New India Assurance is the largest general insurance company in India. The company offers a range of insurance products in various domains including health, motor, travel, etc. In the health insurance domain, the company offers plenty of products to provide financial security against various health risks. New India Mediclaim Policy is a comprehensive medical insurance cover that offers protection against various threats. This policy can be obtained as both individual cover or family floater cover depending upon the requirements of customers.
Some of the eligibility criteria set forth by the company for subscribing to New India Mediclaim Policy can be listed as follows.
The key features of New India Mediclaim Policy outlined by the company can be listed as follows.
The range of benefits offered by New India Mediclaim Policy can be listed in the following table.
|Room rent, boarding, and nursing expenses||Up to 1% of the sum insured|
|Intensive care unit charges||Up to 2% of the sum insured|
|Hospital cash||0.1% of sum insured (for sum insured over Rs.3 lakh only) per day subject to a maximum of 1% of sum insured in total|
|Medical expenses related to organ transplant||Available for all hospitalisation expenses|
|Cataract limit||Up to 20% of the sum insured subject to a maximum of Rs.50,000 (the limit for cataract treatment can be increased with the help of an additional cover.)|
|Medical check up reimbursement||Up to 1% of the sum insured subject to a maximum of Rs.5,000 available for every claim-free year|
|I. No proportionate deduction||This is available for people who have opted for sum insured Rs.2 lakh and higher. The proportionate deduction based on room rent will be eliminated for people who opt for this cover.|
|II. Maternity expenses benefit||This is available for people who have opted for sum insured Rs.5 lakh and higher. There is a waiting period of 36 months for this policy to begin. Maternity expenses for up to 2 children are covered in this policy. However, pre-natal and post-natal expenses are not covered.|
|III. Revision in cataract limit||Under the original policy, cataract treatment expenses are capped at Rs.50,000. This limit can increased by taking this additional cover. This is applicable only for sum insured Rs.8 lakh and higher. The maximum limit available under this is Rs.1.5 lakh (for sum insured Rs.15 lakh).|
|IV. Voluntary co-pay||By opting for a 20% voluntary copayment, policyholders can get a 15% reduction in their premium charges|
There are certain exclusions for which New India Assurance is not liable to provide any compensation to the insured. Some of these exclusions can be listed as follows.
Cashless hospitalisation is available with New India Mediclaim Policy, and it can be availed only in network hospitals. The list of network hospitals can be accessed from the company’s website. This service is provided with the help of a third-party administrator (TPA). Authorisation for this facility must be obtained from the TPA before the treatment can begin.
Policyholders can also get reimbursements for the medical treatments obtained. For reimbursement claims, the policyholder must submit all the documents related to the expenses incurred for medical treatment. All bills and related documents must be submitted within 7 days of completion of treatment. Once the documents are submitted, the company will initiate the claim proceedings. The documents will be validated and the claim amount will be disbursed to the insured.
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