The New India Assurance Co. Ltd. is a multinational general insurance company that was established in the year 1919. It hosts an array of insurance products from Motor and Travel insurance plans to Rural plans like farmers insurance, cattle insurance, etc. Under the health insurance section, senior citizen and cancer-specific plans can be found. An exclusive Overseas Mediclaim Policy for corporate travellers is also offered. The Family Floater Mediclaim Policy is a unique plan designed to cover the hospitalisation expenses of all family members with a single sum insured amount.
The insurer defines certain parameters that should be met in order to avail the policy.
This policy offers financial protection to the policyholder and his/her family members from medical expenses incurred on hospitalisation.
The many benefits the policy offers makes it affordable and beneficial to policy buyers.
|Room rent||Up to 1% of sum insured per day|
|Intensive care unit charges||Up to 2% of sum insured per day|
|Ambulance charges||Up to 1% of sum insured|
|Hospital cash benefit||0.1% of sum insured is provided if the hospitalisation period is more than 24 hours|
|Medical check-up expenses||50% of expenses will be reimbursed|
|Critical care benefit||10% of sum insured if the insured suffers from a critical illness listed in the policy|
|Pre-hospitalisation expenses||Up to 30 days before admission to the hospital is covered|
|Post-hospitalisation expenses||Up to 30 days after discharge from the hospital is covered|
|Newborn baby cover||A newborn baby whose mother has coverage of 24 months is covered for any illness or injury|
|Organ donor expenses||Hospitalisation expenses incurred by the organ donor are covered|
|Cataract||Up to 10% of sum insured not exceeding Rs.50,000|
|Ayurvedic/Homeopathic/Unani treatment||25% of the sum insured|
Certain conditions and treatments are not covered under the policy or require a certain waiting period.
The Third Party Administrator (TPA) settles claims on behalf of New India Assurance. The policyholder should hence intimate the TPA about the hospitalisation to make the claim.
Cashless treatment: Cashless hospitalisation is available only in the network hospitals of New India Assurance. The TPA should be intimated about the hospitalisation. The facility can be availed by submitting the proof of insurance and the insured person’s identity.
Reimbursement claims: For reimbursement of hospitalisation expenses, the TPA should be intimated within 24 hours of admission to the hospital. After discharge, the claim form, discharge document, reports, bills, receipts, cash memos, etc. should be submitted within seven days. The TPA will then pay the claim.
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