New India Floater Mediclaim Policy

What is the Plan all About?

New India Floater Mediclaim Policy is designed to cover hospitalization expenses towards the insured members included under the policy. It is a family floater policy and a minimum of two members are required for issuance of the policy.

Key Features

Comprehensive family health cover
New born baby cover
No pre-acceptance medical check up to 50 years of age
Avail tax benefits

Policy Benefits

In-patient hospitalization expenses, including Room Rent / Boarding/ Nursing Expenses and other expenses are covered up to 1% of sum insured per day.
Pre hospitalization expenses are covered for 30 days before hospitalization and post hospitalization expenses covered for 30 days after hospitalization.
74 day care procedures are covered, for which the insured person requires hospitalization for less than 24 hours.
ICU charges are covered, as mentioned in the policy.
Donor transplant expenses are covered, excluding cost of the organ.
Daily Hospital Cash is paid up to 0.1% of Sum Insured per day that cannot exceed beyond 1% of Sum Insured for any one illness.
Flat 10% of Sum Insured is paid as a critical care benefit. It is an additional benefit other than the admissible claim.
Surgeon, Anesthetist, Medical Practitioner, Consultants’ Specialist fees, Operation Theatre Charges, Blood, Oxygen, and other medical expenses are also covered.

Value Added Benefits

Enhancement of sum insured at the time of policy renewal.
Ambulance Charges are paid up to 1% of sum insured or actual charges incurred whichever is less.
Ayurvedic / Homoeopathic / Unani treatment is covered up to 25% of the sum insured, if treatment is taken in any government Hospital, any institute Accredited by Quality Council of India, National Accreditation Board on Health or other hospital as specified under the policy.
A new born baby is covered for any illness/injury till expiry of the policy.
If you claim in two policy periods, the claims shall be payable considering available sum insured in the two policy periods, including deductibles.
Tax Benefit under section 80D of Income Tax Act, 1961.

Sub Limits

Room Rent Limit: It is capped up to 1% of sum insured per day.
ICU charges are capped up to 2% of sum insured per day.
Co-pay: Co-pay applies, if you take treatment in a Hospital situated outside the Area of Coverage. 80% of the admissible claim amount, or Sum Insured whichever is less will be paid.
For cataract, 10% of Sum Insured or Rs. 50,000 whichever is less, will be covered for each eye.

Waiting Period Clause

Initial Waiting Period: Claims arising during first 30 days of the policy start date, except accidental claims.
Specific Waiting Period: Some treatments such as Cataract, Hydrocele, Hernia, Hypertension, etc. is covered after 24 months from the inception date of the policy.
Pre existing Disease Waiting Period: Any pre-existing disease until 48 months of continuous policy coverage, from date of inception of the first policy.
New Born Waiting period: A new born baby to an insured mother is covered after 24 months of continuous coverage.
Congenital Disease Waiting Period: Congenital internal disease will be covered after 24 months of continuous policy coverage, if it was unknown to you or to the insured at the commencement of the policy. Congenital external disease will be covered 48 months of continuous policy coverage, but it shall be covered up to 10% of the average sum insured in the previous 4 policy years.

Who can Buy the Plan?

Factor	Minimum	Maximum
Age (as on last birthday)	Adult: 18 Years, Children: 3 Months	Adult: 65 Years, Children: 25 Years
Sum Assured	2 Lacs	8 Lacs
Cover Type	Family Floater	-
Policy Tenure	1 Year	1 Year
Grace Period	30 Days	-
Free Look Period	15 Days	-
Riders	Nil	-