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National Insurance Company Ltd

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Information About National Insurance Company Limited (NIC)

National Insurance Company Limited (NIC) is the oldest general insurance Company of India. It was established in 1906 at Kolkata and was merged with 21 foreign and 11 Indian companies to form National Insurance Company Limited in 1972. NIC is fully owned by the government and is India’s second largest non-life insurer. The Company is known for offering flexible and innovative insurance policies that are customized to meet policyholders’ requirements.

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NIC has been accorded with A.M. Best Company’s financial strength rating of B++ (Good) and issuer credit rating of “bbb+’’. This clearly reflects the strong standing of the Company in the present day insurance market of the country.

Besides health insurance, NIC deals in motor insurance, rural insurance, personal insurance, individual risk insurance and commercial risk insurance.

In the field of health insurance, NIC offers cost-effective and comprehensive plans that may be easily purchased online through a website specifically set-up for this purpose.

National Insurance Company

National Mediclaim Policy

This policy provides a cover for hospitalization expenses on an individual and family floater basis.
Salient features

Option to cover self, spouse, dependent children and dependent parents.

Sum insured (SI) may vary from Rs. 50000 to Rs. 5 lakhs.

Lifelong renewability.

Medical screening is not required till 50 years of age.

Co-payment of 20% if treatment is taken in non-network hospitals.

Eligibility

Age between 18 years to 65 years.

Dependent children between 3 months and 18 years can be covered.

Key benefits

 

Hospitalization expenses

- Room rent up to 1% of the SI per day (maximum of 25% of the SI).

- ICU rent up to 2% of the SI per day (maximum of 25% of the SI).

- Doctor’s fee of surgeon, anesthetist, consultant and specialist, up to 25% of the SI.

- Ambulance charges up to 1% of the SI (maximum of Rs. 2000).

- Expenses incurred on anesthesia, blood, oxygen, operation theater charges, surgical instruments, medicines and drugs, X-ray, dialysis, chemotherapy, the cost of pacemaker, prosthesis, hospitalization expenses of a donor, up to a maximum of 50% of the SI.

Ayurveda and Homeopathy expenses

Expenses on Ayurvedic and Homeopathic treatment up to 20% of the SI.

Day care procedures

Cover for more than 140 listed day care procedures, which require hospitalization for less than 24 hours.

No claim bonus

Cumulative bonus of 5% of the SI for each claim free year, provided the policy was renewed without a break.

Health check-up expenses

Health check-up expenses after 4 continuous claim free policy years, up to 1% of the average SI.

Tax benefits

Tax exemption under section 80-D of the Income Tax Act.

Exclusions

- No illnesses shall be covered for the first 30 days of the policy (not applicable in the case of an accident).

- All pre-existing diseases till 4 continuous policy years.

- Waiting period of 1 or 2 years for certain diseases.

- All treatments related to HIV, AIDS or other sexually transmitted diseases.

- Treatment of psychiatric disorders.

- Treatment of alcohol/substance abuse.

- Dental treatment.

- Hospitalization mainly for diagnostic or investigative purposes.

- Pregnancy and related complications.

- Treatment of obesity.

- Cosmetic treatments.

National Mediclaim Plus Policy

This policy goes beyond the usual health insurance plans and provides a cover for higher healthcare costs. It not only provides for hospitalization expenses but also for maternity, newborn, AYUSH and day care expenses.

Maternity Expenses
Salient features

Option to cover self, spouse, dependent children and dependent parents.

Option to choose from three plans.

Sum insured (SI) may vary from Rs. 2 lakhs to Rs. 50 lakhs according to the plan chosen.

Lifelong renewability.

Add-on cover for critical illnesses available.

Eligibility

Age between 18 years to 65 years.

Dependent children between 3 months and 18 years can be covered.

Key benefitsPLAN APLAN BPLAN C

Sum insured (in lakhs)

2/3/4/5/6/7/8/9/10

15/20/25

30/40/50

Room rent

Up to 1% of SI

Up to Rs. 15000

Up to Rs. 20000

ICU rent

Up to 2% of SI, a maximum of Rs. 15000

Up to Rs. 15000

Up to Rs. 20000

Hospital cash per day (maximum of 5 days)

Rs. 500

Rs. 800

Rs. 1000

Ambulance charges

Up to Rs. 2500

Up to Rs. 4000

Up to Rs. 5000

Air ambulance

-

Up to 5% of SI

Up to 5% of SI

Ayurveda and Homeopathy

Up to SI

Up to SI

Up to SI

Maternity expenses

Up to Rs. 30000 for normal delivery & Rs. 50000 for caesarean section.

