• New India Health Insurance Claims Procedure

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    Cashless Treatment

    Customer Service

    Medical Coverage

    Claim Experience

    Responsiveness

    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
      "Good policy to use"
      0.5 4.0/5 "Great!"
      I got the Health insurance policy from the NEW INDIA ASSURANCE company around 4 years. I have paid Rs,4500 to get this policy this year. This policy covers only one member that is myself.The customer support service and the response is good with the national insurance. I haven't got any kind of claim experience with this policy.
      Was this review helpful? 0
      , chennai
      Reviewed on May 31, 2018
    • New India Health Insurance
      "Good Policy"
      0.5 4.0/5 "Great!"
      I have my health insured with New India Assurance from last 7 years and it is a family health coverage. My claim experience was very good with this insurance policy and it is covered up to Rs 5 lakhs for this insurance. I pay a premium of Rs 21000 for this insurance policy.
      Was this review helpful? 0
      , mumbai
      Reviewed on May 29, 2018
    • New India Health Insurance
      "Good Service"
      0.5 4.0/5 "Great!"
      I have a health insurance policy with the New India Insurance. I pay a premium of 25000 per year for a coverage of 7 lacs for my wife and me. I do have a claim experience with the policy. They easily settled the claim for 25000 with out any questions asked.
      Was this review helpful? 0
      , mumbai
      Reviewed on May 22, 2018
    • New India Health Insurance
      "EXCELENT"
      0.5 5.0/5 "Blown Away!"
      I am holding my health insurance from the NEW INDIA my over all experience with the NEW INDIA is good and also easy to have health insurance. I had no claim experience so far from my insurance. Payment for my insurance is through cheque that too once in a year apart from that the customer service id good.
      Was this review helpful? 0
      , ahmedabad
      Reviewed on May 20, 2018
    • New India Health Insurance
      "Good policy"
      0.5 5.0/5 "Blown Away!"
      I have taken health insurance from NEW INDIA ASSURANCE and there is no claim experience. The policy only gives coverage for 4 lakhs and its a individual policy. Even though its a corporate policy i have not done any claim.
      Was this review helpful? 0
      , hyderabad
      Reviewed on May 18, 2018
    • New India Health Insurance
      "ICICI Lombard health insurance"
      0.5 3.0/5 "Satisfactory"
      I hold a health insurance from ICICI Lombard.As this policy is provided from my company insurance they provide a coverage of 3 lakhs. Till now there is no claim experience. The provide cashless facility.
      Was this review helpful? 0
      , bangalore
      Reviewed on May 16, 2018
    • New India Health Insurance
      "Good Service"
      0.5 4.0/5 "Great!"
      I've a health insurance with the New India Asurance. I do have a claim expereince with the policy. I pay a premium of 22000 per year for a coverage of 6 lacs. If you have pre-approval it is okay, otherwise the claim process is difficult. We have to struggle a lot to get the service.
      Was this review helpful? 0
      , chennai
      Reviewed on May 15, 2018
    • New India Health Insurance
      "New India Health insurance "
      0.5 3.0/5 "Satisfactory"
      I hold a health insurance with NEW INDIA ASSURANCE. This was a corporate insurance having a policy coverage for 12 lakhs.There is no claim experience for the policy. They provide both cashless and reimbursement facility.
      Was this review helpful? 0
      , nagpur
      Reviewed on May 14, 2018
    • New India Health Insurance
      "Health insurance with New India assurance"
      0.5 4.0/5 "Great!"
      I have a health insurance with New India assurance. Its a corporate insurance were the policy coverage is 1.5 lakhs. There is no claim experience regarding any heath related issues. The provide cashless facility.
      Was this review helpful? 0
      , kakinada
      Reviewed on May 12, 2018
    • New India Health Insurance
      "Good policy"
      0.5 3.0/5 "Satisfactory"
      From New India Assurance i have taken a health insurance and the total policy coverage is for 2 lakhs. There is no health check up available for the policy. Till now there is no claim experience for health.They have both the facilities.
      Was this review helpful? 0
      , hyderabad
      Reviewed on May 09, 2018
    • New India Health Insurance
      "Good Policy"
      0.5 4.0/5 "Great!"
      I have no claim experience so far with the health insurance, i am using this insurance from last 1-2 years and i am not aware of the premium amount as my company pays it. The coverage value of this insurance policy is 3-4 lakhs and i am satisfied with it.
      Was this review helpful? 0
      , chennai
      Reviewed on Apr 18, 2018
    • New India Health Insurance
      "Best policy"
      0.5 5.0/5 "Blown Away!"
      My health is insured with New India Assurance from last 5 years and i am happy with the services provided by this insurance. I have to pay a premium of Rs 7000 which has to be paid every year for this insurance. I have a coverage value of Rs 3 lakhs and i did not claim anything so far with this insurance.
      Was this review helpful? 0
      , ahmedabad
      Reviewed on Apr 09, 2018
    • New India Health Insurance
      "Good policy for Health"
      0.5 5.0/5 "Blown Away!"
      From NEW INDIA ASSURANCE i have taken a health insurance. The premium is 3000 for an year. They provide full coverage if we do claim.The claim experience was good.They provide cashless and reimbursement,facility. The customer service and response was good.
      Was this review helpful? 0
      , mumbai
      Reviewed on Mar 20, 2018
    • New India Health Insurance
      "GOOD SERVICE"
      0.5 4.0/5 "Great!"
      I have taken a Health Insurance service from New India Assurance. Recently I claim the service from New India Assurance it was a good process and simple procedures. The documentation process was very simple. The payments are made through cheques. It was a good experience with New India Assurance Health Insurance service.
      Was this review helpful? 0
      , chennai
      Reviewed on Mar 20, 2018
    • New India Health Insurance
      "New India assurance worst in claim settlement "
      0.5 0.5/5 "Unacceptable"
      They will never settle your claim and will make you run from pillar to post. If you claim lets say for an amount of RS 1 lk they will recognise for 40k and out of that 40k they will ask you for non existent medical certificates(you won't be able to provide so don't even bother) and if they settle your claim( that's a big if) you will 5k for your genuine 1 lk amount. You can get your money even from pnb bank but New India assurance is out there just to loot you
      Was this review helpful? 0
      , mumbai
      Reviewed on Mar 02, 2018
    • 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
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