GOOD HEALTH POLICY

Good Health Policy

Good Health Policy offers you and your family a complete protection plan for your peace of mind. It offers the benefits of medical insurance, daily cash benefit and personal accident coverage in a single policy. Good health policy is brought to you by The New India Assurance Company Limited.

Top reasons to apply for Good Health Policy

  • Covers the entire family at a nominal cost with Cashless Hospitalisation benefits with 5,000+ network hospitals facility
  • Applicants less than 60 years of age do not require any medical examination
  • Pre-existing diseases covered after 4 years of continuous claim free coverage

Types of Insurance Covers under Good Health Policy

Mediclaim Policy

Good Health Mediclaim Policy

The Good Health Mediclaim Policy takes care of your health needs and brings you Cashless Access, a unique programme that manages your medical expenses without you having to pay! This comprehensive policy is brought to you by the New India Assurance company Ltd.

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Good Health Mediclaim Policy ensures that all medical expenses incurred by you at any one of the Third Party Administrator (TPA) network hospitals will be taken care of directly by them. This Cashless Access policy covers all your planned and emergency hospitalisation expenses.

Assume you have been hospitalised for surgery and incurred the following expenses:

Room board and nursing expenses Rs.30,000 (@ Rs.3,000/day for 10 days)
IC expenses Rs.18,000 (@ Rs.6,000/day for 3 days)
Associated drug and doctor fees
Surgeon and anesthetist fees Rs.50,000
Drugs, oxygen, blood, etc. Rs.52,000
Total Rs.1,50,000

Under a Good Health Mediclaim Policy with Sum Assured of Rs.3,00,000. This amount will be paid directly by TPA to the hospital.

Under this policy, you will be provided with an identity card for each insured member. You will also be provided with a detailed booklet to guide you through the insurance process and its benefits, including a complete list of TPA Network hospitals. In the absence of Photo ID Card, the insured person, while availing Cashless Access, has to prove his/her identity by means of any photo identification such as voters ID Card, driving license or a Citibank PhotoCard.

In case the need for planned hospitalisation arises, all you need to do is contact TPA with a request for pre-authorisation. Furnish details such as nature of illness/disease, hospital where you intend to be treated, estimated costs, etc. On receiving this, TPA will respond within 72 hours by notifying you and the hospital with the relevant details. On admission, all you have to do is submit the authorisation letter and your identity card at the hospital's admission counter.

In case of emergency hospitalisation, the network hospital where you are undergoing treatment will send TPA an application for the relevant authorisation needed to pay for your treatment. TPA will revert within 6 hours of the receipt of this authorisation request. However, if you are admitted to a non-network hospital, you will be reimbursed for your medical treatment as per policy terms and conditions.

This policy is designed to pay for hospital/treatment expenses as per the plan opted. The cover includes charges towards:

  • Consultation fees, tests, surgery expenses.
  • Medicines, blood, oxygen, etc.
  • Hospital room charges, nursing and intensive care.

If you are already covered under Mediclaim (even with the same or other insurance company) which expires on or after the policy start date, your cover takes effect immediately, without any waiting period. Otherwise, your cover takes effect after a standard waiting period of 30 days.

Yes, if the age of the person insured is below 60 years, you can. However, the increased benefits are not applicable for those illnesses/diseases/disabilities suffered during previous policy periods. The claim for the said illnesses/diseases/disabilities if admitted shall be processed as per the previous year's policy limits only.

Age profile for increase of Sum

  • Insured up to 60 years can shift to any plan.
  • Between 61 to 65 years can opt for increase in sum insured by one slab.
  • Persons above 65 years - Sum insured increase is not allowed, can renew policy life long for same sum Insured.

This is a unique opportunity to cover the entire family at a nominal cost, with the added matchless benefits of automatic renewal and cashless facility.

You will have to get in touch directly with TPA, the third party administrator, Citibank not get involved in any manner whatsoever. You will also undertake to intimate TPA, fill up the Claim Form and support claims with appropriate documents as per the normal procedure laid down by the Insurance Company/TPA.

For Policies commencing from 1/11/2012 onwards (both fresh & renewal)
M/s M.D.India Health Services (TPA) Pvt Ltd.
You can contact MD India by mailing to Citibank.chennai@mdindia.com

Chennai Hub address for servicing Citibank Customers
M/s M.D.India Health Services (TPA) Pvt Ltd.
Mount Casa Blanca Building, 3rd Floor,
260, Anna Salai, Chennai 600 002.

Personal Accident Insurance Policy

Good Health Personal Accident Insurance Policy

The Good Health Personal Accident Insurance Policy is brought to you by The New India Assurance company Ltd. This policy has a worldwide personal accident coverage that gives you extra protection from not only loss of life in accidents but also permanent disablement due to accidents. It also provides reimbursement of medical expenses following accidental permanent disablement or death.

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Accidents do not always result in loss of life. Loss of eye, limbs or fingers could also happen. Such instances (in addition to loss of life) are also covered.

The insurance benefits uniformly take effect for everybody from the day the policy begins, that is, from the first of the month following the date you register for your policy. You will receive insurance certificates within 6 weeks of the policy start date.

