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 1^st 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 1^st 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 1^ST 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

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