Network hospitals
3200+
Incurred claim ratio
91.31%
Sum insured
Up to 2 Crores
No. of Plans
1
Solvency Ratio
0.3
Pan India Presence
850+
National Parivar mediclaim plus is a versatile family floater health insurance policy that comes in three different plan options that are A, B, and C. The plan offers different sum insured options under these plan options:
The National Parivar Mediclaim Plus policy offers comprehensive coverage to all your family members under a single sum insured. The plan covers 140+ daycare procedures, in-patient hospitalization, air ambulance, maternity expenses, and more. This policy comes with critical illness and outpatient treatment optional covers with varying sub-limits. Individuals can purchase this policy for 1/2/3 years within the age bracket of 18 to 65 years. National Parivar Mediclaim Plus Policy offers multiple discount benefits to customers like no-claim, long-term, online purchase discounts, and more. To understand if this policy serves your health care needs and requirements read the article in detail.
Plan Type | Family Floater |
Sum Insured | Plan Option A - 6 | 7 | 8 | 9 | 10 Lakhs Plan Option B - 15 | 20 | 25 Lakhs Plan Option C - 30 | 40 | 50 Lakhs |
Network Hospitals | 3000+ |
Optional Cover | Critical Illness and Outpatient Treatment |
No claim Bonus | 5% every claim-free year |
Day Care Procedures | 140+ |
To understand National Parivar Mediclaim Plus Policy Insurance in detail, take a look at the below table:
18 months to 65 years
Individual and Family Health Insurance
6 L | 10 L | 20 L | 50 L
30 Days
Lifelong
1/2/3 Years
*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.
Read more specifications in the brochure.
With wide coverage options available, National Parivar Mediclaim Plus Policy Insurance Plan allows you to choose your ideal coverage as per your family’s health requirements. Take a look at the coverage under every SI option available and choose your ideal coverage:
Room Rent
Covered
ICU Charges
Covered
Pre-Hospitalization
Covered
Post-Hospitalization
Covered
Domiciliary Hospitalization
Not Covered
Daycare Treatment
Covered
OPD Charges
Not Covered
COVID-19 Treatment
Covered
Cataract
Covered
No Claim Bonus
Covered
Automatic Restoration
Not Covered
Daily Hospital Cash
Covered
Organ Donor
Covered
Maternity Cover
Covered
New Born Baby Cover
Covered
AYUSH Treatment
Covered
IVF Treatment
Not Covered
Modern Treatment
Covered
Ambulance
Covered
Air Ambulance
Not Covered
Compassionate Travel
Not Covered
Global Coverage
Not Covered
E-Consultation
Not Covered
Health Check-Up
Covered
Second Medical Opinion
Covered
Vaccination
Covered
Co-payment
Not Covered
Sub-limits
Not Covered
The room rent limit is the maximum bed charge you can claim if you are hospitalised. Common Room categories covered under room rent are all kinds of rooms including single, private and AC rooms (except suite).
It is a special hospital department where patients with serious medical conditions are treated.
Medical expenses incurred before hospitalisation of the policyholder.
Medical expenses incurred after the discharge of the policyholder from the hospital.
Domiciliary hospitalization or home care treatments are the arrangements for an insured individual due to the unavailability of medical amenities in hospitals, or in a case where an insured member can not be admitted to the hospital due to an inability. The treatment should last equal to or more than 72 hours to get financial coverage.
Treatments that can be completed within 24 hours of hospitalization like blood dialysis, cataracts, etc.
Covers the cost of doctor consultations and prescribed medical tests that may not require hospitalization. .
It includes the treatment cost for COVID-19 with a confirmative diagnosis from a government-approved centre.
A common eye condition in which your vision gets blurred due to cloudy formation in your eyes.
For every claim-free year, insurance companies reward policyholders with an increase in the sum insured amount as a no-claim bonus or cumulative bonus on policy renewal. However, in the case of a claim, this bonus amount either lapses or is reduced by a certain percentage varying from one plan to the other.
It is a benefit in which an insurance company restores the amount of sum insured completely or up to a certain percentage after it gets fully exhausted in treatments. This restoration amount may vary from one plan to the other.
Daily hospital cash or Hospicash is a cash amount that you receive each day during the time of hospitalization to cover your non-medical expenses.
It is a cover that includes the cost of the procedure for removing the damaged or malfunctioning organs from the body. In most of the cases, the insurer pays for the hospitalization and transplant expenses for both the parties i.e. the donor and the receiver.
It refers to the cover that includes expenses for normal and c-section deliveries.
