New India Health Insurance

The New India Assurance Company is a public sector insurance company owned by the Indian Government. The company was formed in the year 1919 by the legendary Sir Dorabji Tata. Today, New India has become a multinational company which is functioning in 28 countries across the world. The company’s headquarters are located in Mumbai but the company has presence pan India. 

The company has been rated A by the AM Best Company and it has been maintaining this rating since the year 2007. Moreover, CRISIL has also rated the company AAA/Stable since 2014. The company’s business has also been growing ever since it was established.

Features and benefits of New India Assurance Health Insurance

1. The company operates through 2452 offices which also includes 1339 micro offices
2. The company offers a range of 230 insurance products
3. The health insurance plans offered by the company offer a wide scope of coverage
4. The premiums are affordable and low
5. The solvency ratio of the company is 2.13 which shows that the company is financially stable
6. The company’s growth rate is 13%

Coverage offered by New health insurance scheme

The health insurance plans offered by New India offer the following types of coverage features –

1. Hospitalisation costs

   Under this feature, the costs incurred when you are hospitalised are covered. The hospitalisation should be for 24 hours or more and coverage is allowed for room rent, doctor’s fees, surgeon’s fee, nurse’s fee, etc.

2. Pre hospitalisation costs

   Costs incurred before you are hospitalised are covered under pre-hospitalisation coverage benefits.

3. Post hospitalisation costs

   Costs incurred after you are discharged from the hospital for recovery and monitoring of the illness are covered under this head.

4. Daycare treatments

   Treatments which do not require a hospital stay for 24 hours due to advanced technology are covered under most health insurance plans.

5. AYUSH treatments

   Non-allopathic treatments through Ayurveda, Homeopathy, etc. are also covered under many health insurance plans offered by New India.

6. Organ donor costs

   If you are undergoing an organ transplant surgery, the costs incurred in harvesting the organ from an organ donor would be covered under the plan.

7. Ambulance costs

   The costs incurred in transporting the insured individual to the hospital for hospitalisation are called ambulance costs. These costs are covered under health insurance plans up to specified limits

8. Domiciliary treatments

   Domiciliary treatments include treatments taken at home because you cannot be moved to the hospital or because there is no hospital bed available. These treatments are covered under many New India Assurance mediclaim policies.

9. Maternity coverage 

   Some New India health insurance plans also allow coverage for maternity-related costs like those incurred on childbirth. These costs are covered up to a specific limit depending on the plan that you choose.

10. Free health check-ups

    All health insurance plans offered by New India allow you free health check-ups after a specified duration. These check-ups allow you to track and monitor your health periodically.

11. No claim bonus

    If no claims are made in the preceding policy years your health insurance policy becomes eligible to earn a no claim bonus. The no-claim bonus is allowed either as an increase in the sum insured at the same level of premium or as a discount in the renewal premium.

Exclusions under New India mediclaim policies

There is a specific list of exclusion found in all New India Assurance mediclaim plans. These exclusions include those costs and treatments which are not covered under the plan. Some common exclusions include the following –

1. Pre-existing illnesses are not covered from policy inception. They are covered after a waiting period
2. Cosmetic treatments and dental treatments are not covered in all health plans
3. Illnesses or injuries suffered due to suicide, self-inflicted injuries, substance abuse, criminal acts, etc. are not covered
4. HIV, AIDS and other sexual or venereal diseases are not covered
5. Cost of spectacles, dentures, hearing aids, etc. are not covered
6. There might be specific waiting periods for named illnesses
7. War, invasion, participation in hazardous sports, etc. are not covered
8. Congenital diseases
9. Mental disorders, etc.

Optional coverage benefits under New India health insurance plans

Optional coverage features are those which are not found inbuilt under the plan. However, they are available at an additional premium. New India’s health insurance plans allow different types of optional coverage benefits which are as follows –

1. Maternity cover

   Many plans offer maternity coverage as an optional benefit at an additional premium. Through this coverage, you can get the costs of childbirth covered under the plan.

