National National Mediclaim Plus Health Insurance
Claim Settlement | Dedicated Team |
Claim Settlement Ratio | 83.78% |
Network Hospitals | 6,000+ |
Renewability | Lifelong |
Starting Premium for 5 lac SI | Rs.586/month |
Starting Premium for Rs. 5 lakhs SI | Rs. 586/month |
About National National Mediclaim Plus Health Insurance
National Mediclaim Plus Policy is a reliable and affordable medical insurance policy that covers you and your family for a wide range of sum insured options. These sum insured options range between Rs. 2 Lakh and Rs. 50 Lakh from which you can select as per your requirement and also enhance if required, at the time of renewal. The policy can be issued to individuals aged between 18 years and 65 years that can be self, legally wedded spouse, dependent legitimate or legally adopted children. A dependent male child aged between 18 years and 25 years can be covered if he is bonafide and not employed. Whereas a female dependent child will be covered till marriage if she is not married.
If insured under this policy, you can avail of many coverage benefits including in-patient hospitalisation expenses, pre-hospitalisation and post-hospitalisation expenses, daycare procedures, Ayurveda and homoeopathy, organ donor expenses, hospital cash, ambulance expenses, air ambulance expenses, vaccination for children, mental illness cover, HIV/AIDS cover, modern treatment and second medical opinion. Apart from the coverage benefits, you can avail of several other advantages as well, some of which are tax benefits on the premium paid, under Section 80D of the Income Tax Act, good health incentives like a cumulative bonus, health check-up, options for hospitalisations, and lifetime renewability benefits. also, it is an annual policy and hence needs to be renewed after that in order to continue availing coverage benefits.
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Key Inclusions and Exclusions of the Plan
What's Included
- In-patient hospitalisation expenses
- Pre-hospitalisation and post-hospitalisation expenses for up to a specific limit
- 12 modern treatments like robotic surgery
- Cataract surgery cover with defined limits
- Allopathy, Ayurveda, and Homeopathy, up to 100% of sum insured
- Hospital cash benefits up to a specific limit is covered under this plan
What's Not Included
- Treatment necessitated due to self-inflicted injury
- Expenses arising due to the insured committing any breach of law with criminal intent
- Drugs that are not prescribed by the doctor
- Home visit expenses
- Change of gender treatments, cosmetic or plastic surgery, etc
- Admission primarily for investigation or evaluation purpose
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Add-ons to Enhance Benefits
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Outpatient Treatment
This add-on covers you for expenses arising due to outpatient consultations by a medical practitioner, diagnostic tests prescribed by a medical practitioner, medicines or drugs prescribed by a medical practitioner, as well as out-patient dental treatment. You can buy this add-on by paying an extra premium at the time of policy purchase.
National Mediclaim Plus Expert Review
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Major Attractions
All the variants of the National Mediclaim Plus policy can let you get the second medical opinion from World Leading Medical Centers in case of serious illness. Besides, it gets you add-on covers for 8 specified Critical illnesses and Outpatient consultations by a medical practitioner, medicines prescribed by him/her, diagnostic tests, and outpatient dental treatment. Some key elements include:
- 5% Cumulative Bonus for each claim-free year. A maximum of 50%
- Reimbursement of medical check-up once at the end of a block of every 3 claim-free years
- 10% discount if the policy is issued for the family
- 10% discount if the policy is bought for people aged between 18 to 25 years
- 5% discount if you buy the policy online
- An option to select the same SI for each family member or separate SI for different members
- Enhancement of Sum insured to the next slab at the time of renewal
- Cashless facility available at all Network Hospitals across the country
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What’s More?
Not only this, the National Mediclaim Plus policy has many more benefits to offer. It comes with a wide range of sum insured options, ranging from Rs. 2 Lakh to Rs. 50 Lakh. A lump sum amount is payable in case of critical illness without reducing the basic sum insured. Also, the basic covers provided by other health insurance policies are covered under the policy.
- Lifelong renewability
- Tax Rebate under Section 80D of Income Tax Act 1961
- Portability option for similar health plans as per IRDAI
- Professional third party service for claim settlement
- 15 days free look period to cancel the policy
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Conclusion
With the benefits and features under, the National Mediclaim Plus policy is a complete healthcare package for individuals with different variants to choose from. The insurer has crafted this policy to stop policyholders from losing their money due to hospitalisation, maternity, critical illness and even OPD treatment. This policy covers everything under a single sum insured. The best part is that though it’s an individual-based policy, one can choose this policy to cover their family as well.
To buy a National Health Insurance plan, you can browse this page of InsuranceDekho and fill up the form available at the top right with the required details. Buying health insurance online gives you the flexibility to compare several policies based on cover and benefits, and choose one that comes with maximum coverage and minimum premiums.
Claim Process at National Health Insurance
FAQs on National Mediclaim Plus Health Insurance Plan
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What is the entry age of members under this policy?
The entry age of members under this policy is 18 years to 65 years.
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Can children be included under this policy?
Yes. Children can be included in this policy if they are aged between 3 months to 18 years.
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Under what conditions will the company pay for critical illnesses?
If you purchase an add-on cover for critical illness, the company shall pay the benefit amount for 8 such illnesses, provided-The insured person is first diagnosed with the illness during the policy period, and he/she survives for minimum 30 days after the diagnosis, and the diagnosis of critical illness is supported by relevant documents accepted by the company.
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Are critical illnesses covered under this plan?
The policyholders can purchase an additional cover for critical illness by paying a little extra premium.