Up to Rs. 60000 for normal delivery & Rs. 75000 for caesarean section.

Up to Rs. 80000 for normal delivery & Rs. 100000 for caesarean section.

Limit for cataract surgery (each eye)

Up to 15% of SI, or Rs. 60000

Up to Rs. 80000

Up to Rs.100000

Pre-hospitalization expenses

Covered for 30 days before hospitalization.

Post-hospitalization expenses

Covered for 60 days after hospitalization.

Pre-existing conditions

Covered after 36 months.

Medical emergency reunion

-

Up to Rs. 20000

Up to Rs. 20000

Doctor’s home visit and nursing care post-hospitalization per day

-

Rs. 750

Rs. 1000

Day care procedures

Expenses incurred on 140+ listed procedures

Doctor’s fee

Doctor’s fee of surgeon, anesthetist, consultant and specialist, up to 25% of the SI.

Miscellaneous inpatient expenses

Expenses incurred on anesthesia, blood, oxygen, operation theater charges, surgical instruments, medicines and drugs, X-ray, dialysis, chemotherapy, the cost of pacemaker, prosthesis, hospitalization expenses of a donor, up to a maximum of 50% of the SI.

Vaccination for children

Up to Rs.1000

Up to Rs. 1000

Up to Rs. 1000

Medical second opinion for diagnosis of new major illness

Once in a policy period.

Once in a policy period.

Once in a policy period.

Health check-up (every 2 years irrespective of claims)

Up to Rs. 1000

Up to Rs.2000

Up to Rs. 3000

Cumulative bonus

5% of the SI per year up to 50% of SI.

Additional benefits

 

Critical illness cover (SI in lakhs)

2/3/5/10/15/20/25

Out-patient treatment

2000/3000/4000/5000/10000

Exclusions

- All pre-existing diseases till 3 continuous policy years.

- All treatments related to HIV, AIDS or other sexually transmitted diseases.

- Treatment of psychiatric disorders.

- Treatment of alcohol/substance abuse.

- Naturopathy and experimental treatments.

- Treatment of obesity.

- Cosmetic treatments.

Parivar Mediclaim Policy

It is a floater policy that provides protection to the entire family against financial burden of healthcare costs.
Salient features

Available on floater basis.

Sum insured (SI) may vary from Rs. 2 lakh to Rs. 5 lakhs.

Renewal is allowed up to 65 years of age

Eligibility

Age between 18 years to 60 years (Maximum renewability age- 65 years)

Dependent children between 3 months and 18 years can be covered.

Key benefits

 

Hospitalization expenses

- Room rent up to 1% of the SI per day.

- ICU rent up to 2% of the SI per day.

- Doctor’s fee of the surgeon, anesthetist, consultant, and specialist.

- Expenses incurred on anesthesia, blood, oxygen, operation theater charges, surgical instruments, medicines and drugs, X-ray, dialysis, chemotherapy, the cost of pacemaker, prosthesis.

Pre-hospitalization expenses

Up to 15 days before hospitalization.

Post-hospitalization expenses

Up to 30 days after hospitalization.

Pre-existing diabetes and hypertension

On payment of extra premium.

Exclusions

- All pre-existing diseases till 4 continuous policy years.

- All claims in the first 30 days of the policy.

- All treatments related to HIV, AIDS or other sexually transmitted diseases.

- Hospitalization for diagnostic purposes.

- Treatment of psychiatric disorders.

- Treatment of alcohol/substance abuse.

- Dental treatment.

- Treatment of obesity.

- Cosmetic treatments.

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National Parivar Mediclaim Policy

This policy, as the name suggests, provides a cover for hospitalization expenses due to an illness or accident for the entire family on a floater basis.

National Parivar Mediclaim Policy
Salient features

Available on floater basis.

Sum insured (SI) may vary from Rs. 1 lakh to Rs. 10 lakhs.

Policy term may vary from 1-3 years.

Lifelong renewability.

Eligibility

Age between 18 years to 60 years (Maximum renewability age- 65 years)

Dependent children between 3 months and 18 years can be covered.

Key benefits

 

Hospitalization expenses

- Room rent up to 1% of the SI per day.

- ICU rent up to 2% of the SI per day.

- Doctor’s fee of the surgeon, anesthetist, consultant, and specialist.

