New India Premier Mediclaim Policy - Check Features and Benefits
New India Health Insurance New India Health Insurance ★ 4.4

New India Premier Mediclaim

New India Premier Mediclaim Policy is a versatile family health insura ...Read More

Up to 2 Crore
Sum insured
1
No. of plans
1800+
Pan India presence
90.73%
Claim settlement ratio
🛡️ IRDAI Approved
4.4/5 · 2,689 reviews
🏥 3,000+ hospitals
📊 1.91 solvency ratio
90.73% claim settlement

About New India Premier Mediclaim

A quick read on what this New India Health Insurance plan covers and why it might be a fit for you.

New India Premier Mediclaim Policy is a versatile health insurance policy that can cover up to 6 members of your family under a single policy. New India Premier Mediclaim Policy can be purchased by individuals between the age of 18 years and 65 years. Dependent children are covered between the age of 3 months and 18 years provided one or both parents are covered by the policy. Moreover, children between 18 years to 25 years can be covered if they are financially dependent on their parents.

The New India Premier Mediclaim Policy is divided into two basic coverage options namely Plan A and Plan B. Plan A offers sum insured options of 15 L and 25 L whereas option B offers sum insured options of 50 L and 1 Cr. The New India Premier Mediclaim Policy offers extensive coverage such as room rent, ICU, hospital cash benefit, critical care benefit, AYUSH Treatment, ambulance charges, maternity and child care benefit, and more.

Plan at a glance

Eligibility, sum insured options and policy mechanics — pulled straight from the policy wording.

Entry age
18 to 65 Years
Plan type
Individual and Family Health Insurance
Sum insured options
₹15 L, ₹25 L, ₹50 L, ₹1 L
Waiting period
30 days
Renewability
Lifelong
Policy term
1 Year

*Initial Waiting Period is the time period between the issuance of the policy and the time it starts actively. During this period, a policyholder has to wait to avail of the benefits offered under a health insurance plan.

Pros & cons

A quick honest summary — the strengths and the trade-offs.

Pros

  • Room rent cover
  • ICU cover
  • Critical Illness benefit

Cons

  • Illegal activities
  • Alcoholism and drug abuse
  • Adventure sports

What's covered

Every CMS-driven coverage flag from the plan wording — only items with a published value render below.

Hospitalization

  • Room rent Covered
  • ICU charges Covered
  • Pre-hospitalization Covered
  • Post-hospitalization Covered
  • Domiciliary hospitalization Not covered
  • Day-care treatment Covered
  • OPD charges Covered
  • Covid-19 treatment Covered
  • Cataract Covered

Bonuses & restoration

  • No-claim bonus Not covered
  • Automatic restoration of SI Not covered
  • Daily hospital cash Covered

Family & special care

  • Maternity cover Covered
  • New-born baby cover Covered
  • IVF treatment Not covered
  • AYUSH treatment Covered
  • Organ donor expenses Covered

Modern & preventive care

  • Modern treatment Covered
  • Road ambulance Covered
  • Air ambulance Covered
  • E-consultation Not covered
  • Health check-up Covered
  • Second medical opinion Covered
  • Vaccination Not covered

Conditions & global

  • Co-payment Not covered
  • Sub-limits Covered
  • Compassionate travel Not covered
  • Global coverage Not covered

Video reviews

Walkthroughs from the PolicyX team — pros, cons, real claim experiences and who should buy.

New India Health Insurance

New India Health Insurance

This video talks about New India Health Insurance in detail. It talks about key features like Solvency Ratio, Claim Support Ratio which help an individual to analyze if the Insurer matches with his/ her requirements.

New India Premier Mediclaim Policy Benefits

New India Premier Mediclaim Policy is a one-of-a-kind policy that offers a variety of coverage options at low premiums. Some of the policy benefits provided by the New India Premier Mediclaim Policy are listed below.

