New India Assurance Health Insurance (A Complete Guide)

New India Assurance is the largest and oldest government-owned general insurance company in India. It was founded on 23th July 23, 1919, by Sir Dorabji Tata. New India Assurance presently functions in more than 28 countries and has its headquarters in Mumbai.

The company operates with more than 16,506 employees, 6800+ agents, and 2900+ branches and offices in India.

New India Assurance offers multiple insurance-related products ranging from health insurance, motor insurance, home insurance, travel insurance, rural insurance, aviation insurance, industrial insurance, marine insurance, liability insurance, and many customised business-oriented plans.

New India Assurance Company has received numerous awards and recognitions, some of which are the Golden Peacock Excellence Award and the India Insurance Summit Award 2018: General Insurance Company of the Year.

This article will talk about the following:

Types of Health Insurance Plans by New India Assurance
Benefits of New India Assurance Co. Ltd
Key Features of Health Insurance Plans by New India Assurance
How to file a cashless claim
How to file a reimbursement claim
Inclusions and Exclusions under New India Assurance Health Insurance
How to renew your New India Assurance Health Policy

Network Hospitals	1100+
Claim settlement ratio	92.68%
Renewability	Lifetime
website	www.newindia.co.in

Types of Health Insurance Plans offered by New India Health Assurance

Here are the following health insurance plans offered by New India:

Plan Name	About the Plan
Standard Group Janata Mediclaim	This plan offers standard health coverage that protects the members of the insured group from hospitalisation expenses incurred due to illness or injury. This plan is now available in cashless mode as well.
New India Flexi Floater Mediclaim policy	This is a family floater plan that provides extensive coverage for you and your loved ones against all basic and essential healthcare services.
Asha Kiran Policy	This plan is especially designed for parents who only have a girl child. This policy provides a lump sum benefit to the girl child in the event of the accidental death or disablement of the parent. A maximum of two dependent daughters can be insured under the plan.
Jan Arogya Bima policy	The Jan Arogya plan is programmed to offer standard health coverage to weaker sections of society at a very low premium cost. This plan can be availed of on a family floater or individual basis.
Universal Health Insurance policy APL	This is a reimbursement health insurance policy that takes care of hospitalisation expenses for the insured when admitted due to any illness, disease,disease or accident.
New India Flexi Group Mediclaim policy	The new India Flexi Group Mediclaim policy provides extensive coverage to the insured and his or her family members to secure medical healthcare expenses.
New India Mediclaim Policy	This plan is designed to safeguard you from financial trouble when you are hospitalised. The policy provides multiple benefits, such as in-patient hospitalisation cover, pre-hospitalisation and post-hospitalisation expenses cover for new-born babies, cataract expenses, and ayurvedic treatments.
Cancer Medical Expenses- Group	You can avail yourself of this policy when you become a member of the Indian Cancer Society. This plan is designed to safeguard you from cancer-related medical expenses.
Senior Citizen Mediclaim	The Senior Citizen Mediclaim Plan is designed for people above the age of 60. This plan covers inpatient hospitalisation, ICU charges, inpatient Ayush treatment, and more.
New India Cancer Guard policy	This is a cancer-specific policy that provides comprehensive coverage, including all the major cancer-related treatments and procedures.

Benefits of New India Assurance Co. Ltd

Claim settlement ratio: The company has a robust claim settlement ratio of 92.68% in FY19-20, which signifies that the company has a good track record of settling its customers claims.
Trusted Name: New Indian Assurance is the oldest and largest general insurance company in India,with more than 100 years of experience in the insurance sector.
Network Hospitals: The company has a solid network of 1,500+ hospitals associated with it, providing you access to cashless facilities all around India.
Efficient customer support: The company provides quick and efficient customer support when it comes to claim settlement, renewal, and other various health insurance-related queries.
Rate AAA- by Crisil: A top credit rating agency in India has rated New India Assurance AAA, which signifies the company has solid financials and is a pedigree company.

Key Features of Health Insurance Plans by New India Assurance

Multiple options for Sum insured: New India Assurance offers you a wide range of sum insured options as per your needs and requirements. Their sum insured options range from Rs. 1 lakh to a high coverage of Rs. 1 crore.
Lifelong Renewability: The plans offered by the company have an inbuilt lifelong renewability feature, which means the plan can be renewed without any restrictions or age limit bar, provided you pay the policy premium on time.
No-Claim Bonus: Avail the benefit of a cumulative bonus, which increases your coverage for every claim-free year.
100% Sum Restoration: Certain plans by the company come with a sum restoration benefit that reinstates your insured sum in case you have exhausted it due to a previous claim during that policy period.

