FAQ

1.Can continuous coverage from other policies be carried over to new india premier mediclaim policy?

Continuous Coverage from the following New India Policies can be carried over to the extent of coverage under such previous policies:

  • Mediclaim 2012
  • Mediclaim 2007
  • New India Floater Medicliam Policy
  • New India Asha Kiran Policy.

2. What do i need to do if a covered member needs to be hospitalized?

Upon the happening of any event which may give rise to a claim under the Policy, You need to intimate the TPA named in the schedule with all the details such as name of the Hospital, details of treatment, patient name, Policy number etc.
In case of emergency Hospitalization, this information needs to be given to the TPA, within 24 hours from the time of Hospitalization.
This is an important condition which needs to be complied with.

3. Is treatment for hazardous sports payable?

Yes. We shall pay expenses incurred towards treatment of any Injury or Illness arising out of the following hazardous sports.
Our liability under this clause shall not exceed 10% of Sum Insured.
Payment under this clause is admissible only if the expenses are incurred in Hospital as In- Patient / Day Care Treatment in India.

4. Is payment available for expenses incurred before hospitalisation?

Yes. Medical Expenses incurred sixty days prior to the date of Hospitalisation will be paid provided:

  • Such Medical Expenses are incurred for the same condition for which the Insured Person’s Hospitalisation was required, and
  • The In-patient Hospitalisation claim for such Hospitalisation is admissible by Us.
  • Such Medical Expenses are incurred not earlier than sixty days before the Date of Hospitalisation.

5. Is payment available for expenses incurred after hospitalisation?

Yes. Medical Expenses incurred ninety days after the date of discharge will be paid provided:

  • Such Medical Expenses are incurred for the same condition for which the Insured Person’s Hospitalisation was required, and
  • The In-patient Hospitalisation claim for such Hospitalisation is admissible by Us.
  • Such Medical Expenses are incurred not later than ninety days after the date of discharge from the Hospital.

6. What sum insured should I choose?

You are free to choose any Sum Insured from Rs. 15 lakhs, 25, lakhs, 50 lakhs and 100 lakhs. The premium payable is determined on the following criteria:

  • The premium for the eldest member of the family. (Premium from Primary Member Premium Table)
  • Premium for rest of the members to be covered in this Policy. (Premium from Additional Member Premium Table)
  • Sum Insured

You are free to choose any Sum Insured available as specified above. But it is in your own interest to choose the Sum Insured which could satisfy your present as well as future needs as You cannot enhance Your Sum Insured in this Policy.

7.What is free look period?

The free look period shall be applicable at the inception of first Policy.
You will be allowed a period of 15 days from the date of receipt of the Policy to review the terms and conditions of the Policy and to return the same if not acceptable. 
If You have not made any claim during the free look period, then You shall be entitled to:

  • A refund of the Premium paid less any expenses incurred by Us on medical examination of the Insured Persons and the stamp duty charges or;
  • Where the risk has already commenced and the option of return of the Policy is exercised by the Policyholder, a deduction towards the proportionate risk Premium for period on cover.

8. Is there any benefit under the income tax act for the premium paid for this insurance?

Yes. Payments made for Health Insurance in any mode other than cash are eligible for deduction from taxable income as per Section 80 D of the Income Tax Act, 1961. For details, please refer to the relevant Section of the Income Tax Act.