2. Revision in cataract limit

   Cataract coverage is allowed under some plans up to specified limits. These limits can be enhanced through this add-on.

3. Voluntary co-pay

   You can choose to pay a portion of the claim from your own pockets. This is called voluntary co-payment. If this add-on is selected, you get premium discounts in the policy.

Health insurance plans offered by New India Assurance

Here is a list of all the health insurance plans which are offered by New India Assurance Company –

1. New India Asha Kiran Policy 

This is a unique health plan which allows coverage only to parents who have a girl child. The policy can be taken to cover the girl child with either of the parents. The salient features of the plan are as follows –

1. The plan not only covers hospitalisation costs but personal accidental injuries too. Parents of the child are covered against accidental death and permanent total or partial disablement
2. In case of hospitalisation, a daily cash benefit is also paid
3. The plan also covers eleven critical illnesses. If the insured suffers from any of the covered illness, 10% of the sum insured is paid in a lump sum

Eligibility parameters of New India Asha Kiran Policy 

Entry age	Children – 3 months to 25 years Adults – 18 years to 65 years
Sum insured	INR 2 lakhs to INR 8 lakhs
Policy tenure	1 year

2. New India Cancer Mediclaim Expenses – Individual Plan

This is a cancer cover policy which is issued to individuals who are members of the Indian Cancer Society. If you want to avail coverage, you would have to become a member of the Indian Cancer Society and then apply for the policy. The features of the plan are as follows –

• You and your spouse can be covered under the plan
• Coverage is allowed for costs incurred on biopsy, diagnosis, surgery, hospitalisation, radiation, chemotherapy and rehabilitation if you suffer from cancer
• Up to two dependent children can be covered under the plan by paying an additional amount of premium

Eligibility parameters of New India Cancer Mediclaim Expenses – Individual Plan

Entry age	18 years to 70 years
Sum insured	INR 50,000 to INR 2 lakhs
Policy tenure	1 year

3. New India Family Floater Mediclaim Policy

As the name suggests, this is a family floater health insurance plan which you can take to cover yourself, spouse and up to two dependent children. The features of the plan are as follows –

• AYUSH treatments are covered under the plan for up to 25% of the sum insured
• You can avail coverage for pre-existing diabetes and hypertension after a small waiting period of two years if you pay an additional premium
• You can claim a loyalty discount for renewing the policy and also a good health discount if you had not made any claims in the last few years

Eligibility parameters of New India Family Floater Mediclaim Policy

Entry age	Children – 3 months to 25 years Adults – 18 years to 60 years
Sum insured	INR 2 lakhs to INR 5 lakhs
Policy tenure	1 year

4. New India Jan Arogya Bima Policy 

This is an affordable health insurance plan which provides low-cost health insurance to economically weaker sections of the society. The features of the plan are as follows –

• The policy can be taken on a family floater basis
• The policy covers all the basic hospitalisation costs at low premiums

Eligibility parameters of New India Jan Arogya Bima Policy

Entry age	5 years to 70 years Dependent children aged 3 months onwards can be covered if any one of the parents is covered
Sum insured	INR 2 lakhs to INR 8 lakhs
Policy tenure	1 year

5. New India Janata Mediclaim Policy

This is also an affordable health insurance plan which has the following features –

• Daycare treatments are covered under the policy
• You can avail coverage for existing diabetes and hypertension after two short years by paying an additional premium
• The policy can be taken to cover yourself as well as your family
• AYUSH treatments are also covered under the plan
• You get premium discounts for covering your family members, for renewing the policy every year and for maintaining good health

Eligibility parameters of New India Janata Mediclaim Policy

Entry age	Children – 3 months to 18 years Adults – 18 years to 60 years
Sum insured	INR 50,000 and INR 75,000
Policy tenure	1 year

