New India Assurance Family Floater Mediclaim Policy

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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.  

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.

Written By: PolicyBazaar - Updated: 08 April 2019