New India Health Insurance Mediclaim Policy

Mediclaim Policy
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  • 95.92% Claim Settlement Ratio
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  • Coronavirus (COVID-19) Cover

About New India Health Insurance Mediclaim Policy

New India Mediclaim Policy brought to you by New India Assurance is a comprehensive health insurance policy that gets you and your family covered with unforeseen hospitalisation expenses. The proposer of this policy can include Self, Spouse, Parents and Children, and all the individuals proposed under this policy should be aged between 18 years to 65 years. The Proposer can also include financially dependent children if they are aged between 18 years to 25 years. The policy is valid for a period of one year from the date of start of the policy. 

The list of benefits provided under this policy is huge. Some of the major benefits that the policyholders can enjoy here are - in-patient hospitalisation cover, facility of getting treated anywhere in India, cumulative bonus offer, wide range of sum insured options, and so on. Another benefit of being covered under this policy is that a newborn baby of the  insured mother will be covered from the date of birth until the policy gets expired, without paying any extra premium. To get continued coverage for the child, you need to add him/her under the policy at the time of renewal.

Key Inclusions and Exclusions of the Plan

What's Included

  • 30 days pre-hospitalisation expenses
  • 60 days post-hospitalisation expenses
  • ICU/ICCU expenses up to specified limit
  • Expenses incurred towards ambulance services
  • Room rent, boarding, and nursing charges, etc.

What's Not Included

  • Domiciliary hospitalisation
  • Vaccination and/or inoculation
  • Sexually Transmitted Diseases
  • Naturopathy and Siddha treatments
  • Dental treatment or surgery of any kind

  • Good services by Insurancedekho

    I am very much satisfied with services of InsuranceDekho’s customer care executives who helped me the entire way in buying Mediclaim policy. It ...

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    P
    Priya Kumari
    On: Feb 25, 2020 | Views
  • Always available

    I purchased mediclaim policy from insurancedekho last year and made payment in one go. They have a secured payment gateway and it was easy to buy plan...

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    B
    Bhaskar Kumar
    On: Feb 25, 2020 | Views
  • No efforts in buying

    If you choose insurancedekho, then buying any health insurance plan online is not a big deal as they have a very smooth and transparent process of buy...

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    G
    Gaurav Srivastava
    On: Feb 12, 2020 | Views
  • No cons of buying this product

    I found nothing negative in buying this product specially because it proved to be useful for me at the time of need. I recommend this to my friends to...

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    S
    Sachin Singh
    On: Feb 12, 2020 | Views
  • Good services from new india

    The insurer has a good claim settlement ratio which is one reason why I opted for this. There are many insurers in the market which can make it diffic...

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    A
    Ashima khanna
    On: Feb 04, 2020 | Views
  • Has all the benefits

    I get benefits like cover for 30 days pre hospitalisation expenses, 60 days post hospitalisation expenses ICU charges, ambulance charges, room rent, b...

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    S
    Sehaj Garg
    On: Feb 04, 2020 | Views
  • Love it!!

    All that I did to have shortlisted this plan is visited on the insurancedekho’s website and entered my details there. It displayed a few shortli...

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    A
    Ashish Kumar Pareek
    On: Feb 03, 2020 | Views
  • Iam happy with my decision.

    I calculated premium for my mediclaim policy from the insurancedekho’s website in their premium calculator option. The plan had many options so ...

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    A
    Abhinav Jaiswal
    On: Feb 03, 2020 | Views
  • Can but within a few minutes

    With Insurancedekho, one can purchase health insurance online and it is only a matter of few minutes. You can visit their official website or call the...

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    S
    Shradha Nigam
    On: Jan 15, 2020 | Views
  • Made payment in one go

    I have purchased mediclaim policy from insurancedekho as i found that it covered many expenses. I have included my parents as well as children in this...

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    J
    Jiya Sahu
    On: Jan 15, 2020 | Views
  • Have this plan and m satisfied

    This policy covers my entire family.. It has been more than a year that i have purchased this policy from insurancedekho and i have made a claim once....

