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Flexi Floater Group Mediclaim Policy

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New India Flexi Floater Group Mediclaim

Ayush Cover
Genetic Disorder Covered
Mental Illness Covered

Network hospitals

3000+

Incurred claim ratio

103.33%

Sum insured

Up to 1 CR

No. of Plans

10

Solvency Ratio

1.8

Pan India Presence

1900+

Customized Health Insurance Plan for you.

Get upto 15% Online Discount*

Select Members You Want To Insure

1 Adult

2 Adults

2 Adults & 1 Child

2 Adults & 2 Children

2 Adults & 3 Children

Other Members

Age of Eldest Member

Network hospitals

3000+

Incurred claim ratio

103.33%

Sum insured

Up to 1 CR

No. of Plans

10

Solvency Ratio

1.8

Pan India Presence

1900+

New India Flexi Floater Group Mediclaim Policy

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

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New India Assurance Flexi Floater Group Mediclaim Policy Specifications

Entry Age

Adult: Minimum:18 Years / Maximum: 60 Years
Child:Minimum: 3 Months / Maximum: 18 Years

Maximum Number Of Members Allowed

2 Members

Policy Extension

Available after 60 years, if you have continuous insurance.

Policy Term

1 Year

Initial Waiting Period

30 days
48 Months for Pre-existing Diseases.

Sum Insured

Minimum:2 Lakhs
Maximum: 5 Lakhs

*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.

Features of New India Assurance Flexi Floater Group Mediclaim Policy

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

Expenses like intensivist charges, monitor, and pulse oximeter are covered, which means that the coverage includes expenses for specialized medical professionals, monitoring equipment, and essential devices, with a limit of 2% of the sum insured per day.
Organ transplant expenses are covered, which means, if the insured person undergoes an organ transplant, the company's liability for expenses incurred on the donor and recipient will not exceed the sum insured by the recipient. This ensures coverage for the transplantation process while maintaining a reasonable limit.
The benefit of a cumulative bonus, which makes this plan cost-effective.
The plan totally depends on many factors such as, where you are receiving treatment, the premium is determined by your age and geographic location.
The Flexi Floater Group Mediclaim Policy offers a Tax Benefit under Section 80/D 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 because the policyholder can insure both his or her spouse and up to two children under the plan. The plan additionally has a 50% loading., each dependent child is subject to a 25% loading.

Inclusions of New India Flexi Floater Group Mediclaim Policy:

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 of the New India Flexi Floater Group Mediclaim Policy

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.

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Exclusions of New India Assurance Flexi Floater Group Mediclaim Policy

There are specific situations, conditions, or treatments that are not covered or eligible for reimbursement under the insurance policy. The Company is not liable to make any payment under this policy for the following:

Treatment expenses related to pre-existing diseases and their complications are excluded until 48 months.

Treatment expenses for any illness within 30 days from the policy commencement date are excluded, except for accidents, unless the insured person has continuous coverage for more than twelve months.

Custodial care for personal needs is excluded, except for enteral feedings under specific conditions.

Surgical treatment for obesity is excluded.

Gender treatments, cosmetic or plastic surgery are excluded.

Expenses related to dietary supplements, substances purchased without a prescription, and treatment for refractive error below 7.5 diopters.

Unproven treatments, sterility, infertility

Maternity expenses are excluded.

Injury from war, invasion, civil war, rebellion, and similar events.

Injury from nuclear, chemical, and biological attacks or weapons.

Circumcision, unless for treating an injury or illness.

Vaccination and inoculation expenses.

Expenses for prosthetic devices, eyeglasses, and hearing aids.

The expense related to dental treatments, and braces, except for those arising from an accident.

Convalescence and general debility charge.

Exclusion of self-inflicted injuries or deliberate exposure to danger, except in attempts to save human life.

Naturopathy treatment.

Specific instruments used for sleep apnea and peritoneal ambulatory dialysis.

Charges related to stem cell implantation/surgery, except for specified treatments.

Domiciliary hospitalization Charges.

Treatment taken outside India.

