New India Group Health Insurance

New India Group Health Insurance

Claim settlement ratio (2019-20)

92.68%

Network hospitals

2500+

Total GHI lives insured (2020-21)

190 Lakhs

Total GHI claims incurred (2020-21)

₹164 crores

TPA

External TPA

About New India group health insurance

Being a wholly owned subsidiary of Indian Government, New India Assurance Company Limited is a multinational insurance contributor present in 27 countries. New India Assurance is a market leader in the non life insurance sector in India based from Mumbai. Some of the keys to the company’s success include having a strong domestic and international presence, effective and advanced technology, a wide range in insurance plans, integrated complaint management structure etc. Moreover, New India Assurance is the only insurer considered to be the direct insurer in India.

With Pazcare, your New India group health insurance experience steps up in the game. We get you the best group health insurance quotes for your employees at the best prices from New India. Moreover, the HR/Admin can administer the New India group health insurance in one place using our tech-enabled Pazcare dashboard. The employer dashboard can also be integrated with the HRMS tools. 

How to buy New India group health insurance at Pazcare?

These simple steps allow you to purchase New India group health insurance online at Pazcare.

  1. Visit https://www.pazcare.com/ and click on the products drop down and choose group health insurance
  2. Click on the get insurance button and a form appears. Fill in the information - your name, work email, phone number, company name and the number of employees you wish to insure. 
  3. After submitting this form, our health insurance consultant will contact you within 24 hours. Tell us your requirements for the tailor-made group health insurance policy. These include the type of policy, sum insured, and many more.
  4. After this we will get back to you with competitive quotes from New India health insurance and a few other insurers.
  5. After you decide on the insurer and accept the terms and conditions of the policy, you process the payment.
  6. The onboarding process is carried out within 24 hours of making the payment. 

For further information, write to us at support@getpaz.com or call our customer care at +91 78291 11300. Alternatively, connect with us on Whatsapp using the number +91 81973 79596.

Types of New India group health insurance plans

The New India has one group health insurance policy

New India Group Mediclaim Policy

To meet the requirements of an extensive customer base, the New India Assurance Company Limited offers a wide range of insurance products. One of those products is the Group Mediclaim Policy. The New India Group Mediclaim Policy provides coverage against medical or illnesses or injuries incurred by individuals during the policy term. All groups that include group of family members or group of employees are covered under this policy. It provides cover for nursing expenses, hospitalization expenses, cost incurred in day care treatments, etc.

Why choose New India group health insurance as your insurance partner?

With more than 20 health insurance players in the market, here is why you have to choose the New India group health insurance from Pazcare.

Pre-existing disease covered

With New India group health insurance, all your pre-existing diseases are covered after 48 months of the policy purchase.

Daycare procedures included

With New India group health insurance, daycare procedures are also covered. You get coverage for treatment that does not need hospitalization for 24 hours or more. 

Over 3000 offices

New India group health insurance has around 3000 office all over India. This makes New India one of the most easily accessible health insurance companies. 

Additional coverages

Some additional coverages include room and boarding charges, ICU expenses, doctor and consultant charges, cataract treatment, ayush treatment, ambulance charges, etc.  

Also Read: 5 Easy Steps To Get Group Health Insurance For Your Team

New India group health insurance claim settlement ratio

A health insurance claim settlement ratio (CSR) is the ratio between the number of claims settled to the number of claims made or requested in a financial year by the health insurance company. 

Hence, a CSR ratio can be calculated as

Claim settlement ratio = Number of claims settled/Number of claims made*100

Financial Year Claim settlement ratio
2019-20 92.68%
2018-19 103.19%

Network hospitals of New India group health insurance

All health insurance companies have a list of network hospitals or cashless hospitals, where one can claim cashless treatment. Larger the list of network hospitals, the higher the chances of finding a cashless network hospital near your location. New India group health insurance has around 2500+ network hospitals located in pan India. This makes sure that you can get high-quality treatment near your location and you will be able to file for a cashless claim.