  • Various Plan Options

    New India Premier Mediclaim Policy is available in 2 different plan options and helps people select a plan variant suitable according to their requirements. Plan A offers a sum insured of 15 lakh and 25 lakhs. The other plan variant is Plan B offering a sum insured of 50 Lakh and 1 Cr respectively.
  • Tax Benefits

    The amount paid towards the premium of this plan is eligible for tax benefits under Section 80D of the Income Tax Act, 1961.
  • Critical Care Benefit

    Insurance holders can avail of the critical care benefit under the New India Premier Mediclaim Policy which covers 10+ critical illnesses. The plan provides up to Rs. 2,00,000 for Plan A and Rs. 5,00,000 for Plan B as an additional benefit.
  • OPD Treatments

    Individuals covered under this policy can avail of OPD treatment cover for health check-ups, dental treatment, consultation, and medicines after the block of every two continuous Claim free years. Insurance holders are entitled to OPD coverage of Rs. 5,000 for Plan A and Rs. 10,000 for Plan B respectively.
  • New India Baby Cover

    Under New India Premier Mediclaim Policy a newborn baby is covered for any Illness or Injury from the date of birth without any additional premium.

New India Health Insurance Network Hospital List

New India Health Insurance Network Hospitals are present in 31 states nationwide. With a wide network of hospitals, New India Health Insurance ensures that you are medically secured, irrespective of the city you reside in.

Know More About Network Hospitals →

Sample premium

Indicative premium examples — your actual quote depends on age, declared medical history, sum insured and add-ons.

New India Premier Mediclaim Policy Premium Illustration

To understand the premium payment structure for New India premier mediclaim policy refer to the information given below :

Primary Member

Sum Insured (in Rs.) 15 Lakhs 25 Lakhs 50 Lakhs 1 Cr
Premium Payable (in Rs.) 16,171 20,396 35,464 46,154

Secondary Member

Sum Insured (in Rs.) 15 Lakhs 25 Lakhs 50 Lakhs 1 Cr
Premium Payable (in Rs.) 12,025 15,166 26,370 34,320

Inclusions & exclusions

What the plan pays for, and what it doesn't.

Exclusions

  • Permanent diseases or health conditions that are not included under New India Premier Mediclaim Policy:
  • Hospitalization out of war, riot, strike, and nuclear weapons
  • Intentional self-injury
  • Miscarriage, and abortion,
  • Congenital disease,
  • Infertility and in vitro fertilization
  • Certain diseases and treatments are covered under this plan after a certain period. Read the details below:
  • Listed ailments after 24 and 36 months
  • Pre-existing diseases after 48 months

Who can buy this plan

Eligibility criteria pulled straight from the policy wording.

  • Min entry age: 18 Years
  • Max entry age: 65 Years
  • Initial Waiting Period: 30 Days
  • Sum Insured: Up to 1 Cr

Other features & benefits

  • Covers entire family
  • 2 plan options
  • Hospital cash benefit

New India Premier Mediclaim Policy: FAQs

The 5 most-asked questions about New India Premier Mediclaim, answered.

The policy term of the New India Premier Mediclaim Policy is 1 year from the date of commencement. The premium paid for the policy is payable at the time of purchase.
The eligibility criteria for the New India Premier Mediclaim Policy is 18 years to 65 years for adults and 3 months to 18 years or 25 years for children. Children up to 25 years of age are covered only if they are financially dependent on the insured life.
Individuals need not worry about any upper age limit for renewal of their policy. New India Premier Mediclaim policy can be renewed until the policyholder pays the renewal premium before the expiry date of the policy.
When individuals invest in a New India Premier Mediclaim policy, they have to wait for the policy to complete the first 30 days before making any claim. However, if hospitalization occurred due to an accident during the first thirty days of the policy, the amount is payable.
Permanent illnesses or health conditions not covered under the New India Premier Mediclaim Policy Hospitalization with war, riot, strike and nuclear weapons Intentionally hurting yourself Abortion, and abortion Congenital diseases Infertility and in vitro fertilization

Health Insurance Premium Calculator

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