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Individual Health Insurance Plans
New India Health Insurance
Headquartered in Mumbai, New India Assurance Co. Ltd was founded by Indian conglomerate Dorabji Tata in the year of 1919. Since then, this giant company has been serving its customers faithfully not only with health insurance policies but also it has more to offer like motor, travel, rural, marine, and some more insurance products. The company has been rated AAA/Stable by Crisil since 2014, denoting its financial wellbeing and enough capability to serve its customers.
Key Facts About New India Health Insurance
The following table focuses on some key facts about New India Health Insurance.
| Parameters | Highlights |
| Incurred claim ratio (in the financial year of 2019-2020) | 100.83% |
| Number of policies sold (in the financial year of 2019-2020) | 1,665,437 |
| Solvency Ratio (March 2020) | 2.11 |
| Network Hospitals | 1500+ |
| Number of Offices across India | 2214 |
| Awards and Recognitions (in 2018, 2017) |
|
Different Health Plans Offered by New India Health Insurance
New India Assured has many policies to offer under the health category ranging from family floater, critical illness to the group insurance policy, along with a unique plan. Under this company, you can not only protect and secure the health of your family but also you can look after your financial wellbeing as the plans provide varied and numerous benefits. Let us find out in the following table the type of health plans that the company offers.
| Type of plan | The plan offered by New India Assured |
| Group Insurance Policy | Standard Group Janata Mediclaim Policy |
| New India Flexi Group Mediclaim Policy | |
| Individual and Family Floater Insurance Policy | New India Flexi Floater Mediclaim Policy |
| Jan Arogya Bima | |
| Critical Illness Specific Policy | Cancer Medical Expenses – Group |
| New India Cancer Guard Policy | |
| Senior Citizen Policy | Senior Citizen Mediclaim |
| Unique Health Insurance Policy | New India Asha Kiran Policy |
| Corona Specific Policy | New India Corona Kavach Policy |
| Standard Health Plan | Universal Health Insurance Policy for APL Families |
| New India Mediclaim Policy |
1. New India Standard Group Janata Mediclaim Policy
This plan is most suitable for organizations, groups, associations, etc. If you want to insure your family members under a single policy to keep them protected against illnesses or diseases, this health plan is ideal for you. It is a group policy that offers the reimbursement of the hospitalization expenses arising out of a medical emergency.
Key highlights of the plan:
- This plan offers cover for the expenses of Anesthesia, Blood, Oxygen, Operation Theatre Charges, Surgical Appliances, Medicines & Drugs, Dialysis, Chemotherapy, Radiotherapy, Artificial Limbs, Cost of Prosthetic devices implanted during surgical procedures like pacemaker, Relevant Laboratory/Diagnostic test, X-Ray, etc.
- AYUSH treatment cover is available with the policy.
- The pre-hospitalization cover is provided for up to 30 days and the post-hospitalization cover is available for up to 60 days.
Eligibility Criteria:
| Entry age | Adults – 18 years to 60 years Children – 3 months to 18 years |
| Policy tenure | 1 year |
| Renewal | The renewal can be done beyond the age of 60 years only for the continuous policy. |
| Sum assured | Rs. 50000 to Rs. 75000 |
2. New India Flexi Group Mediclaim Policy
This type of insurance policy is ideal for the registered service club, organizations, associations, and the corporate world. The minimum number of members has to be 7 to get insured under this policy.
Key highlights of the plan:
- ICU and ICCU expenses are covered under the policy up to 2% of the sum insured per day.
- The room or boarding costs are reimbursed up to 1% of the sum insured.
- This policy can offer you the cover for the expenses arising out of Pharmacy and Consumables, Implants and Medical Devices, and different Diagnostics.
3. New India Flexi Floater Mediclaim Policy
Under this plan, you can insure your family members to provide them a secure and protected life as it covers the medical expenses arising out of hospitalization due to illnesses, diseases, and ailments. It offers pre and post-hospitalization coverage up to 30 days and 60 days respectively.
Key highlights of the plan:
- Apart from the hospital bill, other medical expenses such as Professional fees of Surgeon, Anesthetist, Consultant, Specialist, Blood, Oxygen, Operating Theatre Charges and Procedure Charges such as Dialysis, Chemotherapy, Radiotherapy & similar medical expenses related to the treatment are covered under this policy.
- AYUSH treatment cover is available that is subject to up to 25% of the sum insured.
- This plan also covers the costs of the treatment of mental illness, stress or psychological disorders and neurodegenerative disorders up to 25% of the sum insured.
4. New India Jan Arogya Bima
This policy provides cover to the individual and the family members. The speciality of this policy is that it is designed for the poorer section of the society keeping in mind their needs. Therefore, it is very pocket-friendly.
