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💜🏥 Health Insurance· the insurer· Young India Mediclaim PLUS· Age 18–43

the insurer's Premium Health Policy for Young India — Actual Single AC Room Charges — 2 Deliveries + Infertility — Domestic Travel Benefit — 10% Cumulative Bonus/Year — Instalment Premium — No Pre-Medical — No Room Rent Cap —
National Young India Mediclaim Plus Policy, the insurer

is the insurer's premium health policy for young adults aged 18–43 — going beyond the standard NYIMP with actual single AC room charges (no room rent cap), infertility treatment coverage, 2 maternity deliveries (vs NYIMP's 1), domestic travel benefit, and a 10%/year cumulative bonus reaching 40% in just 4 years. Instalment premium available. The same young-adult focus, elevated coverage.

✅ Actual Single AC Room — No Room Rent Cap✅ Maternity: 2 Deliveries + Infertility✅ Domestic Travel Benefit✅ CB: 10%/Year — Max 40% (4 Years!)✅ Premium: Half-Yearly / Quarterly Instalments✅ No Pre-Medical Check-Up Required✅ 45-Day Pre + 60-Day Post Hospitalisation✅ PED: 36 Months· HIV· Mental Illness· Modern Treatments
IRDAI· 022 4302 0000  |  IRDAI Licensed Broker — Lic. No. 528
🏨Actual Single AC RoomNo Room Rent Cap· ICU Actual Charges
🤰2 Deliveries + Infertilityvs NYIMP's 1 delivery only
📈10% CB/YearMax 40% in just 4 years
📞 Quote 022 4302 0000
An IRDAI Licensed Insurance Broker

the insurer Health· (3×)· the insurer Page

What is the National Young India Mediclaim Plus Policy ?

"National Young India Mediclaim Plus Policy is an Indemnity Health Insurance Policy and can be issued on Individual or Floater basis. The Policy covers expenses incurred due to Hospitalisation for In-Patient Care (Allopathy, Ayurveda and Homeopathy) or Day Care Treatment which has been reasonably and customarily incurred for treatment of an Illness contracted/Injury sustained during the Policy Period." is the premium version of the insurer's Young India health product — adding no-cap room charges, infertility, a second maternity delivery, domestic travel benefit, and a faster cumulative bonus structure.

NICMirror· NYIMP/ Comparison· Scribd PDF Summary

  • "The Policy provides for Pre Hospitalisation (45 days) and Post Hospitalisation (60 days) expenses, any Day Care Procedures, Ambulance Charges, Morbid Obesity Treatment, Correction of Refractive Error, Maternity and Infertility Cover, Reinstatement of Basic Sum Insured and Domestic Travel, if applicable as per terms. Additionally Optional Cover is also available."
  • "No pre-policy health checkup is required. Actual room charges for lowest Single AC room and actual ICU charges are payable. Pre & Post Hospitalization Cover - for 45 days and 60 days respectively. Treatment for mental illness, HIV/AIDS, Modern Treatments, Morbid Obesity, Refractive error are covered after appropriate waiting periods. Pre-existing diseases (PED) covered after a period of 3 years only. Premium can be paid in installments (half yearly/quarterly). Good Health Incentive - Cumulative Bonus (CB) to increase by 10% of SI up to maximum 40% of SI, for claim free policy years."
  • : "Actual room charges for lowest Single AC room and actual ICU charges are payable." NYIMP: Room rent per Table of Benefits (sub-limits apply). This single line defines the fundamental pricing difference — removes the room rent cap entirely for single AC accommodation.
  • "The National Young India Mediclaim Plus Policy provides maternity coverage for up to two deliveries, including pre-natal, post-natal, and childbirth (caesarean or normal) expenses. It also covers newborn care and vaccination costs." NYIMP: 1 delivery lifetime.: 2 deliveries — a crucial difference for couples planning two children.
  • CB structure — uniquely different:: CB increases by 10% of SI per claim-free year, maximum 40% of SI. NYIMP: CB increases by 5% of SI per claim-free year, maximum 50% of SI. reaches maximum CB in 4 claim-free years. NYIMP needs 10 claim-free years to reach maximum.
Key Features — What Makes the Premium Young India Choice
🏨

Actual Single AC Room — No Cap

"Actual room charges for lowest Single AC room and actual ICU charges are payable." has NO room rent sub-limit — the biggest differentiator from NYIMP. Stay in any single AC room at network hospitals without proportionate deduction. For metro hospitals where rooms cost ₹6,000–₹15,000/day, this eliminates the largest source of out-of-pocket expense.