Claim New India group health insurance

New India group health insurance cashless claim

With New India group health insurance you can make a cashless claim using the following steps.

Step 1: Search for nearest network hospital

Search and visit for the nearest network hospital with the best facilities to seek treatment according to your suitability.

Step 2: Produce health card

After visit the selected hospital, show your health card to the concerned authority there. The hospital will verify your identity details. Soon, a pre-authorization request to New India Assurance or the TPA will be sent. 

Step 3: Bills are settled

On successful approval of the request, the insurer settles the bills directly with the hospital.

New India group health insurance reimbursement claim

The insured person can file for a reimbursement claim if his/her request for the cashless claim has been rejected. Given below are the steps to follow:  

Step 1: Fill the claim form 

The claim form is filled by the policyholder.

Step 2: Submit documents

The relevant documents are submitted that include hospital bills, original discharge summary, reports and consumable bills. 

Step 3: Reimbursement processed

Once the documents are submitted, the insurer will review your documents and reject or approve the reimbursement claim request. This will be done as per the terms and conditions of your policy. Once approved, the claim will be settled in your bank account. You will be notified about the claim approval/rejection via SMS or your registered email.

You can also contact us at support@pazcare.com, to guide you through the whole process. We provide 24X7 claim assistance for your employees. 

New India group health insurance renewal process

The New India group health insurance can be renewed easily with Pazcare at end of your policy term. Here are the steps to renew your corporate insurance for employees.

Step 1: Get in touch with Pazcare. Submit a form containing details like your name, name of the company, number of employees you wish to insure, work email address and phone number.

Step 2: Once the form is submitted, our consultants will get in touch with you. Since this is not a fresh policy, you will have to submit the following documents.

  • Active data of the employees - name, age, gender
  • Claim analysis report
  • Claim dump report from the insurer/TPA
  • Policy copy

Step 3: You can choose additional add-ons to your existing policy like dental insurance riders, maternity insurance riders to your existing policy. Furthermore, with Pazcare one can choose additional health and wellness add-ons to your New India group health insurance. These add-ons include wellness and therapy sessions, unlimited doctor consultations, comprehensive check-ups, and many more.

Step 4: Our consultants will get back to you with the competitive quotes for your New India group health insurance.  Based on your claims report and the add-ons you choose, your health insurance premium may vary from the previous financial year.

Step 5: The next step is to agree to the terms and conditions of the policy and pay the premium for your New India group health insurance policy. The policy will be usually valid for a year after the renewal.

Step 6: The onboarding process will be carried out within 24 hours. During this period, our associate will get in touch with you and provide you with all the essential information to get started with your group health insurance. 

We make sure that your New India group health insurance experience will be seamless using our Pazcare dashboard. Your employees can access their policy using Pazcare’s employee app which is available on both the app store and the play store.

What is covered under your New India group health insurance?

Your group health policy is tailor-made according to your preferences. Here is what your New India group health insurance covers.

Room charges and domiciliary treatments

The New India group health insurance covers hospital room charges including nursing and boarding expenses. It also provides domiciliary charges in case of home hospitalisation. 

ICU and additional expenses

ICU expenses are covered in the New India group health insurance policy. Additional charges like surgical expenses, blood, anaesthesia, etc are also covered. 

Expenses for Pre and post-hospitalisation 

New India group health insurance provides cover for your pre and post-hospitalisation expenses which can be claimed 30 to 60 days respectively before getting hospitalised.

Ayush Treatment

Treatments through the Ayush regimen are covered by New India group health insurance. 

What is not covered under your New India group health insurance?

Cosmetic treatments

Cosmetic treatments like plastic surgery, liposuction, and botox are not generally covered in your group health insurance plan.

Gender-changing surgeries

Expenses due to gender-changing treatments or surgeries are excluded from your group insurance policy.

Self-harm injuries

Injuries due to self-harm, like suicide and hospitalisation expenses for the same are not covered in this policy.