Key highlights of the plan:
- Special coverages like Impairment of Persons’ intellectual faculties, Artificial life maintenance, Treatment of mental illness, stress or psychological disorders and neurodegenerative disorders, etc are available under the policy.
- This plan offers coverage for the expenses due to modern treatments such as Balloon Sinuplasty, Deep Brain stimulation, Oral chemotherapy, Immunotherapy, Intravitreal injections, and some more.
- The cover is also available for the Treatment of Congenital Diseases.
Eligibility Criteria:
| Entry age | 5 years to 70 years Children – 3 months to 5 years |
| Waiting period | 1/2/3 years |
| Tax benefit | Available only if the premium is up to Rs. 10000 |
| Sum insured | Rs. 5000 per person |
5. New India Cancer Medical Expenses – Group
This policy is designed for individuals who are suffering from cancer or for those who need diagnostic investigation or treatment for the same. But to avail of this policy, you have to be a member of the Indian Cancer Society.
Key highlights of the plan:
- The policy can be extended to cover the highest two dependent children and for that separate proposal, a form has to be filled for each child.
- The policy promises to pay the expenses arising out of hospitalization, medical, surgical, diagnostic events.
- One can avail of the facility of a cumulative bonus that is subject to 5% of the sum insured for each year without any breakage. But it cannot exceed 50% of the sum insured.
Eligibility Criteria:
| Entry age | Up to 70 years |
| Renewal | Beyond 70 years |
| Policy tenure | 1 year |
| Sum Insured | Rs. 50000 to 2 lakhs |
This plan is specially designed for those people who are suffering from advanced metastatic cancer and malignant tumor and need treatments for the same. Any medical expenses arising out of Reasonable and Customary, and Medically Necessary for treatment of Cancer will be covered by the policy.
Key highlights of the plan:
- Single AC room and deluxe room expenses are covered subject to the company’s terms and conditions.
- During the policy period if the insured person is diagnosed with cancer for the first time and in the advanced metastatic stage of cancer, then 50% of the sum insured is reimbursed as Critical Care Benefit.
- Post-treatment expenses are provided up to Rs. 10000 in a period of insurance.
Eligibility Criteria:
| Entry age | 3 months to 65 years |
| Sum insured | 5 lakhs, 10 lakhs, 15 lakhs, 25 lakhs, and 50 lakhs |
| Pre-medical check-up | Not required |
| Waiting period | 90 days |
7. New India Senior Citizen Mediclaim
As the name suggests, this plan is designed for people who are above 60 years old and want to secure themselves financially against the medical expenses arising out of illnesses, diseases, and ailments.
Key highlights of the plan:
- In case of emergency transportation from one hospital to another, road ambulance charges are covered subject to a maximum of Rs. 1000 per hospitalization.
- AYUSH treatment cover is available up to 25% of the sum insured.
- A 10% family discount on the premium amount is also available if the spouse is also covered.
Eligibility Criteria:
| Entry age | 60 years to 80 years |
| Renewal | Beyond 80 years if the policy is continued without any breakage. |
| Pre-acceptance medical check-up | Required |
| Sum insured | 1 lakh and 1.5 lakh |
8. New India Asha Kiran Policy
This policy is specifically designed for parents who have only girl children. Maximum two girl children can be covered under the same policy and if any boy child is born, the girl child/children can no longer avail of the benefits of this policy. However, they will be given the opportunity to migrate to any other suitable policy.
Key highlights of the policy:
- There is a 50% discount available on the premium for girl children.
- One can avail of the personal accident cover benefit up to 100% of the sum insured on the basis of the nature of the damage.
- Expenses due to the medical treatments for critical illnesses can be reimbursed up to 10% of the sum insured.
Eligibility Criteria:
| Entry age | Adults – 18 years to 65 years Dependent daughters – 3 months to 25 years |
| Waiting period | 1/2 years |
| Sum insured | 2 lakhs, 3 lakhs, 5 lakhs, 8 lakhs |
| Minimum members | 2 including one daughter |
9. New India Corona Kavach Policy
To fight against the global pandemic New India Assurance has included a dedicated Covid-19 policy to protect those people who have been diagnosed positive of the contagious coronavirus and need hospitalization for at least 24 hours.
Key highlights of the policy:
- This policy not only provides the hospitalization cover due to Covid-19 but also offers cover for the expenses arising out of any medical treatments for any comorbid condition.
- A special discount of 5% for the female policyholders is offered.
- Home care treatment cover is available with the policy subject to a maximum limit of 14 days per incident.
Eligibility Criteria:
| Entry age | 1 day to 65 years |
| Sum insured | Rs. 50000 to 5 lakhs |
| Policy period | 105 days, 195 days, and 285 days |
| Waiting period | 15 days |
| Free look period | Not available |
| Policy type | Individual and floater basis |
If you want to safeguard your family financially from the medical expenses arising out of hospitalization due to ailments, illnesses, or diseases, this policy can give you complete and comprehensive protection. You can insure your spouse, dependent children (maximum three), and dependent parents under the same policy.
