What are the sum insured options offered in this plan?

This plan can be purchased for sum insured options of Rs. 2 Lakh, Rs. 3 Lakh, Rs. 4 Lakh, Rs. 5 Lakh, Rs. 6 Lakh, Rs. 7 Lakh, Rs. 8 Lakh, Rs. 9 Lakh, Rs. 10 Lakh, Rs. 15 Lakh, Rs. 20 Lakh, Rs. 25 Lakh, Rs. 30 Lakh, Rs. 40 Lakh, and Rs. 50 Lakh.

What is the entry age of members under this policy?

The entry age of members under this policy is 18 years to 65 years.

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.

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.

Are critical illnesses covered under this plan?

The policyholders can purchase an additional cover for critical illness by paying a little extra premium.

Does the plan provide maternity benefits to the policyholders?

Yes. The policy provides cover for maternity benefits up to different limits in Plan A, Plan B and Plan C.

Is there any limit on ambulance expenses covered under this policy?

Yes. Ambulance expenses are provided for up to Rs. 2,500 under plan A; up to Rs. 4,000 under Plan B; and up to Rs. 5,000 under Plan C.

Does the plan provide coverage for AYUSH treatments to the policyholders?

Yes. The policy provides cover for AYUSH treatments up to the sum insured to the policyholders.

What are the other benefits offered by the plan apart from basic coverage?

Some other benefits offered by this policy are- Cumulative bonus Health check-up every 2 years, irrespective of claims Medical second opinion for every new diagnosis of any major illness during the policy period

For how many days is pre and post-hospitalisation cover provided under this policy?

Pre- hospitalisation and post- hospitalisation expenses are covered up to 30 days and 60 days, respectively under this policy.

Does this policy cover expenses arising from daycare procedures?

Yes. All the variants in this policy cover expenses arising from daycare procedures.

National Mediclaim Plus Health Insurance Wordings

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Highlights

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

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National National Mediclaim Plus Brochure

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Jul 08, 2019

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National Health Insurance Plan List

Family (5)
Individual (2)
Woman (4)
Parents (1)
Senior Citizen (1)
Maternity (2)
Kids (1)
Critical Illness (1)

Name of Plan	Sum Insured
National Mediclaim Plus Min: 3 Months; Max: 75 YearsPopular	2 Lakh	Check Premium
Arogya Sanjeevani PolicyMin: 3 months; Max: 65 years	1 Lakh - 5 Lakh	Check Premium
Corona Kavach PolicyMin: 1 Day; Max: 65 Years	50,000 - 5 lakh	Check Premium
Parivar Mediclaim Policy for FamilyMin: 18 Years; Max: 65 Years	2 Lakh	Check Premium
National Parivar Mediclaim Plus PolicyMin: 3 Months; Max: 65 Years	6 Lakh	Check Premium
National Parivar MediclaimMin: 3 Months; Max: 65 Years	1 Lakh	Check Premium
National MediclaimMin: 3 Months; Max: 65 Years	50 Thousand	Check Premium

National Health Insurance Top Up List

Name of Plan	Sum Insured
National Super Top-up Mediclaim PolicyMin: 3 months; Max: 65 years		Check Premium

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FAQs on National Mediclaim Plus Health Insurance Plan

What are the sum insured options offered in this plan?
This plan can be purchased for sum insured options of Rs. 2 Lakh, Rs. 3 Lakh, Rs. 4 Lakh, Rs. 5 Lakh, Rs. 6 Lakh, Rs. 7 Lakh, Rs. 8 Lakh, Rs. 9 Lakh, Rs. 10 Lakh, Rs. 15 Lakh, Rs. 20 Lakh, Rs. 25 Lakh, Rs. 30 Lakh, Rs. 40 Lakh, and Rs. 50 Lakh.
What is the entry age of members under this policy?
The entry age of members under this policy is 18 years to 65 years.
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.
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.
Are critical illnesses covered under this plan?
The policyholders can purchase an additional cover for critical illness by paying a little extra premium.
Does the plan provide maternity benefits to the policyholders?
Yes. The policy provides cover for maternity benefits up to different limits in Plan A, Plan B and Plan C.
Is there any limit on ambulance expenses covered under this policy?
Yes. Ambulance expenses are provided for up to Rs. 2,500 under plan A; up to Rs. 4,000 under Plan B; and up to Rs. 5,000 under Plan C.
Does the plan provide coverage for AYUSH treatments to the policyholders?
Yes. The policy provides cover for AYUSH treatments up to the sum insured to the policyholders.
What are the other benefits offered by the plan apart from basic coverage?
Some other benefits offered by this policy are-

Cumulative bonus

Health check-up every 2 years, irrespective of claims

Medical second opinion for every new diagnosis of any major illness during the policy period
For how many days is pre and post-hospitalisation cover provided under this policy?
Pre-hospitalisation and post-hospitalisation expenses are covered up to 30 days and 60 days, respectively under this policy.
Does this policy cover expenses arising from daycare procedures?
Yes. All the variants in this policy cover expenses arising from daycare procedures.

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Claim Process at National Health Insurance

Network Hospital
Non-Network Hospital

1
Claim Assistance
For any assistance or query, call InsuranceDekho at the toll-free number 755 1196 989.
2
Claim Intimation
Emergency hospitalisation needs intimation within 24 hours and for planned hospitalisation intimate within 72 hours prior to admission.
3
Claim Processing
Fill in the pre-authorisation form and hand it over to hospital's insurance/TPA desk to initiate claim request.
4
Claim Settlement
Once your request is approved, claim is settled. If not approved, claim for reimbursement after discharge.

1
Claim Assistance
For any assistance or query, call InsuranceDekho at the toll-free number 755 1196 989.
2
Claim Intimation
Emergency hospitalisation needs intimation within 72 hours and for planned hospitalisation intimate within 72 hours prior to admission.
3
Claim Processing
Submit claim form with original documents such as doctor’s reports, hospital bills, diagnostic tests, etc.
4
Claim Settlement
Once your request for reimbursement of expenses is approved, the claim will be settled.

National Health Insurance Contact Details

Reach us for help anytime

Insurance Dekho
755 1196 989Mon to Sun 10:00 AM to 7:00 PM
support@insurancedekho.com
National Health Insurance
1800-345-033024*7
customer.relations@nic.co.in