New India Mediclaim Policy

BRIEF DESCRIPTION

New India Assurance's Mediclaim Policy is intended to shield people against the whopping hospitalization costs. This plan is an excellent product with notable features like no maximum entry age limit, high cumulative bonus.

Overview

  • Liability cover for Cataract
  • Pre-acceptance medical check required
  • Cover for Ayurvedic and Homoeopathic treatments
  • Coverage for External from the 5th year
  • Income Tax Benefit for the premium paid under Section 80D of Income Tax Act.

About New India Mediclaim Policy

This policy can cover Your family members in one policy, with separate Sum Insured for each Insured Person. The members of the family who could be covered under the Policy are:

  • Proposer
  • Proposer's Spouse
  • Proposer's Children
  • Proposer's Parents

Minimum one and maximum six members can be covered in this Policy.

Eligibility

  • Age: 18 years and 65 years
  • Children or Parents: Children between the age of 3 months and 18 years or both parents are covered concurrently.
  • Children between 18 years to 25 years can be covered provided they are financially dependent on the parents and one or both parents are covered simultaneously.

Inclusion

This Policy is designed to give You, the Insured, protection against unforeseen Hospitalisation expenses.



Enhancement of Sum Insured will not be considered for:

  • Any Insured Person over 65 years of age.
  • Any Insured Person who had undergone more than one Hospitalisation in the preceding two years.
  • Any Insured Person suffering from one or more of the following Illnesses / Conditions:
    1. Any chronic Illness
    2. Any recurring Illness
    3. Any Critical Illness

In respect of any enhancement of Sum Insured, exclusions 4.1, 4.2 and 4.3 would apply to the additional Sum Insured from such date.

Optional cover I: No proportionate deduction

This cover can be opted by the Insured Person whose Sum Insured is Rs. 2,00,000 and above.
Policy holder shall continue to bear the differential between actual and eligible Room Rent.
Premium will be charged separately for each Insured Person opting for this cover.

Optional cover II: Maternity expenses benifit

This cover can be opted by the Insured Person whose Sum Insured is Rs. 5,00,000 and above.

Special conditions applicable to Maternity Expenses Benefit:

  • These Benefits are admissible only if the expenses are incurred in Hospital as inpatients in India.
  • A waiting period of thirty six months is applicable, from the date of opting this cover, for payment of any claim relating to normal delivery or caesarian section or abdominal operation for extra uterine pregnancy.
  • Claim in respect of delivery for only first two children and / or surgeries associated therewith will be considered in respect of any one Insured Person covered under the Policy or any renewal thereof.
  • Expenses incurred in connection with voluntary medical termination of pregnancy during the first 12 weeks from the date of conception are not covered.

Optional cover III: Revision in limit of cataract

This cover can be opted by the Insured Person whose Sum Insured is Rs. 8,00,000 and above. On payment of additional Premium as mentioned in Schedule, it is declared and agreed that following additional amount for Cataract shall become payable but not exceeding the actual expenses incurred:

Benefit of this cover will be available after the expiry of thirty six months from the date of opting this cover. Premium will be charged separately for each Insured Person opting for this cover.

Optional cover IV: Voluntary co-pay

If the Insured person opts for voluntary co-pay of 20%, a discount of 15% shall be of given on the premium payable for the Insured Person.

Policy Benefits

Each day treatments:

Benefit of Hospital Cash at the rate of 0.1% of Sum Insured per day of Hospitalization

Health Check-Up

At every third renewal, a compensation towards the health checkup is provided.

Non- Allopathic Treatment Expense Cover

You can claim for any treatment sought through alternate medicine like Ayurveda, or Homeopathy up to a maximum of 25% of the sum insured. recognized by the Government or any other governing body.

Free Look in Period

Free Look Period for 15 days

Value Added Benefits

Ambulance Charges

This plan provides coverage for ambulance expense up to 1% of sum insurance per hospitalization.

Free Look Period

For any reason, should you decide not to proceed with the policy, you can return the same and request for a refund within fifteen days from the date of receipt of the policy document.

Eye Cover

For cataract claims, the liability of the company will be restricted to 10% of Sum Insured or Rs. 50,000 whichever less, for each eye.

Critical Illness Coverage

This plan provides additional coverage for listed critical illnesses up to 10% of sum insured once in lifetime.

Organ Donor CoveR

This plan offers coverage for medical expenses up to sum insured, on harvesting organ for the insured or for the donor and for transplantation.

No-Claim Benefits

For every claim free year, based on the age and the sum insured, the discount offered on the premium varies between 2% up to a maximum of 15%.

Images for Illustration Purpose Only.

For the detailed and exact information kindly download the brochure