New India Top-Up Mediclaim Policy: Benefits & Premiums | PolicyX
New India Health Insurance New India Health Insurance ★ 4.4

New India Top-Up Mediclaim Policy

New India Top-Up Mediclaim is a top-up insurance plan that covers hosp ...Read More

Up to 2 Crore
Sum insured
1
No. of plans
1800+
Pan India presence
90.73%
Claim settlement ratio
🛡️ IRDAI Approved
4.4/5 · 2,697 reviews
🏥 3,000+ hospitals
📊 1.91 solvency ratio
90.73% claim settlement

About New India Top-Up Mediclaim Policy

A quick read on what this New India Health Insurance plan covers and why it might be a fit for you.

New India Top-Up Mediclaim is a top-up insurance plan that covers hospitalization expenses once your base health insurance is exhausted. The policy is designed to provide additional health insurance coverage for other medical expenses and can be issued on an individual and family floater basis. However, it is not mandatory to have a base health insurance policy to purchase a New India Assurance Top-Up Policy. Individuals who invest in this policy will be entitled to a wide range of sums insured from ₹5 Lakh to ₹22 Lakh. New India Top-Up Mediclaim offers cover to up to 6 family members under the family floater variant, with the entry age for the proposer being 18 to 65 years, and for other dependent members, 3 months. New India Assurance Top-Up Policy offers a wide range of coverage benefits, such as:

  • Room Rent
  • ICU
  • Cataract
  • Get Well Benefit
  • Hospital Cash
  • Ambulance Charges and more

To find out more details about New India Top-Up Mediclaim, keep reading below to make an informed decision.

Plan at a glance

Eligibility, sum insured options and policy mechanics — pulled straight from the policy wording.

Entry age
18 to 65 Years
Plan type
Top Up and Super Top Up
Sum insured options
₹5 L, ₹7 L, ₹10 L, ₹12 L, ₹15 L, ₹17 L, ₹22 L
Waiting period
30 Days
Renewability
Lifelong
Policy term
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.

Pros & cons

A quick honest summary — the strengths and the trade-offs.

Pros

  • Hospital Cash
  • Ambulance Cover
  • Zero Co-pay

Cons

  • Illegal activities
  • Alcoholism and Drug Abuse
  • Adventure Sports

What's covered

Every CMS-driven coverage flag from the plan wording — only items with a published value render below.

Hospitalization

  • Room rent Covered
  • ICU charges Covered
  • Pre-hospitalization Covered
  • Post-hospitalization Covered
  • Domiciliary hospitalization Not covered
  • Day-care treatment Covered
  • OPD charges Not covered
  • Covid-19 treatment Covered
  • Cataract Covered

Bonuses & restoration

  • No-claim bonus Not covered
  • Automatic restoration of SI Not covered
  • Daily hospital cash Covered

Family & special care

  • Maternity cover Not covered
  • New-born baby cover Not covered
  • IVF treatment Not covered
  • AYUSH treatment Covered
  • Organ donor expenses Not covered

Modern & preventive care

  • Modern treatment Covered
  • Road ambulance Covered
  • Air ambulance Not covered
  • E-consultation Not covered
  • Health check-up Not covered
  • Second medical opinion Not covered
  • Vaccination Not covered

Conditions & global

  • Co-payment Not covered
  • Sub-limits Not covered
  • Compassionate travel Not covered
  • Global coverage Not covered

Video reviews

Walkthroughs from the PolicyX team — pros, cons, real claim experiences and who should buy.

New India Health Insurance

New India Health Insurance

This video talks about New India Health Insurance in detail. It talks about key features like Solvency Ratio, Claim Support Ratio which help an individual to analyze if the Insurer matches with his/ her requirements.

New India Top-up Mediclaim At A Glance

Plan TypeSum InsuredNetwork HospitalPED Waiting Period
Individual/Family Floater₹5 Lakh to ₹22 Lakh3000+48 Months

Claim Process of New India Top-Up Mediclaim

The claim process for New India Top-Up Mediclaim Policy is outlined below:

  • Intimate the TPA in writing immediately upon detection of any illness or injury, or 48 hours prior to hospitalization.
  • Intimate within 24 hours from the time of hospitalization in case of a medical emergency.
  • Submit the following supporting documents to the TPA within seven days from the date of discharge from the hospital:
    • Bill, Receipt, and Discharge certificate/card from the Hospital.
    • Cash memos from hospitals/chemists, supported by proper prescriptions.
    • Receipts and pathological test reports from pathologists, supported by a note from the attending medical practitioner/surgeon recommending such tests.
    • Surgeon's certificate stating the nature of the operation performed, along with the surgeon's bill and receipt.
    • Attending doctor's/consultant's/specialist's/anesthetist's bill, receipt, and certificate regarding diagnosis.
  • For post-hospitalization treatment (limited to sixty days), submit all claim documents within 7 days after completion of such treatment.
  • Provide the TPA with authorization to obtain medical and other records from any hospital, laboratory, or other agency.

