New India Mediclaim Policy (Cashless facility available)

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New India Mediclaim Policy (Cashless facility available)

Health Insurance Policy

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 INR 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.

We wish to bring to your notice that revised terms & conditions of 'New India Mediclaim Policy (NIAHLIP25010V072425) shall be applicable for the all renewals falling due on or after 10th August 2024 and for Fresh Policies w.e.f 1st July 2024 .Premium will be charged based on age and zone selected.

Highlights of this Policy

  1. Cumulative Bonus @25% SI for claim free year with Max 50% of SI.
  2. Health Check Up for every 3 claim free years
  3. New Born Baby cover
  4. Cataract, up to 20% of Sum Insured or INR 50,000, whichever is less, for each eye.
  5. Expense incurred for Ayurveda, Yoga and Naturopathy, Unani, Siddha and Homeopathy system of medicines are covered 100% of Sum insured.
  6. Medical Expenses for Organ transplant are payable.
  7. Ambulance Charges at the rate of 1% of the Sum Insured.
  8. Hospital Cash at the rate of 0.1% Sum Insured per day, up to a maximum of 1% Sum Insured.
  9. For Pre Existing Diseases Waiting period is 48 Months as per clause 4.1 of the policy document
  10. For specified diseases waiting period is 24 months as per clause 4.3.1 of the policy document
  11. 226 Day Care procedures are covered under this policy
  12. Optional Cover I: No Proportionate Deduction
  13. 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)
  14. Optional Cover III: Revision in Limit of Cataract (For 8 Lakhs & above SI revised limit for Cataract will be 10% of the Sum Insured)
  15. 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
  16. Optional Cover V: For Non-Payable Items for covering consumables as per List I with additional premium for SI 8 L & above
  17. Premium will be charged based on the Age and selected zone.

Long term functionality will be enabled in the system shortly.

PREMIUM CHART: (Please refer to the prospectus for optional covers premium)

Sum Insured (INR) PREMIUM FOR BASIC COVER (INR per annum) (GST Extra)
<35 36–45 46–50 51–55 56–60 61–65 >65
1,00,000 2,843 3,010 4,872 7,270 9,388 11,340 13,020
2,00,000 3,863 4,093 6,749 10,179 13,350 17,752 23,940
3,00,000 4,254 4,509 7,493 11,348 14,986 20,001 28,155
4,00,000 4,892 5,185 8,609 13,031 17,168 22,887 32,292
5,00,000 5,691 6,034 10,009 15,139 19,902 26,505 37,478
6,00,000 6,147 6,518 10,807 16,342 21,461 28,568 40,436
7,00,000 6,602 7,002 11,605 17,544 23,021 30,633 43,393
8,00,000 7,058 7,487 12,403 18,747 24,581 32,696 46,351
10,00,000 7,980 8,465 14,016 21,179 27,735 36,869 52,333
12,00,000 8,676 9,204 15,236 23,015 30,116 40,020 56,849
15,00,000 9,837 10,437 17,267 26,078 34,088 45,276 64,382

* Kindly refer to policy clause/prospectus for detailed information

How to calculate the premium?

  1. Select the desired Sum Insured.
  2. The premium payable is determined on the respective Age of the members for the chosen Sum Insured.

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