New India Assurance Tertiary Care Insurance (Individual)

Considering the rising demand for disease or a group of diseases-specific health insurance, the public sector insurance giant New India Assurance Health Insurance Co. Ltd. has introduced the New India Assurance Tertiary Care Insurance (Individual) policy with standout features. This New India Assurance health insurance offers coverage for nine major ailments with reimbursement for treatment expenses incurred in any hospital in India. The policy covers the listed major ailments and the Modern Treatment, apart from expenses for essential Life Support Equipment and Genetic Disorders, with limits specified in the policy schedule.  

Eligibility Criteria

The minimum eligibility conditions to buy this policy are: 

Type

Individual

Minimum Entry Age

Child: 3 months (provided one or both  parent is covered concurrently)

Others: 5 years

Maximum Entry Age

Child: 5 years

Adult: 75  years

The Number of people covered:

Cover on an Individual basis with family cover for the spouse, dependent children, and dependent parents.  

Residential Status

Resident Indian Citizens

Coverage Offered

Considering the severity of the listed diseases, the primary coverage in the policy includes:

  • In-patient Hospitalization: The policy delivers a comprehensive cover for all medical expenses subject to a minimum stay of 24 hours or more.
  • Pre and Post Hospitalization Expenses Cover: The cover is for 30 days and 60 days, respectively, for all incurred medical expenses.  
  • Day Care Treatment Expenses Cover: Procedures and surgeries in a hospital which need admission only for a few hours are covered under the policy.
  • Domiciliary Hospitalization: The expenses are fully covered for domiciliary hospitalization within India.

Inclusions of the Plan

The list of inclusions under this policy considers the following:

  • Covered Diseases: The policy covers nine severe illnesses for hospitalization. The insured must consult the policy document for the detailed list with all its variations. The listed diseases are: 

Nephritis and Kidney Failure needing transplantation and dialysis

All Strokes

Heart Surgery

Malignancy diagnosed through Histopathological Report.

Viral Encephalitis

Neuro-Surgery

Total Joint Replacements

Liver Disorders

Grievous Injury

  • Modern Treatments: Several technologically advanced available medical procedures are covered in the policy with limits specified for each.
  • Genetic Disorders: The cover is up to 25% of the sum insured after a wait of 24/48 months.
  • Artificial Life Maintenance: The cover for life support is up to 10% of the sum insured for a maximum of 15 days for all the listed illnesses.
  • Other Expenses: The policy also covers the cost of Pacemaker, Organ, Artificial Limbs, and Ambulance for emergency evacuation.

Exclusions of the Plan

Individuals, who intend to buy New India Assurance Health Insurance, need to go through the detailed list of exclusions as mentioned in the policy document. Some of them are:

  • Waiting Period:
  • The initial waiting period applicable to the covered illnesses is 30 days from policy inception.
  • The period applied to pre-existing diseases is a straight 48 months.
  • Specific diseases are imposed with a waiting period of varying durations, best ascertained through the policy document.
  • Permanent Exclusions: The elaborate list for denial of coverage is available in the policy document. The insured must check them for clarity.

Features & Benefits of the Plan

Looking up the range of options is essential to buy New India Assurance Tertiary Care Insurance (Individual).  

  • Sum Insured: The insured has a choice of the sum insured in a range from Rs 50, 000 to Rs 5 Lakh in multiples of Rs 50,000.
  • Cumulative Bonus: The sum insured enhances by 5% for every claim-free year, subject to an accumulation of a maximum of 10 years.
  • Health Check-up: The health check-up cost will be borne by the insurer up to 1% of the sum insured. The facility is available once in a block of 4 consecutive claim-free years.
  • Tax Benefits: The premium paid for the policy is tax-exempt as per the current tax laws.

Cancellation Terms of the Policy

The insured has the liberty to cancel the policy at any time, provided there is no pending claim on the cancellation date. The insurer refunds the premium at the applicable short period rate.

FAQs

Written By: PolicyBazaar - Updated: 25 February 2021
Disclaimer: Policybazaar does not endorse, rate or recommend any particular insurer or insurance product offered by an insurer.

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