Q1. What should I do if I am unable to inform New India Assurance within the specified time due to an emergency?

Ans: If you're unable to inform New India Assurance Company within the prescribed timeframe due to an emergency, you should notify them as soon as possible thereafter. Explain the circumstances that led to the delay. The insurer typically considers genuine reasons for late notification on a case-by-case basis.

Q2. What happens if my cashless claim is rejected at the hospital?

Ans: If a cashless claim is rejected, you may need to pay the hospital bills yourself and then file for reimbursement. It's crucial to understand the reason for rejection and contact New India Assurance immediately for guidance on the next steps.

Q3. Is there a specific time limit for submitting post-hospitalization treatment documents?

Ans: Yes, for post-hospitalization treatment claims, all necessary documents should be submitted to the TPA within seven days of completing the treatment.

Q4. Why is a medical examination necessary for my insurance claim?

Ans: A medical examination is often required to validate and support your claim. It's conducted by a practitioner authorized by the insurer and is a standard procedure in certain claim scenarios. This examination is typically covered by the insurance company, ensuring no additional cost to you.

Q5. Is there a limit to the number of claims I can make in a year?

Ans: Generally, there is no limit to the number of claims you can make in a year, as long as the total claim amount does not exceed your sum insured. However, policy terms may vary, so it's best to check with your insurer. Policybazaar customers can also reach out to Policybazaar for assistance and clarification on their policy's terms.

How to File a Claim with New India Assurance Health Insurance

How to File a Claim with New India Assurance Health Insurance?

The New India Assurance Co. Ltd. offers a streamlined and effortless claim procedure, aiming for a swift and satisfactory resolution of your health claims. The company's dedicated team works diligently to respond quickly to all claim requests, ensuring a smooth experience for policyholders. This commitment to efficiency is evident in their transparent process and the support provided at every step. For those insured under the New India Assurance health insurance, this guide will provide you with comprehensive details about their claim process, including key steps and necessary documentation.

Ways to File a New India Assurance Health Insurance Claim

The New India Assurance Co. Ltd. presents its policyholders with two convenient options for claim submission, catering to different healthcare situations: cashless and reimbursement claims.

Cashless Claims

The New India Assurance Co. Ltd. simplifies the cashless health insurance claim process within its vast network of partner hospitals. This option allows policyholders to avail medical services without the need for immediate payment, providing relief and ease, especially in urgent situations. The procedure is designed to be quick and efficient, ensuring a hassle-free experience.
Reimbursement Claims

When receiving treatment at non-network hospitals, New India Assurance offers an easy reimbursement claim procedure. Policyholders pay the hospital bills upfront and later claim these expenses back from the insurer. This method offers the flexibility of choosing from a wide range of hospitals, meeting diverse healthcare needs.

How to File a New India Assurance Health Insurance Claim Online with Policybazaar?

Policybazaar customers can easily initiate a claim online for New India Assurance health insurance by following these steps:

Step 1: Promptly inform Policybazaar's claim support team about your hospitalization. Contact them at 1800-258-5881 or email care@policybazaar.com.

Step 2: Alternatively, log into your account on Policybazaar.com and navigate to the ‘File a New Claim’ section under the ‘Claims’ tab.

Step 3: Choose ‘Health Insurance’ and log in using your mobile number and OTP/password.

Step 4: Adhere to the given instructions and select ‘File a new claim’.

Once you complete these steps, your claim will be filed, and Policybazaar will liaise with The New India Assurance Co. Ltd. on your behalf.

How to File a Claim with New India Assurance Health Insurance

Navigating the claim process with New India Assurance Health Insurance involves understanding both cashless and reimbursement claim procedures:

New India Assurance Health Insurance Cashless Claim Process:

Outlined below are the detailed steps for initiating a cashless claim with New India Assurance Health Insurance:

Immediate Notification to TPA/ Insurer

Notify the Third-Party Administrator (TPA), or the New India Assurance Company in writing immediately upon detection of an illness/injury, or at least forty-eight hours before hospitalization. In the event of a medical emergency that results in hospitalization, it is essential to notify within twenty-four hours.

Present Necessary Identification

Show your New India Assurance ID card at the network hospital's insurance desk. This is crucial for verifying your policy and expediting the approval of your cashless treatment.