How to file a cashless claim for New India Health Insurance Plans

You will have to avail yourself of the cashless claim process when you get admitted to a network hospital of the New India Health Insurance Company.

Here are the steps to file a cashless claim for your health insurance policy.

Step 1: Inform the company 72 hours prior to a planned hospitalisation or within 24 hours in the case of an emergency hospitalisation or admission.

Step 2: Submit the dully filled pre-authorization request form and your identification proof to the TPA department in the hospital, and they will send your documents to the company for verification.

Step 3: The company will verify the claim against the terms and conditions of your policy.

Step 4: Once approved, the insurance company will intimate their decision to the hospital, and you can carry on availing of the cashless treatment in the hospital.

Step 5: If your claim is rejected, the insurance company will give you a written explanation stating the reasons for the rejection.

How to file a reimbursement claim for New India Health Insurance Plans

You will have to file a reimbursement claim when you get admitted to a non-network hospital of the company. You will initially pay the hospital bill from your own pocket and then file a refund claim with the company.

Here are the steps to file a reimbursement claim for your health insurance policy.

Step 1: Inform the company 72 hours prior to a planned hospitalisation or within 24 hours in the case of an emergency hospitalisation.
Step 2: Avail the medical treatment and pay the hospital bill from your pocket initially.
Step 3: Collect all the relevant documents and submit them to the insurance company to initiate the claim process.

Note: It is mandatory to submit the following documents within 7 days from the date of discharge from the hospital.

Documents required to be submitted to file a claim

Duly filled and signed claim request form
Photo identification
Original policy documents
Discharge Summary
Original medical reports, CT scans, diagnoses, and MRI reports
Original bills and receipts from medical and pharmacy
All original reports and documents pertaining to the treatment
Original hospital bills
FIR (if applicable)
Death certificate (if applicable)

Inclusions under New India Assurance Health Insurance plans

Following below are a few general inclusions under New India Assurance Health Plans. These inclusions may vary from policy to policy.

Inpatient hospitalisation
Intensive care unit, intensive cardiac care unit
Medical Practitioner, Consultants’ Specialist, Surgeon, and Anaesthetist Fees
Operation Theatre Charges, Surgical Appliances, Medicines, and Drugs
Dialysis, radiotherapy, chemotherapy, and the cost of a pacemaker
Pre- and post-hospitalisation expenses
Expenses incurred for Ayurvedic, Homoeopathic, or Unani Treatment
Ambulances service
Pre-existing illness after 48 months from the commencement of the policy.
Room rent, nursing boarding

Exclusions under New India Assurance Health Insurance plans

Injury due to a war invasion, an act of a foreign enemy, warlike operations, or nuclear weapons
cosmetic or aesthetic treatment, or plastic surgery, unless required to treat injury or illness.
Vaccination and Inoculation
intentional self-inflicted injury, suicide, or attempt thereat,
injury sustained while participating in or as a result of participating in any criminal act.
Sexually transmitted diseases
Treatment taken outside India
Genetical disorders and stem cell implantation or surgery
Experimental and unproven treatments
Cost of braces, equipment or external prosthetic devices, non-durable implants, eyeglasses, etc.

New India Assurance policy renewal

Online renewal process for a New India Assurance health insurance policy

Here are the quick and easy steps to renew your New India health policy online:

Step 1: Go to the official website of the company.
Step 2: Click on the “quick renewal’ tab and then click on “quick renewal.”
Step 3: Fill in all the valid details, like the customer ID and existing policy number.
Step 4: Verify your policy details and the premium quote.
Step 5: Pay your health insurance premium after verifying it using a debit, credit, or other mode of payment given.
Step 6: Once you have paid the premium, you will receive a confirmation email on your registered email ID along with a payment receipt.

Offline Renewal Process for a New India Assurance Health Insurance Policy

You can renew your health insurance policy online by visiting the nearest branch of New India Assurance Company and stating your renewal request, and they will guide you further.

You can also call the company’s customer support at their toll-free number, 1800-209-1414, and provide your details and state your request. You will be assisted further.

Author Bio

This article is written by Team InsuranceLiya.com, an independent website that writes about insurance, finance, health, and more. Our writers have a wealth of knowledge, experience, and degrees in the fields of insurance, finance, economics, and beyond.