Benefits of Flexi Floater Group Mediclaim Policy

Comprehensive Coverage:
The Flexi Floater Group Plan offered by New India Assurance provides comprehensive coverage to a group of individuals, such as employees or members of an organization, under a single policy. It ensures that all members are protected against a wide range of risks and uncertainties.
Flexibility in Sum Insured: This plan offers flexibility in choosing the sum insured amount based on the group's requirements.The sum Insured ranges from 2 lakhs to 5 lakhs.
Wide Network of Hospitals: New India Assurance has a vast network of hospitals of more than 1500 healthcare providers across India. The Group Plan allows members to avail of cashless hospitalization and medical treatments at any of these network hospitals, easing the financial burden during emergencies.
No Claim Bonus (NCB): The plan rewards groups with a No Claim Bonus for every claim-free year. The NCB can be utilized to enhance the coverage or reduce the premium for subsequent policy periods and avoid unnecessary claims.
Pre-existing Condition Coverage: The New India Assurance Flexi Floater Group Plan covers pre-existing medical conditions after a waiting period of 48 months.
Group Discount: By opting for the Flexi Floater Group Plan, organizations can leverage the benefit of group discounts. This enables cost savings while ensuring comprehensive coverage for all members, making it a cost-effective solution for organizations of all sizes.
Additional Coverage Options: The plan offers various optional coverage benefits that organizations can choose based on their specific requirements. These additional coverage options may include critical illness coverage, accidental death benefits, and personal accident cover, enhancing the overall protection provided to the members.
Dedicated Customer Support: New India Assurance Company provides dedicated customer support to address any queries or concerns related to the Flexi Floater Group Plan. Their customer service team is available to guide organizations and members throughout the policy period, ensuring a smooth and hassle-free experience.

Step By Step Process of 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 of policy renewal:

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

Explore New India Assurance Health Insurance

Explore other New India Health Plans

New India Health offers a wide range of health insurance plans to fulfill the medical needs of individuals, families, and senior citizens.

New India Assurance Arogya Sanjeevani Policy

The plan covers you and your family against new age treatments, pre, and post-hospitalization, and hospital room rent charges.

Unique Features

Up to 10 Lakh SI
Genetic disorders Covered
Modern Treatments Covered

New India Jan Arogya Bima Policy

This policy is designed to provide cheap medical insurance to poorer sections of society with a sum insured per person of Rs. 5000.

Unique Features

Service Tax is not applicable
Avail cover for dependents
Psychological disorders covered

New India Janata Mediclaim Policy

This plan protects all family members with broad health insurance coverage. It covers self, spouse, and a maximum of 2 dependent children.

Unique Features

AYUSH treatment covered
ICU expenses covered
Ambulance charges covered

New India Flexi Floater Mediclaim Policy

The Policy covers reimbursement of Hospitalisation Expenses for Illness/ Injury sustained.

Unique Features

ICU expense covered
Room rent covered
Medical test expenses covered

New India Floater Mediclaim Policy

The policy comes with a SI of 2-15 lakhs with a single sum assured for all the members on a floater basis.

Unique Features

No claim bonus up to 50%
Avail New born baby cover
Criti-care benefit available

New India Mediclaim Policy

A family policy where the proposer can avail Sum Insured from Rs. 1,2, 3, 5, 8, 10, 12 and 15 Lakhs. Children can be covered under the policy from 3 months to 25 years.

Unique Features

Organ transplant covered
139 day care procedures available
New born baby cover available

New India Premier Mediclaim Policy

The plan comes in 2 different variants offering a sum assured up to 1 Cr. The policyholder can cover his/her entire family under one policy.

Unique Features

Critical illness covered
AYUSH treatment covered
AYUSH treatment covered

New India Standard Group Janata Mediclaim

The Policy covers reimbursement of Hospitalisation Expenses for Illness/ Injury sustained.

Unique Features

ICU expenses covered
AYUSH treatment covered
Cataract treatment covered

New India Standard Group Mediclaim Policy(2007)

Hospitalization expenses for any illness or injury. Ideal for those who want to cover their children and dependant parents.

Unique Features

ICU charged covered
Artificial life maintainance covered
AYUSH treatment covered

New India Universal Health Insurance Scheme

The Policy covers reimbursement of Hospitalisation Expenses for Illness/ Injury sustained.

Unique Features

Disability cover
Psychological treatment covered
Artificial life maintainance available

New India Young India Digi Health Policy

Plan coverage is available on an individual and family floater basis with a sum insured of up to 8L.

Unique Features

Modern Treatment Available
AYUSH treatment available
New born baby cover available

New India Yuva Bharat Health Policy

This plan offers the policyholder sum insured of up to 50L. New India Yuva Bharat Policy is available in base, gold, and platinum variants.

Unique Features

Air Ambulance available
Critical illness covered
Infertility treatment covered

New India Group Cancer Mediclaim

The plan is specifically designed for lower and middle-class families undergoing Cancer Treatment.

Unique Features

Up to 2 Lakh SI
Avail Cumulative Bonus
Cover dependent children

New India Corona Kavach Policy

This plan covers hospitalization expenses if the insured is diagnosed with COVID-19. It is available on an individual and floater basis with a maximum sum of INR 5 lakh.