Key highlights of the plan:
- If the insured becomes disabled from an accident, then the policy will compensate for that subject to Rs. 50 per day up to a maximum of 15 days in a policy year.
- The policy provides coverage for many modern treatments such as Robotic surgeries, Stereotactic radio surgeries, Bronchial Thermoplasty, and many more.
- Room/boarding charges, hospital charges, fees of Surgeon, Anesthetist, Medical Practitioner, Consultants, Specialists all are covered under this policy, subject to the company’s terms and conditions.
Eligibility Criteria:
| Entry age | 3 months to 65 years |
| Renewal | Beyond 65 years if the policy is continued without any break |
| Installment facility | Not available |
| Grace period | 30 days |
This Policy is designed to give the policyholder and his family complete security and protection against unpredictable hospitalization expenses. The hospitalization is required a minimum time period of 24 hours but certain pre-specified treatments can be availed of if the hospitalization is less than 24 hours.
Key highlights of the policy:
- The newborn baby cover is available with the policy.
- Free health check-up can be availed by the insured person for every 3 claim-free years.
- The facility of hospital cash benefit is available at the rate of 0.1% of the sum insured per day that is subject to a maximum limit of 1% of the sum insured.
Eligibility Criteria:
| Entry age | Adults – 18 years to 65 years Dependent children – 3 months to 25 years |
| Renewal | Lifelong |
| Sum insured | 1/2/3/5/8/10/12/15 lakhs |
| Waiting period | 24 months and 48 months |
Why should New India Assurance be your choice for health insurance?
As there is a bundle of health insurance companies with multiple plans and varied benefits, it becomes difficult to choose the correct one. But there are certain parameters that can decide whether the company is reliable. New India Assurance has successfully proved itself to be the one and the reasons are as follows.
- Excellent network – The company has 15,249 employees, 1,02,804 licensed agents, and 2214 branches all over the country. Since the foundation, it has built its network in such a way that almost anywhere you can find this insurer. So, not only is it easier to find them but you can always have the company by your side.
- Number of plans – New India Assurance has come up with a wide range of health plans to serve the needs of individuals with multiple benefits. You can not only protect yourself and your family under the company but also you can find a suitable plan for the critical illness or the senior member of your family. So, the company perfectly serves the varied needs of the people.
- Network hospitals – Cashless facility can only be availed of if you have taken medical treatments in any network hospital of the company. Additionally, at the time of the medical emergency, it is not possible to cover a long distance for a suitable hospital. For that, the number of the network hospitals and their availability matter a lot. New India Assurance has more than 1500 network hospitals PAN India. So, not only you can find a network hospital within your vicinity but you can also avail of the treatments in one of your desired hospitals as you will have multiple options to choose from.
- Claim support – We buy health insurance so that it can protect us financially at our most needed times. Therefore, the health insurance company has to have a good claim settlement ratio and records. According to the IRDA Annual Reports, the Incurred claim ratio in the financial year of 2019-2020 for New India was 100.83%, which is more than enough. And, it makes the company a really good choice for buying health insurance.
- Background – The Company has been serving its customers faithfully for more than 100 years. It has earned a good reputation over the years becoming a giant. Moreover, it is a multinational company. So there is almost no chance that the company will fall down in the near future. Therefore, you can trust the company for your health insurance completely.
- Solvency ratio – The solvency ratio is an important parameter as it indicates the company’s capability to meet long-term financial obligations. If it is higher, it means that the company has the ability to pay the lump sum claim amount; therefore your claims will be settled more easily. As per the IRDA Annual Report, the solvency ratio for New India Assurance was 2.11 on March 2020, which is quite higher than the other health insurance companies. This indicates that you are safe under this company.
- Customer support – The Company has a toll-free number and has kept its customer service open 24×7. You can also contact it through the mail. So, whenever you are required, this company will always be beside you.
Buying process of health plan from New India Health Insurance
You can buy the health policies under New India Assurance both offline and online (for 3 policies only).
Offline buying process:
If you want to buy it offline, visit the nearest branch of the company and their experts will guide you thoroughly through the buying process. Or, you can also take the help of the licensed agents of the company. They are knowledgeable enough to provide you with a seamless buying process. Otherwise, you can call on their helpline or toll-free number to avail of assistance from the company.
Online buying process:
New India Assurance offers its customers to buy a health policy online only for 3 plans – Asha Kiran, New India Cancer Guard Policy, and New India Mediclaim Policy. Follow the below-mentioned steps to buy these plans online.
