# New India Assurance Group Health Insurance

New India Assurance, a wholly-owned company of the Government of India, plays a vital role when it comes to insurance products. Founded by Dorabji Tata in 1919, the company has been the market leader for over five decades.

Currently, it has offices in 28 countries. In India, the number of offices is 2214. New India Assurance Group Mediclaim Policy offers coverage to the insured for illness, accidents, or injuries for the insurance tenure.

## Key Statistics of New India Assurance Insurance Company

- **₹7,697 cr** - GHI Premiums (FY 2021)
- **1.58 cr** - GHI lives insured (FY 2020)
- **8.98 cr** - Health lives insured (FY 2020)
- **58,64,346** - Health claims processed (FY 2020)
- **92.68%** - Health claims settlement ratio (FY 2020)
- **89.64%** - Health claims settled within 3 months (FY 2020)

*Source - IRDAI and IBAI annual reports*

### Awards and recognitions

### What is group health insurance?

Group insurance helps to avail health insurance at an affordable price. As a single policy provides cover for the group, the overall premium cost gets reduced, given the spread of risk. Living in current times, we all know that health insurance forms a crucial part of everyone’s investment portfolio.

One that covers a group of individuals under one policy. The policy is called the Master Policy, and it contains the names of all insured members. Group health plans can be bought by registered groups to cover their members.

Employers provide group medical insurance to the employees, keeping the employees somewhat protected from unforeseen expenses due to any such medical/health expenses. New India Assurance group health insurance is one of the prominent policies under the health insurance category, given its wide tenet of customer base and industry credibility.

#### Highlights of New India Assurance Group Health Insurance

- **Market share of 18.48%**  
- **2500+ network hospitals**  
- **91.43% of claims settled**

### Standard benefits offered by New India Assurance group health insurance
#### Highlights of the Policy

- **Hospitalisation expenses**  
  This policy provides cover for all the necessary medical treatment and procedures required during the hospitalization of the insured.
- **Day care expense**  
  Expenses incurred during any daycare or surgical procedure are covered under the policy.
- **Pre-existing conditions after 48 months**  
  If the insured has a pre-existing condition, after 4 years of continuous use, coverage for it can be obtained.
- **Additional expenses**  
  - Room and Boarding Charges  
  - ICU Expenses  
  - Doctor and Consultant Charges  
  - Diagnostic and Consumables  
  - Pre and post hospitalization  
  - Cataract Treatment  
  - Ayush Treatment  
  - Ambulance Charges  
  - Organ Donor Hospitalization

### Here’s how New India Assurance group health insurance is better

- **Single dashboard**  
  Access all of your data from a single dashboard, using any device you like for changes, additions, and deletions, or just to check out the features.
- **Simple tracking**  
  Have a detailed look at how the policy works for your team with a single click.
- **Additional perks**  
  From time to time, Plum offers various wellness programs to your staff, which adds to the various perks provided to the employees.
- **WhatsApp support**  
  Using WhatsApp, you can check the status of your claim, register a claim, or download a copy of your digital health card.
- **For all organisations**  
  With Plum, get a policy tailored to your company's size, with the ability to scale as needed.
- **Manage on the go**  
  With the Plum dashboard, you can add and remove employees and their benefits without the need for an excel spreadsheet!

### Documents required for claims process

- Claim Form
- Hospital bills
- Discharge summary (original)
- Reports and consumables bills (original)
- Follow-up procedure sheet
- Details of treatment and practitioners involved on hospital letterhead
- Claims application form
- Valid photo ID
- Medical certificates
- Diagnostic findings and reports (doctor attested)
- Original discharge sheet
- Summary report

### Frequently Asked Questions

#### **Can I add or remove members after the initial setup?**

Super top-up is additional coverage of 20 lakhs added to your existing policy. You can avail the additional cover for yourself, and/or for your entire family (self+spouse+2 kids), and/or your parents.

#### **How are premiums calculated for additions?**

Yes, you can add new employees and new dependents (at the time of marriage or childbirth), and remove employees who exit the company. Additions and deletions can be done using the Plum dashboard.

#### **Do I get refunded for deletions?**

Deductible refers to the amount paid by the policyholder (via out-of-pocket or other medical insurance policy) before the super top-up kicks in.

#### **Can an employee convert the group plan to an individual plan if they leave the company?**

No, the policy doesn’t cover same-sex or unmarried couples.