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New India Senior Citizen Mediclaim Policy

What is the Plan all About?

Senior Citizen Mediclaim Policy from New India Assurance Company covers hospitalization expenses arising out of the treatment of any illness/injury. This health plan provides a financial cover against high rising medical costs.

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What are the Key Features?

  • Health cover for senior citizens
  • Covers hospitalization expenses
  • AYUSH expenses are covered
  • Cost of health check up is covered
  • Grab family discount
  • Lifetime renewability

What are the Plan Benefits?

Policy Benefits

    • In-patient hospitalization such as room rent/nursing expenses, Surgeon/Medical Practitioner/Specialist Fees, Anesthesia, Operation Theater Charges, etc are covered up to the sub limits specified in the policy.
    • Pre hospitalization expenses when incurred before hospitalization are covered for 30 days up to the sub limits applicable.
    • Post hospitalization expenses when incurred after discharge from hospital are covered for 60 days up to the sub limits applicable.
    • Organ donor expenses incurred for an organ transplant to the insured are covered.

Value Added Benefits

    • Ambulance charges are covered under this plan.
    • If medical expenses incurred within two policy periods, the claims are paid considering the available sum insured in the two policy periods, including deductibles.
    • AYUSH expenses are covered up to the limits specified, when taken in a government hospital, or any institute recognized by government, and accredited by National Accreditation Board on Health/ Quality Council of India.
    • Cost of health check is reimbursed once in every 4 continuous claim free policy years up to the limits specified.
    • Earn cumulative bonus. 5% increase in sum insured at renewal for each no-claim policy year, subject to a maximum of 30%.
    • Get 10% family discount on premium amount when covering your spouse under this policy.
    • Enjoy portability benefit.
    • Tax Benefits are available u/s 80D of IT Act, 1961.

Sub Limits

    • Room Rent/Nursing/Boarding expenses are covered up to 1% of the Sum Insured (SI) per day.
    • ICU hospitalization expenses are covered up to 2% of SI per day.
    • In-patient hospitalization is capped to an overall limit of 25% of SI.
    • Pre hospitalization expenses are capped to a maximum of 5% of the admissible hospital bill.
    • Post hospitalization expenses are capped to a maximum of 10% of the admissible hospital bill.
    • 10% co-pay applies for each admissible claim.
    • Ambulance charges are payable up to Rs 1,000.
    • AYUSH expenses are payable up to 25% of SI for treatment of any illness/injury.
    • A limit of Rs 7,000 to Rs 36,000 is applicable for different illnesses/surgeries.
    • Cost of health check is capped up to 1% of average sum insured (excluding cumulative bonus) for the previous 4 years.

Waiting Period Clause

    • Initial Waiting Period: 30 days waiting period from the date of commencement of the policy except accidental bodily injury.
    • Specific Waiting Period: 18 month waiting period is applicable for illnesses/conditions such as Hernia, Hydrocele, Cataract, Benign ENT Disorders, etc. There is 48 months waiting period for Joint Replacements due to Degenerative Condition and Age related Osteoarthritis & Osteoporosis.
    • Pre Existing Diseases Waiting Period: Any pre existing diseases/illnesses/injuries are covered after 18 months of continuous policy coverage. Pre existing conditions of Diabetes mellitus and Hypertension are covered from the commencement of the policy, but only on payment of additional premium.

Product Snapshot

Factor Minimum Maximum
Age (as on last birthday) 60 Years 80 Years
Sum Assured 1 Lac 1.5 Lacs
Cover Type Individual/Family -
Policy Tenure 1 Year 1 Year
Grace Period 30 Days From The Date Of Expiry -
Freelook Period 15 Days -
Riders Nil -
Plan Type Offline -

Exclusions

  • War, war like operations, nuclear weapons
  • Cosmetic/aesthetic treatment
  • Cost of spectacles, hearing aids
  • Vaccination & Inoculation
  • Dental treatments
  • Convalescence Benefits
  • Participation in hazardous sports
  • Naturopathy treatment, etc.
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