Atmanirbhar Health Policy

Atmanirbhar Health Policy, New India Assurance Co Ltd is specially designed for Persons with Disability, Mental Illness and Persons with HIV/AIDS to cover Hospitalisation expenses.

Highlights of Atmanirbhar Health Policy,
  1. Sum Insured: 4 L & 5 L

  2. Sum insured: On Individual basis — SI shall apply to each individual member

  3. Eligibility: for adults: 18 years to 65 years, for Children: Newborn to 17 years

  4. Expenses of Hospitalization for a minimum period of 24 consecutive hours only shall be admissible. Time limit of 24 hrs shall not apply in respect of Day Care Treatment

  5. Pre-Hospitalisation: for 30 days prior to the date of hospitalization.

  6. Post Hospitalisation : for 60 days from the date of discharge from the hospital

  7. Room Rent, Boarding, Nursing Expenses all-inclusive as provided by the Hospital/Nursing Home up to maximum of 1% of the sum per day.

  8. Intensive Care Unit (ICU) charges/ Intensive Cardiac Care Unit (ICCU) charges all-inclusive as provided by the Hospital / Nursing Home up to maximum of 2% of the sum insured per day.

  9. Up to Rs.40,000/-, per each eye in one policy year

  10. Modern Treatment : Covered for listed procedures up to 50% of sum insured

  11. Emergency Ground Ambulance Expenses are covered up to Rs. 2000 per hospitalization

  12. Expense incurred for Ayurveda, Yoga and Naturopathy, Unani, Siddha and Homeopathy system of medicines are covered 100% of Sum insured.

  13. Initial Waiting period: 30 days for all claims except resulting from Accident

  14. PED waiting period: 36 months (For pre-existing diseases other than the pre-existing Disability and HIV/AIDS covered)

  15. Specific Disease/ illness waiting period: 24 months

  16. Waiting Period and specific Sublimit for HIV AIDS Cover For HIV/AIDS cover:

    • Initial waiting period of 30 days will be applicable for Indemnity basis cover.

    • Sum Insured would be available for Hospitalisation Expenses as per terms and conditions of the policy.

  17. Waiting Period and specific Sublimit for Disability Cover For Disability Cover:

    • 24 months initial waiting period is applicable for the pre-existing Disability covered under the policy.

  18. Co-pay 20% on all claims made under the policy unless waiver for Co-pay is opted and premium is paid for the same

UIN: NIAHLIP23207V022223

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