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Get Lowest Rates for Janata Mediclaim Policy

Mediclaim Plans starting @ Rs 250* / month

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New India Health Insurance Janata Mediclaim Policy

New India Assurance Co Ltd.] is a Government multinational general insurance company having its headquarters in Mumbai and a global presence in more than 27 countries. Sir Dorabji Tata founded the company in 1919 and since then it has been ruling the market in the non-life insurance business.

New India Janata Mediclaim policy is ideal for those who want to protect all the family members with a broad health insurance coverage. The policy covers self, spouse and a maximum of two dependent children with a minimum sum assured of Rs.50,000 and the maximum of Rs.75,000. You can also avail the tax benefits on the premium paid as per the prevailing Income Tax laws.

Highlights of Janata Mediclaim Policy

  • Offers various discounts on the premium amount - Family Floater, Loyalty Discount & Good Health Discount
  • Provides Cumulative Bonus on renewal
  • Covers cost of Health Checkup
  • Offers lifelong renewability
  • Income Tax Benefit under Section 80D of IT Act

Scope of cover

Indivdual Plan

Entry Age

For children : 91 days

Adults :

Minimum : 18

Maximum : 60

Number of Members Covered

Maximum Members : 4

Maximum Adults : 2

Maximum Children : 2

Sum Insured

50,000 to 75,000


discount

Family Discount

Policy Periods Available

1 year


Pre-Policy Medical Check-up

50 yrs and above

Family Floater Plan

Entry Age

For children : 91 days

Adults :

Minimum : 18

Maximum : 60

Number of Members Covered

Maximum Members : 6

Maximum Adults : 4

Maximum Children : 2

Sum Insured

50,000 to 75,000


discount

Family Discount

Policy Periods Available

1 year


Pre-Policy Medical Check-up

50 yrs and above

Important Features

Day Care Treatments
Definition
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Day Care Treatments

Includes surgical processes conducted using local or general anaesthesia which requires less than 24 hours of hospitalization because of technological advancement in healthcare. Each company has a specific list of processes which are covered under this category.

Due to scientific advancement, some procedures/treatments do not require you to be hospitalized for a minimum of 24 hours to raise a claim. This plan covers such procedures.

No-Claim Benefits
Definition
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No-Claim Benefits

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In this policy, for every claim free year, a no-claim bonus equal to 5% of basic sum insured up to a maximum of 30% is available. This bonus amount is reduced by 5% of sum insured once you make any claim.

Organ Donor Cover
Definition
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Organ Donor Cover

Includes coverage for in-patient hospitalization expenses, offered to an organ donor for his/her treatment on harvesting an organ for the insured.

If you ever have to opt for organ donation, the hospitalization expenses (excluding the cost of the organ) on the procedure for the donor will be covered up to the sum insured.

Pre Hospitalization
Definition
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Pre Hospitalization

Medical expenses incurred immediately before the insured individual is hospitalized are covered under this benefit. Usually, expenses up to 30 to 90 days before hospitalization are covered under the policy only after the in-patient hospitalization claim is accepted by the insurance company.

The insurance company will compensate you for the medical expenses related to your hospitalization 30 days before the hospitalization.

Post Hospitalization
Definition
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Post Hospitalization

Medical expenses incurred immediately after the hospitalization are covered under this benefit.The coverage under this benefit would be available only for approved in-patient hospitalization claim is accepted by the insurance company. Usually, expenses up to 30 to 180 days post discharge are covered under the policy.

The insurance company will pay you for the medical expenses related to your hospitalization 60 days post hospitalization subject to a maximum of 10% of the hospital bill.

Good to Have Benefits

Health Check-up
Definition
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Health Check-up

Includes complimentary health check-up provided by the insurance companies for certain health insurance plans.

Offers complimentary health check-up that covers some listed tests, once every four claim free years up to a maximum of 1% of average sum insured.

Non- Allopathic Treatment Expense Cover
Definition
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Non- Allopathic Treatment Expense Cover

Includes coverage for expenses on treatment which do not use allopathic methods like Aurveda, Homeopathy, etc. The terms and conditions are different for different policies. This benefit is also refered to as Ayush benefit or Alternative treatment by some the insurers.

You can claim for any treatment sought through alternate medicine like Ayurveda or Homeopathy up to a maximum of 25% of the sum insured. This will be a valid claim only if you seek the stated treatment in a Government Hospital or any institute duly recognized by the Government or any other governing body.

Emergency Ambulance
Definition
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Emergency Ambulance

Includes coverage for expenses on ambulance for hospitalization of the insured.

This plan provides ambulance cover for Rs.1,000 or the actual cost, whichever is less if you ever opt for the services.

Value Adds

LOYALTY DISCOUNT
Definition
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LOYALTY DISCOUNT

Your loyalty is well-rewarded. If you make any repeat purchases, you will get a rebate on your premium in the form of loyalty discount.

FREE LOOK PERIOD
Definition
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FREE LOOK PERIOD

For any reason, should you decide not to proceed with the policy, you can return the same and request for a refund within 15 days from the date of receipt of the policy document.

Terms & Conditions

Room Rent / Room Category
Definition
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Room Rent / Room Category

Hospitals have a fixed tariff or rate chart for all rooms. Mediclaim depends on the amount of room rent limit specified in the policy document. The amount varies depending on the type of room category chosen.

To avail the claim on your hospitalization expenses, you need to get treated in a general ward of hospital or a day care center at the rate of not more than Rs.450 per day.

Waiting Period

Cooling Off Period
Definition
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Cooling Off Period

The period begins right after commencement of the policy within which you cannot claim for any illness except claims related to accident. This period is not applicable for subsequent renewals.

A 30 days cooling off period for all claims except any arising out of accidental injuries.

Specific Illnesses
Definition
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Specific Illness

The ailments of specific severity listed in the policy document are included under this category.

The policy covers some specific diseases/treatments only after 24 months. These include Cataract, Hysterectomy, Myomectomy for Fibroids, and so forth.

Pre-Existing Illnesses
Definition
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Pre-Existing Illnesses

The ailments that the insured was already diagnosed with before taking the policy.

You can claim for any pre-existing conditions after a waiting period of 48 months from the policy start date.

Note: Certain illnesses/treatments require specific waiting period. You can refer such list in the policy wording.

Note: Certain illnesses/treatments require specific waiting period. You can refer such list in the policy wording.


Permanent Exclusions

The Plan will not cover any liabilities towards the treatments of following conditions-

  • Whose signs or symptoms first occur within 30 days of the policy period
  • Attempted suicide
  • Use of alcohol or drug
  • AIDS
  • Pregnancy, childbirth, miscarriage, and abortion
  • Congenital disease
  • Infertility and in vitro fertilization.
  • Vaccination & Inoculation
  • Hospitalization out of war, riot, strike and nuclear weapons

Note: The complete list of what is omitted from the scope of coverage forms a part of the policy wordings. Kindly refer the same for additional reference.

Review of New India Assurance - Janata Mediclaim Policy

If a government assurance forms an important part of your decision making for any investment, you can consider this plan. While the policy boasts of positives like no copayment and attractive discounts; room rent capping of Rs.450 and absence of some valuable additions like the restoration of the sum insured or an optional cover for the critical illness is a bit disappointing. Overall, if you have a stern budget to abide by, this policy is surely deserving.

**Reviews and ratings are based only on Benefits and Conditions. Things like Claim Settlement Ratio, Hospital Network have not been covered under product ratings. These are covered under Company ratings.

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