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    D
    Devki Nandan
    On: Dec 26, 2019 | Views
  • Good family policy with great benefits

    My mediclaim policy offers me cover for myself and my entire family. They have tie ups with many hospitals and i got treated with cashless benefit.. I...

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    S
    Suhani Jain
    On: Dec 26, 2019 | Views
  • Take help if you dont understand it

    You must give insurancedekho a call on their toll free number 18001205698 in case you have any doubt abt this plan or are unable to finalise which pla...

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    R
    Raj Kumar
    On: Dec 11, 2019 | Views
  • Good job team.!

    Insurancedekho is a very reliable team that suggests the best plans to you at best price as per your health conditions an needs. I wantd to go for som...

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    A
    Abhinav Yadav
    On: Dec 11, 2019 | Views
  • Satisfactory product from new india

    Insurancedekho offers some of the best plans online. I found their services reliable and have built faith on them now. The customer care executive ecp...

    Read More
    A
    Alok Bhattacharya
    On: Dec 03, 2019 | Views
  • Smooth process with insurancedekho

    I had last month pucrchase this plan frilom id. I call them on 18001205698 and they assisted me that which plan i should buy acc to my needs. I have g...

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    N
    Neha Nagar
    On: Dec 03, 2019 | Views
  • I have this policy from a year and iam satisfied

    Insurancedekho offers comprehensive pland ans o is mediclaim policy that i purchased from them 6 months back and have recently made claim under. This ...

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    N
    Neeraj Kumar
    On: Nov 22, 2019 | Views
  • Thank you so much for a quick action

    I really appreciate the timeliness that the customer care executives at insurancedekho showed me when i was in need. They helped me at every step when...

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    R
    Ramu verma
    On: Nov 22, 2019 | Views
  • Good policy...

    I have health insurance from New India and it covers all the required expenses for me. I was initially not really sure of this company but insurancede...

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    B
    Bhawani Singh
    On: Nov 13, 2019 | Views
  • Always good to take new indias insurance product

    The company has a good claim settlement ratio and it never fails to satisfy the customers. This is my second policy that i have purchased from them an...

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    v
    vinod singh
    On: Nov 13, 2019 | Views
  • Excellent services from insurancedekho

    I didnt expect so smooth claim process as i have experienced it once with other company and the experience did not go very good. But with insurancedek...

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    S
    Surendra Singh Yadav
    On: Nov 04, 2019 | Views
  • Insurancedekho offers stress free services

    I have had made a claim request recently in the month of August under my mediclaim policy that was provided to my by insurancedekho. This was my first...

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    S
    Sanjay Chauhan
    On: Nov 04, 2019 | Views
  • Satisfactory product for family

    I purchased this product after reviewing other family plans from different insurers but found this one to be the best. I get cover for 30 days of pre ...

    Read More
    S
    SURESH
    On: Oct 23, 2019 | Views
  • Buttery smooth process.. thanks

    I recently purchased mediclaim policy of new india assurance from insurance dekho..they have a good team who help you decide on which plan you must bu...

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    l
    lalit Kumar
    On: Oct 23, 2019 | Views
  • I received excellent services

    I brought mediclaim policy from new india assurance for 1 year tenure. While buying policy my agent gave me details about plan and gave me all the nec...

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    P
    Puneeta
    On: Oct 10, 2019 | Views
  • Got reimbursement of claim on time

    As I got treated in a non-network hospital under my mediclaim plan from new india assurance, I had to apply for reimbursement. I was not very sure of ...

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    G
    GOURI
    On: Oct 10, 2019 | Views
  • Good that the plan offers add-on benefits

    One of the popular plan of New India is Mediclaim which i have recently brought on an individual basis. The best thing about this plan that I found is...

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    M
    Mohamed azees
    On: Sep 26, 2019 | Views
  • Tax benefit in plan

    ​New India assurance provided me with the insurance policy that I was looking for for a long time. It has low premiums and the returns are many. For i...

