New India Asha Kiran Policy

• Enjoy options to cover yourself, your spouse, kids and even your parents
• Enjoy access to 10,000+ hospitals for cashless treatment
• Reduce your taxable income by up to Rs. 50,000 deduction under section 80D**

The New India Assurance is one of the largest state-owned general insurance companies in India. The company offers various insurance products for its customers under multiple domains including health, motor, travel, etc. New India Asha Kiran Policy is one of the health insurance policies available in the company’s product lineup. This policy can only be taken by people who have at least one girl child. One of the notable features of this cover is that it offers both medical insurance cover and personal accident cover under a single policy.

Eligibility for New India Asha Kiran Policy

The company has set forth specific eligibility criteria for people who wish to avail the New India Asha Kiran Policy. The eligibility criteria can be listed as follows.

• This policy can be taken by parents who have at least one girl child.
• Anyone between the ages of 18 years and 65 years can avail this cover.
• Girl children (maximum 2 per policy) between 3 months and 25 years of age (unmarried dependents) can be enrolled in this cover along with their parents.
• For mentally challenged daughters and unmarried dependents, the upper age limit will not apply.
• People over the age of 65 years can renew this cover throughout their life.
• A minimum of two members, along with one daughter, are required in order to avail this policy coverage.
• A maximum of four persons can be covered in this policy.

Features of New India Asha Kiran Policy

Some of the key features of New India Asha Kiran Policy can be listed as follows.

• This policy offers coverage for both hospitalisation expenses and death/disability of the insured people.
• There are four different sum insured options available for policyholders - Rs.2 lakh, Rs.3 lakh, Rs.5 lakh, and Rs.8 lakh.
• This policy is available only as a family floater cover.
• Pre-acceptance medical examination is required for people entering this cover after 50 years of age. If the proposal is accepted, 50% of the cost will be reimbursed.
• Up to 74 day care treatments are covered under this policy.
• Premium charges for this policy varies based on the zone in which the policyholder lives.
• If premiums are paid for a lower zone and treatment is taken in a higher zone, the insured must copay about 20% of the claim amount.
• Pre-existing diseases have a waiting period of 48 months.
• There is a waiting period of 24 months for certain conditions such as cataract, benign prostate hypertrophy, hernia, piles, hydrocele, non-infective arthritis, hypertension, etc.
• Certain treatments such as joint replacement due to degenerative condition and age-related osteoarthritis or osteoporosis have a waiting period of 48 months.
• The sum insured amount available for this policy can be increased at the time of renewal.
• There is a grace period of 30 days from the date of expiry for policyholders to renew their policy.
• This policy comes with a free-look period of 15 days for policyholders to review the terms of the cover.
• Premium charges for this cover will increase by 2% every year after the age of 65 years.
• Cashless treatment facility is also available under this policy cover.

Benefits of New India Asha Kiran Policy

Exclusions of New India Asha Kiran Policy

Though the coverage is extensive, the company is not liable to provide compensation for all kinds of illnesses or injuries. Some of the exclusions under New India Asha Kiran Policy can be listed as follows.

• Illnesses or injuries attributable to war, invasion, or warlike activities
• Illnesses or injuries caused by nuclear weapons, radioactivity, ionising radiation, nuclear waste, etc.
• Cosmetic or aesthetic treatments of all kinds
• Circumcision unless necessary for the treatment of an accident or illness
• Expenses related to vaccination or inoculation
• Dental treatment or surgery unless necessitated by an accident
• Convalescence, general debility, or run down condition
• Any treatments related to psychiatric or psychosomatic disorders
• Congenital diseases, birth defects, or anomalies
• Intentional self-injury, suicide attempt, etc.
• Injuries or death caused while indulging in any kinds of criminal activities
• Sexually transmitted diseases, HIV, or AIDS
• Diagnostic tests or laboratory examinations not consistent with the primary reason for hospitalisation
• Expenses related to vitamins or tonics unless required for the treatment
• Expenses related to maternity, pregnancy, and childbirth
• Treatment for domiciliary hospitalisation
• Naturopathy treatment, acupressure, acupuncture, or magnetic therapies

Claim Procedure

The claim procedure under New India Asha Kiran Policy is simple and straightforward. For planned hospitalisation, the third-party administrator (TPA) must be informed at least 48 hours before hospitalisation. For emergency hospitalisation, the TPA must be notified within 24 hours after admission in a hospital. For cashless treatment, pre-authorization must be obtained from the TPA in order to initiate the treatment.

For reimbursement claims, the company might require various documents and proofs related to hospitalisation. Some of the documents required include bills, receipts, discharge certificate, cash memos, diagnostic reports, physician’s certificate, surgeon’s certificate, etc. All these documents must be submitted within 7 days after discharge from the hospital. Following the submission of all documents, the company will initiate the claim proceedings and provide the compensation amount.

FAQs on New India Asha Kiran Policy

1. Are alternate systems of medicines covered under the policy?

The policy offers coverage for expenses incurred on allopathy, ayurveda, and unanipathy treatments taken by the insured.

2. What amount can I claim as the tax benefit?

Any premium amount up to Rs.10,000 is eligible for tax benefits under section 80D of the Income Tax Act, 1961.

3. If I suffered an injury or contracted an illness outside India, can I avail insurance coverage for the treatment?

You can register a claim for an illness or injury you contracted anywhere around the world as long as you avail the treatment within the boundaries of India.

4. Is dialysis or chemotherapy considered a day care procedure if the patient is discharged the same day?

No, dialysis, chemotherapy, radiotherapy, etc. will be covered under the hospitalisation benefit even if the patient is discharged the same day.

5. Can I include a family member under the policy even if the person is already covered under another mediclaim policy?

No, if a person is already covered under a mediclaim policy, he/she cannot be covered under another policy.