New India Assurance Health Insurance

New India Assurance Health Insurance offers a variety of health plans. Policyholders can customise their plans, tenure, and sum assured. They also provide access to a wide hospital network, cashless treatment and discounts.
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New India Assurance Health Insurance offers a variety of health plans. Policyholders can customise their plans, tenure, and sum assured. They also provide access to a wide hospital network, cashless treatment and discounts.

Types of Health Insurance Policies Provided by New India Assurance:

The list of health insurance plans offered by New India Assurance are mentioned below:

  • Corona Kavach Policy
  • New India Asha Kiran Policy
  • New India Cancer Guard Policy
  • New India Flexi Group Mediclaim
  • New India Floater Flexi Mediclaim Policy
  • Standard Group Janata Mediclaim Policy
  • Jan Arogya Bima
  • Universal Health Insurance APL
  • Cancer Medical Expenses – Group
  • Senior Citizen Mediclaim Policy
  • New India Mediclaim Policy

New India Flexi Group Mediclaim Policy:

New India Flexi Group Mediclaim Policy is a health insurance plan that provides coverage to your entire family.

Features:

The main features of the policy are mentioned below:

  • 2% of the sum insured will be provided as ICU charges per day.
  • Ambulance services will be provided.
  • Ayush Treatment covered under the policy.
  • Pre-hospitalisation charges up to 30 days covered under the policy.
  • Post-hospitalisation charges up to 60 days covered under the policy.

New India Asha Kiran Policy

A unique health insurance plan aimed at promoting healthcare for girls. This New India Asha Kiran policy can be taken by those parents who have only daughters for children.

Features:

The main features of the policy are mentioned below:

  • Accident cover is provided.
  • 2% of the sum insured will be provided as ICU charges every day.
  • Specialist, consultant, medical practitioner, and surgeon fees will be provided.
  • Apart from organ cost, all other expenses that have been incurred for an organ transplant will be provided.
  • 10% of the sum insured or Rs.50,000 (whichever is lower) will be provided in the case of cataract claims.

Corona Kavach Policy

Under the policy, cover will be provided for COVID-19. Individuals between the ages of 1 day and 65 years can buy the policy.

Features:

Some of the main features of the policy are mentioned below:

  • The sum insured options range from Rs.50,000 to Rs.5,00,000.
  • The policy can be availed on an individual basis or a floater basis.
  • You must be hospitalised for at least 24 hours.
  • Ambulance charges is Rs.2,000.
  • Waiting period is 15 days.
  • Single premium.

New India Cancer Guard Policy

Under the policy, cancer treatment will be provided as day care, outpatient, or inpatient.

Features:

Some of the main features of the policy are mentioned below:

  • The entry age is between 3 months and 65 years.
  • The sum insured options that are available are Rs.5 lakh, Rs.10 lakh, Rs.15 lakh, Rs.25 lakh, and Rs.50 lakh.
  • Chemotherapy, Radiotherapy, Organ Transplant, and Onco-surgery treatments are covered.
  • Room rent expenses are covered.
  • Second opinion costs of up to Rs.5,000 are covered.
  • Ambulance charges are Rs.3,000 for every hospitalisation.
  • Medical expenses are covered for organ transplant.

New India Mediclaim Policy

Individuals between the ages of 18 years and 65 years can avail the policy. Lifelong renewability is provided under the policy.

Features:

Some of the main features of the policy are mentioned below:

  • New born baby cover is provided.
  • The sum insured options available are Rs.1 lakh, Rs.2 lakh, Rs.3 lakh, Rs.5 lakh, Rs.8 lakh, Rs.10 lakh, Rs.12 lakh, and Rs.15 lakh.
  • Up to 20% of the sum insured or Rs.50,000, whichever is lesser, will be provided for cataract for each eye.
  • Medical expenses that have been incurred for an organ transplant will be provided.

New India Flexi Floater Mediclaim Policy

All the hospital expenses incurred due to injury or illness is reimbursed under this policy on submission of the medical bills by the insured.

Features:

Some of the main features of the policy are mentioned below:

  • Boarding, nursing, and room rent expenses are covered.
  • Specialist, consultant, medical practitioner, and surgeon fees will be provided.
  • Apart from the organ cost, all expenses that have been incurred due to an organ transplant will be covered.
  • ICU and ICCU expenses are covered.

