Qian - Insurance Blog

New India Assurance Group Health Insurance Policy

Dec 11, 2023

Qian

Leave a comment

Group Health Insurance Policy

New India Assurance Group Health Insurance Policy
Contents

What is New India Assurance Group Health Insurance Policy?

The New India Assurance Group Health Insurance Policy is comprehensive Group Health Insurance Policy which provides coverage for Hospitalisation Expenses incurred by employees during the Policy Period.

The Policy provides cashless claim settlement at network hospitals, coverage for pre-existing diseases, and reimbursement for medical expenses incurred during hospitalization.

The Policy offers a flexible sum insured option, allowing the policyholder to choose the appropriate coverage amount based on their needs. Overall, the New India Assurance Group Health Insurance Policy is a reliable and comprehensive solution for organizations and societies to ensure the health and well-being of their members.

About New India Assurance Company

New India Assurance Company is a leading General Insurance Company in India. The company was founded by Sir Dorabji Tata in 1919. The company has a presence in 28 countries with more than 2000 offices

What are the Key Features of New India Assurance Group Health Insurance Plan?

The New India Assurance Group Health Insurance Plan offers several key features that make it an attractive option for employers looking to provide comprehensive Group Health Insurance Coverage for employees:

  • Coverage for Hospitalisation Expenses:  New India Group Health Insurance Policy provides cover for Hospitalisation expenses with or without any capping on Room Rent Limit in Group Health Insurance Policy. The Policy also covers associated medical expenses such as Surgeon Fees, Anesthetist Fees, Consultant Fees, Blood, Oxygen, Operating Theatre Charges and Procedure Charges such as Dialysis, Chemotherapy, Radiotherapy, Pharmacy Charges, Cost of Implants and Medical Devices and Cost of Diagnostic Reports.
  • Coverage for Pre and Post-Hospitalisation Expenses: The New India Group Health Insurance Policy provides cover for Pre and Post-Hospitalisation Expenses for 30 and 60 days respectively.
  • Coverage for Pre-Existing Diseases: The New India Assurance Group Health Insurance Policy covers Pre-Existing diseases from Day 1 without any waiting period. This is a big advantage of Group Health Insurance Policy as compared to an individual health insurance policy which always has a waiting period of 3-4 years before pre-existing diseases can be covered.
  • Coverage for Day Care Procedures: The New India Assurance Group Health Insurance Policy Coverage includes cover for a wide range of day care procedures such as Cataract Surgery which does not require hospitalisation.
  • Tax Benefits: The Premiums Paid towards New India Assurance Group Health Insurance Policy are a tax-deductible expenses for an employer. The Tax Benefits of a Group Health Insurance Policy make it an attractive option to provide employee benefits for employers.

What are the Major Exclusions Under New India Assurance Group Health Insurance Policy?

The major exclusions in a New India Assurance Group Health Insurance Policy are as follows:

  1. Diagnostic Expenses: Any expenses which are primarily for diagnostics and evaluation purpose are not covered under the Policy.
  2. Rest Cure, Rehabilitation And Respite Care: Any expenses which are related to any admission for the purpose of enforced bed rest and not for the purpose of treatment are not covered by the New India Assurance Group Health Insurance Policy.
  3. Coverage for Infertility Treatments: Expenses related to Infertility or Sterility Treatments are not covered by the New India Assurance Group Health Insurance Policy.
  4. Coverage for Obesity/ Weight Control: Expenses related to Obesity or Weight Control Treatments are not covered under the Policy.
  5. Change Of Gender Treatments: Expenses related to change of gender treatments are excluded under the New India Group Health Insurance Policy.
  6. Cosmetic or Plastic Surgery: Expenses related to Cosmetic or Plastic Surgery are excluded under the New India Assurance Group Health Insurance Policy.

It is of utmost importance for policyholders to thoroughly review the Group Health Insurance Policy Wordings and seek clarification from the Group Health Insurance Provider to fully comprehend the coverage and exclusions before making any decisions. This will ensure a comprehensive understanding of the Group Health Insurance Policy’s terms and conditions, enabling you to make an informed choice regarding your health insurance coverage.

What is the Claim Process for New India Assurance Group Health Insurance Policy?

There are 2 ways to make a Claim under New India Group Health Insurance Policy:

  • Cashless Claim Settlement
  • Reimbursement Claims Settlement

What is the procedure to avail Cashless Claim Settlement under New India Assurance Group Health Insurance Policy?

The process to avail a cashless claims settlement with New India Assurance Company is very simple. The insured employee just needs to approach a network hospital and show his E-Card at the hospital. The hospital will co-ordinate directly with the Group Health Insurance Company and settle the claim. The employee does not need to pay any money to the hospital.

What is the process to avail Reimbursement Claim Settlement with New India Assurance Group Health Insurance Policy?

The Insured Employee needs to follow the below mentioned steps to avail a reimbursement claims settlement under the New India Assurance Group Health Insurance Policy:

Claim Intimation

The Insured needs to intimate the Group Health Insurance Company or TPA within 7 days from the date of hospitalization and provide details such as Policy Number, name of insured person, nature of illness/injury, and Address of the Hospital.

