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About National Insurance Company
National Insurance Company Ltd. was started in the year 1906 in Kolkata (earlier Calcutta) which makes it one of the oldest general insurance companies operating in India. National Insurance Company has collaborated with 11 Indian and 21 foreign companies. It is one of the four subsidiaries of the government-owned General Insurance Company.
National Insurance is India’s 2nd largest non-life insurers in the collection of Gross Direct Written Premium.
Being the oldest general insurance company, it has several pilot introductions of product customizations, both for corporate and rural sectors to its credit. It is also one of India’s first insurance companies to enter into an alliance with corporate giants. It also leads the way of introducing Bancassurance in India by collaborating with some of the largest banks.
It boasts a strong workforce of 13000 employees and 1730 offices, covering a wide network of operation in India and Nepal. National Insurance Company enjoys strong financial strength and issuer credit rating reflecting good performance and stronghold in India’s insurance market.
All About National Insurance Parivar Mediclaim
National Parivar Mediclaim Policy offers health insurance coverage which is designed to provide financial protection against health-related emergencies for the entire family. It is a family floater policy; the entire family gets coverage under a single policy. The applicable sum insured amount can be utilised by any member of the family against various injuries and illnesses. As per the policy terms and conditions, a family is limited to spouse, self and two dependent children. The primary objective of the policy is to mitigate the financial loss of a family during an unexpected hospitalisation due to illness or accidental injury to a family member.
Some of the key features of National Parivar Mediclaim Policy can be listed as follows.
The coverage Sum insured offered in the policy ranges from INR 2 lakhs to INR 5 lakhs in multiples of INR 50,000. Cashless treatment and Reimbursement
The policy offers cashless treatment facility at network hospitals and also reimbursement of hospitalisation expenses as per the terms and conditions of the policy.
The tenure of the policy is for 1 year and it has to be renewed by the policy holder.
Pre hospitalisation is covered for a period of 15 days and post hospitalisation is covered for a period 30 days.
Ambulance charges are limited to INR 1000 per illness and total of INR 2500 in a policy year.
No claim bonus is given if no claims are made in a policy year. On renewal, the policyholder will be entitled to 5% of discount on base premium as No Claims Bonus.
The policy provides a free medical check-up for being enrolled in the policy continuously for 4 years. The medical check-up reimbursement amount is limited to INR 5,000.
The premium paid towards the policy plan is eligible for tax benefits as per the provisions mentioned under Section 80D of the Income Tax Act, 1961.
If the policyholder opts for a pre-existing disease like diabetes and hyper tension, then co-payment of 10% will be applicable to the claims for treatment of those disease.
Pre-existing diseases can be covered in the scope of the policy after 48 months of continuous policy coverage.
|Hospital Room Rent||Up to 1% of the sum insured cover per day|
|ICU Charges||Up to 2% of the sum insured cover per day|
|Hospital Cover||Fees given to surgeon, anaesthetist, medical practitioners, and consultants|
|Medical Expenses||Blood, anaesthesia, oxygen, operation theatre charges, surgical appliances, drugs, medicines, chemotherapy, x-rays, cost of pacemaker, cost of artificial limbs, etc.|
|Organ Donor Charges/Expenses||Coverage provided for surgery costs when the insured person is donating an organ to another person|
|Limit For Total Charges/Expenses||Total charge/expenses for one particular illness are limited to 50% of the sum insured coverage|
The policy is available for anyone from the age of 18 years to 60 years and dependent children from the ages of 3 months to 25 years, provided parents are also part of the policy cover.
The policy offers a choice of the sum insured from INR 2 lakhs to INR 5 lakhs for the different coverage needs to customers.
The policy offers comprehensive coverage for hospitalisation due to illnesses and accidental injuries. Pre-existing diseases can also be covered in the policy.
The premium charges of this family floater plan are based on the age of the eldest member of the family.
The policy covers up to 140+ day care procedures/surgeries up to the limit of the sum insured.
The organ donor expenses are covered up to the sum insured by the company.
There are no plan options in the policy. It is one plan family floater policy offered by the company.
The policy provides coverage in respect to allopathy, Ayurveda and homeopathy treatments up to sum insured in the scope of the plan.
The policy has an initial waiting period for 30 days for all kinds of diseases. After that, it has a waiting period for one year, two years and four years for a list of different diseases as mentioned in the policy document.
Reimbursement of hospitalisation expenses necessarily incurred, under the following heads:
Room, boarding and nursing expenses as provided by the hospital/nursing home – 1% of sum insured per day for normal room and 2% of sum insured per day for ICU room.
Fees for Surgeon, Anaesthetist, medical practitioner, consultant, specialist’s fees, nursing expenses.
One of the important exclusion is regarding the pre-existing illness. Pre-existing diseases can be covered after 4 years of continuous coverage under this policy. All diseases and injuries related conditions which are pre-existing at the time of the start of the policy, will be covered after only 4 continuous claim free policy years.
