New India Top-Up Mediclaim Policy
  • High SI Available
  • Mental Illness Cover
  • Avail Cataract Cover
New India Top-Up Mediclaim Policy
Network hospitals

Network hospitals

3000+

Incurred claim ratio

Incurred claim ratio

90.73%

Sum insured

Sum insured

Up to 2 Crore

No. of Plans

No. of Plans

1

Solvency Ratio

Solvency Ratio

1.8

Pan India Presence

Pan India Presence

1800+

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New India Top-Up Mediclaim Policy

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:

  • 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.

 

New India Health Insurance Detailed Review

New India Top-Up Mediclaim Policy

New India Top-Up Mediclaim Policy Specifications

To understand New India Top-Up Mediclaim Policy Insurance in detail, take a look at the below table:

Entry Age

18 to 65 Years

Policy Type

Top Up and Super Top Up

Sum Insured

5 L | 10 L | 7 L | 12 L | 17 L | 15 L | 22 L

Initial Waiting Period*

30 Days 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.

Read more specifications in the brochure.

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Choose Your New India Top-Up Mediclaim Policy

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:

In-patient & Out-patient coverage

Room Rent

Covered

ICU Charges

Covered

Pre-Hospitalization

Covered

Post-Hospitalization

Covered

Domiciliary Hospitalization

Not Covered

Daycare Treatment

Covered

OPD Charges

Not Covered

Coverage Terms

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

Alternative Treatments

AYUSH Treatment

Covered

IVF Treatment

Not Covered

Modern Treatment

Covered

Emergency Coverage

Ambulance

Covered

Air Ambulance

Not Covered

Compassionate Travel

Not Covered

Global Coverage

Not Covered

Wellness Programmes

E-Consultation

Not Covered

Health Check-Up

Not Covered

Second Medical Opinion

Not Covered

Vaccination

Not Covered

Limitations

Co-payment

Not Covered

Sub-limits

Not Covered

What is Room Rent?

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).

What are ICU Charges?

It is a special hospital department where patients with serious medical conditions are treated.

What is Pre Hospitalization?

Medical expenses incurred before hospitalisation of the policyholder.

What is Post Hospitalization?

Medical expenses incurred after the discharge of the policyholder from the hospital.

What is Domiciliary Hospitalization?

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.

What is Daycare Treatment?

Treatments that can be completed within 24 hours of hospitalization like blood dialysis, cataracts, etc.

What are OPD charges?

Covers the cost of doctor consultations and prescribed medical tests that may not require hospitalization. .

What is COVID-19 Treatment?

It includes the treatment cost for COVID-19 with a confirmative diagnosis from a government-approved centre.

What is Cataract Treatment?

A common eye condition in which your vision gets blurred due to cloudy formation in your eyes.

What is a No-Claim Bonus?

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.

What is Automatic Restoration?

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.

What is Daily Hospital Cash?

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.

What is an Organ Donor Cover?

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.

What is a Maternity Cover?

It refers to the cover that includes expenses for normal and c-section deliveries.

What is a New Born Baby Cover?

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:

  • Congenital anomaly (conditions since birth)
  • Acute condition
  • Chronic condition
  • Premature delivery
  • Birth asphyxia
  • Daycare treatment
What is AYUSH Treatment?

Refers to the cost of medicines and procedures used under AYUSH (Ayurveda, Yoga & Naturopathy, Unani, Siddha, and Homeopathy) treatment.

What is IVF 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:

  • Full infertility
  • No fertility
  • Infertility diagnosis
  • Infertility diagnosis and limited fertility treatment
  • Medication (which may or may not include fertility drug prescriptions)
What is a Modern Treatment?

Medical treatments that demand the use of modern technology and advanced machinery such as robotic surgeries, stem cell therapy, etc.

What is an Ambulance Cover?

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.

What is an Air Ambulance?

Air ambulances are specially prepared planes that transfer the patient from one place to another in case of a health emergency.

What is Compassionate Travel?

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.

What is Global Coverage?

Any kind of medical/health emergency when you are outside of India is covered for hospitalization expenses, modern and specific treatments, etc.

What is E-Consultation?

If a policy offers e-consultation it allows policyholders to connect with a doctor for medical consultation through video chat, audio call, or chatbot.

What is a Health Checkup?

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.

What is a Second Medical Opinion?

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.

What is Vaccination cover?

Coverage against the expenses incurred on vaccinations of either the newborn baby, for an animal bite, etc is provided by the insurance companies.

What is Co-payment?

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.

What is the Sub limit?