Submit the Pre-authorization Form

Fill and submit the pre-authorization form along with the doctor’s consultation notes. The network hospital then liaises with New India Assurance to initiate the claim process on your behalf.

Processing of the Claim

The insurer examines the submitted documents and proceeds to authorize the cashless treatment.

Settling the Claim

Once your treatment is over, the hospital sends the incurred bills to the insurer. The New India Assurance Company assesses these bills and settles the payment directly, alleviating your financial burden.
New India Assurance Health Insurance Reimbursement Claim Process:

Following is a comprehensive guide on how to proceed with a reimbursement claim with New India Assurance Health Insurance:

Notify the Insurer

Inform New India Assurance immediately or at least 48 hours prior to hospitalization, upon detecting any illness or injury. Report your hospital admission to New India Assurance within 24 hours. Prompt notification is important for a seamless claim process and to avoid any potential delays.

Settle the Bills

Receive your treatment and settle all associated bills at the time of discharge.

Collect All Documents

Gather all necessary medical documents, bills, and receipts before leaving the hospital.

Complete the Claim Form

Accurately fill out the claim form available on New India Assurance Company’s website. Providing complete and correct information in the claim form is essential for a smooth claim processing experience.

Submit the Required Documents

After discharge, promptly submit all relevant documents to the insurer within seven days. Timely submission of these documents is key to ensuring that your claim is processed without unnecessary delays.

Compliance with Medical Examination

If required, allow an examination by an Insurer-authorized medical practitioner, with the cost covered by the insurer.

Claim Reimbursement

The insurance company assesses all submitted documents and then processes the reimbursement.

Documents Required to File a New India Assurance Health Insurance Claim

To file a reimbursement claim with New India Assurance Health Insurance, it is essential to submit the following documents:

Claim Form Duly signed
Copy of the claim intimation, if any
Hospital Main Bill
Hospital Break-up Bill
Hospital Bill Payment Receipt
Hospital Discharge Summary
Pharmacy Bill
Cash Memos from the Hospitals (s)/Chemists (s)
Operation Theatre Notes
Surgeon's certificate stating nature of operation performed
Surgeons' bill and receipt
ECG
Doctor's request for investigation
Investigation Reports (Including CT /MRI/USG/HPE)
Doctor's Prescriptions
FIR/MLC/Self-declaration (for accident cases)
NEFT and KYC details

FAQs

Q1. What should I do if I am unable to inform New India Assurance within the specified time due to an emergency?

Ans: If you're unable to inform New India Assurance Company within the prescribed timeframe due to an emergency, you should notify them as soon as possible thereafter. Explain the circumstances that led to the delay. The insurer typically considers genuine reasons for late notification on a case-by-case basis.
Q2. What happens if my cashless claim is rejected at the hospital?

Ans: If a cashless claim is rejected, you may need to pay the hospital bills yourself and then file for reimbursement. It's crucial to understand the reason for rejection and contact New India Assurance immediately for guidance on the next steps.
Q3. Is there a specific time limit for submitting post-hospitalization treatment documents?

Ans: Yes, for post-hospitalization treatment claims, all necessary documents should be submitted to the TPA within seven days of completing the treatment.
Q4. Why is a medical examination necessary for my insurance claim?

Ans: A medical examination is often required to validate and support your claim. It's conducted by a practitioner authorized by the insurer and is a standard procedure in certain claim scenarios. This examination is typically covered by the insurance company, ensuring no additional cost to you.
Q5. Is there a limit to the number of claims I can make in a year?

Ans: Generally, there is no limit to the number of claims you can make in a year, as long as the total claim amount does not exceed your sum insured. However, policy terms may vary, so it's best to check with your insurer. Policybazaar customers can also reach out to Policybazaar for assistance and clarification on their policy's terms.

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Health insurance companies

View more insurers

Disclaimer: The list mentioned is according to the alphabetical order of the insurance companies. Policybazaar does not endorse, rate or recommend any particular insurer or insurance product offered by any insurer. For complete list of insurers in India refer to the Insurance Regulatory and Development Authority of India website www.irdai.gov.in

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Corona Kavach Policy