Standard Group Janta Mediclaim Policy

Under this policy all the hospital bills incurred due to illness or injury is reimbursed by the insurer on submission of all the relevant medical bills.

Features:

  • ICU and ICCU expenses covered under the policy.
  • Surgeon, medical practitioner, consultant, and surgeon fees are covered.
  • AYUSH treatment covered under the policy.
  • Cost of ambulance services are covered under the policy.
  • The cost of Anesthesia, Blood, Oxygen, Operation Theatre Charges, etc. are covered under the policy.

Jan Arogya Bima Policy

This policy is meant to provide health insurance to those who belong to the poorer section of the society. Anyone aged between 5 years and 70 years can apply for this health insurance policy.

Features:

  • Avail tax benefits under Section 80D of the Income Tax Act 1961.
  • Premiums up to Rs.10,000.
  • Sum insured offered for each person is up to Rs.50,00.
  • Children aged between 3 months and 5 years are also covered given both or one parents are covered under the policy.

Universal Health Insurance APL

This policy covers any medical bills in case the insured is hospitalised due to any injury or illness.

Features:

  • Boarding expenses are covered under the policy.
  • The cost of Anesthesia, Blood, Oxygen, Operation Theatre Charges, etc. are covered under the policy.
  • Surgeon, medical practitioner, consultant, and surgeon fees are covered under the policy.

Cancer Medical Expenses – Group

This policy is valid from the date on which the insured becomes a member of the Indian Cancer Society.

Senior Citizen Mediclaim Policy

Health insurance coverage provided to those who qualify as senior citizens and are age 60 years and above.

Features:

  • Surgeon, medical practitioner, consultant, and surgeon fees are covered.
  • Boarding expenses are covered under.
  • The cost of Anesthesia, Blood, Oxygen, Operation Theatre Charges, etc. are covered.

Dos and Don’ts of New India Assurance Health Insurance:

Listed below are the dos and don'ts when purchasing a new policy, renewing an existing policy, change in policy schedule, making claims, and grievance:

Process Dos Don’ts
New policy
  • Disclose details of any and all pre-existing conditions of the insured members.
  • Submit stamp-size photographs of the insured members along with their signatures.
  • Keep a copy of the proposal form with you.
  • Health checkup may be required depending on the age of the insured members.
  • Check the name, age, gender, address, and other personal details in the policy schedule.
  • Ensure the period of insurance is correct.
  • Cancel the policy within the 15-day free-look period if you object to the terms of coverage.
  • Don't furnish any false information on the proposal form.
  • Don't sign the proposal form without reading the terms and conditions.
  • Don't hide facts or pre-existing conditions of the insured member.
Renewal
  • Keep track of your policy renewal date.
  • Renew the policy before the due date.
  • Pay the renewal premium within the grace period.
  • Read the sum insured enhancement condition carefully before requesting for enhancement of sum insured.
  • Health checkup may be required.
  • Inform the underwriter of any change in risk profile of the insured members.
  • Read the policy clauses carefully. It is available on the insurer's website.
  • Don't delay in policy renewal even by a day or else claim will be not be payable.
  • Don't forget to renew the policy on time as lifetime renewability is applicable only if the policy is renewed without any break.
Change in policy
  • Submit a written request for any change required in the policy schedule.
  • Keep a copy of the letter.
  • Collect the endorsement document issued from the office.
Don't delay in informing the underwriter about any change in the risk profile of any insured member.
Claims
  • Ensure the room rent is within the sub-limit of your policy.
  • Read the policy document carefully for details like pre-existing conditions that aren't covered, waiting period, etc.
  • Intimate the TPA within the given time limit of 48 hours prior to planned hospitalisation and within 48 hours of emergency hospitalisation.
  • Ensure the hospital falls under network hospitals of the insurer for cashless hospitalisation. Disclose your insurance details at the time of admission.
  • Read the pre-authorisation request form carefully before signing it.
  • Keep a copy of all the medical documents.
  • Don't delay the submission of the documents required by the TPA or the insurer.
  • Don't hide facts to avoid facing a dispute at the time of making a claim.
Grievance
  • Write to the insurer's regional office grievance cell for any grievance related to the branch or divisional offices.
  • Write to the company's head office grievance cell for any grievance related to the insurer's regional offices.
  • Keep a copy of the letter.
Don't hide facts related to the complaint and the concerned members.

