individuals can be covered under this policy as part of a group. A separate sum insured applies to each individual insured under the group policy, whether it's a family group or an employer-employee group.

Sum Insured Options

This plan has a wide sum insured ranging from INR 50,000 to INR 10 Lakhs in 15 slabs. The sum insured is available in two ranges:

• INR 50,000 - INR 5 Lakhs (in multiples of INR 50,000)
• INR 6 Lakhs - INR 10 Lakhs (in multiples of INR 1 Lakh)

Coverage Details

Additionally, the policy covers 140+ daycare procedures, along with:

• In-patient hospitalisation (for allopathic, homoeopathic, and Ayurvedic treatment)
• Pre-hospitalisation (30 days prior to hospitalisation)
• Post-hospitalisation (60 days from the date of hospital discharge)
• Illnesses contracted during the policy tenure

The plan also extends coverage to 12 modern treatments, including advanced treatments like HIV/AIDS, mental illness, morbid obesity, refractive error correction, organ donor expenses, and ambulance services. This plan includes sub-limits that apply to certain expenses as per the policy schedule. For example, sub-limits may apply to room rent charges, doctor's consultation fees, and procedures like hemodialysis, radiotherapy, and chemotherapy, as specified in the schedule.

This page details the benefits and specifications of the National Insurance Group Mediclaim Policy.

Benefits of National Group Mediclaim Policy

• Hospitalisation Benefits with Sub-limits

  The policy covers hospitalisation expenses such as ICU charges, room rent, doctor's/consultation fees, and modern treatments, subject to applicable sub-limits. Hospitalisation charges for hemodialysis, chemotherapy, and radiotherapy are also subject to sub-limits.

• Pre-existing Disease (PED) Cover

  Pre-existing diseases, as specified in your policy schedule, are covered after a waiting period of 4 years.

• Co-payment Discounts

  Opting for a 5% co-payment provides a 4% discount on premiums. Choosing a 10% co-payment offers an 8% discount on premiums.

• Modern Treatment Cover

  Coverage is provided for 12 listed modern treatments. For hospitalisation related to these, a maximum of 25% of the sum insured is applicable.

• Optional Covers

  The plan offers two optional covers:

  • Modern Treatment: Coverage for 12 modern treatment procedures, subject to 50% of the sum insured for each treatment.
  • Maternity Benefits: Up to INR 50,000 for each delivery or medically necessary termination of pregnancy in a policy year.

• Tax Benefits

  Premiums paid for the National Group Mediclaim Policy are eligible for tax benefits under Section 80D of the Income Tax Act, 1961.

Exclusions

The policy does not cover:

• Investigation and evaluation
• Rest cure, rehabilitation, and respite care
• Obesity/weight control treatment
• Change-of-gender treatments, cosmetic or plastic surgery, and unproven treatments
• Birth control, sterility, and infertility
• Hazardous or adventure sports
• Breach of law, drug/alcohol abuse, self-inflicted injury, suicidal act, and non-prescription drug use
• Hormone replacement therapy, general debility, congenital external anomaly, and dental treatment
• Domiciliary hospitalisation & Out-patient Department (OPD) treatment
• Massages, steam baths, alternative treatment (other than Ayurveda and Homoeopathy)
• Treatment taken outside the geographical limits of India
• Permanently excluded diseases

Summary

The National Insurance Group Mediclaim Policy is a comprehensive indemnity insurance that offers extensive coverage to policyholders. Coverage benefits include pre and post-hospitalisation, in-patient care (Allopathy, Ayurveda, and Homoeopathy), modern treatments, daycare procedures, mental illness coverage, and more.

Safeguard yourself and your family with the National Insurance Group Mediclaim Policy. Don't wait, buy a health policy now!

For more details, contact our customer care executives at 18003450330 or visit PolicyX.com.