National Insurance
National Parivar Mediclaim policy
The National Insurance National Parivar Mediclaim policy is a family floater health insurance plan that covers family members under a single sum insured ranging from ₹1 lakh to ₹10 lakh. It includes optional add-ons such as critical illness cover, outpatient treatment, and pre-existing diabetes/hypertension cover. With lifelong renewability and tax benefits under Section 80D, it aims to provide affordable health protection for families.
What's good here?
Infertility treatments
This policy provides coverage for infertility treatments up to ₹50,000 but remember the insurer will make you wait 3 years to be eligible for treatment under this benefit.
This policy provides coverage for infertility treatments up to ₹50,000 but remember the insurer will make you wait 3 years to be eligible for treatment under this benefit.
You’ll never have to split the bill
The insurer will bear the entire cost of treatment (up to the sum insured). You won’t have to pay a single penny. Meaning this policy has no co-payment.
Day Care treatments covered
If you’re hospitalized for less than 24 hours in lieu of a minor procedure, then the insurer will cover these costs too. Think dialysis, chemotherapy or minor surgeries.
Pre & Post hospitalization expenses covered
No worries if the doctor had to run a host of diagnostic tests before or after hospitalizing you. The insurer has your back. They will cover this amount in full for a pretty reasonable duration - 45 days before you are hospitalized and 75 days after discharge. This includes the cost of medication by the way.
Covers Alternative Medicine
Think of getting Ayurvedic, Homeopathic or other alternative treatments to cure an illness? Your insurer will cover you fully, up to the sum insured.
What's bad here?
Restrictions on the rooms you can pick and much more
Your insurer won’t let you stay in a room whose rent exceeds 1% of the sum insured. If it’s an ICU they’ll bump it to 2% of the sum insured. And in the event you breach these limits, then you’ll have to pay a lot more.
Gym benefits aren't included in this policy
Gym benefits aren't included in this policy.
What's okay here?
Has disease wise sub-limits
Your insurance cover won’t be fully available in case you are treated for Cataracts & Modern Treatments and a few other diseases. Meaning the insurance company has a cap on the total amount they’ll pay out if you are treated for these specific illnesses.
Your insurance cover won’t be fully available in case you are treated for Cataracts & Modern Treatments and a few other diseases. Meaning the insurance company has a cap on the total amount they’ll pay out if you are treated for these specific illnesses.
Reasonable waiting period for pre-existing diseases
If you’re already dealing with diabetes, cardiovascular problems or any such illnesses, the insurer will cover all costs arising out of these pre-existing problems after you wait for 3 years.
No free Health Checkups unless you wait 3 years
If you’re planning on getting a full body checkup just to make sure you’re in fine working condition, the insurer will cover the cost once in 3 years. However, just so you know, most insurance policies offer free yearly health checkups.
Doctor consultations are not covered
Doctor consultations are not covered.
Underwhelming bonus feature
Your sum insured increases by 5% each year, so long as you make no claims during this period. But before you get too ahead of yourself, do note that they’ll stop offering you the bonus when your sum insured increases by 50%. And while this is a decent deal, most insurance companies offer a much higher bonus. But hey, it's still a bonus.
Some coverage if you are forced to hospitalize at home
The insurer will pay up to ₹50,000 if you are forced to hospitalize at home due to a medical condition or the hospital running out of beds. In insurance lingo, they call this a policy with domiciliary cover.
Consumables aren't covered in this policy
Consumables aren't covered in this policy.
What's lacking here?
Good Restoration Benefit
Once you exhaust your entire cover, you will have 100% of the cover restored, if you are hospitalized one more time in a bid to treat a different complication. In the same year, by the way. Remember, this benefit is available only if you have a base cover of 6 lakhs or above.
Maternity benefits offered
The insurer will also cover expenses related to maternity— Think hospitalization expenses incurred while giving birth. But they’ll only pay upto ₹50,000 and make you wait 3 years before covering this expense. Also, you’ll only get the benefits if both, you and your spouse are enrolled in a single-family floater plan.
Frequently Asked Questions
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