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National Parivar Mediclaim Policy aims to encourage the protection of the whole family on a single sum insured. This is a family floater plan that provides coverage for various illnesses or accidents. The benefits of the policy can be availed by any of the family members covered in the plan.
National Parivar Mediclaim Policy covers expenses in respect of inpatient treatment (allopathy, Ayurveda, and homeopathy), domiciliary hospitalization, reasonably and customarily incurred for treatment of a disease or an injury contracted/sustained during the policy period. The policy also covers pre-hospitalization and post-hospitalization expenses, 140+ day care procedures/surgeries, organ donor's medical expenses, hospital cash, ambulance charges, anti-rabies vaccination, maternity expenses, infertility expenses, and medical second opinion.
Pre-existing Diabetes and/or Hypertension, Outpatient Treatment, and Critical Illness are provided as Optional Covers.
| PLAN DETAILS |
National Parivar Mediclaim Policy |
Galaxy Twin 360 |
| Product Type | Individual and Family Health Insurance | Individual and Family Health Insurance |
| Key Features (Key features of the plan) |
|
|
| 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) |
3200 | 3216 |
| 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) |
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.) |
Covered | 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 | NOT COVERED |
| Plan Entry Age | Min: 3 Months, Max: 65 Years | Adult: 18 years Children: 90 days to 18 years |
| Plan Premium Entry Age and S/A | NA | Upto Rs. 35 lakh |
| Plan Waiting Period | 30 | 30 days |
| Plan Coverage | - | Room rent, Road ambulance, ICU, Daycare procedures, AYUSH treatment |
| Plan Sample Premium | NA | 6,000 |
| Plan Brochure | Brochure URL | Brochure URL |
| Policy Term | 1/2/3 years | 1/2/3/4/5 years |
| ICU Charges | Covered | COVERED |
| Covid-19 Treatment | Covered | NOT 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 | NOT COVERED |
| Global Coverage | Not Covered | NOT COVERED |
| Claim Ratio | 91.31 | 98.9 |
| Solvency Ratio | -0.67 | 4.70 |
|
National Health Insurance |
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