6. New India New Family Floater 2012 Plan

This is a family floater health insurance plan which can be availed to cover your family including dependent parents. The highlights of the policy are as follows –

• If you cover your family members on an individual sum insured basis, you get a 10% premium discount. Alternatively, covering your family members under a floater sum insured would also earn you a premium discount ranging from 11% to 18%.
• If no claims are made in the previous years you get a no claim discount of up to 15% in the renewal premium

Eligibility parameters of New India New Family Floater 2012 Plan

Entry age	Children – 3 months to 25 years Adults – 18 years to 65 years
Sum insured	INR 1 lakh to INR 8 lakhs
Policy tenure	1 year

7. New India Floater Mediclaim Plan

This is also a family floater plan which has the following salient features –

• Coverage for a newborn baby is included in the plan
• A daily hospital cash benefit is paid if you are hospitalised for 24 hours or more
• There are 11 critical illnesses covered under the plan and if you suffer from any of them you get 10% of the sum insured in a lump sum
• Pre-entrance medical check-ups are not required until 50 years of age
• You get up to 15% premium discount if 2 or more family members are covered under the plan
• Another 10% premium discount is allowed for buying the policy online

Eligibility parameters of New India Floater Mediclaim Plan

Entry age	Children – 3 months to 25 years Adults – 18 years to 65 years
Sum insured	INR 2 lakhs to INR 15 lakhs
Policy tenure	1 year

8. New India Global Mediclaim Plan

This is a unique health insurance plan available for individuals who already have health insurance coverage of INR 8 lakhs and above. The features of the plan are as follows –

• There are two plan options of A and B
• Coverage is allowed for cancer, neurosurgery, CABG, heart valve surgery, organ donor transplant and bone marrow transplant
• International coverage is allowed under the plan
• Coverage also includes travel costs, accommodation, repatriation, airport transfers and translation assistance when you travel to another country for treatment

Eligibility parameters of New India Global Mediclaim Plan

Entry age	18 years to 75 years
Sum insured	USD 1 million and USD 2 million
Policy tenure	1 year

9. New India Mediclaim Policy

This is a health insurance plan which can be taken to cover your entire family. The salient features of the plan are as follows –

• No pre-policy check-ups are required till 50 years of age
• The hospital cash benefit is payable in case of hospitalisation
• Free health check-ups are allowed after every three policy years
• A newborn baby is covered from the first day of birth
• There are a range of optional coverage benefits under the plan
• The sum insured can be reinstated if it is exhausted

Eligibility parameters of New India Mediclaim Policy

Entry age	Children – 3 months to 25 years Adults – 18 years to 65 years
Sum insured	INR 1 lakh to INR 15 lakhs
Policy tenure	1 year

10. New India Premier Mediclaim Policy

This is a premium health insurance plan which allows a lot of coverage benefits and can be taken for the whole family. The features of the plan are as follows –

• There are two coverage options under the plan. Plan A has a sum insured of INR 15 and 25 lakhs while Plan B offers a higher sum insured of INR 50 lakhs and INR 1 crore
• Critical illness benefit is inbuilt under the plan where the company pays a fixed benefit if you suffer from any of the covered critical illnesses
• A daily benefit is paid if you are hospitalised for 24 hours and more
• OPD coverage is available under the plan after two claim-free policy years
• Maternity and newborn baby coverage is also available under the plan
• Treatment costs for infertility treatments and HIV/AIDS are also covered
• Obesity treatments and psychiatric treatments are covered up to specified limits
• You can also avail dietician counselling and concierge services under the plan.

