New India Assurance Insurance Company

New India Assurance is one of the four Government-owned general insurance companies of India. The company was founded in the year 1919 by Sir Dorabji Tata. Today, New India is present across 25 countries globally and has become a multinational general insurance provider. The company has been one of the leaders in the general insurance segment for the last 50 years. It offers a range of general insurance products for both retail customers and corporate clients.

Highlights of New India Assurance Health Insurance

Claim Settlement Ratio 98%
NCB* 20%, up to 50%* of SI
PED Waiting# 48 months
Network Hospital 2055+

Compare Top Health Plans from New India Assurance

New India Mediclaim Policy
Yuva Bharat Health Policy
Arogya Sanjeevani Policy
Features
Free health check-up
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AYUSH
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Organ Transplant charges
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Ambulance Charges
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Day Care Procedure Covered
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Hospital Cash
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Lifetime renewability
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Features
Free health check-up
AYUSH
Organ Transplant charges
Ambulance Charges
Day Care Procedure Covered
Hospital Cash
Lifetime renewability

Awards and accolades won by New India Assurance Health Insurance Company

Present for more than 100 years, New India has won various awards in the insurance field for its products and services. Some of its awards are highlighted below –

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The company has been conferred the General Insurance Company of the Year Award for FY 2022-23 from BFSI

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The company won the General Insurance Company of the Year Award at the India Insurance Summit Awards 2018

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The Outlook Money Gold Award was also conferred on New India in 2018

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In 2017, New India won the Golden Peacock Business Excellence Award

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In Fintelekt’s Indian Insurance Awards, New India won the award for e-Business Leader- General Insurance in the year 2016

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In 2016 it also won the Dun & Bradstreet PSU Awards for General Insurance
 

Key Highlights of New India Assurance Health Insurance

Key Features

Specifications

Number of offices

1900+

Number of employees

16,506 in 2022

Policies Issued

2 Crore +

Worldwide Presence

25 Countries across the Globe

Gross Underwritten Premium

INR 33,773 as of 31st March 2023

Solvency ratio

1.85x for the financial year 2022-23

Features of New India Assurance Health Insurance

Features

Meaning

Inpatient-hospitalization cover

If you stay for 24 consecutive hours or longer in a hospital, you will be covered for hospitalization and treatment costs.

Pre-hospitalization cover

Your medical coverage would cover the costs incurred before hospitalization if the costs are for the same illness or injury for which you are hospitalized

Post-hospitalization cover

Following treatment and discharge you might incur medical expenses on recovery. Such expenses are covered under this head

Day-care cover

The term “day-care treatments” refers to medical treatments that are given over a single day without 24-hour hospitalization. New India health plans cover these treatments

Ambulance cover

The cost of taking you to a hospital in an ambulance is included in this category.

Organ donor cover

Your insurance policy also covers the costs associated with the donor's hospital stay and surgery.

AYUSH cover

New India Assurance offers medical insurance plans that cover Ayurveda, Unani, Homeopathy, and Siddha practices.

Domiciliary cover

If you are hospitalized at your home, it is called domiciliary hospitalization. This hospitalization is covered if there are no hospital beds or if your medical condition does not allow you to get admitted to a hospital

Free health check-ups

New India Assurance allows free health screenings regularly so that you can keep a tab on your health

Exclusions in New India Assurance Health Insurance

There are several diseases or conditions that New India Insurance Company Limited covers in its policy, but there are some that are excluded. Different plans have their own set of exclusions which are available in the policy wordings. However, the most common exclusions in all plans are as follows -

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If you purchase a policy, you will be denied coverage for a few years for your pre-existing conditions. This period is called the pre-existing diseases waiting period

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Some illnesses and treatments have a waiting period of two years.

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The insurance policy has a waiting period of 30 days for illnesses occurring immediately after you buy the plan

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War, nuclear threats, civil mutiny, and related perils are not covered

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Cosmetic treatments are excluded since they are medically unnecessary

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Treatments that are neither prescribed by a doctor nor scientifically justified will not be covered by insurance

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OPD expenses are usually excluded. However, some plans might allow coverage for the same

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Self-inflicted injuries, suicides, substance abuse, etc. would be excluded

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International treatments are not covered unless specifically mentioned in the policy

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Obesity and weight control treatments are not covered

Health Insurance plans offered by New India Assurance

New India offers different types of health plans. Some popular plans, offered by PayBima too, include the following –
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New India Mediclaim Policy:

This is a comprehensive health insurance policy that offers a range of coverage benefits at affordable rates. Some of the highlights of the plan are as follows –

  • Coverage for newborn baby: The plan allows coverage for the birth of a baby. The baby is covered for any type of pre-natal or post-natal medical care needed.

  • Hospital cash benefit: If you opt for a sum insured of Rs.3 lakhs and above, you get a daily benefit if you are hospitalized for 24 hours or more. This benefit is calculated at 0.1% of the sum insured and is payable for a maximum of 10 days

  • Optional maternity cover: If you have a sum insured of Rs.5 lakhs and above, you can opt for maternity coverage wherein the cost of childbirth would be covered by the policy up to specific limits.

