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Claim Process
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Good Health TPA Services Ltd.
United Healthcare Parekh TPA Pvt. Ltd.
Medi Assist India TPA Pvt. Ltd.
MD India Healthcare (TPA) Services (Pvt.) Ltd.
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E Meditek (TPA) Services Ltd.
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Focus Healthservices TPA Pvt. Ltd.
Medicare TPA Services (I) Pvt. Ltd.
Family Health Plan (TPA) Ltd.
Raksha TPA Pvt. Ltd.
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East West Assist TPA Pvt. Ltd.
Med Save Health Care TPA Ltd.
Genins India TPA Ltd.
Alankit Health Care TPA Limited
Health India TPA Services Private Limited
Vipul Med Corp TPA. Pvt. Ltd.
Park Mediclaim TPA Private Ltd.
Safeway TPA Services Pvt. Ltd
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Dedicated Healthcare Services TPA (India) Private Limited,
Grand Healthcare Services TPA Private Limited
Rothshield Healthcare (TPA) Services Limited
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Happy Insurance TPA Pvt. Ltd.
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Health Insurance TPA of India Ltd
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IFFCO Tokio General Insurance Company Limited
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Future Generali India Insurance Co. Ltd.
HDFC General Insurance Co. Ltd
Cholamandalam MS General Insurance Co. Ltd.
ICICI Lombard Health Care
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Care Health Insurance Company Limited
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Tata AIG Health Claim.
Senior Citizen Mediclaim Floater
Quick Links :
--Plans for Individauls--
Mediclaim Plus
Mediclaim Old
Varishtha Mediclaim
Critical Illness
Critical Insurance 2018
Super Top Up Individual
Arogya Sanjeevani Individual
Mediclaim 2020
Senior Citizen Mediclaim Individual
Corona Kavach Individual
--Plans for Families--
Parivar Mediclaim Old
Parivar Mediclaim Plus Policy
Parivar Mediclaim Policy
Super Top Up Floater
Senior Citizen Mediclaim Floater
Arogya Sanjeevani Floater
Corona Kavach Floater
Synopsis:
National Senior Citizen Mediclaim Policy is an indemnity health insurance policy for the aged.
Highlight:
Basic Sum Insured in INR 1LAC to 10LAC
Domiciliary Hospitalisation Up to 20% of the Sum Insured
Modern Treatment Up to 25% of SI for each treatment
Treatment due to participation in hazardous or adventure sports Up to 25% of SI
Morbid Obesity Covered after Waiting Period of 4 years
Refractive Error Covered after Waiting Period of 2 years
Funeral expenses (per individual) Up to INR 5,000 Under Plan B
Personal Accident:- Capital Sum Insured per individual – INR 1,00,000/ 2,00,000/ 3,00,000/ 4,00,000/ 5,00,000/ 6,00,000/ 7,00,000/ 8,00,000/ 9,00,000/ 10,00,000
Mental Illness Covered
Benefit:
Title
Description
Room Rent Limit
Plan A: 1% of SI per day subject to maximum of INR 5,000 per day | Plan B :2% of SI per day subject to maximum of INR 10,000 per day
ICU Daily Rent Limit
Plan A: 2% of SI per day subject to maximum of INR 10,000 per day | Plan B: 4% of SI per day subject to maximum of INR 20,000 per day
Pre-Hospitalization Expenses
30 days
Post Hospitalization Expenses
60 days
Minimum Hospitalization Period
24 hours
Day Care Procedure Coverage
140 Day Care Procedures covered
Additional Cover for Critical Illness
Benefit amount per individual- INR 1,00,000/ 2,00,000/ 3,00,000/ 4,00,000/ 5,00,000/ 6,00,000/ 7,00,000/8,00,000/ 9,00,000/ 10,00,000
Automatic Restoration of Sum Insured
Plan A: Not Available | Plan B: Once during the Policy Period for road Traffic Accident
Pre-Existing Disease / Illness coverage
Covered After 24 Months of continuous coverage
Waiting Period for New Policy
Covered After 24 Months of continuous coverage
Co-Payment
Insured opting for cover for pre-existing diabetes or hypertension 10% | Insured opting for cover for pre-existing diabetes And hypertension 25%
Free Health Checkup
Plan A: Every 2 claim free years up to 2 % of the average SI subject to maximum INR 4000/Insured (individual basis) or per family (floater basis | Plan B: Every 6 claim free monthsup to INR 1000/Insured
Ambulance Expenses
Up to INR 2,500 per Illness
Non-Allopathic Treatments
Covers Allopathy, Ayurveda, Homeopathy treatments up to Sum Insured
Daily Hospitalization Allowance
Plan A: Not Available| Plan B: INR 500/- per day for 5 days (in excess 3 days)
Donor Expenses
Coveres Organ Donor’s Medical Expenses Medical expenses, Pre & Post-Hospitalisation expenses up to Sum Insured
Attendant Allowance
Plan A: Not available |Plan B: Aya, Doctor's home visit charges and nursing care during Post-Hospitalisation (per individual) INR 500/- per day for 7 days
No Claim Bonus
Increase by 5% of SI in respect of each claim free year of insurance. Decrease by 5% of SI for each year with claim reported