New India Family Floater Mediclaim Policy

Product Overview

New India Family Floater Mediclaim Health Insurance Plan is an inpatient hospitalization policy, along with host of other benefits like - day care procedures, Pre & Post Hospitalization benefit, etc.

Unique Features of New India Family Floater Mediclaim Policy

• Loyalty Discount is offered on Continuous Policy Renewal
• Under this Plan Non-Allopathic Treatments like Ayurvedic, Unani and Homeopathic treatment are covered
• Good Health Discount is provided for claim free renewal
• Certain diseases like Hypertension, Diabetes, and their complications conditions are covered after 2 years, provided if an additional premium is paid

Features of edit Edit Details

Critical features of New India Family Floater Mediclaim Policy

• Room rent:
  Limits imposed towards room and ICU rent expenses

1. Room Rent - 1% of the Sum Insured.
2. ICU - 2% of the Sum Insured.

• Co-Pay:
  Specific % of admissible claim amount to be borne by Insured

1. This plan has a zone wise co-payment clause which is 10% to 20%. For further details kindly refer the policy document.
2. Limit on Cataract Treatment will be Actual or Rs 24,000, whichever is less for each eye.
3. Bills raised seperately (Not included under hosp.) shall be covered provided - Surgeon fee and Anaesthetist fee would be reimbursed, limited to the maximum of 25% of Sum Insured. Fees paid in cash will be reimbursed up to a limit of Rs. 10,000/- only, provided the Surgeon/Anaesthetist provides a numbered bill.

• No Claim Bonus:
  Health Insurance policies may offer Cumulative Bonus wherein for every claim free year, the Sum Insured is increased by a certain percentage at the time of renewal
  This plan does not have no claim bonus benefits.
• Pre-Existing Diseases:
  Means any condition, ailment or injury or related condition(s) for which you had signs or symptoms, and / or were diagnosed, and / or received medical advice/ treatment, within 48 months prior to the first policy issued by the insurer

1. This plans has a waiting period of 4 years is case of a pre-existing diseases.
2. Covered after 2 years for Hypertension, Diabetes, and their complications conditions upon payment of additional premium

Eligibility Criteria

• Minimum Age of Entry:- Children- 3 months to 25years/Adult-18 years
• Maximum age of Entry:- 60 years
• Sum Insured:- 2 lakhs to 5 lakhs
• Policy Tenure:- 1 year
• Family Definition:-
  Individual - Self, Spouse, Children, Parent.
  Family Floater - Self, Spouse, Children, Parent.
• Premium Calculated on Basis of:- Age, Zone (i.e. sum Insured Choosen)

Additional Discounts

• Loyalty Discount is offered on Continuous Policy Renewal
• Good Health Discount is provided for claim free renewal

Exclusions

• Dental treatment except arising out of accident.
• Debility and General Run down Conditions
• Sexually transmitted diseases and HIV (AIDS)
• Circumcision, Cosmetic surgery, Plastic surgery unless required to treat injury or illness
• Vaccination and Inoculation
• Pregnancy, ailments related thereto and child birth
• War, Act of foreign enemy, ionising radiation and nuclear weapon.
• Treatment outside India
• Naturopathy
• Domiciliary Treatment
• Experimental or unproven treatment
• All external equipments such as contact lenses, cochlear implants etc
• Medical Expenses relating to any hospitalisation primarily and specifically for diagnostic, X-ray or laboratory examinations and investigations

Note: Any claims arising out of or attributable to any of the following is not covered,Please refer policy T & C for detailed list of exclusions.

Tax Benefits

When you pay the premium for your health insurance policy, you are liable to get a tax rebate under section 80D of the Income Tax Act, 1961.

Claim Process

In case you would like to know about the Claim Process or would like to register a Claim please click the link below

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