• New India Health Insurance Claims Procedure

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    New India Assurance has over 160 insurance and financial products that deals especially with general assurance products. The company provides cover commercial requirements such as large industries, SMEs, Retail, Rural, and Social as well as Micro Insurance. New India Assurance boasts of a distribution network including bancassurance partners, non-governmental organisations, auto majors, corporations, government and brokers. It has a network of 2,097 offices and counting along with 1,041 micro offices in India.

    The company was the most profitable general insurer during the year 2012 - 2013 in India. Its ‘AAA/Stable’ rating by CRISIL, giving it an extra edge over other insurance providers. Currently New India Assurance has 8 mediclaim or health insurance policy, each be spoked to the requirements of Indian citizens, which is why it is so popular. It also has a large network of hospitals where cashless facilities are available, across the country.

    Incurred Claim Ratio for New India Assurance:

    The Incurred Claim Ratio (ICR) of a particular insurance providing company is highly indicative of the company's performance, allowing prospective customers get a better understanding about what to expect in terms of health insurance. The Incurred Claim Ratio for New India Assurance Health Insurance products for the time 2014-15 and 2015-16 has been mentioned in the table:

    For 2015-16:

    Net Earned Premium (in lakhs INR) Net Claims Paid (in lakhs INR) Incurred Claims Ratio (Percentage)
    445045 510180 114.64

    For 2014-15:

    Net Earned Premium (in Lacs) Net Claims Paid (in Lacs) Incurred Claims Ratio (%)
    Rs. 368,785 Rs. 364,302 98.78%

    One can observe that the ratio is very marginal, noting that this company does not make much of a profit margin. However, the numbers of claim and earned premium shows that the company is one of India’s favourite health insurance providers.

    How to Claim?

    There are two situations that may occur when claiming health insurance. The cashless treatment is one that allows the policyholder to use the insurance as money to seek their treatment without having to pay any money upfront for treatment. The other scenario that is possible is in the case that the treatment has been already done and paid for but claim settlement requires to be made to allow the individual to be returned the money spent for treatment.

    For Cashless Treatment:

    Cashless treatment generally allows people to get treated for an illness covering all medical expenses for the treatment through the New India Assurance health insurance on an individual basis. The person concerned can do so at any of the network hospitals enlisted by New India Assurance on their website, or policy brochure, across the country.

    • Procedure to File a Claim (Planned/Emergency Hospitalisation):

      Simply follow the steps mentioned below to file a cashless claim.

      1. Reach out to the network hospital and make sure you are carrying the health card issued by New India Assurance and seek admission.
      2. Intimating the cashless facility can be done by calling the number mentioned on the card or the health insurance helpline number mentioned on the company website. For planned hospitalization make sure you reach out to the company 2 days prior to admission.
      3. Submit the health card along with a proof of ID to the network hospital who in turn will conduct the verification of your credentials.
      4. Once this process is taken care of a pre-authorization form will be required to be filled in, from the hospital, where the attending doctor will have to sign it. In the general case of planned hospitalisation, a letter of authorisation has to be submitted.The pre-authorization form, once completed has to be sent by the hospital to the insurance provider with relevant information.
      5. In this case New India Assurance will communicate with the relevant bank to update the status of the claim made , which could be either be acceptance or rejection or possibly the request for additional information or documentation.
      6. Once accepted, the medical bills and costs covered under the policy are settled by New India Assurance, while things that are not covered will have to be taken care of, by the patient/card holder.
      7. The policy owner has to also verify and sign the original bills and at the same time keep a photocopy of the entire hospitalisation record.
    • Claims process

      Here is how the claim process for New India Assurance works:

      1. Register the claim within 7 days of the patient’s or the covered individual’s discharge, and immediately let New India Assurance know about it.
      2. The policyholder should fill and submit the Claims Form, providing a photocopy of a valid ID proof along with it.
      3. You need to send the required medical certificates along with diagnosis reports which has been signed by a doctor.
      4. Reports and discharge summary i.e. original has to be submitted for verification.

      New India Assurance will then approve or reject it based on the policy in place.

    For Reimbursement of Treatment Expenses:

    There are chances when New India Assurance may reject the claim for cashless hospitalisation and treatment. However, the insured individual can claim a reimbursement for the expenses incurred for the treatment with a few simple steps.