No Room Rent Cap
🤰

2 Deliveries + Infertility

"Maternity and Infertility Cover.Maternity coverage for up to two deliveries." covers two maternity events (vs NYIMP's one) and adds infertility treatment — making it the only the insurer young adult policy that fully supports couples planning a complete family of two children.

2 Deliveries + Infertility
✈️

Domestic Travel Benefit

"Domestic Travel, if applicable as per terms." includes a domestic travel benefit — covering certain medical expenses incurred while travelling within India. Unique to — not available in NYIMP, NMP, or ASP. Ideal for young professionals who travel for work.

Only in
📈

10%/Year CB — Max 40% in 4 Years

"Good Health Incentive - Cumulative Bonus (CB) to increase by 10% of SI up to maximum 40% of SI, for claim free policy years." At 10%/year, reaches maximum CB in just 4 claim-free years. NYIMP takes 10 years to reach its 50% maximum. Faster CB accumulation at higher annual rate.

Max CB in 4 Years
💰

Instalment Premium Available

"Premium can be paid in installments (half yearly/quarterly)." Unlike many the insurer health products that require annual payment, allows half-yearly or quarterly instalment payments — reducing the upfront financial burden for young families managing monthly budgets.

Half-Yearly / Quarterly
🩺

No Pre-Medical Check-Up

"No pre-policy health checkup is required." Like NYIMP, requires no pre-acceptance medical check-up for anyone aged 18–43. Buy online without clinic visits. Fully digital purchase experience for the insurer's young adult segment.

Zero Medical Tests

The Critical Choice· vs NYIMP· What the Plus Gets You· When the Upgrade is Worth It

vs NYIMP — The Five Differences That Drive the Choice

NYIMP (National Young India Mediclaim Policy) and (National Young India Mediclaim Plus Policy) target the same 18–43 age group. The differences are targeted — room rent, maternity count, infertility, domestic travel, and CB structure. Understanding these five differences makes the right choice clear.

🔥 NYIMP — Standard (Entry)

  • ⚠️ Room rent: Sub-limit per Table of Benefits (e.g. 1% of SI/day)
  • ⚠️ ICU: Sub-limit per Table of Benefits
  • ✅ Maternity: 1 delivery per lifetime
  • ❌ Infertility treatment: Not covered
  • ❌ Domestic travel benefit: Not included
  • ✅ Cumulative bonus: 5%/year· Max 50% (10 years)
  • ✅ CB maximum: 50% of SI
  • ✅ Personal Accident: Built-in (100% SI)
  • ✅ Pre-medical: Not required
  • ✅ Reinstatement: ₹5L+ plans
  • ✅ Premium: Annual only
  • ✅ Entry age: 18–43

💜 — Plus (Premium)

  • ✅ Room rent: Actual lowest single AC room charges (NO CAP)
  • ✅ ICU: Actual ICU charges (NO CAP)
  • ✅ Maternity: 2 deliveries (families planning 2 children)
  • ✅ Infertility treatment: Covered (waiting period applies)
  • ✅ Domestic travel benefit: Included
  • ✅ Cumulative bonus: 10%/year· Max 40% (4 years!)
  • ⚠️ CB maximum: 40% of SI (lower absolute % but faster)
  • ✅ Premium: Half-yearly or quarterly instalments
  • ✅ Pre-medical: Not required
  • ✅ Reinstatement: ₹5L+ plans (same as NYIMP)
  • ✅ Entry age: 18–43 (same)
  • ✅ PED wait: 36 months (same)

💡 The Decision Framework: When is Worth the Premium Over NYIMP

the insurer· Same Age Structure as NYIMP· 18–43· Individual and Floater

Eligibility — Who Can Be Insured Under

follows the same eligibility structure as NYIMP — entry age 18–43 for proposer and all family members, no pre-medical check-up required at any age within the band. Both individual and floater options available. Children from 3 months covered with parents.

👤 Proposer Age: 18–43 Years

Proposer must be aged 18–43 at policy entry. Lifelong renewability after that — no upper age limit on renewal. The 43-year ceiling is an ENTRY requirement only. Once covered, a 43-year-old policyholder renews into their 50s, 60s, and beyond.