Treatments for substance abuse

Treatment expenses due to substance abuse like drugs or alcohol are exempted from coverage in your New India group health insurance.

Injuries due to participation in dangerous sports

In case of participation in any dangerous sports and incurred injuries, the New India group health insurance policy does not cover the same. 

For more information, you can refer to the official policy guidelines. 

Cosmetic treatments

Cosmetic treatments like plastic surgery, liposuction, and botox are not generally covered in your group health insurance plan.

Gender-changing surgeries

Expenses due to gender-changing treatments or surgeries are excluded from your group insurance policy.

Self-harm injuries

Injuries due to self-harm, like suicide and hospitalisation expenses for the same are not covered in this policy.

Treatments for substance abuse

Treatment expenses due to substance abuse like drugs or alcohol are exempted from coverage in your New India group health insurance.

Health supplements

Cost of supplements like protein powders and other health tonics which are taken by individuals cannot be claimed in your group medical policy. However, these can be covered if the doctor recommends it as part of treatment during your hospitalisation. These are covered as per your policy terms.

New India group health insurance benefits

Additional benefit of free health check up

New India group health insurance provides to the policyholders at the end of every three claim-free years.

Cashless benefit

New India group health insurance plans are designed to help you overcome financial stress at the time of medical emergency. With the New India group health insurance plans, you can avail cashless treatment at more than 2,500+ network hospitals across India.

Incurred claim ratio

The rate of net claims paid by an insurance company to the net premium collected is known as the incurred claim ratio. It can be a good indicator of the overall value of each claim a company has paid for divided by the total sum of premium collected in the same duration. The incurred claim ratio of New India in the year 2019-20 has been 92.68% which is a very good indicator.   

Also Read: Group Health Insurance Schemes For Employees

New India group health insurance premium

The New India group health insurance premium is directly proportional to the risks involved. It is important to use New India group health insurance premium calculator to estimate the cost for your policy. There are also certain factors that influence your premium.

Average age 

The premium is calculated based on the average age of the people insured. The younger the age, the lower the premium. This is because the younger generation poses lesser health risks. 

Type of plan opted

Different types of group health insurance policies opted are employee only (E), employee+spouse+children (ESC) and employee+spouse+children+parents (ESCP) plans. The number of people covered under the ESCP plan is higher than the ones covered in the E plan. Hence, the premium will be higher when the scope of coverage is higher.

Nature of the job

The nature of the job one performs is also a factor considered to decide the annual premium. Jobs associated with more risks will have a higher premium compared to the lower-risk jobs. For instance, employees working in a factory will have higher group health insurance premiums than the ones working in the IT industry.

Sum insured

Sum insured is the maximum amount that an insurance company will pay you in case of any hospitalisation in a particular year. If the hospital expenses cross the sum insured, it will be paid by the policyholder itself. So the higher the sum insured, the higher the premiums paid towards the group health insurance policy.

Add-ons opted

The add-ons opted for say, maternity insurance riders, dental insurance riders along with the existing group health insurance policy will increase your group health insurance premium. The premium increases depending on the type of add-ons opted for.

Claims history

In the case of a group health insurance policy renewal, the claim history is considered to calculate the premium for that particular financial year. If the number of claims raised in a previous financial year is higher, then the premium towards the policy will increase during the policy renewal.

For instance, let a company named XYZ wants to renew their New India group health insurance policy for 2022. The premiums paid by them for 2021 were ₹25,000. If the number of claims raised during 2021 is higher than that of 2020, then the premiums for 2022 will be greater than ₹25,000.

Check Out: IFFCO Tokio Group Health Insurance?

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New India group health insurance claim process

1

Insurer is intimated

Intimate your claim to the insurer within 48 hours, in case of an emergency and at least 3 days prior in case of a planned hospitalisation.

