New India Mediclaim Policy
New India Assurance
  • Lifetime Renewability
  • Cashless Facility
  • Tax Benefits u/s 80D
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New India Assurance Mediclaim Policy

In this era where the health care expenses are rising daily, it becomes crucial to think about the ways that can assist you in having a secure and healthy future. There are multiple options for the same, but health insurance should be the first one to start with. An investment in an effective health insurance plan is the ideal way to be prepared against unwanted medical emergencies. When it comes to investing in a health insurance plan, it is important to select a reliable plan from a trustworthy insurance company. New India Mediclaim Policy by New India Health Assurance Company is one of the best health insurance plans that you can go for.

The plan is designed to offer the required financial cover against unwanted medical emergencies. The plan offers the required cover all over India. It allows the insured to focus more on the treatment rather than its expenses.

New India Assurance Mediclaim Policy: Eligibility

Entry age 18-65 years
Policy tenure1 year (renewable)
Sum insuredUp to 15 lakhs
Waiting period2 to 4 years
PremiumBased on the age and medical conditions.

Key Features

New India Mediclaim Policy is an innovative product. The plan is designed to protect the insured savings at every required stage. Apart from such basic features, the plan has a lot more to offer. Below is the list of such great features that will assist you to understand the plan better.

  • Hospitalization Cover: The plan is designed to offer needful cover against hospitalization expenses in case you get hospitalised for more than 24 hours due to any specific disease or in an emergency.
  • Cashless Facility: This is one of the most innovative features that allow you to get the cashless treatment at 5884 network hospitals. Under the same, you don't have to pay a single penny from your pocket if you are getting your treatment done at the network hospital.
  • Pre and post Hospitalization: Along with the in-hospital cover, the plan allows you to avail pre (30 days before) and post (60 days after discharge) hospitalization cover.
  • Day-care Procedures: The plan allows you to get the required cover for daycare procedures and surgeries which do not require 24 hours hospitalization.
  • Pre-existing Disease Cover: In case of any pre-existing diseases, the plan will be liable to cover the same after 4 years of the claim-free policy.
  • No Claim Bonus: The plan will provide a no claim bonus to the insured for every claim-free year.
  • Pre-acceptance Checkup: There is no pre-acceptance medical checkup up to the age of 50 years. It will be required for those who are getting insured after the age of 50 years.
  • Lifetime Renewability: The plan comes out with the lifelong renewability option which makes it a worthy product for a long tenure.
  • Hospital Cash: You are liable to receive hospital cash for each day of hospitalisation. It will be 0.1 % of the sum insured. You are liable to receive the same only if you have opted for a sum insured of Rs.3 lakhs or more.
  • Health Checkup: The insured is liable to receive a reimbursement of the medical check-up cost at the end of a block of every three claim-free years.
  • Tax Benefits: The plan allows you to get tax benefits as per the prevailing tax laws.

Why You Should Opt For The New India Mediclaim Policy?

Health insurance has become the need of the hour. A single medical emergency is enough to ruin the savings and happiness of your family. A person should be prepared in advance to deal with such unwanted contingencies. Speaking of preparation, you should invest in an adequate health insurance plan and New India Assurance Mediclaim Policy is one of the best options for you. With the cashless features, it has made a lot of things easier for you. You don't have to ruin your savings just to get the right treatment as this plan will pay on your behalf at the hospital. Multiple features and the affordable premium has made it an ideal choice.

Major Exclusions

  • All diseases within the initial 30 days of policy issuance.
  • Dental treatment is not liable to get the cover except arising due to an accident.
  • Cosmetic surgery, circumcision, plastic surgery unless required for treatment of illnesses.
  • Inoculation and vaccination charges are not covered.
  • All expenses associated with the pregnancy and childbirth.
  • Treatment that takes place outside India.
  • Domiciliary Treatment or treatment at home is not covered under this plan.
  • Expenses associated with any kind of experimental treatment.
  • All external equipment which includes cochlear implants, contact lenses, etc.
  • Sexually transmitted diseases and HIV (AIDS).

New India Assurance Mediclaim Policy: Claim process

Filing claim is the most important stage of every health insurance plan. New India Assurance is one of such organizations who understand the importance of the same and has made the process easier for its customers. With 103.19% as a claim ratio, New India Assurance never disappoints its customers. So, you can trust it to get the required claim amount under your New India Mediclaim policy. The process is very easy. It is divided into two forms- cashless and reimbursement.

Let’s discuss in detail.

Cashless Claim Process: The cashless claim is one of the most preferred options. It allows the insured to get the required assistance without paying a single penny from their pocket. The process is very simple. You need to inform the insurance company within 24 hours of hospitalization in case of emergency and 3 days before in case of planned hospitalization. You need to submit a cashless claim form with all the required documents to the insurance company or the TPA at the hospital. The rest will be taken care of by the team of the insurance company. The team will directly pay to the hospital on your behalf.

Reimbursement: Under this process, you have to pay for all your medical bills and later file for the reimbursement. For the same, you need to inform the insurance company as soon as possible. You have to submit the claim form along with the required documents that include original medical bills, documents associated with your treatment, claim form and policy documents. After the submission of your documents, the surveyor will examine all the details, access the claim and will share the results with you. If it is approved, you would get the reimbursement otherwise you will receive the reason for the rejection.

New India Assurance Mediclaim Policy: FAQs

You can’t claim for any disease within the initial thirty days of the new insurance policy. However, claims related to the hospitalization that takes place due to an accident in the initial thirty days are payable. There are a few cases under which the waiting period is two years or four years.

Third-Party Administrator or TPA is a service provider to facilitate service related to your cashless claim. It acts as a mediator between you and your insurer. The TPA can also settle reimbursement claims.

Yes, the plan will pay for ayurvedic treatment but up to a certain limit. The plan will pay for 25% of the sum insured if the treatment is taken place in a government hospital, any government institution or accredited by Quality Council Of India or National Accreditation Board on Health.

The plan will pay for the hospitalization which is more than twenty-four hours. However, for a few of the treatment specified in the plan, the period of stay can be less than twenty-four hours. You must check your policy documents to get more details about the same.

The company may refuse to renew your policy on some rare occasions that include fraud, suppression, misrepresentation or non–cooperation being committed by the insured.

Yes, you are allowed to insure your entire family under a single plan and that might cost less as compared to the individual plan.

Yes, It is possible to shift to another hospital under New India Mediclaim Policy during treatment. However, this needs to be evaluated by the Third Party Administrator as per the terms and conditions.

The entire claim amount is payable if it is under the sum insured limit and related to the hospitalization as per the terms and conditions of the plan. You have to submit all the required documents for the same.

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Last updated on 18-02-2020