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New India Asha Kiran Policy

What is the Plan all About?

Taking care of healthcare needs of your family is always on the top priority. New India Asha Kiran Policy covers hospitalization expenses of the family and Personal Accident for Parents.

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Key Features

  • Heath cover for family
  • Policy can opted by parents with girl children
  • Personal accident cover applicable to proposer & spouse
  • Enjoy enhancement of sum insured at renewal
  • Avail critical care benefit
  • Premium rebates for including daughter in policy

Policy Benefits

  • In-patient hospitalization expenses, including Room Rent / Boarding/ Nursing Expenses and other expenses are covered up to 1% of sum insured per day.
  • Pre hospitalization expenses are covered for 30 days before hospitalization and post hospitalization expenses covered for 60 days after hospitalization.
  • 74 Day Care Procedures are covered, for which the insured person requires hospitalization for less than 24 hours.
  • ICU charges are covered, as mentioned in the policy.
  • Donor transplant expenses are covered, excluding cost of the organ.
  • Daily Hospital Cash is paid up to 0.1% of Sum Insured per day that cannot exceed beyond 1% of Sum Insured for any one illness.
  • Flat 10% of Sum Insured is paid as a critical care benefit. It is an additional benefit other than the admissible claim and is payable once in the lifetime of the insured person. This benefit is not applicable for insured’s having per-existing condition.
  • Surgeon, Anesthetist, Medical Practitioner, Consultants’ Specialist fees, Operation Theatre Charges, and other medical expenses are also covered.

Value Added Benefits

  • Enhancement of sum insured at the time of renewal of the policy.
  • Ambulance Charges are paid up to 1% of sum insured in case of emergency hospitalization, ICU, or shifting from one hospital to another.
  • Ayurvedic / Homoeopathic / Unani treatment is covered up to 25% of the sum insured, if treatment is taken in any government Hospital, any institute Accredited by Quality Council of India, National Accreditation Board on Health or other hospital as specified under the policy.
  • If you claim in two policy periods, the claims shall be payable considering available sum insured in the two policy periods, including deductibles.
  • Tax Benefit under section 80D of Income Tax Act, 1961.

Sub Limits

  • Room Rent Limit: It is capped up to 1% of sum insured per day.
  • ICU charges are capped up to 2% of sum insured per day.
  • Co-pay: Co-pay applies, if you take treatment in a Hospital situated outside the Area of Coverage. 80% of the admissible claim amount, or Sum Insured whichever is less will be paid. 20% of the claim amount is to be borne by the policyholder.
  • For cataract, 10% of Sum Insured or Rs. 50,000 whichever is less, will be covered for each eye.

Waiting Period Clause

  • Initial Waiting Period: Claims arising during first 30 days of the policy start date, except accidental claims.
  • Specific Waiting Period: Some treatments such as Cataract, Hydrocele, Hernia, Hypertension, etc. is covered after 24 months from the inception date of the policy.
  • Pre existing Disease Waiting Period: Any pre-existing disease until 48 months of continuous policy coverage, from date of inception of the first policy.
  • Congenital Disease Waiting Period: Congenital internal disease will be covered after 24 months of continuous policy coverage, if it was unknown to you or to the insured at the commencement of the policy. Congenital external disease will be covered 48 months of continuous policy coverage, but it shall be covered up to 10% of the average sum insured in the previous 4 policy years.

Who can Buy the Plan?

Factor Minimum Maximum
Age (as on last birthday) Adult: 18 Years, Daughter: 3 Months Adult: 65 Years, Daughter: 25 Years
Sum Assured 2 Lacs 8 Lacs
Cover Type Family Floater -
Policy Tenure 1 Year 1 Year
Grace Period 30 Days -
Free Look Period 15 Days -
Riders Nil -

Exclusions

  • Intentional self-inflicted Injury
  • Injury caused from war, invasion, or act of foreign enemy
  • Vaccination and/or inoculation
  • Domiciliary Hospitalisation
  • Dental surgery
  • Maternity or pregnancy related expenses
  • Naturopathy Treatment
  • Genetic disorders
  • Unproven / Experimental Treatment, etc.
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