National Health Group Mediclaim Policy
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Happy Family Floater Policy

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National Health Group Mediclaim Policy vs Happy Family Floater Policy

National Health Group Mediclaim Policy

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 ins...

Happy Family Floater Policy

Oriental Family Floater Policy offers versatile coverage options to their policyholders. Oriental Health Insurance designed the plan to align with different family dynamics in India. With 4 different plan options, namely, silver, gold, diamond, and platinum, the Happy Family Floater Policy offers hi...

PLAN DETAILS

National Health Group Mediclaim Policy


Happy Family Floater Policy

Premium Including GST
Product Type Group Health Insurance Individual and Family Health Insurance
Key Features
(Key features of the plan)
  • Coverage for modern treatment
  • Covers HIV/AIDS treatment
  • Covers 140+ daycare procedures
  • International Cover
  • Multiple Discount Benefits
  • E-Consultation Available
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)
Not 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)
3200 4000
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.)
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 Not 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 2,115
Plan Waiting Period 30 30
Plan Coverage - -
Plan Sample Premium 1,404 2,115
Plan Brochure Brochure URL Brochure URL
Policy Term 1, 2, 3 Years 1 Year
ICU Charges Covered Covered
Covid-19 Treatment Covered Covered
Cataract Covered Covered
Automatic Restoration Not Covered Covered
Ayush Treatment Covered Covered
Modern Treatment Covered Covered
E Consultation Not Covered Covered
Air Ambulance Not Covered Covered
Global Coverage Not Covered Covered
Claim Ratio 91.31 91.62
Solvency Ratio 0.3 0.6

Know More About Plans

Overview

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:

  • Sum insured- INR 50,000 - 5 Lakhs (comes in a multiple of INR 50,000)
  • Sum insured- INR 6 - 10 Lakhs (comes in a multiple of INR 1 Lakh)

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.

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Raj Kumar

Reviewed By: Raj Kumar

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.