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 Premier Mediclaim Policy is a versatile health insurance policy that can cover up to 6 members of your family under a single policy. New India Premier Mediclaim Policy can be purchased by individuals between the age of 18 years and 65 years. Dependent children are covered between the age of 3 months and 18 years provided one or both parents are covered by the policy. Moreover, children between 18 years to 25 years can be covered if they are financially dependent on their parents.
The New India Premier Mediclaim Policy is divided into two basic coverage options namely Plan A and Plan B. Plan A offers sum insured options of 15 L and 25 L whereas option B offers sum insured options of 50 L and 1 Cr. The New India Premier Mediclaim Policy offers extensive coverage such as room rent, ICU, hospital cash benefit, critical care benefit, AYUSH Treatment, ambulance charges, maternity and child care benefit, and more.
To understand New India Premier Mediclaim Insurance in detail, take a look at the below table:
18 to 65 Years
Individual and Family Health Insurance
15 L | 25 L | 50 L | 1 Cr
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, New India Premier 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
Not Covered
Daycare Treatment
Covered
OPD Charges
Covered
COVID-19 Treatment
Covered
Cataract
Covered
No Claim Bonus
Not 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
Covered
Compassionate Travel
Not Covered
Global Coverage
Not Covered
E-Consultation
Not Covered
Health Check-Up
Covered
Second Medical Opinion
Covered
Vaccination
Not Covered
Co-payment
Not 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.
New India Premier Mediclaim Policy is a one-of-a-kind policy that offers a variety of coverage options at low premiums. Some of the policy benefits provided by the New India Premier Mediclaim Policy are listed below.
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.
To understand the premium payment structure for New India premier mediclaim policy refer to the information given below :
Sum Insured (in Rs.) | 15 Lakhs | 25 Lakhs | 50 Lakhs | 1 Cr |
Premium Payable (in Rs.) | 16,171 | 20,396 | 35,464 | 46,154 |
Sum Insured (in Rs.) | 15 Lakhs | 25 Lakhs | 50 Lakhs | 1 Cr |
Premium Payable (in Rs.) | 12,025 | 15,166 | 26,370 | 34,320 |
Permanent diseases or health conditions that are not included under New India Premier Mediclaim Policy:
Hospitalization out of war, riot, strike, and nuclear weapons
Intentional self-injury
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 and 36 months
Pre-existing diseases after 48 months
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:
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The policy term of the New India Premier Mediclaim Policy is 1 year from the date of commencement. The premium paid for the policy is payable at the time of purchase.
The eligibility criteria for the New India Premier Mediclaim Policy is 18 years to 65 years for adults and 3 months to 18 years or 25 years for children. Children up to 25 years of age are covered only if they are financially dependent on the insured life.
Individuals need not worry about any upper age limit for renewal of their policy. New India Premier Mediclaim policy can be renewed until the policyholder pays the renewal premium before the expiry date of the policy.
When individuals invest in a New India Premier Mediclaim policy, they have to wait for the policy to complete the first 30 days before making any claim. However, if hospitalization occurred due to an accident during the first thirty days of the policy, the amount is payable.
Permanent illnesses or health conditions not covered under the New India Premier Mediclaim Policy Hospitalization with war, riot, strike and nuclear weapons Intentionally hurting yourself Abortion, and abortion Congenital diseases Infertility and in vitro fertilization
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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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