Unique Features

Home care treatment covered
Avail special discounts
Ambulance charges covered

New India Group Mediclaim for workers

Hospitalization expenses for any illness or injury. Ideal for those who want to cover their children and dependent parents.

Unique Features

AYUSH Treatment available
Avail ICU expenses
Affordable premiums available

New India Asha Kiran Mediclaim Policy

A special policy designed for parents with girl children only. Two dependent daughters can be covered with Rs. 8 Lakh sum insured.

Unique Features

Avail 50% discount
Hospital Cash available
Avail AYUSH treatment

New India Cancer Guard Policy

This plan is designed to aid financially in treating cancer. The policy offers cover for conventional and advanced cancer treatments.

Unique Features

SI up to 50 Lakh
Avail cancer care benefit
58 Day care procedures covered

New India Sixty Plus Mediclaim Policy

A plan designed for individuals between 60-80 years of age and offers 5% discount for single women senior citizen's. Gives sum insured up to 5 Lakhs.

Unique Features

Avail discounts
Medical check up reimbursement
Avail Ambulance charges

New India Top up Mediclaim Policy

New India TOP-UP Mediclaim policy covers hospitalization expenses once your policy crosses it’s threshold limit. It can cover up to 6 family members.

Unique Features

SI up to 22L available
Avail Cataract treatment
AYUSH expenses covered

New India Senior Citizen Mediclaim Policy

The Policy covers reimbursement of Hospitalisation Expenses for Illness/ Injury sustained.

Unique Features

ICU expenses covered
AYUSH treatment available
Mental illness expenses covered

New India Tertiary Care Insurance

An individual plan that is specifically designed to cover the treatment of 9 major illnesses.

Unique Features

Domiciliary treatment available
Ambulance expense covered
Avail No claim bonus

New India Insurance Network Hospital List

Delhi

Mumbai

Bengaluru

Chennai

Kolkata

Hyderabad

Pune

Ahmedabad

Jaipur

Ghaziabad

Know More About New India Network Hospital

Flexi Floater Group Mediclaim Policy: FAQ's

1. What is the maximum room rent allowed under the room rent coverage of the plan?

The plan ensures that the room rent does not exceed 1% per day, providing cost-effective accommodation during hospitalization.

2. How much coverage is provided for specialized medical professionals and monitoring equipment expenses?

The coverage includes expenses for specialized medical professionals, monitoring equipment, and essential devices, with a limit of 2% of the sum insured per day.

3. What medical expenses are covered under the plan?

The plan covers a wide range of medical expenses, including professional fees for surgeons, anesthetists, consultants, and specialists. It also includes costs for anaesthesia, blood, oxygen, operating theater charges, and various procedures such as dialysis, chemotherapy, and radiotherapy.

4. Are ambulance charges covered under the Flexi Floater Group Mediclaim Policy?

Yes, ambulance charges are covered under the Flexi Floater Group Mediclaim Policy. The plan covers ambulance charges up to 1% of the sum insured or the actual expenses, whichever is lower, with a maximum limit of Rs. 2,500.

5. Does the New India Flexi Floater Group Mediclaim Policy cover organ transplantation expenses?

Yes, the New India Flexi Floater Group Mediclaim Policy covers organ transplantation expenses.

6. Does the Flexi Floater Group Mediclaim Policy cover pre-hospitalization and post-hospitalization expenses?

Yes, the policy covers 30 days of pre-hospitalization expenses and 60 days of post-hospitalization expenses, with a hospitalization duration of more than 24 hours.

7. Are daycare treatment expenses covered under the policy?

Yes, the policy provides cover for daycare treatment expenses up to a specified limit where 24-hour hospitalization is not required.

8. Does the policy provide coverage for Ayurvedic, Homeopathic, and Unani treatments?

Yes, the policy offers 25% compensation for Ayurvedic, Homeopathic, and Unani treatments done in government hospitals.

9. When are pre-existing diseases covered under the policy?

Coverage for pre-existing diseases is available after four years of continuous claim-free renewals.

10. Are there any special inclusions in the New India Flexi Floater Group Mediclaim Policy?

Yes, there are special inclusions such as coverage for impairment of persons' intellectual faculties, artificial life maintenance, puberty and menopause-related disorders, age-related macular degeneration (ARMD), behavioral and neurodevelopmental disorders, genetic diseases or disorders, and treatment of mental illness and neurodegenerative disorders.

11. What is the cancellation clause of the policy

The Cancellation Clause of the New India Assurance Group Mediclaim Policy is as follows:

The insurance company has the authority to cancel the policy by sending the insured a formal letter with a 30-day prior notification.
In case of cancellation, the company will refund the premium based on the short-period rate table of the policy.

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