Pre-existing diseases like diabetes, hypertension, Outpatient treatment and critical illness are optional add-ons covers available in the plan.
If the policy is issued for a period of 2 years, then a discount of 4% will be allowed on the total premium. If the policy is issued for 3 years, then a discount of 7.5% will be applicable.
If the policy is purchased online, then a discount of 5% on the premium will be applicable. Similarly, if the policy is renewed online, then a discount of 2.5% will be applicable.
The premium paid for the National Parivar Mediclaim can be used for tax deduction up to a limit of INR 1,00,000 as per the provisions mentioned in Section 80D of the Income Tax Act,1961. It is to be noted that tax laws are revised from time to time. The applicant should consult the financial advisor to know the current income tax deductions and benefits at the time of buying the health insurance policy.
National Mediclaim Plus Policy is a high sum insured health insurance policy for In-patient hospitalisation expenses for more than 24 hours, and 140 plus Day Care Procedures and surgeries on cashless or reimbursement basis during the active policy period. This policy also has many additional features and benefits.
National Insurance Parivar Mediclaim Policy Plus is a premium product which covers all family members under a single Sum Insured, for In-patient hospitalisation expenses for more than 24 hours and 140 plus Day Care Procedures and surgeries on cashless or reimbursement basis during the active policy period. This policy provides exclusive features which cover most of the health concerns for the insured.
Varistha Mediclaim Policy for Senior Citizens, by name, is an exclusive policy for senior citizens above 60 years of age. It comprehensively covers for In-patient hospitalisation and domiciliary hospitalisation expenses along with 140 plus Day Care Procedures and surgeries on cashless or reimbursement basis during the active policy period.
National Insurance Critical Illness Policy is a special benefit policy which covers the insured against the expenses in the event of any of the listed critical illnesses. A fixed lump sum discount will be given to the insured on diagnoses of specified illness to cover the post-op procedure or treatment to cure it. Once the lump sum is paid to the insured, the policy coverage ceases.
Proof of Age: The applicant has to provide the age proof of all the persons who will be getting covered with the health insurance policy. Below are the acceptable documents for this:
Identity Proof: The applicant can provide any of the following identity proof:
Address Proof: The applicant will be required to submit your permanent proof of address. You can submit any of the following documents for the same:
Passport Size Photos
The applicant might be required to medical tests to enrol in the plan
In the event of hospital treatment or domiciliary hospital treatment, the insured person or his/her relative or representative is required to inform the TPA. The notification can be done in writing by letter, email, fax providing all necessary information like policy number, treatment details etc. The contact details can be found on the official website of the company.
|Informing Of Claim For Cashless Facility||Time To Inform The TPA|
|In case of planned hospitalisation||TPA should be informed at least 72 hours prior to the insured person’s admission to the network hospital|
|In case of emergency hospitalisation||TPA needs to be informed within 24 of the insured person’s admission to the network hospital|
|Informing of claim for Reimbursement||Company/TPA must be informed:|
|In the case of planned hospitalisation or domiciliary hospitalisation treatment||TPA should be informed at least 72 hours prior to the insured person’s admission to the network hospital|
|In the case of emergency hospitalisation or domiciliary hospitalisation treatment||TPA need to be informed within 24 of the insured person’s admission to the network hospital|
To successfully submit and get the claim approved, the claimant needs to submit the following documents in original within the given time limit.
National Parivar Mediclaim is an affordable Health Insurance Plan for the entire family. It offers the flexibility of sum insured as per the needs of different customers. The plan offers a lot of features and benefits to the insured and his whole family. The plan offers rewards for not making claims on renewal of the policy. It also offers an additional discount on online purchase and renewal. The terms and conditions of the plan are very simple to understand and the claim procedure is also very easy to understand and follow. The company gives quick authorisation for cashless treatments and the claims are also reimbursed to the policyholder in a timely manner. National Insurance Company is one of the oldest Indian insurance companies and it has put all its expertise to ensure the plan offers peace of mind against any health emergencies in the family. It is one of the most simple and comprehensive health insurance plans in the market today.
I was looking for an affordable but comprehensive health insurance plan. I searched online and the National Parivar Mediclaim was best suited for my needs. I also got a discount of 5% on premium for purchasing the plan online. I am satisfied with the purchase of this health insurance plan. (Rahul Bhatt – Kanpur)
I purchased this plan for my family and had to make a claim for my father’s illness. The claim procedure was easy and customer service was also efficient in helping me during the claim process. Happy with the purchase! (Neha More – Mumbai)
This is my first insurance policy with National Insurance Company. I purchased National Parivar Mediclaim and found the enrolment process hassle free. The premium amount is also pocket- friendly. I will recommend this health insurance plan to my friends and family. (Thirumalai Konar – Chennai)
This is my 4th year in this health insurance policy. I have been rewarded with no claim bonus on multiple occasions and my premium on renewal has been all the more affordable. The website provides with comprehensive and accurate information which has enhanced my knowledge on health insurance and its benefits. (Kunal Gupta – Uttar Pradesh)