National Health Insurance

About National Insurance Company Limited, India

National Insurance Health Insurance is one of the oldest, completely public sector insurance companies in India. Beginning in 1906 with 14,902 employees and 1998 offices across India, it is now one of India's premier insurance providers. With comprehensive coverage offering health insurance, critical illnesses, families, accidents, daily hospitalization, and a range of other insurance plans, the company strives to bring health insurance in its most meaningful form.

National Insurance India currently has over 10,000 network hospitals with lifelong renewability and a 97.07% grievance solving rate. Their incurred claim ratio stands at an impressive 115.55%, revealing National Health Insurance’s ability to satisfy their clients truly. With such high numbers and comprehensive coverage, it is no surprise that the National Insurance plans are in high demand.

The various National Health Insurance Plans include:

National Insurance Critical Illness Policy
National Insurance Individual Personal Accident Policy
National Insurance Janata Personal Accident Policy
National Insurance Mediclaim Policy
National Insurance Mediclaim Plus Policy
National Insurance Parivar Mediclaim Policy
Varistha Mediclaim Policy for Senior Citizens

Let’s take a closer look at each of these National Health policies.

National Insurance Critical Illness Policy

Entry Age: 20-60 years
Policy Term: 1 year
Sum Assured: Level I - Rs.5 Lakhs; Level II - Rs.10 Lakhs; Level III - Rs.20 Lakhs; Level IV - Rs.25 Lakhs
Maximum Renewability Age: 65 years

Other benefits:

Coverage: Coronary Artery Surgery, Cancer, Renal failure, Stroke, Multiple Sclerosis, Kidney, Lung, Pancreas, or Bone Marrow transplant.
Free Look Period: 15 days
This National healthcare policy involves a lump-sum payout.

National Insurance Individual Personal Accident Policy

Entry Age: 5-70 years
Policy Term: 1 year
Sum Assured: 72 months gross pay or Rs.10,00,000, whichever is less.
Maximum Renewability Age: 70 years

Other benefits:

This National Insurance medical policy offers a 10% family discount to insure family members of the insured individually.
Cumulative Bonus for every claim-free year: 5% increase in sum assured, limited to 50%
Covers permanent and temporary total disability. It also covers permanent partial disability.

National Insurance Janata Personal Accident Policy

Entry Age: 5-70 years
Policy Term: 1 year
Sum Assured: Rs.25,000-1,00,000
Cover Premium: Rs.15 for every Rs.25,000

Other benefits:

This National Health Plan operates worldwide, offering 24-hour coverage everywhere.
The National Insurance health policy is portable. It can be ported to another insurer 45 days before policy expiration.
Cumulative Bonus for every claim-free year: 5% increase in sum assured, limited to 50%

National Insurance Mediclaim Policy

Entry Age: 18-65 years (Adults); 3 months - 18 years (Children)
Policy Term: 1 year (30 days grace period)
Sum Insured: Rs.50,000-5 lakhs
Pre and Post-Hospitalisation: 30 and 60 days, respectively.

Other benefits:

140 day-care procedures are covered under this National Insurance health plan.
This National mediclaim policy can be bought online.
Ambulance charges up to Rs. 2,000 are also covered under this National Health Insurance policy.

National Insurance Mediclaim Plus Policy

Entry Age: 18-65 years (Adults); 3 months - 18 years (Children)
Policy Term: 1 year (30 days grace period)
Sum Assured: Plan A - Rs.2-10 lakhs; Plan B- Rs.15-25 lakhs; Plan C - Rs.30-50 lakhs
Pre and Post-Hospitalisation: 30 and 60 days, respectively.

Other benefits:

This National medical insurance includes a 10% discount on the National Insurance mediclaim premiums of family members covered under this policy.
The mediclaim policy under National Insurance offers coverage for a second opinion for each major illness diagnosed in one policy period.
You can buy this National Insurance mediclaim policy online.
ICU charges: Lower of 2% of sum assured
Maternity Delivery Expenses: Rs.30,000/Rs.50,000 for normal/c-section (Plan A); Rs.60,000/Rs.70,000 for normal/c-section (Plan B); Rs.80,000/Rs.1 lakh for normal/c-section (Plan C).
Cash Allowance up to 5 days of hospitalisation: Rs.500 (Plan A); Rs.800 (Plan B); Rs.1000 (Plan C).