New India Assurance Health Insurance Claim Form:

Claim form can be downloaded from the insurer's website. Part A of the claim form has to be filled by the insured member with policy number, personal details, insurance history, details of hospitalisation, details of claim, and bank account details. Guidance for filling the claim form will be given in the form itself. Part B of the form has to be filled by the hospital were the treatment was taken. Here is a list of details the insured member has to fill in Part A of the claim form:

  • Details of primary insured:
    • Policy number
    • SI. number or Certificate number
    • Company TPA ID number
    • Name
    • Address
  • Details of insurance history:
    • Currently covered by any other mediclaim/health insurance?
    • Date of commencement of first insurance without break
    • Company name, policy number, sum insured
    • Have you been hospitalised in the last 4 years since inception of the contract? Date, diagnosis
    • Previously covered by any other mediclaim or health insurance?
    • Company name
  • Details of insured person hospitalised:
    • Name
    • Gender
    • Age
    • Date of birth
    • Relationship to primary insured
    • Occupation
    • Address
    • Phone number
    • Email ID
  • Details of hospitalisation:
    • Name of the hospital where admitted
    • Room category occupied
    • Hospitalisation due to
    • Date of injury or date when disease first detected or date of delivery
    • Date of admission
    • Time
    • Date of discharge
    • Time
    • If injury, give cause, Police report
    • System of medicine
  • Details of claim:
    • Details of treatment expenses
    • Claim for domiciliary hospitalisation
    • Details of lump sum or cash benefit claimed
    • Claim documents submitted/check list
  • Details of primary insured's bank account:
    • PAN
    • Bank account number
    • Bank name and branch
    • Cheque/DD payable details
    • IFSC Code
  • Declaration by the insured member

New India Assurance Health Insurance Online Payment:

Visit New India Assurance portal to purchase a new policy online or for a quick renewal of your existing policy. Premium payment can be made online through the insurer's website using netbanking, credit card or debit card. Follow the steps below:

  1. Registered numbers can log in to the website using their customer ID and policy number or renewed quote number that will be sent through SMS to the registered mobile number.
  2. View your premium payments details and save the quote.
  3. Next step is to pay the premium.
  4. Upon successful completion of the payment, your policy will be issued or renewed.

For any queries, send an email to tech.support@newindia.co.in. Mention your customer ID (available in the policy document) in the mail.

New India Assurance Health Insurance Toll-Free Number:

For any policy-related queries, call toll-free number 1800-209-1415. For any queries, email the insurer at tech.support@newindia.co.in. On the New India Assurance portal, you can request a ‘call back’ by filling out an online form. Visit the website, click on 'Call Me' tab on the top right-hand corner of the page. Fill in the form with your name, email ID, mobile number, preferred time to call, description, and click on submit. An insurance agent or customer support executive of the insurance company will call you back at your convenience.

New India Assurance Network Hospitals:

New India Assurance offers cashless facility at several medical facilities across the country. It has partnered with a number of hospitals called the network hospitals in order to provide cashless hospitalisation to its customers. Cashless facility can be availed only at a network hospital. You can locate a network hospital in your area using the online network hospital locator tool. All you have to do is enter the state and city of residence. The tool will give you a list of network hospitals in your area with contact details.

Find cashless network hospitals nearby: New India Assurance Network Hospitals

How to File a Claim With New India Assurance?

Cashless and reimbursement claims are the 2 types of claims you can file with New India Assurance. For cashless claim, visit a network hospital and show your health card. The hospital will verify your identity details and send a pre-authorisation request to the insurer or the TPA. The insurance company will process the request and approve or deny the request accordingly. In the case of approval, the insurer will settle the bills directly with the network hospital. In the case of rejection, the insured member can get the treatment at the network hospital but pay the bill out of his or her pocket, and later make a reimbursement claim.

For reimbursement claim, the insured member has to collect all the original medical documents at the time of discharge to submit to the insurer along with the duly-filled and signed claim form. The claim will be approved or denied as per the terms and conditions of the health insurance policy.

