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Premier Mediclaim Policy vs Health Edge Policy

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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 India Premier Mediclaim Policy can be purchased by individuals between the age of 18 years and 65 years. Dependent children are covered between the age of 3 months and 18 years provided one or both parents are covered by the policy. Moreover, children between 18 years to 25 years can be covered if they are financially dependent on their parents.

The New India Premier Mediclaim Policy is divided into two basic coverage options namely Plan A and Plan B. Plan A offers sum insured options of 15 L and 25 L whereas option B offers sum insured options of 50 L and 1 Cr. The New India Premier Mediclaim Policy offers extensive coverage such as room rent, ICU, hospital cash benefit, critical care benefit, AYUSH Treatment, ambulance charges, maternity and child care benefit, and more.

PLAN DETAILS

Premier Mediclaim Policy


Health Edge Policy

Premium Including GST
Product Type Individual and Family Health Insurance Individual and Family Health Insurance
Key Features
(Key features of the plan)
  • High Sum Insured
  • AYUSH Treatment
  • Maternity Cover
  • Avail Global Treatment
  • Multiple Discounts
  • 18 Optional Covers
OPD Details
(In some policies, OPD (Out patient department) expenses are also covered.)
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 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)
3000 6000
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)
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 Not 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)
Not Covered Covered
Plan Entry Age 18 to 65 Years 18 to 65 Years
Plan Premium Entry Age and S/A 16,171 6305
Plan Waiting Period 30 30
Plan Coverage Individaual and family Cover Individual/Family Floater
Plan Sample Premium 16,171 6305
Plan Brochure Brochure URL Brochure URL
Policy Term 1 Year 1/2/3 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 Covered Not Covered
Global Coverage Not Covered Covered
Claim Ratio 90.73 -
Solvency Ratio 1.91 2.03
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