New India

Regional Office
Health Insurance in India
General Insurance Premium March 2022 : 2,20,772 Cr
Health Insurance Premium : 73,582 Cr
Motor Insurance Premium : 70,432 Cr
Market Growth For General Insurance : 11.1 %
Health Insurance Growth : 25.39%

NewIndia Premium : 32,569 CR

Health Insurance Premium : 14,434 CR
Group : 10476 CR
Retail : 2683
New Products Launched In Health Insurance
Yuva Bharat Health Policy (YU)

Young India Digi Health Policy

Overseas Travel Ease Policy (Business & Holiday)

Yuva Bharat Health Policy (YU)
Who can be covered

Entry Age 18 -45 Years

Family Self , Spouse Children

Definition Only

Dependent
3 Months Upto 25 Years
children
Salient Features

Installment facility
Single/Deluxe AC No pre policy of monthly,
room medical report quarterly and half
yearly
Sum insured can be
Life long renewals Income Tax benefit either under
under section 80 D individual or floater
basis
Plan options

Base-14
covers

Gold -18 Platinum

covers 22 covers
Sum Insured
Base Plan – Salient features features
Base covers - 14
The details of the base covers are as follows:
1. Hospitalization expenses
2. Medical expenses for organ transplant
3. Hospital cash
4. Road Ambualnce charges
5. Treatment for congential diseases
6. Cataract
7. Coverage for hazardous sports.
8. Specific coverages
9. Coverage for modern procedures and treatments
10. Cost of health check up
11. Medical second opinion.
12. Reinstatement of Sum insured
13. Ayush covers upto 100% of Sum insured
14. New born baby cover
Gold Plan – Additional covers
• The following benefits are in addition to those of Base plan
• Minimum 2 adults to be covered. Other covers Additionscover
 Brief explanation of new covers

Auto Top up: Upto 10% of Pre-term/premature baby:

Infertility treatment: Expenses
Sum insured will be reinstated Expenses for neo natal care
incurred for infertility
for treatment of same requiring minimum 24 hours of
treatment including OPD
illness/injury for which claims hospitalization for babies born
treatment will be paid up to the
have been paid or admissible within 32 weeks of gestation
limits shown in the policy .
under the policy will be paid
Birth Right benefit: Lump sum
Vaccination charges:
benefit will be paid if the new
Vaccination charges incurred
born baby is diagnosed with
for New born baby upto 2 years
autism spectrum disorders,
will be paid upto 0.1% of sum
cerebral palsy or Downs
insured
syndrome.
Special features applicable to all plans.
Discounts

2.5% loyalty discount for active

10% based on good health retail policy holders of New
parameters of hypertension, India having a premium of
diabetes and BMI etc Rs.5000 and above

Floater
Digital discount of 10% discount
upto 15%
Loading

Upto 7.5% for health

parameters of
hypertension, diabetes
and BMI.
USP of the product
• No pre acceptance health check up.
• Installment Facility of Monthly, quarterly and half yearly.
• Premium very competent when compared with other companies.
• Discount for holders of any active retail policy of New India
• Upto 10% discount on health parameters only on declaration basis.
• Waiting period of specific diseases is now only 12 months
• Waiting period of PED is now only 24 months.
• Reinstatement of 100% of sum insured for different illnesses under all plans
• Auto top up of sum insured upto 10% is available for same illness under Gold and Platinum plans
• Maternity cover under Platinum plan
• Neo natal care for Pre mature/pre term baby cover under Platinum plan
• Infertility treatment under Platinum plan
• Birthright cover under Platinum plan
• Vaccination charges covered under Platinum plan
• Air ambulance under Gold and Platinum plans.
General Exclusions
• In addition to the standard exclusions as defined by the Regulator, some of the other exclusions
are as follows:
• Accupressure, accupuncture and magnetic therapies.
• Service charges, surcharges, luxury tax, admission fees, registration fees etc.
• Intentional self injury , attempted suicide.
• Convalescence or general debility.
• Naturopathy or siddha treatment.
• Expenses for RFQME, ECP, EECP, Hyperbaric oxygen therapy, vaccination, inooculatio0n
• War
Overseas Travel Ease Policy
Who can be covered under the policy?

–A person who is the citizen of the Republic of India can take this policy.

–Foreign nationals working in India with Indian Employers or multinational

companies getting salary in Indian rupees.

–Foreign nationals domiciled in India can be considered for issue of this policy.

–Note: For points 2 & 3, the cover will be given for other than their country of
origin.
What is the age criteria?
The person proposing for this Insurance should be 18 years
and above. Coverage will be available between 6 months and
80 Years.
WHAT ARE THE PLANS AVAILABLE UNDER THE POLICY
There are 5 plans available under the policy.
What are the covers available ?
Medical related covers
Covers continued..
What are Medical related covers?

• Medical expenses for sudden sickness or injury during the trip abroad.

• Emergency Dental treatment which commences within 24 hours of sudden and acute onset.