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 Top-up Mediclaim At A Glance

Plan Type Sum Insured Network Hospital PED Waiting Period
Individual/Family Floater 5 to 22 Lakhs 3000+ 48 Months

Claim Process of New India Top-Up Mediclaim

Mentioned below are the claim process steps toward the New India Top-Up Mediclaim Policy:

  • Intimate the TPA in writing on detection of any Illness or Injury being suffered immediately or 48 hours before Hospitalisation.
  • Intimate within twenty-four hours from the time of Hospitalisation in case of Hospitalisation due to a medical emergency.
  • Submit the following supporting documents TPA relating to the claim within seven days from the date of discharge from the Hospital:
    • Bill, Receipt, and Discharge certificate/card from the Hospital.
    • Cash Memos from the Hospitals (s) / Chemists (s), supported by proper prescriptions.
    • Receipt and Pathological test reports from Pathologist supported by the note from the attending Medical Practitioner / Surgeon recommending such Pathological tests / pathological.
    • Surgeon's certificate stating the nature of the operation performed and the Surgeons' bill and receipt.
    • Attending Doctor's/ Consultant's/ Specialist's / Anesthetist's bill and receipt, and certificate regarding diagnosis.
  • In case of Post-Hospitalisation treatment (limited to sixty days), submit all claim documents within 7 days after completion of such treatment.
  • Provide TPA with authorization to obtain medical and other records from any Hospital, Laboratory or other agency.

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Premium Table For New India Top-Up Mediclaim

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

1 Adult

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

2 Additional Member

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

New India Top-Up Mediclaim Plan Exclusions

Permanent Exclusions

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

Coverage after Waiting Period

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

What Is Covered Under New India Top-Up Mediclaim?

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

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

New India Assurance Top-Up Policy is mentioned 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

Explore other New India Health Insurance

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

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...

Unique Features

  • High SI Available
  • Mental Illness Cover
  • Avail Cataract Cover

New India Top-Up Mediclaim Policy (Pros)

New India Top-Up Mediclaim Policy
  • Hospital Cash
  • Ambulance Cover
  • Zero Co-pay

New India Top-Up Mediclaim Policy (Cons)

New India Top-Up Mediclaim Policy
  • Illegal activities
  • Alcoholism and Drug Abuse
  • Adventure Sports

New India Top-Up Mediclaim Policy (Other Benefits)

New India Top-Up Mediclaim Policy
  • Get Well Benefit
  • Mental Health Cover
  • No Base Cover Needed

New India Top-Up Mediclaim Policy (Eligibility Criteria)

New India Top-Up Mediclaim Policy
  • Min entry age: 18 Years
  • Max entry age: 65 Years
  • Initial Waiting Period: 30 Days
  • Sum Insured: Up to 22 L

Senior Citizen Health Insurance

New India Sixty Plus Mediclaim Policy is a comprehensive health insurance by New India Assurance Company. The policy covers senior citizens aged betwe...

Unique Features

  • Senior Citizen Cover
  • Attendant Benefit
  • Discounts For Women

New India Sixty Plus Mediclaim Policy (Pros)

New India Sixty Plus Mediclaim Policy
  • Continuation Aftеr Dеath
  • Organ Transplant Covеr
  • Covеr for Prе-Mеdical Chеck-up

New India Sixty Plus Mediclaim Policy (Cons)

New India Sixty Plus Mediclaim Policy
  • Illegal activities
  • Alcoholism and Drug Abuse
  • Adventure Sports

New India Sixty Plus Mediclaim Policy (Other Benefits)

New India Sixty Plus Mediclaim Policy
  • Attеndant Bеnеfit
  • Discount for Singlе Womеn
  • Covеragе for Spouse

New India Sixty Plus Mediclaim Policy (Eligibility Criteria)

New India Sixty Plus Mediclaim Policy
  • Min entry age: 60 Years
  • Max entry age: No upper limit
  • Initial Waiting Period: 30 Days
  • Sum Insured: Up to 5 L

Accident Health Insurance

New India Assurance Personal Accident Policy is a simple health insurance plan that provides compensation in case the insured is deceased or disabled ...