- Expenses incurred on anesthesia, blood, oxygen, operation theater charges, surgical instruments, medicines and drugs, X-ray, dialysis, chemotherapy, the cost of pacemaker, prosthesis.

Ayurveda and Homeopathy expenses

Expenses on Ayurvedic and Homeopathic treatment up to the SI.

Day care procedures

Cover for more than 140 listed day care procedures which require hospitalization for less than 24 hours.

Domiciliary expenses

Up to 20% of the SI, a maximum of Rs. 50000.

Maternity and newborn cover

Up to 10% of SI (Rs.30000 in normal delivery and Rs. 50000 in caesarean section)

Infertility treatment cover

Up to Rs. 50000.

Hospital cash benefit

Rs. 300 per day for a maximum of 5 days.

Ambulance expenses

Up to Rs. 1000 per illness.

No claim bonus

Cumulative bonus of 5% of the SI for each claim free year, provided the policy was renewed without a break.

Health check-up expenses

Health check-up expenses after 4 continuous claim free policy years, up to Rs.5000.

Tax benefits

Tax exemption under section 80-D of the Income Tax Act.

Optional add-on covers(by paying additional premium)

 

Pre-existing diabetes and hypertension

Up to the full sum insured.

Critical illness benefit amount (in lakhs)

2/3/5/10 in addition to the SI.

Out-patient treatment limit cover per family

Rs. 2000/3000/4000/5000/10000 in addition to the SI.

Exclusions

- All pre-existing diseases till 4 continuous policy years.

- All claims in the first 30 days of the policy.

- All treatments related to HIV, AIDS or other sexually transmitted diseases.

- Treatment of psychiatric disorders.

- Treatment of alcohol/substance abuse.

- Dental treatment.

- Treatment of obesity.

- Cosmetic treatments.

National Parivar Mediclaim Plus Policy

This policy provides a higher coverage for healthcare costs for the entire family on a floater basis. The unique policy is available in three options.
Salient features

Option to cover self, spouse, dependent children and dependent parents.

Option to choose from three plans.

Sum insured (SI) may vary from Rs. 6 lakhs to Rs. 50 lakhs according to the plan chosen.

Lifelong renewability.

Policy term may be 1-3 years.

Eligibility

Age between 18 years to 65 years.

Dependent children between 3 months and 18 years can be covered.

Key benefitsPLAN APLAN BPLAN C

Sum insured (in lakhs)

6/7/8/9/10

15/20/25

30/40/50

Room rent

Up to 1% of SI

Up to Rs. 15000

Up to Rs. 20000

ICU rent

Up to 2% of SI, a maximum of Rs. 15000

Up to Rs. 15000

Up to Rs. 20000

Hospital cash per day (maximum of 5 days)

Rs. 500

Rs. 1000

Rs. 2000

Ambulance charges

Up to Rs. 2500

Up to Rs. 4000

Up to Rs. 5000

Air ambulance

-

Up to 5% of SI

Up to 5% of SI

Ayurveda and Homeopathy

Up to SI

Up to SI

Up to SI

Maternity and newborn expenses

Up to Rs. 30000 for normal delivery & Rs. 50000 for caesarean section.

Actual

Actual

Infertility treatment expenses

Up to Rs. 50000

Up to Rs. 100000

Up to Rs. 100000

Pre-hospitalization expenses

Covered for 30 days before hospitalization.

Post-hospitalization expenses

Covered for 60 days after hospitalization.

Doctor’s home visit and nursing care post-hospitalization per day

-

Rs. 1000/day, for a maximum of 10 days.

Rs. 2000/day, for a maximum of 10 days.

Day care procedures

Expenses incurred on 140+ listed procedures.

Doctor’s fee

Doctor’s fee of surgeon, anesthetist, consultant and specialist, up to 25% of the SI.

Vaccination for children

Up to Rs.1000

Actual

Actual

Medical second opinion for diagnosis of new major illness

Once in a policy period.

Once in a policy period.

Once in a policy period.

Health check-up (every 2 years irrespective of claims)

Up to Rs. 5000

Up to Rs.7500

Up to Rs. 10000

Cumulative bonus

5% of the SI per year up to 50% of SI.

Online discount

@5% for new policies, @2.5% for renewal policies.

Optional add-on covers(by paying additional premium)

1st year- up to 25% of SI.

2nd year- up to 50% of SI.

3rd year- up to 75% of SI.

Pre-existing diabetes and hypertension

 

Critical illness benefit amount (in lakhs)

2/3/5/10/15/20/25 in addition to the SI

Out-patient treatment limit cover per family

Rs. 2000/3000/5000/10000/15000/20000/25000 in addition to the SI.