Eligibility conditions

 Entry age  Adults – 18 yrs to 65 yrs Dependent 
 Children – 3 months to 25 years
 Sum insured  Rs.1 lakh to Rs.15 lakhs
 Term  1 year
 Pre-existing waiting period  48 months
 Free health check-ups  Once every 3 claim-free years

 

 

 

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New India Top-up Mediclaim Policy:

This is a super top-up plan that pays the claim only if it exceeds the deductible limit that you have chosen. The top-up policy is an effective way to enhance the coverage at affordable rates. The highlights of the plan are as follows –

  • Hospital cash benefit: 0.1% of the deductible limit is paid as a daily cash benefit if you get hospitalized for 24 hours or more. This benefit helps you meet the non-medical expenses that you might incur. The benefit is paid for a maximum of 10 days

  • Get well benefit: A lump sum benefit of 1% of the deductible limit is paid as a get-well benefit. This benefit is paid in addition to the claim paid under the plan

  • Coverage for AYUSH expenses: The plan covers non-allopathic AYUSH treatments so that you can opt for these treatments without worrying about the associated costs.

Eligibility conditions

 Entry age  Adults – 18 yrs to 65 yrs Dependent   Children – 3 months to 25 years
 Sum insured  Rs.5 lakhs to Rs.22 lakhs
 Deductible limit  Rs.5 lakhs and Rs.8 lakhs
 Term  1 year
 Pre-existing waiting period  48 months

 

 

 

Eligibility conditions

Minimum entry age

18 years for adults and 91 days for children

Maximum entry age

45 years for adults and 25 years for children

Sum insured

INR 5 lakh – INR 50 lakh

Policy term

1 year

Policy Type

Individual/Family plan

Number of family members covered

Self, spouse, dependent children and parents, in-laws (Depending on policy)

Renewability

Lifetime renewability

Waiting period (Initial waiting period)

30 days

Waiting period (PED)

48 months

Specific Disease Waiting Period

Up to 24 months

NCB

25% of SI, up to 50%

How to buy New India Assurance Health Insurance Plan?

Go to the official portal of New India Assurance Health Insurance. Go to “Health”. Click on to "Explore All Products" and choose a product/ plan according to your requirements. Answer a few questions about the policy seeker and submit to get quote.

Or visit the Paybima portal and select Health Insurance from the options available.

1

Visit the Paybima homepage and click on the ‘Health Insurance’ tab in the dropdown menu.

2

Fill in your required details and request a callback.

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A Paybima representative will help you buy the most suitable plan.

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You may also reach us at 1800 267 67 67 from 10 AM to 7 PM, or

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You can visit a Paybima branch near you.

The process of renewing New India Assurance Health Insurance Policy

How to File a New India Assurance Health Insurance Claim?

The claim process of the New India Assurance insurance policy is easy and simple. The process is discussed as follows:

1
Identifying network hospitals:

Besides reimbursement, New India Assurance offers General Insurance policyholders the option of having their claims processed in a cashless manner. Access to cashless claims is only available at hospitals in the organization's network, which can be located online. A list of the hospitals it is affiliated with is available on the company's website.

2
Admission:

It is necessary to show your ID card and health card to confirm your admission to the nearest networked hospital.

3
Inform the company through a pre-authorization form:

Fill out the pre-authorization form if you want the claim to be approved on a cashless basis. Online forms are available on the company’s website and physical forms can be accessed at the hospital. Please complete all the fields on the form correctly and completely. Ideally, the form should be submitted three to four days before planned hospital admission. In the case of an emergency, fill out and submit the form within 24 hours.

4
Cashless approval

The company verifies the pre-authorization claim form and approves the cashless claim. After approval, you can avail of cashless treatments and the insurance company will settle your bills.

5
Reimbursement claims:

If you are hospitalized at a facility that isn't in the company’s network or if cashless approval is not given, your claim will be resolved via reimbursement. For reimbursement claims, the insurance company must be notified. Bear the treatment costs and collect the bills. After discharge, you need to submit all the original receipts, bills, and medical records. Upon assessing your claim and verifying the documents, you will be directly reimbursed at the provided bank account.

The list of documents required to settle an insurance claim includes the following:
 

  • The insured individual must show a valid form of identification

  • You must get a prescription from your doctor before you are hospitalized

  • The bank account information must be provided for the insured's account to be credited.

  • You must provide the original documents that include such as original medical reports and bills

  • All diagnostic reports, consultation reports, and hospital reports should be submitted

  • The pre-authorization claim form must be used for cashless claims

Guaranteed Claim Support

When you buy or renew a health insurance plan from us, we guide at every step till your claim is settled.

Start your claim process with us to get our support

Review of New India Assurance Health Insurance Company

IFFCO Tokio offers different types of insurance plans with comprehensive coverage and competitive pricing. Other highlights of the company are as follows -
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New India has been rated B++ Stable FSR and bbb+ Stable ICR Outlook by AM BEST Company

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The company earned a Gross Written Premium of Rs.33,046.41 crores in the financial year 2020-21

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The company’s asset base is valued at Rs.90189.26 crores

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New India Assurance is the only direct insurance company in India that has an international A rating
 

Sahi Advice,
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