Eligibility parameters of New India Premier Mediclaim Policy:

Entry age	Children – 3 months to 18 years Adults – 18 years to 65 years
Sum insured	INR 15 lakhs to INR 1 crore
Policy tenure	1 year

11. New India Sixty Plus Mediclaim Policy

This is a senior citizen medical insurance policy which covers individuals aged 60 years and above. The features of the plan are as follows –

• Coverage for hiring an attendant is covered under the plan up to specific levels
• There is an optional voluntary co-payment cover which, if chosen, allows a premium discount
• You also get a daily hospital cash benefit in case of hospitalisation
• Organ transplant costs are covered under the plan

Eligibility parameters of New India Sixty Plus Mediclaim Policy

Entry age	60 years to 80 years
Sum insured	INR 2 lakhs to INR 5 lakhs
Policy tenure	1 year

12. New India Top-up Mediclaim Policy

This is a super top-up health insurance plan which helps in increasing existing health insurance coverage. The plan has a deductible limit and if the claim exceeds the deductible limit the excess claim is paid. Other features of the plan are as follows –

• Claims are considered on an aggregate basis against the deductible that you have chosen. Thus, if the aggregate claims exceed the deductible, the claim is paid
• Up to six family members can be covered under the plan
• A lump sum get well benefit is paid for anyone illness
• AYUSH treatments are covered under the policy

Eligibility parameters of New India Top-up Mediclaim Policy

Entry age	Adults – 18 years to 65 years Other family members – 3 months to 65 years
Sum insured	INR 5 lakhs to INR 22 lakhs
Deductible	INR 5 lakhs and INR 8 lakhs
Policy tenure	1 year

13. New India Senior Citizen Mediclaim Policy

This is also a senior citizen health insurance plan which has the following salient features –

• AYUSH treatments are covered up to specified limits
• A premium discount of 10% is allowed if you choose voluntary co-pay
• You also get another 10% premium if the spouse is also covered under the plan

Eligibility parameters of New India Senior Citizen Mediclaim Policy

Entry age	60 years to 80 years
Sum insured	INR 1 lakh and INR 1.5 lakhs
Policy tenure	1 year

14. New India Universal Health Insurance Scheme

This is a group health insurance scheme which is available for covering a group of 100 families and above. The features of the plan are as follows –

• Hospitalisation expenses are covered under the plan
• Accidental coverage is allowed for the earning member of the family
• A daily compensation is paid if the earning member becomes disabled due to an accident

Eligibility parameters of New India Universal Health Insurance Scheme:

Entry age	Children – 3 months to 5 years Others – 18 years to 65 years
Sum insured	Hospitalisation cover – INR 30,000/family Accidental death cover – INR 25,000/family Disability compensation – INR 50/day/family
Policy tenure	1 year

Do’s and Don’ts of buying New India health insurance plans:

When buying a health insurance plan from New India, here are some points which you should know-

Do’s:

• Always fill up the proposal form correctly mentioning all the details honestly. The proposal is the basis of the contract and incorrect information would jeopardize your policy
• Ensure that the sum insured is sufficient to cover your medical costs
• If you have any pre-existing illnesses, disclose the same. Though the coverage would be allowed after a waiting period you would be able to avail coverage
• Always maintain the policy bond with you safely
• Check the policy document for all the details entered in it. If there is any mistake the same should be communicated to the company and rectified in the policy document
• If health check-ups are required, get the check-ups done and submit the medical reports to the insurance company as early as possible
• Always renew the policy within the due date so that you can enjoy continued coverage lifelong

Don’ts:

• Do not hide any important information when filling up the proposal form. If you provide incorrect information your claim might get rejected
• Do not sign the proposal form without understanding all the details mentioned in the form. Read the fine print to know what are the terms and conditions of coverage
• Don’t delay in informing the insurance company when a claim occurs. If you delay, the claim settlement would also be delayed

How to buy New India health insurance plans?

You can buy New India health insurance plans online. The company allows various health insurance policies to be bought online. You can visit the company’s website, choose the policy that you want to buy and click to buy it online. You would just have to fill up an online proposal form and pay the premiums online and the policy would be bought.