18–43 Entry· Lifelong Renewal

👨‍👩 Family: Max 43 at Entry

All family members — spouse, children, any others — must be ≤43 years at the time of entry into the policy. Spouse: can be added mid-term within 60 days of marriage. Children: from 3 months, provided parent(s) insured. Children covered till marriage.

All Members ≤43

🩺 No Pre-Medical Check-Up

"No pre-policy health checkup is required." No clinic visits, no diagnostic tests, no medical reports required for purchase at any age within the 18–43 band. Fully frictionless online purchase.

Zero Tests Required

💰 Instalment Premium

"Premium can be paid in installments (half yearly/quarterly)." allows half-yearly or quarterly payment — breaking the annual premium into manageable instalments without loss of coverage. Grace period: 30 days from instalment due date.

Half-Yearly / Quarterly

Core Coverage + -Exclusive Benefits

What Covers — Core Coverage Scope

covers all the core health benefits of NYIMP — inpatient hospitalisation, day care, pre/post hospitalisation, AYUSH, ambulance, HIV/AIDS, mental illness, modern treatments, morbid obesity, refractive error — PLUS the -exclusive benefits: no room rent cap, infertility, second delivery, domestic travel. All confirmed from the insurer's page.

🏨 Inpatient — Actual Single AC Room

"Actual room charges for lowest Single AC room and actual ICU charges are payable." No sub-limit on room rent or ICU for single AC accommodation. Choose any single AC room at any network hospital without risk of proportionate deductions. The most significant advantage over NYIMP.

No Cap· Single AC Room

📅 Pre + Post Hospitalisation: 45 + 60 Days

"Pre & Post Hospitalization Cover - for 45 days and 60 days respectively." 45 days of pre-hospitalisation costs (same condition) and 60 days of post-discharge costs covered.

45 Days + 60 Days

⚡ Day Care Procedures

All Day Care Procedures — medical treatments or surgical procedures requiring less than 24 hours hospitalisation due to technological advancement. Confirmed included in. All 140+ standard day care procedures covered.

All Day Care

🌿 AYUSH Treatment

Ayurveda and Homeopathy treatment expenses covered up to Sum Insured, provided treatment is undergone in an AYUSH Hospital. Same as NYIMP — full SI available for AYUSH hospitalisation.

Up to SI· AYUSH Hospital

❤️ HIV/AIDS — All Stages

"Treatment for.HIV/AIDS.covered after appropriate waiting periods." HIV/AIDS hospitalisation at all three stages (acute, latency, AIDS) covered. Waiting period applies. Same coverage as NYIMP but confirmed in as well.

All Stages· Waiting Period

🧠 Mental Illness

"Treatment for mental illness.covered after appropriate waiting periods." Inpatient psychiatric treatment under a qualified psychiatrist: covered. Depression and Schizophrenia: 2-year waiting period. Counselling/psychotherapy without hospitalisation: excluded.

Inpatient· Waiting Period

🤖 Modern Treatments

"Modern Treatments.covered after appropriate waiting periods." 12 modern treatments (robotic surgery, HIFU, oral chemotherapy, stem cell therapy, intravitreal injections, etc.) covered at 25% of SI per treatment per policy period. Same structure as NYIMP.

25% SI Each· 12 Treatments

⚖️ Morbid Obesity + Refractive Error

"Morbid Obesity, Refractive error are covered after appropriate waiting periods." Bariatric surgery (BMI ≥40 / ≥35 with co-morbidities): 4-year wait. Refractive error correction ≥7.5D: 2-year wait. Both covered as in NYIMP.

Both Covered· Waiting Periods

🔄 Reinstatement of SI (₹5L+)

"Reinstatement of Basic Sum Insured." For Basic SI ₹5L and above: if SI exhausted in the policy year, Basic SI reinstated once for new illnesses/injuries. Excludes 11 defined Critical Illnesses. Same mechanics as NYIMP.

₹5L+ Plans· Once per Year

🚑 Ambulance Charges

Transportation to hospital, hospital-to-hospital, hospital to diagnostic centre and return — covered up to the ambulance limit in the Table of Benefits, provided a hospitalisation claim under inpatient cover is admitted.

