New India Assurance Health Insurance Claim Settlement
New India Assurance Claim Process
New India Assurance supports both cashless claims and reimbursement claims. This section covers the information on how to check New India Assurance health insurance claim status, fill New India Assurance health insurance claim form, and the claim settlement process.
Claim cashless hospitalisation, you would have to be treated at a networked hospital. The list of networked hospitals can be found online on the company’s website. The hospital should be approved by the company’s TPA for you to avail of cashless benefits. If the hospital is not approved, claims would be settled on a reimbursement basis only
- You should inform the company’s TPA (Third Party Administrator) whenever you face any claim. The information should be given at least 48 hours before a planned hospitalisation or within 24 hours of an emergency one
- After you are discharged from the hospital, submit the relevant documents to the TPA for reimbursement of the expenses that you had incurred on treatments
- The documents should be submitted within 7 days of discharge. For claiming post hospitalisation expenses, the documents should be submitted within seven days of completion of the post hospitalisation treatments
- You would also have to authorize the TPA to obtain any and all medical records from the hospital if required
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FAQs
Under many health insurance plans, there is a concept of co-payment wherein you are required to bear a part of your claim yourself. The insurance company would pay the claims which are in excess of the co-payment ratio. For example, if the co-pay ratio is 20%,20% of the claim would be borne by you and the insurance company would bear the remaining 80%. Co-payment is usually applicable where senior citizens are insured
If the plan allows maternity coverage, costs incurred in childbirth through normal or Caesarean delivery, pre-natal and post-natal care and any other charges related to childbirth are covered under the plan. However, routine doctor’s consultations during pregnancy, diagnostics, etc. would not be covered
Under health insurance plans you can claim a tax deduction of up to INR 1 lakhs through the provisions of Section 80D. Here’s how
- You get a deduction of up to INR 25,000 if you buy a policy covering yourself, your spouse and your dependent children
- This limit increases to INR 50,000 if you are aged 60 years and above
- If you buy a separate policy for your dependent parents, you can claim a deduction of up to INR 25,000 on your policy and another INR 25,000 on your parent’s health insurance coverage. So, you can get a total deduction of up to INR 50,000
- If your parents are senior citizens, the limit of deduction on their policy would increase to INR 50,000. Thus, you can claim one deduction on your health insurance coverage for up to INR 25,000 and another on your parents’ policy for up to INR 50,000. The total deduction available would be up to INR 75,000
- If you are also a senior citizen, the deduction on your policy would be up to INR 50,000 and your parents’ policy would also be INR 50,000. Thus, you can get a total deduction of up to INR 1 lakh
- You get a deduction of up to INR 25,000 if you buy a policy covering yourself, your spouse and dependent children
- This limit increases to INR 50,000 if you are aged 60 years and above
- If you buy a separate policy for your dependent parents, you can claim a deduction of up to INR 25,000 on your policy and another INR 25,000 on your parent’s health insurance coverage. So, you can get a total deduction of up to INR 50,000
- If your parents are senior citizens, the limit of deduction on their policy would increase to INR 50,000. Thus, you can claim one deduction on your health insurance coverage for up to INR 25,000 and another on your parents’ policy for up to INR 50,000. The total deduction available would be up to INR 75,000
- If you are also a senior citizen, the deduction on your policy would be up to INR 50,000 and for your parents’ policy would also be INR 50,000. Thus, you can get a total deduction of up to INR 1 lakh
Yes, you can choose as many optional covers that you like depending on your coverage needs. For each optional cover selected, however, you would have to pay an additional premium.
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