National Mediclaim Plus Policy - Premiums & Benefits | PolicyX
National Health Insurance National Health Insurance ★ 4.4

National Mediclaim Plus Policy

National Mediclaim Plus Policy is a high sum insured health plan cover ...Read More

Up to 2 Crores
Sum insured
850+
Pan India presence
91.31%
Claim settlement ratio
🛡️ IRDAI Approved
4.4/5 · 2,705 reviews
🏥 3,200+ hospitals
📊 -0.67 solvency ratio
91.31% claim settlement
Written by Simran saxena
Reviewed by Raj Kumar
Published: 8 Nov 2024
Updated: 27 Jul 2026
Expert Verified
IRDAI Licensed

Overview

National Mediclaim Plus Policy is a high sum insured policy that covers the following:

  • In-patient treatment expenses
  • 140+ day care procedures/surgeries
  • Ayurveda and Homoeopathy treatment
  • Organ donor's medical expenses
  • Maternity
  • Hospital cash ambulance
  • Air ambulance
  • Medical emergency reunion
  • Vaccination for children
  • Medical second opinion

The policy also provides optional covers for Critical Illness and outpatient treatment. It covers medical expenses for 30 days of pre-hospitalization and 60 days of post-hospitalization.

Video reviews

Walkthroughs from the PolicyX team — pros, cons, real claim experiences and who should buy.

National Health Insurance

National Health Insurance

This video explains National Health Insurance in detail.

National Mediclaim Plus Policy Benefits

  • Tax Benefits

    The amount paid towards the premium of this plan is eligible for tax relief under Section 80D of the Income Tax Act, 1961.

  • Discounts

    • 10% discount for eligible family members.
    • Youth Discount: 10% discount if the insured or spouse is aged between 18 to 25 years.
    • 5% discount on the purchase of National Mediclaim Plus.
  • Health Incentives

    The plan lets the policyholder earn up to 50% of their SI as Health Returns if they follow a healthy lifestyle and stay fit. Expenses of health check-ups shall be reimbursed.

  • Optional Covers

    The plan offers several optional covers that allow you to get enhanced coverage and customize your plan as per your needs and requirements, including Critical Illness and outpatient treatment.

  • Post-hospitalization doctor visit

    The benefit of post-hospitalization doctor or nurse care can be availed under this plan.

Exclusions

  • Cost of the organ to be transplanted.
  • Organ donor's pre and post-hospitalization expenses.
  • Psychological counselling or other kinds of psychotherapy under mental illness coverage.
  • Cosmetic dental treatment.

Plan at a glance

Eligibility, sum insured options and policy mechanics — pulled straight from the policy wording.

Entry age
Min: 3 Months, Max: 65 Years
Plan type
Individual and Family Health Insurance
Sum insured options
₹2 L, ₹5 L, ₹10 L, ₹20 L, ₹40 L, ₹50 L
Waiting period
30 days
Renewability
Lifelong
Policy term
1 Year

*Initial Waiting Period is the time period between the issuance of the policy and the time it starts actively. During this period, a policyholder has to wait to avail of the benefits offered under a health insurance plan.

Pros & cons

A quick honest summary — the strengths and the trade-offs.

Pros

  • 12 modern treatment covered
  • Maternity covered
  • Lifelong renewability

Cons

  • Pre-existing diseases
  • Treatment outside India
  • Adventure sports injury

What's covered

A quick look at what this plan covers — and what it doesn't.

Hospitalization

  • Room rent Covered
  • ICU charges Covered
  • Pre-hospitalization Covered
  • Post-hospitalization Covered
  • Domiciliary hospitalization Not covered
  • Day-care treatment Covered
  • OPD charges Not covered
  • Covid-19 treatment Covered
  • Cataract Covered

Bonuses & restoration

  • No-claim bonus Covered
  • Automatic restoration of SI Not covered
  • Daily hospital cash Covered

Family & special care

  • Maternity cover Covered
  • New-born baby cover Covered
  • IVF treatment Not covered
  • AYUSH treatment Covered
  • Organ donor expenses Covered

Modern & preventive care

  • Modern treatment Covered
  • Road ambulance Covered
  • Air ambulance Covered
  • E-consultation Not covered
  • Health check-up Covered
  • Second medical opinion Covered
  • Vaccination Covered

Conditions & global

  • Co-payment Covered
  • Sub-limits Not covered
  • Compassionate travel Not covered
  • Global coverage Not covered

Who can buy this plan

Eligibility criteria pulled straight from the policy wording.

  • Min entry age: 18 Years
  • Max entry age: 65 Years
  • Initial Waiting Period: 30 Days
  • Sum Insured: Up to 50 L

Frequently Asked Questions

The 8 most-asked questions about National Mediclaim Plus Policy, answered.

You will get a free-look period of 15-30 days under National Mediclaim Plus Policy. If you cancel your plan within this period, you would receive the entire amount after a few nominal deductions.
There is no restriction for repetitive claims under National Mediclaim Plus Policy for hospitalization. You can file a claim multiple times within your sum insured limit
Yes, the plan comes with the portability benefit. As per the IRDAI guidelines, customers can port their plan from one insurer to another.
Yes, there are a few conditions under which the insurer can reject your claim. In case you are not satisfied with the reasons, you can represent the insurance company within 15 days of such denial.
If you are already insured under National Mediclaim Plus Policy, you can easily increase the sum insured at the time of renewal if you want.
It allows you to avail of the treatment and charge as per the rules and regulations of the policy. However, terms and conditions are applied.
Yes, you can use your National Mediclaim Plus Policy all over India, no matter where you bought it.
National Mediclaim Plus Policy offers discounts on insuring your spouse, kids, or the entire family under the same insurance plan.

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