Incurred Claims Ratio of New India Assurance Health Insurance for the Year 2017-18

Net Earned Premium (in Crore) Net Claims Paid (in Crore) Incurred Claims Ratio (in %)
Rs.6479.06 crore Rs.6685.82 crore 103.19%

New India Health Insurance FAQs

  1. What is the maximum coverage amount available for Cataract treatment under the New India Floater Mediclaim policy?

    The maximum coverage amount allocated for Cataract treatment under the New India Floater Mediclaim policy is Rs. 50,000.

  2. Does the New India Asha Kiran policy provide cashless treatment?

    Yes, the New India Asha Kiran policy offers the cashless facility.

  3. What is covered under the Mediclaim Policy?

    The Mediclaim Policy covers the following areas -

    • Illness and diseases resulting in hospitalization
    • Accidental injuries requiring treatment at a hospital
  4. What is the eligible age to avail a New India Health Insurance Mediclaim Policy?

    Mediclaim Insurance policy is available to persons between ages of 5 years to 80 years. Mediclaim Insurance policy is also available for children between 3 months and 5 years of age under the condition that either one or both of the parents of the child are already covered by the policy.

  5. What is the tax benefit that can be availed under a Mediclaim Policy?

    Premium up to Rs.10000 paid on a Mediclaim Policy is exempt from tax. Section 80 D of the Income Tax Act. It qualifies premium paid on insurance as a tax benefit?

  6. Which groups are eligible for the Group Mediclaim Policy?

    Group Mediclaim Policy can be availed by a group of persons under a central administration. It can be applied for by any organisation that consists of at least a 100 members who are looking to be covered by the Group Mediclaim Policy. This policy is not limited to and is not limited to an association, a corporate entity, and an educational institution.

  7. Are there insurance policies that cover cancer patients?

    Yes, there are insurance policies that cover for cancer patients. They are as follows -

    Cancer Medical Expense Policy is available for the members of the Indian Cancer Society

    New India Cancer Guard Policy can be availed by a person

  8. Does the Mediclaim policy cover expenses in case of illnesses and injuries through accident incurred outside of India?

    Yes, Mediclaim policy covers expenses for diseases and injuries contracted worldwide as long as the treatment is obtained in India.

  9. Can the spouse or any other family member of the holder of the Mediclaim policy avail protection while being covered by another Mediclaim Policy?

    No, the spouse or any other family member of the holder of the Mediclaim policy cannot avail protection if they are being covered by another Mediclaim Policy.

  10. What is the definition of continuous treatment according to the Mediclaim Policy?

    An illness that occurs after a lapse of 45 days from the last date of medical consultation is treated as a new illness. Within the stipulated period of 45 days since the last date of medical attention, any illness relapsing or reappearing is treated with medical attention consistent with continuous treatment.

  11. How to pay a premium? What are the modes of payment available?

    New India Assurance health insurance premium can be paid through the insurer's website using netbanking, debit card or credit card. In addition to the online payment mode, you can also opt for cash payment at the nearest branch office.

  12. How can I check policy status for New India Assurance health insurance?

    Registered customers can visit the New India Assurance portal and log in to the website with your username and password to check the status of your policy.

  13. What is the policy renewal process for New India Assurance health insurance?

    For a quick renewal of New India Assurance health insurance policy, visit the insurer's website. Enter your customer ID and policy number or the renewed quote number sent to you via SMS, and click on 'Proceed'. Your renewal notice will be displayed on the screen with the premium details. Pay the renewal premium online through the New India Assurance portal using net banking, credit card or debit card. On successful payment, your policy will be renewed.

  14. What is the company’s process to settle claim for New India Assurance health insurance?

    For planned hospitalisation, the policyholder will have to intimate the insurer's Third-Party Administrator (TPA) 48 hours prior to hospitalisation and for unplanned hospitalisation, intimation should be done 48 hours within hospitalisation. For cashless claims, the hospital has to submit a pre-authorisation form to the TPA and for reimbursement claims, the policyholder has to submit supporting documents along with the duly-filled claim form to the TPA. The cashless claim settlement will be made directly to the network hospital. In the case of reimbursement claim, the amount will be transferred to the policyholder directly.

  15. What is the policy cancellation process for New India Assurance health insurance?

    During the free-look period, if you want to cancel the policy on the account of having any objections to the terms and conditions of the policy, you can do so by returning the policy documents and submitting a duly-filled surrender form at the nearest branch office. The policy can be cancelled at any time during the policy term provided a claim hasn't been made. Any claim request made prior to cancellation of the policy will be processed by the insurer.

