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 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 in case there are 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 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 variant of prosper being 18 to 65 years and for other dependent members 3 months. New India Assurance Top-Up Policy offers a plethora of coverage benefits such as:
To find out more details about New India Top-Up Mediclaim keep reading below to make an informed decision.
To understand New India Top-Up Mediclaim Policy Insurance in detail, take a look at the below table:
18 to 65 Years
Top Up and Super Top Up
5 L | 10 L | 7 L | 12 L | 17 L | 15 L | 22 L
30 Days 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 Top-Up Mediclaim Policy 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
Not Covered
COVID-19 Treatment
Covered
Cataract
Covered
No Claim Bonus
Not Covered
Automatic Restoration
Not Covered
Daily Hospital Cash
Covered
Organ Donor
Not Covered
Maternity Cover
Not Covered
New Born Baby Cover
Not Covered
AYUSH Treatment
Covered
IVF Treatment
Not Covered
Modern Treatment
Covered
Ambulance
Covered
Air Ambulance
Not Covered
Compassionate Travel
Not Covered
Global Coverage
Not Covered
E-Consultation
Not Covered
Health Check-Up
Not Covered
Second Medical Opinion
Not Covered
Vaccination
Not Covered
Co-payment
Not Covered
Sub-limits
Not 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.
Plan Type | Sum Insured | Network Hospital | PED Waiting Period |
Individual/Family Floater | 5 to 22 Lakhs | 3000+ | 48 Months |
Mentioned below are the claim process steps toward the New India Top-Up Mediclaim Policy:
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.
The premium table for New India Assurance Top-Up Mediclaim is given below:
Sum Insured (INR) | 5 L | 12 L | 17 L | 22 L |
Premium (INR) | 1,800 | 2,300 | 3,000 | 3,600 |
Sum Insured (INR) | 5 L | 12 L | 17 L | 22 L |
Premium (INR) | 900 | 1,150 | 1,500 | 1,800 |
Permanent diseases or health conditions that are not included under the New India Top-Up Mediclaim Plan are:
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 certain period. Read the details below:
Listed ailments after 24/36 Months
Pre-existing diseases after 36 Months
The New India Assurance Top-Up Policy includes the following coverage and benefits for its customers:
Coverage Term | 5 Lakh - 22 Lakhs |
Room Rent | Rs. 5k per day for 5 Lakh Threshold Rs. 8k per day for 8 Lakh Threshold |
Intensive Care Unit (ICU) | Rs. 10k per day for 5 Lakh Threshold Rs. 16k per day for 8 Lakh Threshold |
Doctor’s Consultation | Covered |
Cost of Medicines | Covered |
Organ Donor Expenses | Covered |
Get Well Benefit | 5k for 5 Lakh Threshold 8k for 8 Lakh Threshold |
Emergency Ambulance Services | 5k for 5 Lakh Threshold 8k for 8 Lakh Threshold |
Hospital Cash | INR 500 per day for 5 Lakh Threshold INR 800 per day for 8 Lakh Threshold |
Cataract Cover | Available, up to INR 50k |
AYUSH Treatment | Covered |
Treatment for Mental Illnesses | Covered, up to 25% of Sum Insured per policy period |
New India Assurance Top-Up Policy is mentioned below:
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 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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Simran is an insurance expert with more than 4 years of experience in the industry. An expert with previous experience in BFSI, Ed-tech, and insurance, she proactively helps her readers stay on par with all the latest Insurance industry developments.
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February 5, 2023
Asia/Kolkata
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