Exclusions

- All treatments related to HIV, AIDS or other sexually transmitted diseases.

- Treatment of psychiatric disorders.

- Treatment of alcohol/substance abuse.

- Treatment of obesity.

- Cosmetic treatments.

Overseas Mediclaim Policy

This policy provides comprehensive coverage for emergencies that may occur while an individual travels abroad for:
  • Business and holiday
  • Employment and study
  • Corporate frequent travel
Salient features

Coverage for various emergencies while traveling abroad.

Except in the case of employment, the premium can be paid in Indian rupees.

Eligibility

Citizens of India, Nepal or Bhutan going abroad for business or holiday.

Foreign nationals working in India.

For travelers over 70 years of age and for more than 60 days of journey, an ECG and Fasting Blood Sugar reports need to be submitted.

1. Overseas Mediclaim Business and Holiday
Benefits

 

 

VisitWorldwide excluding USA/CanadaWorldwide including USA/Canada
Plan A1A2B1B2
Section-A

 

 

 

 

Illness,medical evacuation, repatriation

Rs. 50000

Rs. 2.5 lakhs

Rs. 1 lakh

Rs. 5 lakhs

Section-B

 

 

 

 

Personal accident and disablement

Rs. 10000

Rs. 25000

Rs. 25000

Rs. 25000

Section- C

 

 

 

 

Loss of checked baggage

Rs. 1000

Rs. 1000

Rs. 1000

Rs. 1000

Section-D

 

 

 

 

Delay of checked baggage

Rs. 100

Rs. 100

Rs. 100

Rs. 100

Section-E

 

 

 

 

Loss of passport

Rs. 150

Rs. 250

Rs. 250

Rs. 250

Section- F

 

 

 

 

Third-party bodily injury and property damage

Rs. 2 Lakhs

Rs. 2 Lakhs

Rs. 2 Lakhs

Rs. 2 Lakhs

  • Deductibles are applicable for each section.
  • Delay in checked baggage is only applicable for outbound international flights for over 12 hours.

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2. Overseas Mediclaim Employment and Studies
Benefits

 

 

 

VisitWorldwide excluding USA/CanadaWorldwide including USA/CanadaWorldwide including USA/Canada
PlanCDD1
Section-1A

 

 

 

Illness

Rs. 1.5 lakhs

Rs. 1.5 lakhs

Rs. 5 lakhs

Section-1B

 

 

 

Medical evacuation

Rs. 10000

Rs. 10000

Rs. 10000

Section-1C

 

 

 

Repatriation

Rs. 10000

Rs. 10000

Rs. 10000

Section-1D

 

 

 

Medical emergency

Rs. 5000

Rs. 5000

Rs. 5000

Section-2

 

 

 

Contingency insurance (for sponsored students)

USD 750 for each month of study completed

USD 750 for each month of study completed

USD 750 for each month of study completed

  • D1 plan also covers loss of checked baggage- USD 1000 and delay of checked-in baggage-USD 100.
Exclusions

- All pre-existing diseases.

- Travelling for medical treatment.

- Participation in military operations.

- Intentional self-harm or injury.

- Claims arising out of psychiatric disorders.

- Claims arising out of HIV/AIDS or other sexually transmitted diseases.

- Participation in adventure sports.

Individual Personal Accident Policy

This policy provides financial compensation for death or permanent total disability of the insured on account of an accident.

Individual Personal Accident Policy
Salient features

Covers against death/ permanent total disability due to various kinds of accidents.

No medical screening is required.

The policy operated throughout the world.

A family package is also available to cover self, spouse, and dependent children.

Eligibility

Any adult residing in India.

Dependent family members between 5 years to 70 years of age may also be covered.

Benefits

 

In case of accidental death

Payment of compensation (100% of the SI) to the nominee in case of death caused by bodily injury arising out of accident within 12 months of the occurrence of the accident.

In case of permanent total disability

Payment of compensation (100% of the SI) to the nominee in case of permanent total disability (as defined in the policy document) caused by bodily injury arising out of accident within 12 months of the occurrence of the accident.

In case of temporary total disability

Compensation at the rate of 1% of the SI per week up to a maximum of Rs. 5000 per week, for not more than 104 weeks from the date of injury.

Exclusions

Intentional self-injury or harm

- under the influence of alcohol or drugs.

- due to participation in adventure sports.

- due to insanity.

- due to a breach of law with criminal intent.