• Medical Evacuation expenses are those expenses recommended by the treating doctor to be shifted
to the nearest hospital or to a hospital in India subject to the prior approval of the OSP when the
insured is
– critically ill and
– No medical care is locally available.
Medical covers continued…
• Repatriation or local burial expenses are paid for transporting the
mortal remains of the insured in the event of unfortunate death
whilst abroad.
• Hospital cash for critical ailments is paid when the hospitalization is
for more than 2 days and payable upto maximum of 5 days for
listed 10 critical illnesses. The said cover is available under
Advanced, Elite and Supreme plans.
Travel related covers continued
• Loss of checked in baggage pays for total loss of checked in baggage
whilst in the custody of the common carrier.
• Delay in checked in baggage pays for emergency purchase of
necessary items for delay of more than 12 hours of the baggage.
• Loss of passport pays for the reimbursement of actual expenses for
obtaining emergency travel documents outside India.
Travel related covers continued..
• Emergency Financial Assistance provides emergency cash assistance
following loss of money due to incidents of theft / burglary or hold up
whilst abroad.
• Trip cancellation/Interruption reimburses the non-refundable portion of
the pre-paid lodging cost and/or the ticket charges arising out of the
following:
• Earthquake, storm, flood, cyclone etc, terrorism, personal contingencies,
unexpected riot, strike or civil commotion and Global pandemic.
Travel related covers continued..
• 11. Missed connection pays upto the fixed amount to the Insured
for failure to access the Connecting flight due to the following:
• Inclement weather, strike of the common carrier, equipment or
mechanical snag of the common carrier or hijack.
Other covers.

• Personal Accident pays benefit as shown in the schedule if the injury shall, within
twelve calendar months of occurrence, be the sole and direct cause of death and
disablement.
• Hijack Allowance pays at the rate per day in case the Common Carrier in which the
Insured is traveling is hijacked, and held captive for more than 12 hours.
• Personal Liability pays if the insured person becomes legally liable to pay for
accidental bodily injuries to third parties or accidental damage to third party
properties.
Other salient features
Discounts in premium

Digital discount
of 10%

10% discount
for retail Staff
health policy discount
holders
Loadings on premium

71 – 75 • 50% on
Years premium
76 Years & • 100% on
above premium
IS THERE ANY MEDICAL CHECK-UP?
Age Condition Medical Check-up

< =60 Years No PED NO

<= 60 Years PED YES

61 Years &
PED/No PED YES
Above
What are the medical tests to be done.

CBC and fasting blood

sugar
USG of abdomen and
ECG
pelvis
Any other medical
URA( Urine routine report as may be
X- Ray chest
analysis) required by the
Company.
Underwriting guidelines.
• What happens if the insured is unable to undergo pre acceptance
medical examination.

Age Sum insured offered in USD

< =60 Years 100,000 USD

61 to 70 Years 25,000 USD

71 Years & Above Decline Proposal

Underwriting guidelines continued
• Underwriting Guidelines for insureds 61 Years & above.

Age of the Health condition Sum insured to be offered

insured in USD

No PED or co-
500,000
morbidity
61 – 70 years
With PED and or co-
250,000
morbidity
Underwriting guidelines continued
• Underwriting Guidelines for insureds above 71 Years & above

Age of the insured Sum insured offered in Limit for Any one
USD Incident in USD

71 to 80 years of Up to Maximum of USD

USD 50,000
age 250,000

Up to Maximum of USD
81 years & above USD 20,000
50,000
Authority to underwrite

upto 70 • Operating office

years
71 to 80 • Regional office
Years
81 years and • Head office.
above
Exclusions in brief.
USP

• Discount of 10% for domestic retail health policy holders.

• Emergency financial assistance under which we are actually making payment
to the insured whereas other policies are facilitating the money from relatives.
• Double accident benefit under Hijack cover. In case of death of permanent
total disablement during the hijack, compensation paid will be in addition to
the claim under personal accident cover.
• Change in itinerary is allowed.
Young India Mediclaim Policy
Who can be covered

Entry Age 18 -45 Years

Family Self , Spouse Children

Definition Only

Dependent
3 Months Upto 25 Years
children
Salient Features

Installment facility
Single/Deluxe AC No pre policy of monthly,
room medical report quarterly and half
yearly
Sum insured can be
Life long renewals Income Tax benefit either under
under section 80 D individual or floater
basis
Sum Insured
Sum Insured : 4 Lac

Sum Insured : 8 Lac

Sum Insured on Individual basis & Floater Basis

Silent Features
Treatment towards HIV, Mental Illness and Genetic disorders.
Dental treatment due to disease or injury.
Advanced and Modern treatments like Robotic surgeries,
Oral chemotherapy, Stem Cell Therapy etc.. are covered.
Expenses incurred for AYUSH Treatment are admissible up to the Sum
Insured.
New born baby Covarage from day one.
Health check Up
Coverage for hazardous Sport
Waiting Period s
Specified diseases covered after 12 months.
PED covered after 24 months.

Discount for Health parameters like BMI, Hypertension etc : 10%

Loyalty Discount: 2.5% if holding an active retail policy of New India.

Loading upto 7.5% based on health parameters such as

hypertension, BMI etc
Thank You