New India Assurance Family Floater Mediclaim Policy

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      New India Assurance Family Floater Mediclaim Policy

      New India Assurance Company has launched this family floater mediclaim plan to protect your loved ones under a single sum insured.  It is an economic plan as the coverage is provided to you, your spouse and 2 dependent children under a single plan.

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      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.

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