Network hospitals
3000+
Incurred claim ratio
90.73%
Sum insured
Up to 2 Crore
No. of Plans
1
Solvency Ratio
1.8
Pan India Presence
1800+
New India Flexi Floater Group Mediclaim Policy is a comprehensive health insurance plan. Since a group health insurance 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.
To understand Flexi Floater Group Mediclaim Insurance in detail, take a look at the below table:
18 to 60 Years
Group Health Insurance
N/A
30 Days
Lifelong
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.
Read more specifications in the brochure.
With wide coverage options available, Flexi Floater Group Mediclaim 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
Covered
Daycare Treatment
Covered
OPD Charges
Not Covered
COVID-19 Treatment
Covered
Cataract
Covered
No Claim Bonus
Not Covered
Automatic Restoration
Not Covered
Daily Hospital Cash
Not Covered
Organ Donor
Covered
Maternity Cover
Not 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
Covered
E-Consultation
Not Covered
Health Check-Up
Covered
Second Medical Opinion
Not Covered
Vaccination
Covered
Co-payment
Covered
Sub-limits
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.
This group health 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:
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.
New India Health Insurance
New India Health Insurance Network Hospitals are present in 31 states nationwide. With a wide network of hospitals, New India Health Insurance ensures that you are medically secured, irrespective of the city you reside in.
Permanent diseases or health conditions that are not included under the New India Flexi Floater Group Mediclaim Plan are:
Hospitalization out of war, riot, strike, and nuclear weapons
Intentional self-injury
AIDS
Miscarriage, and Abortion
Congenital disease
Infertility and in vitro fertilization
Certain diseases and treatments are covered under this plan after a certain period. Read the details below:
Listed ailments after 24/48 Months
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:
To cater to the different medical needs of an individual & their family, New India 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 New India Health Insurance plans explore more:
Top Up and Super Top Up
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Senior Citizen Health Insurance
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Individual and Family Health Insurance
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Senior Citizen Health Insurance
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Family
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Individual and Family Health Insurance
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Critical Illness Health Insurance
New India Cancer Guard Policy by New India Assurance is a health insurance plan that provides a financial cushion for expensive treatments such as Can...
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Group Health Insurance
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Individual and Family Health Insurance
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The plan ensures that the room rent does not exceed 1% per day, providing cost-effective accommodation during hospitalization.
The coverage includes expenses for specialized medical professionals, monitoring equipment, and essential devices, with a limit of 2% of the sum insured per day.
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.
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.
Yes, the New India Flexi Floater Group Mediclaim Policy covers organ transplantation 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.
Yes, the policy provides cover for daycare treatment expenses up to a specified limit where 24-hour hospitalization is not required.
Yes, the policy offers 25% compensation for Ayurvedic, Homeopathic, and Unani treatments done in government hospitals.
Coverage for pre-existing diseases is available after four years of continuous claim-free renewals.
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.
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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Naval Goel is the Founder and CEO of PolicyX.com (IRDA- Approved Insurance Comparison Website). He is a CFA charter holder (USA) and FRM (GARP). He holds an MBA from IIFT, Delhi, and is also an Associate from the Insurance Institute of India. Naval is an avid investor and entrepreneur who has a deep understanding of the Indian equity market and insurance sector. He has been investing for more than 10 years now and is a CFA charter holder.
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February 5, 2023
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