New India Floater Mediclaim Policy

Product Overview of New India Floater Mediclaim Policy

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

Unique Features of New India Floater Mediclaim Policy

• Specified 11 Critical Illness Covered under the policy.
• Non-Allopathic Treatment like - Ayurvedic, Unani and Homeopathic treatment are covered under the policy.
• New Born Baby Expenses are covered under the policy

Features of edit Edit Details

Critical features of New India 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.

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

1. If treatment is availed in a zone other then designated zone, then 80% of the admissible claim amount or the sum insured, whichever is less, will be paid.
2. Premium loading up to 2% per year after age 65
3. 10% of sum insured or Rs 50,000, whichever is less - Limit for Cataract Treatment for each eye.
4. External congenital diseases - limited to 10% of the average Sum Insured in the preceding four years

• 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. 2 years waiting period for internal congenital diseases undiagnosed till the time of buying an insurance.
3. 4 years waiting period for external congenital diseases

Eligibility Criteria

• Minimum Age of Entry:- Children- 3 months to 25 years/Adult-18 years
• Maximum age of Entry:- 65 Years
• Sum Insured:- 2 Lacs to 8 Lacs
• Policy Tenure:- 1 Year
• Family Definition:- Family Floater - Self, Spouse, Dependent Children, Dependent Parent (Parents can be insured max. upto 60yrs).
• Premium Calculated on Basis of:- Age, Zone(i.e. sum Insured Chosen)

Add-ons

Critical illnesses:- If during the Period of Insurance any Insured Person discovers that he/she is suffering from any Critical Illness as listed below, we will pay flat 10% of Sum Insured as additional benefit i.e. other than the admissible claim:

1. Cancer
2. First Heart attack of specified severity
3. Open chest CABG
4. Open Heart replacement or repair of Heart valves
5. Coma of specified severity
6. Kidney failure requiring regular dialysis
7. Stroke resulting in permanent symptoms
8. Major organ / bone marrow transplant
9. Permanent paralysis of limbs
10. Motor neurone disease with permanent symptoms
11. Multiple sclerosis with persisting symptoms

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

Know More