Examples of Network Hospitals in Major Cities

CITY NAME OF HOSPITAL
DELHI AAROGYA HOSPITAL
MUMBAI BOMBAY HOSPITAL AND MEDICAL RESEARCH CENTRE
KOLKATA AUROBINDO NETRALAYA
BANGALORE ABHAYA HOSPITAL
CHENNAI A. V. HOSPITALS

*Disclaimer - This is not an exhaustive list but an indicative representation of hospitals that form a part of the company's wider network.


News About New India Health Insurance

  • New India Assurance Company likely to increase the insurance premium rates

    The largest public sector general insurance company, New India Assurance Company is planning to increase the premiums in group health insurance. The main idea behind this decision is to reduce the loss ratios in the segment, to focus on claims management, to appoint more doctors in order to improve the claim ratio, and to scale up the in-house TPA (Third Party Administrator).

    Earlier, the premiums for the individual health insurance schemes and floater schemes were raised between 10% to 40%, for the previous financial year ending 31 March 2018. Reportedly, after the increase in premium rates, the company has brought down the loss ratio to 103% from 115% in the health insurance segment and to 110% from 125% in the group health insurance segment.

    26 May 2018

  • New India Assurance records a profit of Rs.336 crore for the fourth quarter

    Public non-life insurance firm New India Assurance recorded a net profit of Rs.336 crore for the period ended March 2018. For the same period in 2017, the company had registered net gains of Rs.553 crore. When compared with the previous year, the combined ratio of the company rose to 111.2%. The combined ratio of a company is a reflection of its underwriting performance and a ratio less than 100% indicates that the company is making underwriting profits.

    On the gross written premium side, New India Assurance showed an increase of 15.3% Year-on-Year (YoY) amounting to Rs.26,554 crore. A dividend of Rs.5 per share has been declared by the company to its shareholders along with a new share for each existing share.

    25 May 2018

  • New India Assurance Bags Rajasthan Govt.’S Health Insurance Project; Gets Air Deccan Insurance Mandate

    The leading non-life insurance provider in India, New India Assurance has clinched the aviation insurance cover mandate for Air Deccan. Air Deccan, which was India’s first airline to introduce the low-cost model has recently made a re-entry into the aviation market offering regional connectivity travel option. The air-carrier also has plans to extensively expand into this segment, thanks to the economic boom taking place in smaller Indian cities. New India Assurance has been the undisputed leader in the aviation insurance segment and serves a number of prominent airlines such as IndiGo, Air India, Vistara, Spice Jet, and Go Air.

    Beside this, New India Assurance has another great achievement under it belt. The insurer recently snapped up the health insurance project being undertaken by the Govt. of Rajasthan under the Bhamasha Swasthya Bima Yojana (BSBY) which covers nearly 4 crore citizens. The insurer has announced that it will be providing health insurance to nearly 1 crore families across the state under the National Food Security Act (NFSA).

    28 December 2017

  • New India Assurance Bags Rajasthan Govt.’S Health Insurance Project; Gets Air Deccan Insurance Mandate

    The leading non-life insurance provider in India, New India Assurance has clinched the aviation insurance cover mandate for Air Deccan. Air Deccan, which was India’s first airline to introduce the low-cost model has recently made a re-entry into the aviation market offering regional connectivity travel option. The air-carrier also has plans to extensively expand into this segment, thanks to the economic boom taking place in smaller Indian cities. New India Assurance has been the undisputed leader in the aviation insurance segment and serves a number of prominent airlines such as IndiGo, Air India, Vistara, Spice Jet, and Go Air.

    Beside this, New India Assurance has another great achievement under it belt. The insurer recently snapped up the health insurance project being undertaken by the Govt. of Rajasthan under the Bhamasha Swasthya Bima Yojana (BSBY) which covers nearly 4 crore citizens. The insurer has announced that it will be providing health insurance to nearly 1 crore families across the state under the National Food Security Act (NFSA).