New India Health Insurance Network Hospital List

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.

Know More About Network Hospitals →

Sample premium

Indicative premium examples — your actual quote depends on age, declared medical history, sum insured and add-ons.

Premium Table For New India Top-Up Mediclaim

The premium table for New India Assurance Top-Up Mediclaim is provided below:

For 1 Adult

Sum Insured (INR)₹5 Lakh₹12 Lakh₹17 Lakh₹22 Lakh
Premium (INR)₹1,800₹2,300₹3,000₹3,600

For 2 Additional Members

Sum Insured (INR)₹5 Lakh₹12 Lakh₹17 Lakh₹22 Lakh
Premium (INR)₹900₹1,150₹1,500₹1,800

Inclusions & exclusions

What the plan pays for, and what it doesn't.

Exclusions

  • Permanent diseases or health conditions not covered under the New India Top-Up Mediclaim Plan include:
  • Sexually transmitted disease or HIV/AIDS
  • Influence of intoxicating liquor or drugs
  • Suicide or attempted suicide, intentional self-injuries
  • Congenital external diseases, defects, or anomalies
  • The insured person committing any breach of law
  • Birth control procedures and hormone replacement therapy
  • Certain diseases and treatments are covered under this plan after a specific waiting period. Read the details below:
  • Listed ailments after 24 or 36 months
  • Pre-existing diseases after 36 months

Who can buy this plan

Eligibility criteria pulled straight from the policy wording.

  • Minimum Entry Age: 18 Years
  • Maximum Entry Age: 65 Years
  • Initial Waiting Period: 30 Days
  • Sum Insured: Up to ₹22 Lakh

Other features & benefits

What Is Covered Under New India Top-Up Mediclaim?

The New India Assurance Top-Up Policy offers the following coverage and benefits:

Coverage Term₹5 Lakh - ₹22 Lakh
Room Rent₹5,000 per day for Sum Insured of ₹5 Lakh
₹8,000 per day for Sum Insured of ₹8 Lakh
Intensive Care Unit (ICU)₹10,000 per day for Sum Insured of ₹5 Lakh
₹16,000 per day for Sum Insured of ₹8 Lakh
Doctor’s ConsultationCovered
Cost of MedicinesCovered
Organ Donor ExpensesCovered
Get Well Benefit₹5,000 for Sum Insured of ₹5 Lakh
₹8,000 for Sum Insured of ₹8 Lakh
Emergency Ambulance Services₹5,000 for Sum Insured of ₹5 Lakh
₹8,000 for Sum Insured of ₹8 Lakh
Hospital Cash₹500 per day for Sum Insured of ₹5 Lakh
₹800 per day for Sum Insured of ₹8 Lakh
Cataract CoverAvailable, up to ₹50,000
AYUSH TreatmentCovered
Treatment for Mental IllnessesCovered, up to 25% of the Sum Insured per policy period

What Is Not Covered Under New India Top-Up Mediclaim?

Exclusions for the New India Assurance Top-Up Policy are listed below:

  • Sexually transmitted disease or HIV/AIDS.
  • Influence of intoxicating liquor or drugs.
  • Suicide or attempted suicide, intentional self-injuries.
  • Congenital external diseases, defects, or anomalies.
  • The insured person committing any breach of law.
  • Birth control procedures and hormone replacement therapy.

New India Top-Up Mediclaim Policy: FAQs

The 5 most-asked questions about New India Top-Up Mediclaim Policy, answered.

The entry age for adults is 18 to 65 years while dependent children can be covered from the age of 3 months to 25 years under the New India Top-Up Mediclaim.
The sum insured options available under New India Top-Up Mediclaim Policy are: 5 L 7 L 10 L 12 L 15 L 17 L 22 L
The plan tenure is 1 year under the New India Top-Up Mediclaim policy.
Yes, New India Top-Up Mediclaim Policy premiums are eligible for tax benefits under the Income Tax Act of India.
No, maternity cover is unavailable under the New India Top-Up Mediclaim policy.

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