    • Procedure to File a Claim:

      Here is what you need to do to file a claim

      • You need to inform the company immediately after being hospitalised.
      • After the treatment is completed, all hospital bills have to be settled by the policyholder, you need to keep all the bills and reports.
      • You need to then submit the duly filled claims form to New India Assurance for processing and reimbursement. The insurer will reimburse all bills if as long as all the information provided is given correctly.
    • Documents Required:

      The following documents need to be submitted to New India Assurance:

      • The claim form which needs to be filled with relevant details, signatures and finally be submitted.
      • All the original hospital bills, with stamps and signatures from the hospital has to be submitted.
      • The original discharge report has to be submitted as well.
      • All other originals reports related to the treatment (including medicine bills and investigation reports) has to be submitted.
      • The future line of treatment as well as follow-up check-ups by the relevant doctor should be sent as well.
      • If seeking treatment in a non-network or unregistered hospital, you need to get the details of the hospital on the official letterhead that includes the number of doctors, nurses and beds available.

      Note: You may be asked for further documentation for the claim approval.

    • Claims Process:

      • The policyholder must let the insurer know about hospitalisation within 7 days of his/her discharge.
      • Pre-authorization might be required from the company for certain situations.
      • All documents must be submitted within 10 days of the patient’s discharge.

      The claim will be approved or rejected based on the policy as well as documentation provided.

    This Insurance Company has not partnered with BankBazaar.com. For more details, please visit its website/branch office. The trademarks, logos and other subject matters of intellectual property belong to their respective owners.

    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.

