PLAN DETAILS |
![]() National Health Group Mediclaim Policy |
![]() Family Floater Mediclaim Policy |
Premium Including GST | ||
Product Type | Group Health Insurance | Family |
Key Features (Key features of the plan) |
|
|
OPD Details (In some policies, OPD (Out patient department) expenses are also covered.) |
Not Covered | Not 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) |
Not Covered | Not 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) |
3200 | 3000 |
Organ Donor Expenses (Expenses incurred on organ donor in case of organ transplants) |
Covered | 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.) |
Covered | Covered |
New Born Baby Covered (Newborn babies can be covered under the insurance plan after a certain period) |
Covered | Covered |
Health Checkup (An added benefit of one time full health checkup of policy holder.) |
Not Covered | Not Covered |
Sub Limit (Sub-limit is a monetary capping that applies on specific diseases like cataract) |
Covered | Covered |
Co-pay (Mentioned %, if any is to be borne by Insured and rest will be borne by insurer) |
Covered | Covered |
Plan Entry Age | Min- 3 Months, Max- No Limit | 18 to 65 Years |
Plan Premium Entry Age and S/A | 1,404 | 2,636 |
Plan Waiting Period | 30 | 30 |
Plan Coverage | - | - |
Plan Sample Premium | 1,404 | 2,636 |
Plan Brochure | Brochure URL | Brochure URL |
Policy Term | 1, 2, 3 Years | 1,2,3 Years |
ICU Charges | Covered | Covered |
Covid-19 Treatment | Covered | Covered |
Cataract | Covered | Covered |
Automatic Restoration | Not Covered | Not Covered |
Ayush Treatment | Covered | Covered |
Modern Treatment | Covered | Covered |
E Consultation | Not Covered | Not Covered |
Air Ambulance | Not Covered | Not Covered |
Global Coverage | Not Covered | Not Covered |
Claim Ratio | 91.31 | 90.73 |
Solvency Ratio | 0.3 | 1.8 |
Buying individual health insurance may seem hectic for some of us, as the monthly premiums might be a pain for our pockets. Here comes the contribution of a group mediclaim policy that offers you all-inclusive health support benefits. The National Insurance Group Mediclaim Policy is an indemnity insurance product that significantly provides coverage for a group of policyholders. The plan caters to the basic health care needs of an employer-employee and a non-employer-employee. Anyone is entitled to get issued with this policy on an individual basis under a group. Given that the separate sum insured of the plan applies to each of the individuals who are insured under the group policy, the above condition applies to a family group or an employee-employer group.
This plan has a wide sum insured ranging from INR 50,000 to INR 10 Lakhs in 15 slabs (in the multiples of x value in ascending order). The value of the sum insured is attended in two ways:
Apart from this, if you are worried about getting coverage for daycare treatment or hospitalisation, worry not. National Insurance Group policy covers 140+ daycare procedures, along with in-patient hospitalisation (for allopathic, homoeopathic, and Ayurvedic treatment), pre-hospitalisation (30 days prior hospitalisation), post-hospitalisation (60 days from the date of hospital discharge), and an illness constrained during the policy tenure.
Similarly, the plan has extended coverage facilitating 12 kinds of modern treatment, the inclusion of advanced treatment like HIV/AIDS, mental illness, morbid obesity, refractive error correction, organ donor's expenses, ambulance service benefits, etc. Additionally, this plan has a clause of sub-limits which is subject to be applied over the mentioned expenses from the policy schedule. For example, room rent charges, medical practitioner/doctor's visit fees, procedures such as hemodialysis, radiotherapy, and chemotherapy (subject to over-sub-limit expenses), pre & post-hospitalisation, etc are advised under or over the sub-limit (as per the schedule).
This page consists of the benefits and specifications of the National Insurance Company Group Policy. Read further to know more.
Trouble connecting with an insurance company?
Contact PolicyX.comCall at our toll-free number 1800-4200-269Email: helpdesk@policyx.com
We are happy to help.
With over 12 years of rich experience in the BFSI domain, with a specialisation in Life and Health Insurance, I have played a pivotal role in simplifying the insurance-buying process and delivering unparalleled service.