New India Senior Citizen Mediclaim Policy

Product Overview

New India Senior Citizen Health Insurance Plan is an inpatient hospitalization policy, admission as an inpatient for a minimum period of 24hrs is required, except for day care treatments.

Unique Features of New India Senior Citizen Mediclaim Policy

• Any Pre-Existing Diseases will be covered after 18 months under this plan.
• Family Discount - 10% of discount if spouse is also covered under the policy.
• Non-Allopathic Treatment - Ayurvedic, Unani and Homeopathic treatment will be covered under this plan
• Diabetes mellitus and Hypertension are covered from inception of the policy, however the insured needs to pay additional premium.
• Certain Specific diseases like Cataract, ENT, etc. are covered after 18 months under this plan

Features of edit Edit Details

Critical features of New India Senior Citizen 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.
3. Over all limit on room rent is 25% of the Sum Insured.

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

1. Under this plan there is a Co-payment of 10%.
2. Certain Limitations/ Capping on the treatments. Please refer the policy wordings for detailed list.

• 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
  5% of the basic sum insured up to a maximum of 30% for each unclaimed year in case opted. (The cumulative bonus is reduced by 5% of sum insured once a claim is made)
• 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. Under this plans there is a waiting period of 18 months for pre-existing diseases.
2. Pre-existing conditions for Diabetes Mellitus and Hypertension will be covered from inception of the policy, however, the insured needs to pay an additional premium.

Eligibility Criteria

• Minimum Age of Entry:- 60 years
• Maximum age of Entry:- 80 years
• Sum Insured:- 1 lakh to 1.5 lakhs
• Policy Tenure:- 1 year
• Family Definition:- Individual - Self, Spouse
• Premium Calculated on Basis of:- Age, (i.e. sum Insured Choosen)

Additional Discounts

• If 2 or more members are insured under the same policy then a 10% Family Discount will be applicable
• 10% discount for Voluntary excess clause (Rs. 10,000/-) if opted under the policy.

Exclusions

• 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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