Emergency + Transfer

's Most Critical Upgrade Over NYIMP· 2 Deliveries· Infertility Covered· 24–36 Month Wait

Maternity + Infertility — 's Defining Family Planning Advantage

"Maternity and Infertility Cover.The National Young India Mediclaim Plus Policy provides maternity coverage for up to two deliveries, including pre-natal, post-natal, and childbirth (caesarean or normal) expenses. It also covers newborn care and vaccination costs.The policy must be active continuously for 24 to 36 months, depending on the plan version."

🤰 First & Second Delivery — Both Covered

covers up to 2 deliveries (normal or caesarean) — confirmed from. This is the defining maternity difference from NYIMP (which covers only 1 lifetime delivery). For couples planning two children, provides continuity through both pregnancies under the same policy without product switching.

2 Deliveries

🌡️ Pre-Natal + Post-Natal Expenses

Pre-natal hospitalisation expenses and post-natal hospitalisation expenses per delivery: covered up to the maternity benefit limit. The maternity benefit covers the hospitalisation event for delivery and related pre/post-natal admissions — not routine OPD antenatal check-ups.

Per Delivery· Hospitalisation

👶 Newborn from Birth — 3 Months + Vaccination

Newborn baby is automatically covered from birth under the maternity benefit limit for up to 3 months, including vaccination costs. Hospitalisation is NOT required for vaccination — the only non-hospitalisation expense explicitly covered under 's maternity section.

From Birth· No Hosp. for Vaccination

🧪 Infertility Treatment — Exclusive to

"Infertility Cover." Infertility treatment (IVF, IUI, and related assisted reproductive technologies) covered under. Waiting period applies. This benefit is completely absent from NYIMP — making the only the insurer young adult product that covers couples undergoing assisted conception.

Only in

⏰ Maternity Waiting Period

"The policy must be active continuously for 24 to 36 months, depending on the plan version." maternity waiting period: 24 months (same as NYIMP for maternity). Infertility waiting period: confirm with Probitas (022 4302 0000) — likely 2–3 years. Plan purchase date accordingly for your family timeline.

24-Month Wait (Maternity)

🏥 Caesarean Section — Fully Covered

"Maternity coverage for up to two deliveries, including pre-natal, post-natal, and childbirth (caesarean or normal) expenses." Both normal and C-section deliveries covered under 's maternity benefit. Complicated deliveries also covered. Ectopic pregnancy: under main inpatient benefit (full SI, not maternity sub-limit).

Normal + C-Section Both
🔑

The Two-Child Planning Advantage: Why 's 2-Delivery Limit Changes Everything

  • The NYIMP constraint:NYIMP covers 1 delivery per lifetime per insured person. After the first covered delivery, if the same insured person becomes pregnant again, NYIMP does not cover the second delivery. To get the second maternity covered, the policyholder would need to port to NMPP or another policy — disrupting continuity benefits, re-starting waiting periods on some conditions, and creating complexity.
  • 's solution: covers up to 2 deliveries per insured person under the same policy. Both pregnancies — including C-section, newborn coverage, and vaccination for both babies — are covered under one continuous policy. No switching, no portability complexity, no re-started waiting periods. Buy once; cover your complete family plan.
  • For couples planning 2+ years of spacing:Buy as early as possible to serve the 24-month maternity wait before the first pregnancy. Space children appropriately. Both deliveries are covered under the same policy — ideally purchased at 22–25 years so both maternity events fall well within the coverage window.

Exclusive· Domestic Travel Benefit· Unique in the insurer's Young India Portfolio

Domestic Travel Benefit — Unique to

"Domestic Travel, if applicable as per terms." includes a domestic travel benefit — covering medical expenses incurred during travel within India. This is one of the most unique features of, not available in NYIMP, NMP, NMPP, ASP, or NSTUMP.