Janata Personal Accident Policy

This policy covers any person between the age group of 10 years to 70 years, irrespective of gender and occupation, for death and disability due to an accident.
Salient features

Covers against death/ permanent total disability due to an accident.

Available as an individual as well as group policy.

The policy is available for a term of 1-5 years.

Sum insured is a minimum of Rs. 25000 and maximum of Rs. 1 lakh per person per annum.

.

Eligibility

Age between 10 years to 70 years.

Dependent members between the age of 5 years to 70 years may also be covered.

Benefits

 

In case of accidental death

Payment of compensation (100% of the SI) to the nominee in case of death caused by bodily injury arising out of accident within 12 months of the occurrence of the accident.

In case of permanent total disability

Payment of compensation (100% of the SI) to the nominee in case of permanent total disability (as defined in the policy document) caused by bodily injury arising out of accident within 12 months of the occurrence of the accident.

In case of permanent partial disability

Compensation at the rate of a fixed percentage of the SI as per the disability (as mentioned in the policy document).

Exclusions

Intentional self-injury or harm

- under the influence of alcohol or drugs.

- due to participation in adventure sports.

- due to insanity.

- due to a breach of law with criminal intent.

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My Name Muniram, age 42 years, my spouse 31 years, daughter 9 years, want an health insurance - National Insurance company - Need your advice on best Health policy which covers most of the diseases risks. Please share the amount to be remitted for this policy. I don't have any disease related to Health as of now.
Vijay2015now Monday, June 20, 2016
I have a Parivar Mediclaim Policy since 2007, Sum assured is Rs, 2,00,000/- for my spouse and myself, Now I want to enhance it to Rs, 4,00,000/- 1. Can I do it through bank of baroda where I have my account? 2. Also let me know the premium amount as I am aged 52 and my wife 50 years. 3. Heard that the premium is lesser through banks than through agents, Is it true? 4. Renewal is falling on 18th December. wanting to enhance during renewal, please help.
Edward658 Thursday, December 10, 2015
If i have Rs.100000 medical policy of national insurance through bank of india and Rs.125000 medical policy of other insurance company and my claim is 225000 then should i get claim of 100000 from national insurance and 125000 from other insurance ?
CHETAN1971 Wednesday, November 25, 2015
Hi, I am policy holder of Bank of Baroda Health Policy by National Insurance. My dad just recently got Piles diseases, I want to know that Is Policy Covered Piles Operation and Is applicable for Cashless or not?
MonaliRajgor Friday, October 30, 2015
Dear Sir, I have few doubt, if you don’t mind 1. My wife is having pre-existing diabetic disease and we have normal mediclaim policy since 2013 and this is covered under the same policy, but this parivar mediclaim policy will cover the same diseases after three year. 2. Rate chart for zone II, III AND VI is not given. 3. Suppose my residence is in Korba but if I'll take the treatment at Delhi. What will the payable claim amount. 4. What will be the premium for 3 years, SI Rs 6,00,000/[ six lakhs], the age between 46-55( two persons) and three persons under age 6-17. with TPA and without maternity cover. 5. Whether medical check up required in this policy
arvind13166 Tuesday, September 15, 2015
This is Sandip Kumar Mukherjee [63], want to know terms and conditions of Parivar Mediclaim policy for me and my spouse. Thanks.
sandip.subhra Thursday, August 20, 2015
I,Poonam Chaturvedi,tookmediclaim policy in March2013atB.O.B. Bareilly-which was renewed in2014.Again I paid premium on 5 May2015-but policy renewal and health card not recd. till date.premium was paid in Amritsar B.O.B.Branch. pl. help senior citizen. My add is changed from 1 June.
244001 Thursday, June 11, 2015
To, National insurance,
i have a existing family floater mediclaim policy from united insurance, expiring on 24-05-2015 and i want to renew it from some other insurance company Can you send your authorized representative for briefing on your policy at the earliest because the date of renewal is very near. Reply me immediately . Thanks. From :- V.K.Jain

vkj Wednesday, May 20, 2015
I am in age of 56 , spouse 50 , child 21 and wish to enter in your cash less health insurance policy. Can you send your authorised representative for briefing on your policy? Is there any option to submit application online?
swapan462373 Tuesday, April 28, 2015
I WANT TO KNOW ALL CONDITION APPLYING FROM NATIONAL INSURANCE FOR"PARIVER MADICLAIM FOR FAMILY" MEDICLAIM POLICY.



mintu2015 Monday, March 9, 2015
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