2

Identity is to be verified

Provide the proof of identity - policy number/health insurance ID card, company ID and a valid unique govt. ID card

3

Pre-authorization form is to be submitted

Fill out the pre-authorization form and hand it over to the hospital

4

Claims are settled

Once the details are verified. The claim will be settled directly at the network hospital

1

Insurer is intimated

Intimate your claim to the insurer within 48 hours, in case of an emergency and at least 3 days prior in case of a planned hospitalisation.

2

Bills are to be settled

Settle all your bills and collect the original copies of hospital bills, doctor consultation reports and other essential documents.

3

Documents are to be submitted

Submit these original documents along with the claim form to the insurer.

4

Claim are settled

Once verified, the claim will be settled in your bank account directly.

New India group health insurance reviews

4.1 / 5

Rating based on
(6596 reviews)

Yashoda

4.5 / 5

The claim settlement process was way quicker than our previous insurance provider. Such an amazing team here at Pazcare.

Ganesh

4.5 / 5

Such engaging wellness programs offered by Pazcare. Highly recommend!

Shiwangi

5 / 5

Cashless claim process was super quick and hassle-free. Pazcare team helped us in every step. Thank you team Pazcare!

Jadhav

5 / 5

Pleasantly surprised by how quick the claim settlement process was. Extremely hassle-free. Highly recommend!

Abhyankar

5 / 5

The customer support team resolved all the problems and answered all our questions patiently. Great team!

Kartik

4.5 / 5

Right from the onboarding, I knew this was going to be the best insurance journey till now. Highly recommend!

Gopi

5 / 5

Experience is always amazing when the team is incredible. Thank you team Pazcare for such hassle-free insurance process.

Surendran

5 / 5

Never used such a smooth and user-friendly dashboard & app until this point. Pazcare has done amazing job with the dashboard. Keep up the good work!

4.6 / 5

Rating based on
(3023 reviews)

Yashoda

4.5 / 5

The claim settlement process was way quicker than our previous insurance provider. Such an amazing team here at Pazcare.

Shiwangi

5 / 5

Cashless claim process was super quick and hassle-free. Pazcare team helped us in every step. Thank you team Pazcare!

Jadhav

5 / 5

Pleasantly surprised by how quick the claim settlement process was. Extremely hassle-free. Highly recommend!

4.4 / 5

Rating based on
(2193 reviews)

Abhyankar

5 / 5

The customer support team resolved all the problems and answered all our questions patiently. Great team!

4.8 / 5

Rating based on
(913 reviews)

Kartik

4.5 / 5

Right from the onboarding, I knew this was going to be the best insurance journey till now. Highly recommend!

Gopi

5 / 5

Experience is always amazing when the team is incredible. Thank you team Pazcare for such hassle-free insurance process.

4.2 / 5

Rating based on
(1267 reviews)

Surendran

5 / 5

Never used such a smooth and user-friendly dashboard & app until this point. Pazcare has done amazing job with the dashboard. Keep up the good work!

Why buy a group health insurance
policy online from Pazcare?

  • Choose the suitable policy with our consulting approach
  • Custom-made plan with health and mental wellness add-ons
  • The tech-enabled Pazcare dashboard to manage endorsements
  • Integrate the dashboard with your HRMS tool

New India group health insurance customer care number

For any queries or assistance, reach out to us at any time. We provide 24X7 customer assistance.

New India group health insurance

Frequently asked questions around New India group health insurance

Who is the TPA for New India Assurance?

New India is tied up with 17 TPAs. You can find the details in the page above. 

Is New India Assurance a government company?

Yes, headquartered at Mumbai, India, New India Assurance is a 100 % Govt owned multinational general insurance company operating in 28 countries. 

Does New India Assurance cover laser surgery?

Yes. New India Assurance Health Insurance covers the cost of LASIK surgery. It is covered as a daycare treatment as laser surgeries not require more than 24 hours. It can be covered by a network hospital under cashless treatments. 

Who is the founder of New India Assurance Company Limited?

New India Assurance Company Limited was founded by Sir Dorab Tata from the house of TATAs and incorporated on 23rd July 1919.