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National Parivar Mediclaim Policy

Eligibility  
Entry Age (years)  
Minimum 18
Maximum 65
Maximum Policy Renewal Age (years) The Policy can be renewed throughout the lifetime of the insured person by mutual consent before the expiry of the Policy.
Coverage Type Floater health insurance, covering the members of a family under a single sum insured and shall cover at least two family members.
Sum Insured (Rs)  
Maximum 10 lakh
Minimum 1 Lakh
Policy Term (years) 1 to 3
No Claim Bonus 5% on base premium for each claim free Policy Year (aggregated for each year and available on renewal) Aggregate amount of NCD allowed shall not exceed flat 5% of the total base premium for the term of the policy.
Pre Policy Medical Check Up Pre Policy checkup is required for all individual family members who are fifty years and above or between the age of eighteen years and sixty five years, opting for Critical Illness. The Company shall reimburse 50% of the expenses incurred for pre Policy checkup, if the proposal is accepted and the premium has been realized.
Policy Termination The Company may at any time cancel the Policy (on the grounds of fraud, moral hazard, misrepresentation or noncooperation) by sending the insured thirty days notice by registered letter at insured's last known address, and in such an event, the Company shall not allow any refund.For policies with a term of one year, the insured may at any time cancel the Policy and in such an event, the Company shall allow refund of premium after charging premium at Company's short period rate, provided claims are not reported up to the date of cancellation. For policies with a term exceeding one year, the insured may at any time cancel the Policy and in such an event, the company shall allow pro-rata refund of premium for the unexpired policy period after retaining 10% of the pro-rata premium, provided claim are not reported up to the date of cancellation
Scope of Cover
TreatmentAllopathy, Ayurveda and Homeopathy
Cashless facilityCashless facility is available only in network providers, if opted for TPA service, subject to prior approval by the TPA.
Reimbursement facilityAvailable
Pre and post hospitalisationMedical expenses incurred during 30 days prior to hospitalisation and 60 days after discharge from hospital will be covered
Room, Boarding and nursing expenses*Up to 1% of SI or actual, whichever is lower
I.C.U expenses*Up to 2% of SI or actual, whichever is lower
Ambulance chargesUp to INR 1,000/- per illness (per insured person) & INR 2,500/- (in a policy year)
Organ donor expensesHospitalisation, pre and post hospitalisation
Day care procedures such as dialysis, chemotherapy etc.Up to SI
Health check upEvery 4 yrs., up to INR 5,000
*The limit shall not apply if the treatment is undergone for a listed procedure in a Preferred Provider Network (PPN) as a package.
Exclusions and Waiting period
Pre-existing illnessesShall be covered after the Policy has been continuously in force for forty eight months.
Waiting periodFirst thirty days from the inception of the Policy.Certain illnesses such as Benign ENT disorders,Tonsillectomy,Adenoidectomy,Mastoidectomy and Tympanoplasty will be covered after completion of first policy year; Cataract, Benign prostatic hypertrophy,etc. will be covered after completion of two years of policy; Treatment for joint replacement unless arising from accident Osteoarthritis and osteoporosis will be covered after completion of four years of policy.
ObjectiveThe objective of this policy is to provide for financial support in case the insured member and his family is hospitalised for an illness, disease or accident.
Suited forThis policy is a floater health insurance, covering the members of a family under a single sum insured.
What does it do?The Policy covers expenses in respect of inpatient treatment (allopathy, ayurveda and homeopathy), domiciliary hospitalisaion,reasonably and customarily incurred for treatment of a disease or an injury contracted/sustained during the policy period. ThePolicy also covers pre hospitalization and post hospitalization expenses, 140+ day care procedures/surgeries, organ donoru0092smedical expenses, hospital cash, ambulance charges, anti rabies vaccination, maternity expenses, infertility expenses and medicalsecond opinion. Pre-existing Diabetes and/or Hypertension, Outpatient Treatment and Critical Illness are provided as OptionalCovers.
ProsTreatment includes Allopathy, Ayurveda and HomeopathyThis policy can be bought/renewed online at discount.The policy offers a No Claim Discount upto 5% on base premiumThe Policy can be renewed throughout the lifetime of the insured person.Premium paid towards the policy is exempt from Income Tax under section 80D of Income Tax Act.
ConsThere are sub-limits on the policy benefits.Sum insured can be enhanced only at the time of renewal, to the next slab.