    Read More
    N
    Nitin Balkrishna Pawar
    On: Sep 26, 2019 | Views

Add-ons to Enhance Benefits

  • No Proportionate Deduction

    Policyholders can avail this benefit only if they are purchasing this policy for a Sum Insured of at least Rs. 2 Lakh. If an additional premium is paid, the clause of proportionate deduction will stand deleted.

  • Maternity Expenses Benefit

    Policyholders can avail this benefit only if they buy this policy for a sum insured of at least Rs. 5 Lakh. When an additional premium is paid, the maternity expenses shall be payable up to 10% of the average sum insured after 36 months of a waiting period. This limit is applicable for every event for all the Policies provided by New India Assurance including Group Policies.

  • Revision in Limit of Cataract

    The company provides this benefit only to the policyholders who have purchased this policy for a minimum sum insured of Rs. 8 Lakh. On payment of additional premium, an additional limit shall be applicable.

  • Voluntary Co-pay

    If an insured individual opts for voluntary co-pay of 20%, a discount of 15% shall be given on the premium payable by him/her.

Expert Review for New India Assurance Mediclaim Policy

  • Expert Review

    Mediclaim Policy is New India’s one of the renowned health insurance policies. A comprehensive plan in nature, the policy has been designed to cover individuals as well as family. It is a great option for those looking out for extensive cover for the entire family members in a single sum insured. This policy is an umbrella product for self, spouse, parents, and children.

    As far as the benefits of this policy are concerned, New India Assurance has hardly kept anything away from the coverage under the Mediclaim Policy. If you have this policy, you and your family get covered against inpatient treatment, pre-hospitalisation expenses, post-hospitalisation expenses, ICU/ICCU charges, ambulance services. Further, the policy has optional benefits like ‘No Proportionate Deduction’, ‘Maternity Expenses Benefit’, ‘Revision in Limit of Cataract’, and Voluntary Co-pay.

  • Major Attractions

    When you buy Mediclaim Policy, you invest in a good policy. It’s an optimum choice for people between 18 years and 65 years. It’s also perfect for financially dependent children from 18 years up to 25 years. Another benefit of the policy is that it covers a newborn baby right from the date of birth until the policy gets expired without extra premium. Going further, the benefits also include:

    • Sum Insured options are from Rs. 1 Lakh to Rs. 15 Lakh
    • Cataract cover 20% of the Sum Insured or a maximum of Rs. 50,000
    • Ayurvedic / Homeopathic / Unani Treatment up to 25% of the Sum Insured
    • Hospital cash benefits 0.1% per day. Maximum up to 1% of the Sum Insured
    • Reimbursement of health-check up after every block of three claim-free years. Maximum Rs. 5000 or 1% of the Sum Insured
    • Optional maternity benefits if the sum insured is more than or equal to Rs. 5 Lakh
    • Revised Cataract Limit from Rs. 80,000 to Rs. 1.5 Lakh
    • 15% premium discounts if 20% of voluntary co-pay is chosen
  • What’s More?

    Above all, the Mediclaim Policy has more to offer. It covers congenital internal diseases up to the sum insured provided you have continuous coverage of 24 months. Besides, coverage is available for congenital external diseases up to 10% of the sum insured provided you have continuous coverage of 36 months.

    • Lifetime renewal of the policy
    • Tax benefits under the Income Tax Act
    • Quality TPA (third-party administrator) service
    • Free look period for a duration of 15 days to understand the details of the policy completely
    • A grace period of one month to renew the policy
  • Conclusion

    Like other health insurance policies, New India’s Mediclaim policy is also suitable to secure the health of your family. The policy has been designed to cover the insured persons against skyrocketing medical costs. It gives financial aid at the time of hospitalisation due to specific ailments, accidents or injuries. The only thing is that there are limits on room rent, AYUSH treatment, ambulance services, etc. Overall, certain discounts and wide cover under the policy make it worth buying.