    28 December 2017

  • New India Assurance to provide insurance cover for Rajasthan’s health insurance project

    New India Assurance Company (NIA) has announced that the insurance provider will be executing the health insurance project in Rajasthan that provides cover to over one crore poor families in the state. Under the Bhamashah Swasthya Bima Yojana (BSBY), close to about four crore individuals will be eligible for health insurance benefits available under the National Food Security Act (NFSA). G. Srinivasan who is the Chairman and MD of NIA, stated that the company is ready to tackle any problems that might come up while executing this project. This is a unique universal health insurance plan that will be executed through a large number of public and private hospitals. Over Rs.1,200 crore is involved in the project as insurance premiums per annum. The insurance company has been operating in the country for close to a century and owns the largest market share in gross direct premium when compared to other general insurance companies.

    14 December 2017

  • Government Planning On Providing Free Health Check-Ups and Lowering IT Slab For Women

    It has long been known that in India, women are at a grave disadvantage, not only personally but also professionally. However, in what would come as a very welcome move, the government is coming to acknowledge this unfair position which women in the country have been struggling in, despite making up for nearly 50% of the country’s population. Is reported to be working on the launch of a special national policy for women which has been framed by a group of ministers, spearheaded by Sushma Swaraj, Minister for External Affairs. As per the policy, the Centre is likely to lower the income tax slab for single women, will be introducing Aadhaar-linked health cards for free basic health check-ups and cashless medical service for pregnant women.

    The policy also proposes tax exemption on all menstrual hygiene related products to ensure that women have easy and affordable access to such products. Also, survivors of gender-based violence shall be given not only free medical and legal support, but also counselling and shelter. The policy also aims at upping the percentage of women in the workforce by almost 50% by the year 2030, with the help of measures such as complete waiver of registration fee for girls appearing in competitive or entrance exams that are conducted by government agencies. In addition to this, they will also be eligible for free coaching. The policy also mentions more hostels in cities and towns for working women.

    7 May 2017

  • New India Assurance experience a 22% growth in net profit

    Most insurance companies have experienced a steep growth in premium sales following the demonetisation by the Modi-led government and New India Assurance too has experienced a sizeable growth in their net profit. The main growth driver as pointed out by an executive has been crop insurance. According to sources, the insurer received global premium of Rs.22,279 crore in the previous financial year, showing a 21.7 percent increase over FY16.

    5 May 2017

  • New India Insurance increases premiums for mediclaim plans by 20%

    The country’s leading health insurance agency, New India Insurance, has made a decision to raise the premium paid on mediclaim policies by 20%. The company has also doubled the amount that is assured to Rs.15 lakh in a bid to draw more people to purchase their products and increase their customer base. With these new changes, a 35-year old can purchase a mediclaim policy for Rs.10,032 compared to the previous price of Rs.8,690. This increase in rates is only applicable after the regulator has approved it. An insurance company is permitted to revise rates of a product after three years from the date of its launch. People are realizing the importance of health insurance and has now become a vital part of people’s lives. The health insurance field has grown by 20-22% in the last couple of years.

    19 April 2017

  • New India Assurance targets a global premium of Rs. 20,800 crore

    New India Assurance, one of India’s largest insurance company is aiming to achieve a global premium target of Rs. 20,800 crore, for the current fiscal year. New India Assurance has seen a global premium growth of 14.46%, amounting to Rs. 18,371 crore for 2015-2016. Foreign operations have risen by 15.10% for the same period. The company has also seen an increase in its market share for the third consecutive year. An investment income of Rs. 3900 crore was recorded by New India Assurance for the previous fiscal year, with the net worth of the company being at Rs. 28,845 crore. With the insurer planning to go public, the board has recently approved the IPO plan and is awaiting the Government's sanction. For the current fiscal year, New India Assurance will be launching two health insurance products, namely, a critical care product and another for high net worth individuals.

    16 April 2016

  • New India Assurance Company’s Plans to Grow in Health Insurance Industry

    NIACL (New India Assurance Company Limited) has plans to improve its focus on the health insurance industry. The managing director and chairman of NIACL released the floater mediclaim product after which he explained how health insurance aided the growth of the company, providing 28% of the company’s overall premium. Health premium income of around Rs.3,500 crore is expected to be collected by the end of fiscal year 2016-17. The health insurance provider also has plans to release top-up health products in the months to come.

    13 April 2016

GST rate of 18% applicable for all financial services effective July 1, 2017.

Disclaimer: Premiums may vary depending upon factors like age, location and prevailing taxes/GST.

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