Flexi Floater Group Mediclaim

Overview

New India Flexi Floater Group Mediclaim Policy is a comprehensive health insurance plan. Designed to offer financial protection and risk mitigation to group members collectively under a single policy, it provides extensive coverage for medical expenses incurred by insured group members, including hospitalization expenses, doctor's fees, and medicines.

The policy offers cost-effective and flexible coverage options, with the convenience of cashless treatment at network hospitals.

New India Assurance has gained the trust of millions by offering comprehensive coverage and a prompt claim settlement of 92.93% (calculated for 3 months), making it a trusted name in the insurance industry.

Features of New India Assurance Flexi Floater Group Mediclaim Policy

This group health insurance plan provides security and support to the members of the group, ensuring their well-being. The following characteristics make this plan unique:

• Expenses like intensivist charges, monitors, and pulse oximeters are covered, with a limit of 2% of the sum insured per day.
• Organ transplant expenses are covered. The company's liability for expenses incurred on the donor and recipient will not exceed the sum insured of the recipient.
• The benefit of a cumulative bonus makes this plan cost-effective.
• The premium is determined by factors such as your age and the geographic location where treatment is received.
• The Flexi Floater Group Mediclaim Policy offers a Tax Benefit under Section 80D of the IT Act.
• In the New India Flexi Floater Group Mediclaim Policy, the premium is determined by the eldest family member's age.
• The plan also serves as a family floater insurance policy, allowing the policyholder to insure their spouse and up to two children. The plan additionally has a 50% loading, and each dependent child is subject to a 25% loading.

Inclusions of New India Flexi Floater Group Mediclaim Policy

General Inclusions

• Cover for 30 days of pre-hospitalization expenses and 60 days of post-hospitalization expenses, with a hospitalization duration of more than 24 hours.
• Cover for day-care treatment expenses up to a specified limit where 24-hour hospitalization is not required.
• 25% compensation for Ayurvedic, Homeopathic, and Unani treatments done in government hospitals.
• Coverage for pre-existing diseases after four years of continuous claim-free renewals.
• Cover for pre-existing conditions such as diabetes, hypertension, and related complications post two years of uninterrupted insurance services, with an additional premium payment required.

Special Inclusions

• Impairment of Persons' Intellectual Faculties: This coverage is up to 5% of the sum insured, with a maximum limit of Rs. 25,000 per policy period.
• Artificial Life Maintenance: Coverage for artificial life maintenance is up to 10% of the sum insured and is limited to a maximum of 15 days per policy period following admission for a covered illness.
• Puberty and Menopause-Related Disorders: Coverage for these conditions is provided only as an inpatient procedure after 24 months of continuous coverage. The cover has a sub-limit of up to 25% of the sum insured per policy period.
• Age-Related Macular Degeneration (ARMD): The coverage has a sub-limit of 10% of the sum insured, with a maximum limit of Rs. 75,000 per policy period, and the waiting period is 48 months.
• Behavioral and Neurodevelopmental Disorders: This coverage has a sub-limit of 25% of the sum insured per policy period, which is within the sum insured and does not increase the overall sum insured.
• Genetic Diseases or Disorders: Genetic diseases or disorders are covered with a sub-limit of 25% of the sum insured per policy period. However, there is a waiting period of 48 months before coverage for such conditions becomes effective.
• Treatment of Mental Illness and Neurodegenerative Disorders: The coverage has a sub-limit of up to 25% of the sum insured per policy period, and the waiting period is 48 months.

Exclusions

• Hospitalization due to war, riot, strike, and nuclear weapons.
• Intentional self-injury.
• AIDS.
• Miscarriage and abortion.
• Congenital disease.
• Infertility and in vitro fertilization.
• Listed ailments after 24/48 months.

Step-by-Step Process for New India Flexi Floater Group Mediclaim Policy Renewal

New India Flexi Floater Group Mediclaim Policy renewal is the process of updating the policy terms, reviewing coverage options, and paying the premium for the renewed period. Policy renewal ensures the continuity of insurance coverage, allowing policyholders to maintain their benefits without any gaps or interruptions. The policy can be renewed with mutual consent, and the company is not obligated to provide renewal notices. Here is the step-by-step process for policy renewal:

1. For Quick Renewal, enter your Customer ID and either the Renewed Quote No. (received via SMS) or the Old Policy No.
2. Save the Quote after reviewing your details to proceed with the renewal process.
3. Choose your preferred payment method: Credit Card, Debit Card, or Net Banking.
4. Complete the premium payment using the selected payment mode.
5. Once the payment is successfully processed, your policy will be issued or renewed promptly.