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Flexi Floater Group Mediclaim Policy vs Bajaj General Herizon Care

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New India Flexi Floater Group Mediclaim Policy is a comprehensive health insurance plan. Since a group health insurance policy is designed to offer financial protection and risk mitigation to the members of the group collectively under a single policy, it offers extensive coverage for medical expenses incurred by the insured group members, including hospitalization expenses, doctor's fees, medicines, and more. The policy provides cost-effective and flexible coverage options, with the convenience of cashless treatment at network hospitals.

New India Assurance has gained the trust of millions by offering comprehensive coverage and a prompt claim settlement of 92.93%( calculated for 3 months), making it a trusted name in the insurance industry.

PLAN DETAILS

Flexi Floater Group Mediclaim Policy


Bajaj General Herizon Care

Premium Including GST
Product Type Group Health Insurance Individual
Key Features
(Key features of the plan)
  • Ayush Cover
  • Genetic Disorder Cover
  • Mental Illness Cover
  • Exclusive plan for women
  • Covers prophylactic surgeries
  • Vita Shield and Cradle Care
OPD Details
(In some policies, OPD (Out patient department) expenses are also covered.)
Not Covered Covered
Room Rent
(A limit of room rent cover during hospitalization if any)
Covered Covered
Domicillary Hospitalization
(It is the expenses incurred on treatment of the patient at home)
Covered Covered
Pre-hospitalization
(Expenses before the insured is hospitalized)
Covered Covered
Post-hospitalization
(Expenses after discharge from the hospital)
Covered Covered
Day Care Treatment Covered
(Day care treatments refers to the treatments that do not necessarily require 24hrs of hospitalization like MRI.)
Covered Covered
Hospital_network
(Number of Hospital Network in city)
3000 18400
Organ Donor Expenses
(Expenses incurred on organ donor in case of organ transplants)
Covered Not Covered
Hospital Daily Allowance
(Some plans offer daily allowance to take care of expenses like food, etc)
Not Covered Covered
Ambulance Charges
(Expenses incurred on ambulance charges)
Covered Covered
Maternity Benefits
(All Hospitalization cost covered at the time of pregnancy.)
Not Covered Covered
New Born Baby Covered
(Newborn babies can be covered under the insurance plan after a certain period)
Not Covered Covered
Health Checkup
(An added benefit of one time full health checkup of policy holder.)
Covered Covered
Sub Limit
(Sub-limit is a monetary capping that applies on specific diseases like cataract)
Covered Available
Co-pay
(Mentioned %, if any is to be borne by Insured and rest will be borne by insurer)
Covered Available
Plan Entry Age 18 to 60 Years Adult 18 – 80 years, Child Day 90 to 35 years
Plan Premium Entry Age and S/A N/A 2845
Plan Waiting Period 30 30
Plan Coverage - Maternity & pregnancy expenses, infertility treatment & assisted reproductive technology, critical illness cover for women-specific diseases, hospitalization & day care procedures, newborn & baby care cover, mental health & emotional wellness support
Plan Sample Premium N/A 2845
Plan Brochure Brochure URL Brochure URL
Policy Term 1 Year 1/2/3/4/5 years
ICU Charges Covered Covered
Covid-19 Treatment Covered Covered
Cataract Covered Covered
Automatic Restoration Not Covered Not Covered
Ayush Treatment Covered Not Covered
Modern Treatment Covered Covered
E Consultation Not Covered Covered
Air Ambulance Not Covered Covered
Global Coverage Covered Not Covered
Claim Ratio 90.73 99.23
Solvency Ratio 1.91 3.25
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