New India
Specific Health Plans
Specific Health Insurance Plans

New India Mediclaim Policy

New India Mediclaim policy is available to persons between the age of 18 years and 65 years.

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New India Mediclaim policy is available to persons between the age of 18 years and 65 years. Children are also covered under the policy from age of 3 months to 25 years provided they are financially dependent. Lifelong renewal is available provided the policy is renewed on time. The Proposer can choose Sum Insured from Rs. 1,2, 3, 5, 8, 10, 12 and 15 Lakhs (4,6,7 Lakh Sum Insured bands are only available for renewals). Insured persons will be covered under a single dedicated Sum Insured.

Highlights of this Policy

Cumulative Bonus @25% SI for claim free year with Max 50% of SI.

Health Check Up for every 3 claim free years

New Born Baby cover

Cataract, up to 20% of Sum Insured or Rs. 50,000, whichever is less, for each eye.

Ayurvedic / Homeopathic / Unani treatments are covered, up to 25% of the Sum Insured

Medical Expenses for Organ transplant are payable.

Ambulance Charges at the rate of 1% of the Sum Insured.

Hospital Cash at the rate of 0.1% Sum Insured per day, up to a maximum of 1% Sum Insured.

For Pre Existing Diseases Waiting period is 48 Months as per clause 4.1 of the policy document

For specified diseases waiting period is 24 months as per clause 4.3.1 of the policy document

139 Day Care procedures are covered under this policy

Optional Cover I: No Proportionate Deduction

Optional Cover II: Maternity Expenses Benefit for Sum Insured 5 Lakhs and Above (Maximum of 10% of the average SI of the Insured Person in the preceding three years)

Optional Cover III: Revision in Limit of Cataract (For 8 Lakhs & above SI revised limit for Cataract will be 10% of the Sum Insured)

Optional Cover IV: If Voluntary Co-Pay of 20% is chosen then 15% discount on premium will be given on the premium payable for the Insured person

Product Features

Day Care Treatments

Covered 139 day care treatment

139 Day Care procedures are covered under this policy

Ambulance Charge

Covered Upto 1% of the Sum Insured

Ambulance Charges at the rate of 1% of the Sum Insured

Alternate Treatment

Covered Up to 25% of the Sum Insured

Ayurvedic / Homeopathic / Unani treatments are covered, up to 25% of the Sum Insured

Eye & Dental Covers

Covered Up to 20% of Sum Insured

Cataract, up to 20% of Sum Insured or Rs. 50,000, whichever is less, for each eye

Family Floater Option

Covered

Family Covered in this Policy

Existing Illness Waiting Period

48 Months

Pre Existing Diseases Waiting period is 48 Months

Health Checkups

Covered for every 3 claim free years

Health Check Up for every 3 claim free years

Bonus on No Claim

Covered @25% SI for claim free year

Cumulative Bonus @25% SI for claim free year with Max 50% of SI

Co-Payment

Co-Pay of 20% (Voluntary)

If Voluntary Co-Pay of 20% is chosen then 15% discount on premium will be given on the premium payable for the Insured person

Maternity

Covered 10% of the average SI

Maternity Expenses Benefit for Sum Insured 5 Lakhs and Above (Maximum of 10% of the average SI of the Insured Person in the preceding three years)

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