- Go to the official website of the company and then to the ‘Products’ section and select ‘Health’.
- There are multiple health plans mentioned as available with the company. If you click on the aforesaid policies, there you can find the ‘Buy Online’ option and click on that.
- You need to put the necessary details such as sum insured, address, proposer’s name, your contact details, etc.
- Either you can save the details and continue or you can calculate the premium.
- After submitting all the particulars and details pay the premium amount online.
- Upon successful payment, you will be notified and the policy document will be sent to your registered email ID.
Under this company, you can renew your health insurance policies in two modes – online and offline.
For offline mode, go to any nearest branch of the office and pay the renewal amount via cash and cheque, and your job is done.
For an online process, go to the ‘Quick Help‘ section on the company’s official website. Under this tab there is a ‘Quick Renew‘ option, click on that. Then you have to put in your customer ID and the renewal amount and proceed. If required, then put in other necessary details and pay the renewal amount via Credit Card, Debit Card, or Net Banking. Upon successful payment, the policy will be renewed and you will be notified about the same.
You can also renew your health plan through the app of New India.
How to calculate premium for New India Health Insurance Policy?
New India Assurance calculates the premium for a health policy on the basis of different factors. You can also get to know the premium amount by following the below-mentioned steps easily.
At first, go to their official website and under the ‘Product’ tab choose Health and select the desired plan. There you can find the ‘Get Quote’ option, click on that. Now you have to put the information that is asked such as policy period, proposer’s date of birth, gender, sum insured, contact details, etc. if you want to add a member, you can also do that. You need to declare whether you are a smoker or not. After putting in all the mandatory details, click on the ‘Calculate Premium’ option and you will get to know the same.
For better understanding, here is an example below.
Mr. Sharma is 32 years old of businessman and he is a non-smoker. He is opting for the New India Cancer Guard Policy for himself. He has selected Rs. 10 lakhs sum insured. On the basis of these data, the premium amount for Mr. Sharma will be 1035 excluding GST.
Under this company, you can get two options to file your claim – A reimbursement claim and a Cashless claim for some of the policies. Here are the steps for both processes.
Cashless claim settlement procedure
For availing of the smooth cashless claim process, follow the below-mentioned steps.
- For a cashless claim, you need to get admitted to a network hospital of the company.
- In the event of the hospitalization, you need to intimate the insurer within the stipulated time as mentioned.
- Show your health card and identity card in the hospital.
- The hospital will verify the documents provided by you and upon successful verification, the hospital will send a pre-authorization form to the hospital or the TPA.
- Then New India Assured will verify and evaluate the details.
- The claim can be accepted or rejected. Upon the approval of the claim, the company will directly settle the claim amount with the hospital.
Reimbursement claim settlement procedure
To avail of a seamless reimbursement claim, follow the easy steps mentioned below.
- Inform your insurer as soon as possible in the event of hospitalization. For reimbursement claim, you need not get admitted to any network hospital.
- Avail of the treatments, pay the bills, and preserve securely all the documents.
- Provide all the documents as demanded by the company such as hospital and pharmacy bills, discharge certificates, reports of the attending doctors and surgeons.
- Along with the documents submit a duly filled and signed claim form. You can download the claim form from the official website of the company or collect it from the nearest branch.
- Remember, false information can be the reason for the rejection of your claim.
- The company will verify your documents. A surveyor might be appointed on the behalf of the company.
- If your claim is found genuine, it will be sanctioned and the claim amount will be reimbursed to your account.
How to contact New India Health Insurance?
Address:
New India Assurance Building
87, M G Road, Fort, Mumbai
Maharashtra
400001
Toll-free number: 1800-209-1415
Email ID: techsupport@newindia.co.in
To contact them, you can also opt-out of their ‘Call Me’ option from their official website. They put your user name, email ID, mobile number, preferred time to call, and comments, and then submit. You will receive a call from the company expert to clarify your queries.
Other Plans: Atmanirbhar Health Policy, Young India Digi Health Policy
Frequently Asked Questions
To download your policy document from their official website, visit it and click on ‘DOWNLOAD YOUR POLICY’ and then put your registered mobile number or email ID and proceed. Provide the details that are asked such as policy number. After submission of the correct information, you can download your policy document.
You can also download the same from their mobile app.
You can find their office, network hospital, garage by visiting their official website. Go to the ‘QUICK HELP’ section and click on ‘LOCATE US’. Choose ‘Search by Hospital’ and select the TPA as mentioned in the policy document. Then search the network hospital by address or city or pin.
To cancel your policy, go to the nearest branch of the company and submit the original documents of the policy along with the duly filled and signed surrender form within the free look period. The amount will be refunded to your account. You can also surrender your health plan at any time following the same method. In that case, some amount will be deducted as per the policy rules.
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