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MEDICLAIM POLICY 2012 ( THE NEW INDIA ASSURANCE CO LTD )

Mediclaim Policy 2012  M/s. The New India Assurance Co Ltd.
M/s.The New India Assurance Co Ltd introduces New Mediclaim Policy 2012 with effect from 1st August 2013. The entire existing Policy holder’s insured under Mediclaim Policy 2007 & those who wish to insure themselves with M/s. The New India Assurance Co Ltd will be governed by Mediclaim Policy 2012. Though the existing policy holder’s do have an option to remain under Mediclaim Policy 2007 the premium rates would be charged as per the premium schedule of Mediclaim Policy 2012.
MORE ON THE MEDICLAIM POLICY 2012 IN BRIEF
* Please note that the contents mentioned herein below are for information purpose only. For in depth terms & conditions effecting the policy holder’s kindly refer the policy schedule issued by the company or alternatively contact your advisor concerned.
·        This policy comes into effect from 1st August 2013.
·        Policy can be bought between 18 to 65 years of age.
·        Persons Age 65 years & above can continue their insurance provided the same is renewed without any break.
·        The Sum Insured under This Policy would up to Rs. 8, 00,000.
·        Room Rent Conditions would apply i.e. 1% of Sum Insured for room charges & 2% for I. C.U. all the respective charges would be payable as per the room category.
·        FIRST TIME MIGRATION TO HIGHER SUM INSURED WOULD BE ALLOWED WITHOUT PRE MEDICAL CHECK UP FOR EXISTING POLICY HOLDER’S ONLY ON RENEWALS EFFECTING FROM 1ST AUGUST 2013. SUBJECT TO IF THERE WAS NO CLAIM, NOR HOSPITALIZATION TAKEN IN THE PREVIOUS TWO YEARS.

·        Persons aged between 56 to 65 years would not be allowed enhancement of sum insured beyond Rs. 300,000.
·        Premiums are charged Zone Wise.
·        The policy holder would be eligible for No Claim Discount on the Premium henceforth instead of the cumulative bonus given by the company. This No Claim Discount would be given for claim free experience under Mediclaim Policy 2012. Claim Free experience under Mediclaim Policy 2007 would not be considered for No Claim Discount on Premiums.
·        The Cumulative bonus under the existing policy would be transferred as a cumulative buffer under the new Mediclaim policy 2012.
·        There would be NO CLAIM BASED LOADING under the New Mediclaim Policy 2012.
·        There would be compulsory coverage for hypertension & diabetes but NO Additional Premium to be paid for the coverage of the same. But Waiting Period would apply for which it is advised to refer the policy schedule.
·        Payments made to the hospital like Service Charges, Surcharge, Cost of External or Durable Medical Equipments, Non Medical Expenses will not be payable.
·        ANY PERSON ENTERING THE POLICY FOR THE FIRST TIME, ABOVE AGE 45 YEARS WILL HAVE to compulsory undergo medical check up 50% of the cost would be reimbursed if the risk is accepted.
·        ANY PERSON ENTERING THE POLICY FOR THE FIRST TIME ABOVE AGE 45 YEARS will be charged LOADING on Premium as per the sum insured selected however this loading would ceased to be charged after two claim free years of continuous coverage. (Kindly refer the loading chart as declared by the company).
·        ANY PERSON AGED 55 YEARS OR ABOVE ENTERING THE MEDICLAIM POLICY 2012 FOR THE FIRST TIME a DEDUCTIBLE OF 20% WOULD APPLY ON EACH AND EVERY ADMISSIBLE CLAIM. However this would not apply if there is no claim in the preceding four years.
PREMIUM CHART FOR MEDICLAIM POLICY 2012 ( IN BRIEF)

SUM INS
0 TO
5
6 TO
25
26 TO
30
31 TO
35
36 TO
40
41 TO
45
46 TO
50
51 TO
55
56 TO
60
61 TO
65
66 TO
70
100000
1650
1500
1600
1650
1950
2600
3700
4300
4800
5400
6200
200000
3000
2900
3000
3050
3400
4400
6800
8000
8800
10200
11400
300000
4200
4000
4100
4300
4800
6200
9700
11500
13000
14700
16500
400000
5200
4900
5000
5300
6000
7700
12200
14500
16500
19000
21000
500000
6200
6000
6200
6400
7000
9200
15000
17500
20000
23000
26000
600000
7000
7000
7200
7500
7700
10500
17000
20000
23000
25000
30000
700000
7800
7500
8000
8500
8700
11500
20000
23000
26000
30000
35000
800000
8500
8000
8800
9000
9300
12500
22000
25000
30000
33000
40000
SUM INS
0 TO
5
6 TO
25
26 TO
30
31 TO
35
36 TO
40
41 TO
45
46 TO
50
51 TO
55
56 TO
60
61 TO
65
66 TO
70


TO KNOW MORE WRITE IN 
planmyinsurance@gmail.com

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