In case of claims or insurance certificates not received after the specified date, kindly get in touch with the New India Assurance Company Ltd., at the address given below:

Senior Divisional Manager,
The New India Assurance Co. Ltd.,
Allied's Mount Casa Blanca,
No. 260, II floor, Anna Salai, Chennai - 600 006.
Telephone: 2345 6824, 2345 6826, 2345 6827
Telefax: 2345 6825 or
mail to nia25@vsnl.com or nia.712500@newindia.co.in
visit www.nia25.com

Using the Cashless Facility, you can walk into any of the networked hospitals, get treated, and walk out without having to pay any of the hospitalisation or medical bills. TPA has tied up with more than 5000+ network hospitals across the country for providing you cashless access. This relaxes you from the hassles of having to pay your bills first and then claiming them from the insurance company as with other medical policies.

  1. TPA will automatically settle your hospitalisation bills subject to the policy you have taken, if the hospital is a network hospital. However, if the hospital you have chosen to get treated in is not part of the network, you will be reimbursed subject to the policy you have taken. In case of emergency, the entire authorisation process would be taken care of by the hospital, and the hospitalisation expenses approved within 6 hours.
  2. To facilitate Cashless Access, TPA will provide you with a non-photo identity card, a booklet to guide you through the process, along with a list of hospitals in the network in your area. To avail Cashless Access, the insured has to prove his/her identity by means of any photo identification such as Voters ID Card, Driver's License or a Citibank PhotoCard.

As per Section 80-D of the Income Tax Act, you are entitled to claim Income Tax deduction up to a maximum amount of Rs.15,000 for premium paid towards self, spouse and dependant children.

In case of premium paid towards dependant parents you can avail an additional benefit up to Rs.15,000 and if they are senior citizens the benefit is extended up to Rs.20,000 in a financial year.

*Any premium paid towards the Good Health Policy will be eligible for Income Tax benefits under Section 80-D of the Income Tax Act, in the assessment year in which the premium is paid. The above exemption is as per the Income Tax Act 1961 and is subject to change as per amendments made there from time to time.

Good Health Mediclaim Premium paid in respect of extended family (In-laws / brother / sister) and Personal Accident Premium are not eligible for consideration for Income Tax benefit.

Disclaimers:

Insurance products are obligations only of the Insurance Company. They are not bank deposits or obligations of or guaranteed by Citibank N.A., Citigroup Inc. or any of its affiliates or subsidiaries or any Governmental agency. All Claims under the policy will be solely decided upon by the Insurance Company. Citibank, Citigroup or any of their affiliates and group entities hold no warranty and do not make any representation about the insurance, the quality of claims processing and shall not be responsible for claims, recovery of claims, or for processing of or clearing of claims, in any manner whatsoever. Insurance is the subject matter of solicitation. This document does not constitute the distribution of any information or the making of any offer or solicitation by anyone in any jurisdiction in which such distribution or offer is not authorized or to any person to whom it is unlawful to distribute such a document or make such an offer or solicitation. Investment products are not available to US persons and may not be available in all jurisdictions.

IRS Circular 230 Disclosure: Citigroup, Inc. its affiliates, and its employees are not in the business of providing tax or legal advice to any taxpayer outside of Citigroup, Inc. and its affiliates. This letter and any attachments are not intended or written to be used, and cannot be used or relied upon, by any such taxpayer for the purpose of avoiding tax penalties. Any such taxpayer should seek advice based on the taxpayer's particular circumstances from an independent tax advisor.

Tax benefits are subject to changes in the tax laws.

The Good Health Policy is made available through Citicorp Finance (India) Limited. Citicorp Finance (India) Ltd is the Corporate Agent of the New India Assurance Company Ltd. Bearing license number 6055699. Insurance cover described is offered by the insurance company named.

This policy is underwritten by New India Assurance Company Limited with its registered office 87, MG Road, Fort Mumbai - 400001.

For more details on risk factors, terms and conditions please read the sales brochure carefully before concluding the sale.

SECTION 41 OF THE INSURANCE ACT 1938 PROHIBITION OF REBATES

No person shall allow or offer to allow either directly or indirectly as an inducement to any person to take out or renew or continue an Insurance in respect of any kind of risk relating to lives or property in India any rebate of the whole or part of the commission payable or any rebate of the premium shown on the policy nor shall any person taking out or renewing or continuing the Policy accept any rebate except such rebate as may be allowed in accordance with the published prospectus or tables of the Insurer.

If any person fails to comply with regulation above he shall be liable to payment of fine, which may extend to five hundred rupees.

This web page is intended only for Citibank customers. Any and all facilities/services/offers mentioned on this web page are subject to specific Citibank N.A. terms and conditions. You are advised to contact Citibank N.A. to obtain and understand the applicable terms and conditions and/or any questions you may have with regard to any information contained on this web page. Citibank N.A. does not guarantee the accuracy, adequacy or completeness of any information on this web page and is not responsible for any errors or omissions or for results obtained from the use of such information as contained on this web page. Citibank N.A., Citigroup and/or any of their affiliates/associates have no liability whatsoever to any person on account of the use of information provided herein and the said information is provided on a best-effort basis. Citibank has the right to modify or drop facilities/services/offers mentioned on this web page at any time without assigning any reason whatsoever.