New India Top-up Mediclaim Policy: Your Big Time Savior

India’s one of the top-notch health insurance providers, New India Assurance has launched a mega plan called ‘New India Assurance Mediclaim’. This plan emerges as a savior during the time you exceed the chosen limit in your health policy by covering all your hospitalization costs.
Anybody can opt for this policy in addition to any existing health insurance plan. The minimum eligibility to apply for this plan is 18 years old to maximum of 65 years. However, this plan includes children more than 3 months old. As long as you renew the policy one time, it has no bar on the age of the insured persons. One primary rule of this policy is that the eldest member of the family is always considered as primary member of the plan.

Features of Top-up Mediclaim Policy

• The policy tenure is for one year from date of commencement
• Individuals more than 50 years old or with an adverse claim history undergo avail pre-acceptance health check-ups.
• Hospitalization costs up to 15-20 lakh can be obtained for just Rs. 3500 in a year till the age 44 years.
• Individual with a basic mediclaim policy can opt for this plan
• Uninsured but able to bear the expenses up to 5 lakh by own are also covered
• This is a family floater plan which covers 6 members of the family

Conditions Applied

• To claim this policy the hospitalization should have happened within the policy tenure.
• Inpatient treatments are only allowed. No coverage is provided for outpatient treatment.
• The policy only covers the hospitalization expenses incurred due to illness or injury.
• No coverage will be given to pre-hospitalization and post-hospitalization.

Cover /Exclusion Under the Policy

What are all covered

The Exclusion Part

Hospitalisation expenses including:  Room Rent – Nursing and boarding costs. Maximum cap is applied, 5000 per day for up to 5,00,000/8000 per day up to 8,00,000 lakh.  ICU expenses: Rs. 10,000 each day to 5,00,000/16,000 per day up to 8,00,000  Consultants fee, surgeon, doctors, Anesthesia oxygen, OT charges, blood test, medicines, X-ray etc. This can be availed for any one illness.  'Get Well Benefit’ of 5000 for a threshold of 5,00,000/8,000 cap for 8,00,000 maximum.  Organ transplant expenses incurred by the donor.  Ambulance  Daily hospitalization cash: maximum amount of 50,000 is offered  Expenses of AYUSH treatments are covered and done through govt. hospitals.

Pre-existing diseases and treatment  No claim will be entertained if is made in the waiting period of 30 day  Pre-hospitalization and Post-hospitalization costs  Magnetic therapy, acupuncture, Naturopathic treatment etc.  War, warlike situation, nuclear waste invasion  Cosmetic surgery, vaccination, intentional-injury, self-harm, venereal disease, psychosomatic diseases, etc.  Injury caused due to consumption of alcohol or drugs.  Injury due to participation in a criminal act.  STD is not covered  Maternity or costs related to pregnancy, miscarriage, abortion, etc.  Stem Cell surgery or genetic disorders  Registration charges, surcharges, service charges, etc.  All non-medical costs  Treatment availed abroad etc.

The product of New India Assurance is claimed to be 25% cheaper than other companies’ offerings. Apart from being sold as an individual policy, the top-cover is also considered as family floater plan which shared the sum insured among the family members who are covered under this policy. Having a top-up mediclaim plan New India Assurance hence proved to be a wise decision ever!