Unique Features

  • Accident Cover
  • Worldwide Coverage
  • Permanent Disability Cover

New India Assurance Personal Accident Policy (Pros)

New India Assurance Personal Accident Policy
  • Worldwide Coverage
  • Disability Cover
  • Death Benefit

New India Assurance Personal Accident Policy (Cons)

New India Assurance Personal Accident Policy
  • Self-injury not covered
  • Maternity coverage not available
  • Adventure sports not covered

New India Assurance Personal Accident Policy (Other Benefits)

New India Assurance Personal Accident Policy
  • Education Fund
  • Optional add-on covers
  • Family Package

New India Assurance Personal Accident Policy (Eligibility Criteria)

New India Assurance Personal Accident Policy
  • Min entry age: 5 Years
  • Max entry age: 70 Years
  • Initial Waiting Period: N/A
  • Sum Insured: N/A

Individual and Family Health Insurance

New India Assurance Mediclaim Policy offered by New India Assurance Health Insurance Company is a health plan that covers you and your family against ...

Unique Features

  • Wide Coverage Options
  • Same Rates of Premium
  • Key Features and Benefits

New India Medicare Policy (Pros)

New India Medicare Policy
  • AYUSH Cover
  • Modern Treatment
  • Health Check-up

New India Medicare Policy (Cons)

New India Medicare Policy
  • Illegal Activities
  • Alcoholism and Drug Abuse
  • Adventure Sports

New India Medicare Policy (Other Benefits)

New India Medicare Policy
  • Cataract
  • Ambulance Cover
  • Organ Donor Cover

New India Medicare Policy (Eligibility Criteria)

New India Medicare Policy
  • Min entry age: 18 Years
  • Max entry age: No Limit
  • Initial Waiting Period: 30 Days
  • Sum Insured: Up to 15 L

Individual and Family Health Insurance

The New India Asha Kiran Policy by New India Health Insurance is a unique policy designed for parents with only a girl child. The New India Asha Kiran...

Unique Features

  • Girl Child policy
  • Discount on premiums
  • Critical illness benefits

Asha Kiran Mediclaim Policy (Pros)

Asha Kiran Mediclaim Policy
  • Hospital Cash Cover
  • Covers Daughters
  • Cataract Cover

Asha Kiran Mediclaim Policy (Cons)

Asha Kiran Mediclaim Policy
  • Illegal activities
  • Obesity and cosmetic procedures
  • Alcoholism

Asha Kiran Mediclaim Policy (Other Benefits)

Asha Kiran Mediclaim Policy
  • AYUSH Cover
  • 4 Optional Covers
  • 226 Day care Procedure

Asha Kiran Mediclaim Policy (Eligibility Criteria)

Asha Kiran Mediclaim Policy
  • Min entry age: 18 Years
  • Max entry age: 65 Years
  • Initial Waiting Period: 30 Days
  • Sum Insured: Up to 15 L

Senior Citizen Health Insurance

New India Assurance Senior Citizen Mediclaim Policy is a comprehensive plan which provides many benefits such as medical cover, cashless hospitalizati...

Unique Features

  • AYUSH Treatment Covered
  • 90% Co-payment
  • Organ Donor Benefit

New India Senior Citizen Mediclaim Policy (Pros)

New India Senior Citizen Mediclaim Policy
  • Room Rent Cover
  • ICU Cover
  • Hospital Cover

New India Senior Citizen Mediclaim Policy (Cons)

New India Senior Citizen Mediclaim Policy
  • Involvement in illegal activities
  • Alcoholism and drug abuse
  • Adventure sports

New India Senior Citizen Mediclaim Policy (Other Benefits)

New India Senior Citizen Mediclaim Policy
  • Hysterectomy
  • Cataract Cover
  • AYUSH Cover

New India Senior Citizen Mediclaim Policy (Eligibility Criteria)

New India Senior Citizen Mediclaim Policy
  • Min entry age: 60 Years
  • Max entry age: 80 Years
  • Initial Waiting Period: 30 Days
  • Sum Insured: Up to 1.5 L

Family

New India Floater Mediclaim by New India Assurance is amongst the well-recognized insurance plans when opting for a comprehensive New India Health Ins...

Unique Features

  • Optional Cover Benefits
  • Crit-Care Available
  • Avail Family Discounts

New India Flexi Floater Mediclaim Policy (Pros)

New India Flexi Floater Mediclaim Policy
  • Cumulative Bonus
  • New Born Baby cover
  • Critical Care Benefit

New India Flexi Floater Mediclaim Policy (Cons)

New India Flexi Floater Mediclaim Policy
  • Illegal Activities
  • Adventure Sports
  • Self-inflicted Injuries

New India Flexi Floater Mediclaim Policy (Other Benefits)

New India Flexi Floater Mediclaim Policy
  • 4 Optional cover
  • Hospital Cash Cover
  • Cataract Covered

New India Flexi Floater Mediclaim Policy (Eligibility Criteria)

New India Flexi Floater Mediclaim Policy
  • Min entry age: 18 Years
  • Max entry age: 65 Years
  • Initial Waiting Period: 30 Days
  • Sum Insured: Up to 15 L

Individual and Family Health Insurance

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 Ind...

