New India Assurance
New India Top-up Mediclaim
While it is a decent top up plan, it doesn't offer a disproportionately large cover as the plan only allows you to pick a maximum cover of 22 lakhs. More importantly in our opinion, it is never a good idea to buy a top up policy in the first place. Always choose a super to up plan and if you want to know the difference, click here.
What's good here?
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.
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.
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 ₹5,000 if your deductible is ₹5 lakh. For an ICU, they’ll allow up to ₹10,000. But if your deductible is ₹8 lakh, then you get a cap of ₹8,000 for a regular room and ₹16,000 for an ICU. And if you breach these limits, be prepared to pay a lot more. Read more here
Your insurer won’t let you stay in a room whose rent exceeds ₹5,000 if your deductible is ₹5 lakh. For an ICU, they’ll allow up to ₹10,000. But if your deductible is ₹8 lakh, then you get a cap of ₹8,000 for a regular room and ₹16,000 for an ICU. And if you breach these limits, be prepared to pay a lot more. Read more 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.
No coverage if you are forced to hospitalize at home
The insurer will not cover the costs if you are forced to hospitalize at home due to a medical condition. In insurance lingo, they call this a policy with no domiciliary cover.
Pre & Post hospitalization
While the policy covers the main hospitalization costs, do keep in mind that any diagnostic tests, medications, or follow-up consultations you may need before getting admitted or after discharge won’t be covered by the insurer. You’ll need to account for these out-of-pocket if the treatment requires extensive preparation or recovery care outside the hospital stay.
What's okay here?
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.
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.
What's lacking here?
No Restoration Benefit
Some policies will tell you - Even after you claim part of the cover on one occasion, you will have the full cover restored, if you are hospitalized another time during the same year. So if you have a family cover and multiple members of the family are hospitalized in the same year, this feature will come in handy. Unfortunately, this policy offers no such benefit.
Some policies will tell you - Even after you claim part of the cover on one occasion, you will have the full cover restored, if you are hospitalized another time during the same year. So if you have a family cover and multiple members of the family are hospitalized in the same year, this feature will come in handy. Unfortunately, this policy offers no such benefit.
No Bonus for being healthy and not claiming insurance
Some policies offer you extra cover if you go an entire year without claiming your insurance. This policy, however, offers no such benefit.
Your insurer doesn’t provide free health check-ups
If you want to get a full-body checkup just to make sure you’re in fine working condition, be ready to pay for it yourself.
Frequently Asked Questions
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