It takes care of the medical expenses that arise due to the hospitalisation of the newborn baby in case of any childbirth complications, medical challenges, and so on. Some of the common treatments that are covered under the newborn cover and these common treatments can vary from plan to plan:
Refers to the cost of medicines and procedures used under AYUSH (Ayurveda, Yoga & Naturopathy, Unani, Siddha, and Homeopathy) treatment.
In Vitro Fertilization (IVF) is a method of assisted reproductive technology. The common expenses incurred under IVF and infertility treatments are settled or reimbursed for:
Medical treatments that demand the use of modern technology and advanced machinery such as robotic surgeries, stem cell therapy, etc.
An ambulance is used to move the patient from home to the hospital, transfer them to another hospital, and take them for different tests outside the hospital.
Air ambulances are specially prepared planes that transfer the patient from one place to another in case of a health emergency.
Refers to the travelling expenses of a family member who’s visiting the hospital to look after the patient when the policyholder gets admitted to a hospital outside his/her residential city.
Any kind of medical/health emergency when you are outside of India is covered for hospitalization expenses, modern and specific treatments, etc.
If a policy offers e-consultation it allows policyholders to connect with a doctor for medical consultation through video chat, audio call, or chatbot.
A facility where the policyholder can avail of free health check-ups after fulfilling the company's eligibility criteria. In most cases, the insured member/s gets an annual health check-up cover.
If the policyholder wants, they may opt for a second medical opinion wherein the policyholder can consult another doctor within the company’s network of medical practitioners.
Coverage against the expenses incurred on vaccinations of either the newborn baby, for an animal bite, etc is provided by the insurance companies.
In the co-payment clause, policyholders have to pay a preset amount (either compulsorily or voluntarily) of the hospitalisation expense on their own and the insurer will pay the rest of the medical bill amount.
Sub limit is a condition in which the insurer will have to pay the medical expense up to a certain percentage and the remaining amount will have to be paid by the policyholder. For instance, if your policy covers room rent for upto 20% of the sum insured, but the expense of the same is more than 25%, you will have to pay the rest amount, i.e. 5%, for your room rent.
National Parivar Mediclaim Plus Policy offers a multitude of benefits to its customers that are mentioned below:
National Health Insurance
The plan has specific exclusions that are mentioned below in further detail
Hazardous or Adventure Sports
Expenses for treatment directly arising from or consequent upon any Insured Person committing or attempting to commit a breach of law with criminal intent
Treatment for, Alcoholism, drug or substance abuse, or any addictive condition and consequences
Treatment for intentional self-inflicted injury, attempted suicide
Dental treatment unless necessitated due to an Injury
Spectacles, contact lens, hearing aid, cochlear implants.
There are various waiting periods that need to be fulfilled under the National Parivar Mediclaim Plus Policy in order to avail of certain coverage benefits that are mentioned below:
To cater to the different medical needs of an individual & their family, National Health Insurance offers several Health Plans ranging from senior citizen plans to specialized plans for autistic children, to health insurance for cardiac patients, and many more.Take a look below to National Health Insurance plans explore more:
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The eligibility criteria for the National Parivar Mediclaim Plus policy is 18 to 65 years for adults and 3 months to 18 years for dependent children.
There are certain waiting periods under the plan that are as follows Pre-existing diseases - 36 Months Maternity Cover - 2 Years Hypertension/Diabetes/Cardiac ailments - 90 Days Infertility Treatment - 2 Years Vaccination for Children - 2 Years Obesity - 4 Years
There are 3 plan options available for customers to opt from namely, Plan A, Plan B, and Plan C with sum insured options ranging between INR 6 to 50 Lakhs.
There are certain optional coverages available like critical illness coverage under which benefit amount - INR 2,00,000/ 3,00,000/ 5,00,000/ 10,00,000/ 15,00,000/ 20,00,000/ 25,00,000 is available in addition to the SI outpatient treatment cover under which benefit amounts - INR 2,000/ 3,000/ 4,000/ 5,000/ 10,000/ 15,000/ 20,000/ 25,000 in addition to the SI and Pre-Existing Diseases are covered Up to a maximum of 75% of SI
Yes, all premiums paid towards the National Parivar Mediclaim Plus Policy are eligible for tax benefits.
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Simran is an insurance expert with more than 4 years of experience in the industry. An expert with previous experience in BFSI, Ed-tech, and insurance, she proactively helps her readers stay on par with all the latest Insurance industry developments.
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February 5, 2023
Asia/Kolkata
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