    To have quick and convenient purchase experience, choose the online mode for buying the policy. InsuranceDekho is a reliable companion in this concern, providing you with expert support when it comes to ‘claim settlement’, ‘policy portability’, ‘payment of premiums’ and many more.

New India Assurance Mediclaim Policy Brochure

  • 295.60 KB
  • PDF Document
  • Jul 22, 2019

Claim Process at New India Health Insurance

  • Network Hospital
  • Non-Network Hospital
  • 1

    Claim Assistance

    For any assistance or query, call InsuranceDekho at the toll-free number 755 1196 989.
  • 2

    Claim Intimation

    Emergency hospitalisation needs intimation within 24 hours and for planned hospitalisation intimate within 48 hours prior to admission.
  • 3

    Claim Processing

    Fill in the pre-authorisation form and hand it over to hospital's insurance/TPA desk to initiate claim request.
  • 4

    Claim Settlement

    Once your request is approved, claim is settled. If not approved, claim for reimbursement after discharge.
  • 1

    Claim Assistance

    For any assistance or query, call InsuranceDekho at the toll-free number 755 1196 989.
  • 2

    Claim Intimation

    Emergency hospitalisation needs intimation within 24 hours and for planned hospitalisation intimate within 48 hours prior to admission.
  • 3

    Claim Processing

    Submit claim form with original documents such as doctor’s reports, hospital bills, diagnostic tests, etc.
  • 4

    Claim Settlement

    Once your request for reimbursement of expenses is approved, the claim will be settled.

Mediclaim Policy FAQs

  • Can I undergo treatment anywhere under this policy?

    No. Only treatments undergone in India are covered under this policy. 

  • Can I make a request for claim under this plan without getting hospitalised?

    No. Unless an insured person is hospitalised for a valid reason, the claim is not paid. OPD is not covered under this policy.  

  • Who all can be included under this policy?

    You can include yourself, i.e. the Proposer, your spouse, your children, and your parents. 

  • What are the sum insured options available under this plan?

    Sum insured options available under this plan are- Rs. 1 Lakh, Rs. 2 Lakh, Rs. 3 Lakh, Rs. 5 Lakh, Rs. 8 Lakh, Rs. 10 Lakh, Rs. 12 Lakh and Rs. 15 Lakh.

  • Is health check-up included under this policy?

    Yes. The cost of health check-up is reimbursed to the insured individual after every 3 claim-free years. The reimbursed amount shall be payable up to Rs. 5,000 or 1% of the average Sum Insured of proceeding 3 years, whichever is less.

  • What are the loss-sharing conditions under this policy?

    Given below are the loss-sharing conditions for the policyholders under this policy-

    1. 20% co-pay if the optional cover of voluntary co-pay has been selected 
    2. Expenses if exceeding the limit for the following features-

    • Rom rent beyond 1% of the Sum Insured
    • ICU/ICCU expenses more than 2% of the Sum Insured
    • Proportionate deduction on other expenses arising at the hospital (excluding the cost of medicines) if room rent or ICU/ICCU are incurred more than the aforesaid limit. It is waived off if No Proportionate Deduction option is selected
    • Cataract beyond 20% of the Sum Insured or Rs. 50,000, whichever is less
  • Is there any renewal benefit that the company provides under this plan?

    Yes. The company provides the following renewal benefits to its policyholders- 
    1. Health check-up benefit after every block of 3 claim-free years up to a certain limit
    2. Cumulative Bonus Buffer shall be carried forward of the existing policyholder of Mediclaim 2012 

  • How can I make a claim under this policy?

    Under this policy, the policyholders can get their claims settled either through the cashless procedure or through the reimbursement procedure

  • Will I be covered for Ayurvedic treatments under this policy?

    Yes. This policy gets you covered with Ayurvedic, Homeopathic/Unani treatment up to 25% of the sum insured. 

  • Is domiciliary hospitalisation covered under this policy?

    No. This policy does not provide cover for domiciliary hospitalisation.  

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