Submission of Documents****

Post Discharge, the Insured needs to submit the following documents to the Group Health Insurance Company or the Third-Party Administrator:

  1. Duly filled and Signed Claim Form
  2. Photo ID Proof
  3. Indoor Case Papers
  4. Original Hospital Bill and Receipt
  5. Pharmacy Bills with Prescription
  6. All Diagnostic Reports alongwith bills
  7. Discharge Summary

The Insured needs to submit the documents to the Group Health Insurance Company or TPA within 30 days of discharge. The relevant documents are examined and the Group Health Insurer will pay the claim amount to the bank account of the employee if the claim is admissible.

What are the advantages of New India Assurance Group Health Insurance Policy?

  1. Wide Network of Hospitals: New India Assurance Company is one of the oldest Group Health Insurance Companies in India. It has one of the widest list of network hospitals where insured employees can avail cashless claim settlement.
  2. Comprehensive Coverage: The New India Assurance Group Health Insurance Policy provides comprehensive coverage without any room rent limits. As a result, employees do not face deductions in claims.
  3. No Waiting Period for Pre-Existing Diseases: One of the biggest benefit of New India Assurance Group Health Insurance Policy is that it offers coverage for Pre-Existing Diseases without any waiting period. Thus, many employees do not have to wait for 3 to 4 years before their pre-existing diseases can be covered.

Is Medical Check-up required before buying New India Assurance Group Health Insurance Policy?

Employees do not need to undergo a Medical Check-up before being covered under New India Assurance Group Health Insurance Policy.

Can employees be added or removed during the mid-term of the New India Assurance Group Health Insurance Policy?

Yes, employees can be added/(removed) during the duration of the policy by paying/(refund) of pro-rata premium.

Download New India Assurance Group Health Insurance Policy Wordings

New India Assurance Group Health Insurance Policy Wordings can be downloaded at the following link:

New India Assurance Group Health Insurance Policy Wordings.pdf

Download New India Assurance Group Health Insurance Policy Claim Form

New India Assurance Group Health Insurance Policy Claim Form can be downloaded at the following link:

New India Assurance Group Health Insurance Claim Form.pdf

Get the Best Quotes for New India Assurance Group Health Insurance Policy with Qian!

Today, purchasing a Group Health Insurance Policy for employees is not an option but a necessity. New India Assurance Group Health Insurance Policy offers comprehensive coverage at very reasonable premiums. Qian is a licensed Group Health Insurance Broker and can assist you to purchase a Comprehensive Group Health Insurance Policy for Employees. We can customize the features of Group Health Insurance Policy as per the needs and the budgets of the employer and also assist in providing a hassle-free claim settlement process. Qian has tie-ups with top Group Health Insurance Companies in India and can assist you with the best quotes for Group Health Insurance Policy. If you wish to purchase a Group Mediclaim Policy for employees, you can email us at support@qian.co.in or call us on 📞 022-35134695. We would be glad to assist you.

  1. Group Health Insurance Policy for Employees
  2. What is Group Health insurance?
  3. What is an Employee Group Health Insurance Policy?
  4. What does a Group Health Insurance Policy cover?
  5. What is not covered under a Group Health Insurance Policy?
  6. How is a Group Health Insurance Policy different than an Individual Health Insurance Plan?
  7. What are the Key Features of a Group Health Insurance Policy?
  8. What are the add-on covers available under a Group Health Insurance Policy?
  9. What is the impact of Room Rent Limit on the claim amount payable under the Group Health Insurance Policy?
  10. Should employers opt for a Pre-Existing Disease Coverage from Day 1 in Group Medical Insurance Policy for employees?
  11. Does a Group Medical Insurance Policy provide Maternity Benefits?
  12. What are Waiting Periods under a Group Health Insurance Policy?
  13. What are the benefits of Group Health Insurance Policy for Employers?
  14. What are the benefits of Group Health Insurance Policy for Employees?
  15. Why should you purchase an Employee Group Health Insurance Policy for your organisation?
  16. How many employees do you need to purchase a Group Health Insurance Policy?
  17. Who is eligible for Group Health Insurance for Employees?
  18. Are Employer Group Health Insurance premiums Tax-Deductible?
  19. How much does a Group Health Insurance Policy Cost?
  20. Which are the leading Group Health Insurance Companies in India?
  21. How to purchase a Group Health Insurance Policy?
  22. What are the Documents required to make a claim under a Corporate Health Insurance Policy?
  23. Why should I Purchase a Group Health Insurance Policy through an Insurance Broker?
  24. Compare Plans from 20+ Group Health Insurance Companies and choose the Best Group Health Insurance Policy in India with Qian!
  25. FAQS
  26. Testimonials

List of All Posts In this Insurance Blog

Sitemap

Liability Insurances

Commercial General Liability Insurance Product Liability Insurance Trade Credit Insurance Policy Public Liability Public Liability Insurance (Act) Policy Directors and Officers Liability Cyber Liability Insurance Policy

Commercial Insurances

Standard Fire and Special Perils Insurance Fire Loss of Profit Insurance Keyman Insurance Policy Factory and Warehouse Insurance Policy Contractor's All Risk Insurance Erection All Risk Insurance Industrial All Risk Insurance Policy Machinery Breakdown Insurance Policy Surety Bonds Insurance

Professional Insurances

Architects' Professional Indemnity Doctors' Professional Indemnity Insurance Media Liability Insurance Jeweller's Block Insurance

Marine Insurance

Marine Cargo Insurance Inland Transit Insurance Shipping Container Insurance

Get a Free Quote

GET A FREE QUOTE