Unique Features

  • High Sum Insured
  • AYUSH Treatment
  • Maternity Cover

New India Premier Mediclaim (Pros)

New India Premier Mediclaim
  • Room rent cover
  • ICU cover
  • Critical Illness benefit

New India Premier Mediclaim (Cons)

New India Premier Mediclaim
  • Illegal activities
  • Alcoholism and drug abuse
  • Adventure sports

New India Premier Mediclaim (Other Benefits)

New India Premier Mediclaim
  • Covers entire family
  • 2 plan options
  • Hospital cash benefit

New India Premier Mediclaim (Eligibility Criteria)

New India Premier Mediclaim
  • Min entry age: 18 Years
  • Max entry age: 65 Years
  • Initial Waiting Period: 30 Days
  • Sum Insured: Up to 1 Cr

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...

Unique Features

  • Ambulance Cover
  • Day Care Covered
  • Cancer Care Benefit

New India Cancer Guard (Pros)

New India Cancer Guard
  • Chemotherapy
  • Radiotherapy
  • Organ Transplant

New India Cancer Guard (Cons)

New India Cancer Guard
  • Illegal Activities
  • Alcoholism and Drug Abuse
  • Adventure Sports

New India Cancer Guard (Other Benefits)

New India Cancer Guard
  • Post Treatment Follow-up
  • Second Opinion for Surgery
  • Ambulance Charges

New India Cancer Guard (Eligibility Criteria)

New India Cancer Guard
  • Min entry age: 3 Months
  • Max entry age: 65 Years
  • Initial Waiting Period: 90 Days
  • Sum Insured: Up to 50 L

Group Health Insurance

New India Flexi Floater Group Mediclaim Policy is a comprehensive health insurance plan. Since a group health insurance policy is designed to offer fi...

Unique Features

  • Ayush Cover
  • Genetic Disorder Cover
  • Mental Illness Cover

Flexi Floater Group Mediclaim (Pros)

Flexi Floater Group Mediclaim
  • Lasik Surgery
  • Maternity Cover
  • New Born Cover

Flexi Floater Group Mediclaim (Cons)

Flexi Floater Group Mediclaim
  • Illegal actvities
  • Alcoholism and drug abuse
  • self-inflicted harm

Flexi Floater Group Mediclaim (Other Benefits)

Flexi Floater Group Mediclaim
  • To-up cover
  • Daycare Treatment
  • Ambulance Cover

Flexi Floater Group Mediclaim (Eligibility Criteria)

Flexi Floater Group Mediclaim
  • Min entry age: 18 Years
  • Max entry age: 60 Years
  • Initial Waiting Period: 30 Days
  • Sum Insured: Up to 5 L

Individual and Family Health Insurance

The New India Assurance Yuva Bharat Health Policy is a comprehensive health insurance plan that includes a plethora of additional features in addition...

Unique Features

  • 3 plan variants
  • 5 to 50 L SI
  • Auto top-up

Yuva Bharat Plan (Pros)

Yuva Bharat Plan
  • Personal accident benefits
  • Critical illness benefits
  • Air ambulance

Yuva Bharat Plan (Cons)

Yuva Bharat Plan
  • Illegal activities
  • Alcoholism and drug abuse
  • Adventure sports

Yuva Bharat Plan (Other Benefits)

Yuva Bharat Plan
  • Enhancement of sum insured
  • Cost of pharmacy
  • Ambulance service

Yuva Bharat Plan (Eligibility Criteria)

Yuva Bharat Plan
  • Min entry age: 18 Years
  • Max entry age: 65 Years
  • Initial Waiting Period: 30 Days
  • Sum Insured: Up to 50 L

New India Top-Up Mediclaim Policy: FAQs

1. What are the eligibility criteria for the New India Top-Up Mediclaim Policy?

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.

2. What are the sum insured options available under the New India Top-Up Mediclaim Policy?

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

3. What is the tenure of the New India Top-Up Mediclaim?

The plan tenure is 1 year under the New India Top-Up Mediclaim policy.

4. Are tax benefits available under the New India Top-Up Mediclaim?

Yes, New India Top-Up Mediclaim Policy premiums are eligible for tax benefits under the Income Tax Act of India.

5. Is Maternity coverage available under the New India Top-Up Mediclaim?

No, maternity cover is unavailable under the New India Top-Up Mediclaim policy.

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Simran Kaur Vij

Written By: Simran Kaur Vij

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.