National Insurance Parivar Mediclaim Policy

Entry Age: 18-60 years (3-25 years for children)
Policy Term: 1 year
Sum Assured: Rs.2-5 lakhs
Pre and Post-Hospitalisation: 15 and 30 days, respectively.

Other benefits:

This National Insurance company’s mediclaim policy operates on a floater basis. It is a cashless mediclaim National Insurance.
Coverage: Expenses of the surgeon, anaesthetist, medical practitioner, consultant, specialist’s fees and nursing expenses covered under this National Health policy in India.
ICU Coverage: 2% of the sum insured provided per day.
For a higher premium, this National Insurance Company Limited mediclaim policy covers existing conditions like diabetes and hypertension are also covered.

Varistha Mediclaim Policy for Senior Citizens

Entry Age: 60-80 years
Policy Term: 1 year
Sum Assured: Rs.1 lakh (Hospitalisation cover); Rs.2 lakhs (Critical illness cover)
Pre and Post-Hospitalisation: 30 and 60 days, respectively.

Other benefits:

Cumulative Bonus: Claim-free years offer a cumulative bonus as well as free health checkups.
Under this health insurance, National Insurance covers emergency ambulance charges up to Rs. 1000 is covered per policy year.
Critical Illnesses like cancer, stroke, multiple sclerosis etc. are paid for even without hospitalisation in this National Insurance company policy.

Advantages of National Health Insurance Company

The National Insurance cashless mediclaim policy has received several positive reviews. However, this is just one of several National health policies in India that offer many benefits. Therefore, the advantages of choosing any National health policy of India are:

With over 10,000 network hospitals, there are numerous options available to the insured. They can avail cashless facilities all over the country (and even across the world depending on the National Insurance health policy details).
You can buy National Health Insurance online, making the entire purchasing process much more manageable.
Every plan offers various benefits, including free-look periods and cumulative bonuses. Additionally, ambulance coverage and daycare procedures are reimbursed under every National mediclaim insurance plan.
All National Health Insurance premiums are deductible under Section 80(D) of the Income Tax Act.

How to Purchase National India Insurance Mediclaim Policy

National Insurance offers two modes of purchasing their insurance policy. You can either buy it offline, or you can purchase health insurance online in India. The offline steps are as follows:

Go to any National Health Insurance Company branch.
The person at the helpdesk will give you a form. Fill it in and submit it.
While the form is processed, you will receive regular updates about the mediclaim status from National Insurance.
Once the processing is complete, you will receive the necessary documents on your email ID.

When buying online, the following steps are followed:

On the National Insurance website, there is a “Customer Login” tab.
Register yourself as a customer or login if you already have an account.
Go to the “health” category and choose the plan you want.
Provide the necessary details and click on “Buy Policy Online”.
Finish your payment and wait for a soft-copy of your insurance documents to come to your email ID.

How to Claim Insurance under the New National Health Policy

Through their mediclaim policy, National Insurance Company has maintained a claim ratio at 115.55%. This ratio is unprecedented and unmatched in the health insurance industry in India. This also reflects the speed with which insured clients get claims approved under this company. National Health Insurance follows two processes: reimbursement and cashless claim processes.

Reimbursement Claims

Intimate a Third Party Administrator within 72 hours of unplanned hospitalisation. Intimation should happen 72 hours before hospitalization if planned.
Submit all the required documents (bills, prescriptions, etc.) in their original forms to the company within 15 days from the date of discharge, along with a discharge summary.
Pre and post-hospitalisation coverage can be claimed separately.
Submit all original copies 15 days after the post-hospitalisation treatment is completed.

Cashless Claims

Ensure your hospital is a network hospital.
When hospitalisation is planned, intimate your Third Party Administrator 72 hours in advance. If unplanned, inform them within 24 hours of hospitalisation.
The hospital will send your TPA the pre-authorisation form necessary for the cashless process, and then the claim goes through the approval process.
If approved, they directly settle your expenses with the hospital.

When in doubt about how to go through the claim procedure, Cover360 is here to help! Our responsive customer care team is always here to help you through any insurance processes you may have difficulty with!