    New India Health Insurance Claims Procedure Reviews

  • Page 1 of 7 1 2 3 4 5
    • New India Health Insurance
      " Corporate health insurance"
      0.5 3.5/5 "Pretty good"
      I hold a health insurance with NEW INDIA ASSURANCE. Its a corporate insurance. I do get cashless treatment with few hospitals. There was no claim experience. There is free health check up for the family. The customer service and response is good.
      Was this review helpful? 0
      , new delhi
      Reviewed on Jan 24, 2018
    • New India Health Insurance
      "Good service"
      0.5 4.0/5 "Great!"
      I have got the medical claim with the New India assurance health insurance which is provided by my company. I have the claim amount up to 70% to 80%. I have got the claim within 3weeks of time. The medical coverage is available up to 1 lakh. This policy covers 3members in my family.
      Was this review helpful? 0
      , mumbai
      Reviewed on Jan 12, 2018
    • New India Health Insurance
      "Better service"
      0.5 4.0/5 "Great!"
      The New India assurance has offered me a health insurance policy around a year . I got this health insurance which was provided by my company . The customer support is good with the new India assurance . This policy has the claim amount up to Rs, 1,00,000. I am satisfied having the new India assurance health insurance policy.
      Was this review helpful? 0
      , hyderabad
      Reviewed on Dec 30, 2017
    • New India Health Insurance
      "Good policy to use"
      0.5 3.0/5 "Satisfactory"
      I have the Health Insurance policy with New India assurance which is provided by my company and I have this policy for past 3 years. This policy covers 2members which is myself and my spouse. This policy has the claim amount up to 50,000 per head. The cashless treatment options is also available with this policy.
      Was this review helpful? 0
      , mumbai
      Reviewed on Dec 05, 2017
    • New India Health Insurance
      "Very good health Insurance policy"
      0.5 5.0/5 "Blown Away!"
      I hold the Health insurance policy with the New India assurance . I get the claim amount within 15dys of time,. This policy covers 6members in the family, which includes my parents. This policy has the medical claim up to 50lakhs and I am satisfied having this policy.
      Was this review helpful? 1
      , chennai
      Reviewed on Dec 01, 2017
    • New India Health Insurance
      "Good policy to hold"
      0.5 4.0/5 "Great!"
      I have my health insurance policy with New India Assurance. I had 2 to 3 times of claim experience which is good and quick. My company pays for me and my wife and upto two kids, but for my parents I pay annually Rs. 2500 to Rs. 3000 per parent, coverage amount is 2 lakh rupees.
      Was this review helpful? 0
      , hyderabad
      Reviewed on Nov 17, 2017
    • New India Health Insurance
      "Average policy to hold"
      0.5 3.0/5 "Satisfactory"
      I have a health insurance policy with NEW INDIA ASSURANCE. I have been using this health insurance policy for the last 4 years. I had lots of claim experience with them. They need to improve a lot in processing the claims quicker and in a better way to their customers. Their customer services is better.
      Was this review helpful? 0
      , mumbai
      Reviewed on Nov 17, 2017
    • New India Health Insurance
      "Excellent"
      0.5 5.0/5 "Blown Away!"
      I am having the health insurance policy with the New India assurance company and the response is good one , also its corporate policy. TPS is mediassist, so they will take care of it, claims and other things will be done through them only.
      Was this review helpful? 0
      , hyderabad
      Reviewed on Nov 17, 2017
    • New India Health Insurance
      "Average service"
      0.5 3.0/5 "Satisfactory"
      My payments have been auto deducted from my savings account ,the documents part have been easy and my premium have been suspended for the past 3 to 4 months and the claim process where very slow and it was been two years I have started to avail the service it was totally a average service from NEW INDIA for my health insurance service.
      Was this review helpful? 0
      , palghar
      Reviewed on Nov 10, 2017
    • New India Health Insurance
      "Good policy to use"
      0.5 4.0/5 "Great!"
      The new India assurance health insurance policy is good to use. I got this policy for past 6years. This policy covers 5members. With this policy I can claim up to 3lakhs. The customer support is good with this policy. The cashless treatment option is available with this policy.
      Was this review helpful? 0
      , hyderabad
      Reviewed on Nov 02, 2017
    • New India Health Insurance
      "Good claim experience"
      0.5 5.0/5 "Blown Away!"
      I am extremely happy that my Company had a tie up with this Health Insurer. They gave me a Health coverage of Rs.3-5 Lakhs and have good advantages. I had my claim experience during the pregnancy and they paid me around Rs.68000 which was quite good.
      Was this review helpful? 0
      , kolkata
      Reviewed on Nov 01, 2017
    • New India Health Insurance
      "Corporate tied up"
      0.5 5.0/5 "Blown Away!"
      I had this Corporate tie up Health Insurance. My company deals with them, so I have no work for myself in order to pay up for my premiums. They are providing my a Rs.3.50 Lakhs coverage and with the number of Hospitals in this package which is pretty impressive too. I had claim experience once and it was completely cashless.
      Was this review helpful? 0
      , baloda bazar
      Reviewed on Oct 30, 2017
    • New India Health Insurance
      "Good policy to use"
      0.5 3.0/5 "Satisfactory"
      With New India health Insurance covers 4members. I got the medical claim up to 2laksh. This policy is provided by my company and this policy covers myself , my spouse and my parents. The customer support is average with new India assurance company.
      Was this review helpful? 0
      , dharwad
      Reviewed on Oct 26, 2017
    • New India Health Insurance
      "Good policy "
      0.5 4.0/5 "Great!"
      I have the Health Insurance with New India Assurance for past 4months. I never had any claim experience. This policy covers 5members plus employee. This policy has the medical claim up to Rs,3,50,000 , but for my parents and for myself on total I can claim up to Rs,10,50,000. I am satisfied having the health insurance policy with New India assurance.
      Was this review helpful? 0
      , bangalore
      Reviewed on Oct 23, 2017
    • New India Health Insurance
      "Good policy to use"
      0.5 4.0/5 "Great!"
      I am having the New India Assurance health insurance policy for past 1year. This policy covers 5memebers in this policy. I paid around Rs,10,000 to renew the policy last year. The customer support is good with new India Assurance because I can get the Medical claim more than a lakh .
      Was this review helpful? 0
      , nasik
      Reviewed on Oct 23, 2017
    • New India Health Insurance
      "Good Policy to hold"
      0.5 3.5/5 "Pretty good"
      I have a health insurance policy with New India Assurance. 3 lakhs is my annual coverage and my company pays for this health insurance. This health insurance covers me and my family members. So far there is no claim experience from them. But it is a good health insurance policy to have.
      Was this review helpful? 0
      , bangalore
      Reviewed on Oct 14, 2017
    • New India Health Insurance
      "Good policy to use"
      0.5 5.0/5 "Blown Away!"
      I am using the health insurance policy with New India assurance for the past 10years. I had a claim experience with this health insurance policy. They have disbursed my claim amount within 15days of time. This policy covers 5 members which is myself, my spouse , my parents and my children.
      Was this review helpful? 0
      , siliguri
      Reviewed on Oct 06, 2017
    • New India Health Insurance
      "Okay"
      0.5 3.5/5 "Pretty good"
      I am having the health insurance policy with the New India Assurance company and the coverage value is very good like its around 5 lakh Rupees. I have not faced any claims with the New India Assurance company till now.
      Was this review helpful? 0
      , kochi
      Reviewed on Sep 21, 2017
    • New India Health Insurance
      "Great"
      0.5 3.0/5 "Satisfactory"
      I am having the health insurance policy with the New India Assurance company and the service aspects are good one with them. I have not faced any claims with the New India Assurance company , also am happy with them.
      Was this review helpful? 0
      , ahmedabad
      Reviewed on Sep 17, 2017
    • New India Health Insurance
      "Average policy to use"
      0.5 3.0/5 "Satisfactory"
      I am holding the new India health insurance policy which is offered by my company. This policy covers almost 3 members, which is myself and my family, Every year I need to renew this policy. I am having this policy with new India assurance policy form past 3 years. I never had any claim experience with this policy.
      Was this review helpful? 0
      , hyderabad
      Reviewed on Aug 31, 2017
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