There is another way to buy the policy online and it is through Turtlemint. Turtlemint is an online platform through which you can easily buy the most suitable New India health insurance plan. To buy through Turtlemint, here are the steps –

1. Visit Turtlemint at www.turtlemint.com/health
2. Choose to buy a new policy, top-up an existing coverage or change your existing insurance company
3. Provide all your details so that the suitable plans can be found and the premium can be calculated. The details include your gender, age, members to be covered, their age, any pre-existing illnesses, income level, etc.
4. Once the details are provided, you would be shown a list of health insurance plans to compare and choose
5. You can also contact Turtlemint’s team of experts if you have any doubts before buying the policy
6. After you shortlist the policy, you can fill in the online application form, pay the premiums online and buy the policy. It’s as simple as that

How to renew New India health insurance plans?

Renewal of New India health insurance plans is also possible online. New India offers you a quick renewal option to renew the policy. The steps are as follows –

1. Go to https://www.newindia.co.in/portal/
2. Under ‘Quick Help’ choose ‘Quick Renewal’
3. You would have to provide your customer ID number, policy number and then click on ‘Proceed’
4. You would, then, be shown the details of your existing health insurance plan
5. You can pay the renewal premium online and the policy would be renewed

Renewal is also possible through Turtlemint. If you have purchased your policy through Turtlemint’s platform you would have the online login credentials to your account. You can log into your account using your login credentials. Once you are logged in you can view the plans which you have bought. You can then choose to renew your health insurance coverage online. For renewing you would have to pay the premiums online and the renewal would be done.

How to pay premiums for New India Assurance mediclaim policy?

Premiums for New India mediclaim policies can be paid online or offline. The various means to pay are as follows –

1. Offline payment modes –
   • Cash 
   • Cheque
   • Demand draft
2. Online payment modes
   • Debit cards
   • Credit cards
   • Net banking facility
   • UPI ID
   • Mobile wallets
   • NEFT
   • IMPS
   • Auto debit from your bank account, etc.

How to make a claim under New India health insurance plans?

Claims under New India Assurance health insurance plans can be made through the following steps –

1. You should inform the company’s TPA (Third Party Administrator) whenever you face any claim. The information should be given at least 48 hours before a planned hospitalisation or within 24 hours of an emergency one.
2. After you are discharged from the hospital, submit the relevant documents to the TPA for reimbursement of the expenses that you had incurred on treatments
3. The documents should be submitted within 7 days of discharge. For claiming post hospitalisation expenses, the documents should be submitted within seven days of completion of the post hospitalisation treatments
4. You would also have to authorize the TPA to obtain any and all medical records from the hospital if required
5. To claim cashless hospitalisation, you would have to be treated at a networked hospital. The list of networked hospitals can be found online on the company’s website. The hospital should be approved by the company’s TPA for you to avail cashless benefits. If the hospital is not approved, claims would be settled on a reimbursement basis only

Documents required for making claims 

The following set of documents would have to be submitted to the TPA for your claim to get processed and settled – 

1. Discharge certificate from the hospital in which you took the treatment
2. All bills and receipts of the medical costs that you incurred
3. Cash memos issued by the hospital or the pharmacy from where medicines and other supplies were bought
4. All pathological tests conducted as well as their payment receipts
5. A doctor’s prescription which advises hospitalisation and the treatments necessary 
6. Surgeon’s certificate which should show the type of surgery performed
7. Attending doctor’s certificate as well as receipts of payments done to him/her
8. Claim form which should be completely filled and signed by the policyholder 

Turtlemint allows you an easy alternative for your health insurance claims. Through Turtlemint’s help you can get your claims settled faster and that too with minimal hassles. Turtlemint has an in house dedicated claim management team of experts who go through the claim process on your behalf. You just have to inform the company of your claim and set back and see your claims getting settled. To inform, call Turtlemint’s toll-free helpline number 1800 266 0101 or drop an email to claims@turtlemint.com. Once informed the claim experts would take your claim forward by coordinating with the insurance company and you would not have to undertake any hassles.