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New India Sixty Plus Mediclaim Health Insurance

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New India Assurance Health Insurance
Sixty Plus Mediclaim Policy
Claim Settlement Ratio92.68%
Network Hospitals7,500
PED Coverage Starting From4 years
Pre-existing Disease Waiting Period4 years
Starting Premium 560
Starting Premium for Rs. 5 lakhs SIRs. 560/month

About New India Sixty Plus Mediclaim Health Insurance

Sixty Plus Mediclaim Policy is a tailor-made medical insurance policy that covers senior citizens aged between 60 years and 80 years, for several healthcare expenses. The policy can be bought for sum insured options of Rs. 2 Lakh, Rs. 3 Lakh, or Rs. 5 Lakh. The policy allows you to make cashless as well as reimbursement claims as per your convenience. In case of hospital cash, the insured will receive the amount as per the terms and conditions of the policy. The policy offers maximum coverage for the well-being of senior citizens by protecting them for various healthcare expenses including pre-hospitalisation and post-hospitalisation expenses, ambulance expenses up to a specific limit, attendant benefits, medical expenses for organ transplant, etc.

Apart from these benefits, you will also be covered for attendant benefit of maximum Rs. 800 each day or actuals whichever is less, for up to Rs. 5,000, Rs. 7,000, Rs. 10,000 per hospitalisation for sum insured of Rs. 2 Lakh, Rs. 3 Lakh, and Rs. 5 Lakh respectively. Also, the policy covers you for expenses incurred on health check-up, in case your proposal gets accepted. The policy comes with a mandatory co-payment of 10%. However, you can avail a discount on premium by opting for an additional co-payment of 10%. Other benefits include tax deduction on the premium paid for the policy under Section 80D of the Income Tax Act, 1961. Also, you can avail higher benefit if you buy the policy for your parents.

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Key Inclusions and Exclusions of the Plan

What's Included

  • Pre and post-hospitalisation expenses for 30 days and 60 days respectively
  • Ambulance expenses for up to 1% of sum insured
  • Room rent for up to 1% of sum insured per day
  • Cover for 50% of the cost of medical check up on acceptance of proposal
  • Expenses related to anaesthesia, blood, etc

What's Not Included

  • Dental treatment or surgery of any kind unless required due to an accident
  • Expenses related to vaccination and/or inoculation
  • Expenses related to eyeglasses, braces, etc.
  • Plastic surgery unless necessitated due to an accident is not covered.
  • Change of gender treatments

9390 New India Cashless Network Hospitals in India

Choose New India Assurance Critical Illness Plan

Claim Process at New India Assurance 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.

FAQs on Sixty Plus Mediclaim Policy Health Insurance Plan

  • What am I covered for under Sixty Plus Mediclaim policy offered by New India Assurance Company?

    Sixty Plus Mediclaim policy offered by New India Assurance Company covers you for the following healthcare expenses:

    • Hospitalisation expenses for any illness or injury covered under the policy
    • Room charges subject to 1% of the sum insured 
    • Fees of Surgeon/Anaesthetist/Consultant/Medical  Practitioner/Specialists etc. 
    • Expenses related to anaesthesia, blood, surgical appliances, x-ray, dialysis, etc.
    • Ambulance expenses up to a specific limit
    • Attendant benefit
    • Pre-hospitalisation and post-hospitalisation expenses
    • Medical expenses for organ transplant 
  • What are the sum insured options available under Sixty Plus Mediclaim policy?

    Sixty Plus Mediclaim policy offered by New India Assurance Company can be purchased for sum insured options of Rs. 2 Lakh, Rs. 3 Lakh and Rs. 5 Lakh. 

  • Is there any attendant benefit available under this policy?

    Yes. If covered under the policy, you will be covered for attendant expenses of maximum Rs. 800 per day or actuals whichever is less, for up to Rs. 5,000, Rs. 7,000, Rs. 10,000 per hospitalisation for sum insured of Rs. 2 Lakh, Rs. 3 Lakh, and Rs. 5 Lakh respectively.  

     

  • Who can buy the Sixty Plus Mediclaim policy offered by New India Assurance Company?

    People aged between 60 years and 80 years who are citizens of India can purchase Sixty Plus Mediclaim policy offered by New India Assurance Company. 

  • What is the payout basis under Sixty Plus Mediclaim policy?

    Claims for Sixty Plus Mediclaim Policy are paid out in cashless or reimbursement manner. In case of hospital cash, the amount will be paid to the insured. 

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