New India Assurance Family Floater Mediclaim Policy

Features & Benefits of New India Assurance Family Floater Mediclaim Plan

Here is a quick rundown of the benefits and features of this plan:

• Cumulative bonus benefit
• Premium is calculated on the basis of geographical location and age where you are undergoing the treatment
• Anyone between the age group of 18 years and 60 years can buy this plan.
• Income Tax Benefit under Sec80/D of IT Act
• It insured you, your spouse and dependent children (maximum two)
• Please note that coverage is not extensible to in-laws even if they are residing with the insurer
• Premium is based on the age of the eldest family member
• 50% loading is applicable in case the spouse is covered. And 25% loading is applicable for each dependent child

Inclusions of New India Assurance Family Floater Mediclaim Plan

• 30 days of pre-hospitalization expenses and 60 days of post-hospitalization expenses are given a cover. The hospitalization duration should be more than 24 hours
• Expenses on day-care treatment where 24-hour hospitalization is not recommended are also covered up to a specified limit
• Ambulance charges are recompensed up to the specified limit
• Ayurvedic / Homeopathic and Unani treatment are covered and 25% of Sum Insured will be compensated. The treatment should be done in a government hospital
• Coverage of pre-existing diseases after 4 years of continuous claim free renewals
• Pre-existing conditions like diabetes, hypertension, and other related complications are given a cover post 2 years of uninterrupted insurance services. Additional premium needs to be paid for the same. 

Exclusions of New India Assurance Family Floater Mediclaim Plan

• Diagnosis or treatments within 30 days of the policy purchase  
• Dental treatment until required in case of accidental injuries
• AIDS, STDs, and HIV (AIDS)
• Cosmetic and plastic surgeries lest required for treatment of any illness or injury
• Vaccination and Inoculation expenses
• Pregnancy and childbirth complications
• Injuries or illness resulting from war conditions, radiation, nuclear attacks and any act of terrorism
• Treatment that was taken overseas
• Naturopathy treatment
• Domiciliary treatment or expenses or any treatment that was taken outside the hospital
• Treatment that was taken without consultation of a medical practitioner
• The cost incurred on external equipment’s like contact lenses, spectacles, etc.

Sum Insured

• Minimum Coverage Amount is INR 2 Lacs
• Maximum Coverage Amount is INR 5 Lacs

Age Criteria to Buy New India Assurance Family Floater Mediclaim Plan

• Minimum entry age is 18 years and maximum of 60 years
• Children between the age group of 3 months to 18 years can be covered if either or both the parents are insured
• Extension after 60 years of age is possible in case of uninterrupted insurance

Claim Procedure of New India Assurance Family Floater Mediclaim Plan

If the treatment is taken in a non-network hospital then you need to follow the below mentioned procedure:

• Right before the hospitalization , you need to immediately notify the TPA about the diagnosis of the illness
• In case of an urgent situation, try to inform the insurance company at least within 2 hours of the hospitalization. You will need to provide –
• Medical receipts, hospital invoices, hospital admission, and discharge proof
• Lab reports (required as part of the treatment)
• Medical prescriptions
• Doctor’s certificate validating the nature of surgery, treatment, and operation
• In-hospitalization receipts of room charges, doctor consultation fees and also blood, anesthesia charges
• Post-hospitalization expenses can be compensated if you submit all the essential documents within 7 days of discharge

Cashless treatment is available in network hospitals. Once your claim is approved you can avail the treatment by furnishing the proof of your medical Insurance policy.