THE NEW INDIA ASSURANCE CO. LTD.

(Government of India Undertaking)

New India Mediclaim Policy

UIN : NIAHLIP20108SV032960

Policy Schedule

Current Policy No 26863063067021 Current Policy Period From:29/04/2023 11:22:40 AM

To:28/04/2024 11:59:59 PM
Previous Policy No NA Previous Policy Period
Policyholder's Details
Policyholder Name Shaikh Mohammad Shafik Chand Customer ID HJJAKSHDH8
PAN Card No AHVOG9482S
Mobile No/Phone No 9728901286
Policyholder's address B-201 Sita Park, Email id
Laxmi Park, Naya Nagar,
Mira Road East, Mira-Bhayander,
Thane,
Maharashtra, 401107

Name of the Nominee MR CHAND SHAIKH

Relation with the Policy FATHER
holder
GSTIN NA
Policy Issuing Office and Intermediary Details
Office Name and Code BORIVALI D.O.- 140300 (140300) Office Contact No 02228999933

Office Email Id nia.140300@newindia.co.in Development Officer DIRECT BUSINESS NA NA

(2D6490083)
Name of the Mr. GANESH MAHADHU
Agent/Intermediary (NIAAG00069149)
Office Address A 102, BHATTAD TOWERS, Contact No. of 9821643611 / NA
KORA KENDRA RD, OFF S V ROAD, Agent/Intermediary
BORIVALI - WEST,,400092
E-mail id of Intermediary ganeshgund0@gmail.com, /
Regional Office MUMBAI R.O II (140000) GSTIN 27AAACN4185C3ZP
Regional Contact No 02226633200 SAC 997139 (Other non-life insurance services
excl RI)
Details Of TPA (Notice or Communication to be given in respect of claim)
Name of the TPA MEDI ASSIST INSURANCE TPA PVT.
LTD.
Email-id of the TPA Address of the TPA MEDI ASSIST INDIA TPA PVT. LTD.,
info@mediassistindia.com TOWER D, FOURTH FLOOR,,IBC
KNOWLEDGE PARK, 4/1,
BANNERGHATTA ROAD,,BANGALORE

Toll Free / Contact No of 18004259449

the TPA 18002089449 / 8049698000
Fax of TPA 18004259559

Highlights of New India Mediclaim Policy*

* Automatic reinstatement of Sum Insured for 5 Lakhs Sum Insured & above.
* Health Check Up for every block of 3 claim free years up to a
maximum of ` 5,000/-.
* Day one baby cover.
* Cumulative Bonus for claim free year.
* Optional Cover I: No Proportionate Deduction.
* Optional Cover II: Maternity Expenses Benefit for Sum Insured 5
Lakhs and Above.
* Optional Cover III: Revision in Limit of Cataract (For 8 Lakhs & above
Sum Insured).
* Room rent and ICU Charges at 1% and 2% of Sum Insured per day
respectively.
* Hospital Cash up to 1% of Sum Insured.
* Ambulance charges up to 1% of Sum Insured.
* Midterm inclusion of newly married spouse.
* Cataract claims, up to 20% of Sum Insured or ` 50,000 whichever
less, for each eye.
* Ayurvedic / Homoeopathic / Unani treatments are covered up to 25%
of the Sum Insured.
* For Pre Existing Diseases Waiting period is 48 Months as per clause
4.1 of the policy document.

Regd. & Head Office: New India Assurance Bldg., 87 M.G. Road, Fort, Mumbai - 400 001. TOLL FREE No. 1 800 209 1415.
Give your valuable feedback on https://www.newindia.co.in/portal/policyFeedbackGen.