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Claim Process
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Good Health TPA Services Ltd.
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Mediclaim 2020
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 Mediclaim Policy is an indemnity health insurance policy. The Policy covers expenses incurred due to Hospitalisation for In-Patient Care (allopathy, ayurveda and homeopathy) or Day Care Treatment
Highlight:
The Policy is available with options of Basic SI of INR 1/ 2/ 3/ 4/ 5/ 6/ 7/ 8/ 9/ 10 L.
Discount for Optional Co-payment
Hospitalisation coverage for HIV/ AIDS and Mental Illness
10% discount in premium (for new and Renewal, ONLY where no intermediary is involved)
Benefit:
Title
Description
Ambulance Expenses
Up to 1% of Sum Insured subject to maximum INR 2,000/- in a Policy Period for each Insured Person
Automatic Restoration of Sum Insured
Available to Basic Sum Insured of INR 6L and above
Co-Payment
The Insured may opt for Optional Co-payment, with discount in premium.
Day Care Procedure Coverage
140+ Day Care Procedures covered
Donor Expenses
Medical Expenses for organ donor?s treatment during the course of organ transplant to any Insured Person.
Free Health Checkup
Expenses payable shall be up to 1% of the average Basic Sum Insured of the block, subject to a maximum of INR 5,000 per Insured Person. at the end of a block of four (04) continuous Policy Periods provided no claims are reported
ICU Daily Rent Limit
ICU Charges per day shall be payable up to 2% of Sum Insured subject to max of INR 20,000 per day
Medical Screening
Pre policy checkup is required for persons aged fifty (50) years and above,
Minimum Hospitalization Period
24 hours
Non-Allopathic Treatments
Covered up to SI, including CB
Post Hospitalization Expenses
60 days
Pre-Existing Disease / Illness coverage
After 48 months of continuous coverage
Pre-Hospitalization Expenses
45 days
Room Rent Limit
Room Rent per day shall be payable up to 1% of Sum Insured subject to max of INR 10,000 per day
Waiting Period for New Policy
30 days