✈️

Domestic Travel Benefit — What It Covers and Who Benefits Most

  • What it covers:"Domestic Travel, if applicable as per terms" The benefit covers certain medical expenses arising during domestic travel within India. The specific scope, limits, and qualifying conditions are detailed in the policy wording — call 022 4302 0000 for exact terms. Typical domestic travel benefits in health policies cover: emergency hospitalisation at non-network hospitals while travelling, accidental medical expenses during travel, ambulance during travel, and emergency evacuation.
  • Who benefits most:Young professionals who frequently travel between cities for work (Bengaluru–Mumbai–Delhi routes). Families who travel for work in non-metro locations where primary the insurer network hospitals may not be accessible. Individuals visiting family in different states who want health coverage active during travel. The 18–43 target demographic is India's highest-frequency domestic traveller cohort.
  • Confirm exact terms:The specific limits, qualifying events, and claim process for the domestic travel benefit vary by policy version and may be subject to update. Call Probitas at 022 4302 0000 for the current domestic travel benefit scope, limits, and claim procedure. This benefit is the least-detailed feature in publicly available sources and requires direct confirmation with the insurer/Probitas.

the insurer· 10%/Year vs NYIMP's 5%/Year· Max 40% in 4 Years vs 50% in 10 Years

Cumulative Bonus — 's 10%/Year Structure Reaches Maximum in Just 4 Years

"Good Health Incentive - Cumulative Bonus (CB) to increase by 10% of SI up to maximum 40% of SI, for claim free policy years." This is the most structurally different feature between and NYIMP. 's CB is twice as fast but caps at a lower percentage. Understanding which structure benefits you more is critical to the product choice.

🔥 NYIMP — 5%/Year· Max 50% (10 Years)

Year 00% CB· Base SI
Year 1+5% CB
Year 2+10% CB
Year 4+20% CB
Year 5+25% CB
Year 10+50% CB (MAX) ← 10 years to reach

At ₹10L SI: max effective cover = ₹15L. But takes 10 claim-free years.

💜 — 10%/Year· Max 40% (4 Years)

Year 00% CB· Base SI
Year 1+10% CB
Year 2+20% CB
Year 3+30% CB
Year 4+40% CB (MAX) ← only 4 years!
Year 5+CB stays at 40% (capped)

At ₹10L SI: max effective cover = ₹14L. Reached in just 4 claim-free years.

🤔 Which CB Structure Is Better — NYIMP (5%/max 50%) or (10%/max 40%)?

the insurer· Same Rules as NYIMP· ₹5L+ Basic SI· Once per Year· 11 CIs Excluded

Reinstatement of Basic Sum Insured — Same as NYIMP, for ₹5L+ Plans

"Reinstatement of Basic Sum Insured." The reinstatement mechanism in follows the same rules as NYIMP: available for Basic SI ₹5L and above, once per policy year, Basic SI only (not CB), not for same illness, not for 11 defined Critical Illnesses.

⚠️

Reinstatement Rules

  • Only for ₹5L+ Basic SI:If SI is below ₹5L: no reinstatement. For ₹5L and any higher SI: reinstatement of Basic SI (not CB) is available if total SI is exhausted in a policy year.
  • Only once per policy year:Reinstatement happens a maximum of once per policy year. Reinstated SI not carried forward to next year if unused.
  • Not for same illness:Reinstated SI cannot be claimed for the same illness/injury that exhausted the original SI. It's for NEW health events in the same policy year.
  • 11 Critical Illnesses excluded from reinstatement:Cancer, Heart Attack, CABG, Heart Valve Surgery, Coma, Kidney Failure, Stroke, Major Organ Transplant, Permanent Paralysis, Motor Neurone Disease, Multiple Sclerosis — hospitalisation costs for these are covered by the main policy but the reinstated SI cannot be applied to them.

the insurer· PED 36 Months· Specific Diseases· Maternity 24–36 Months

Waiting Periods — Has the Same PED Wait as NYIMP (36 Months)

"Pre-existing diseases (PED) covered after a period of 3 years only." 's 36-month PED wait is identical to NYIMP. Both are better than NMP/ASP's 48 months.

⏱️ Initial Wait

30 Days
  • Accident claims: payable from Day 1
  • Illness claims: excluded in first 30 days
  • Fresh policies only
  • Continuous renewals: not applicable

🎯 Specific Conditions

2 / 4 Years
  • 24 months: Maternity (from policy inception)
  • 2 years: Refractive error ≥7.5D
  • 2 years: Depression / Schizophrenia (mental illness)
  • 4 years: Morbid obesity / bariatric surgery
  • Infertility: Waiting period applies (confirm with Probitas)
  • Specific disease list: 90D/1Y/2Y as per policy wording

🩺 Pre-Existing Diseases

36 Months ✅
  • "PED covered after a period of 3 years only"
  • 36 months continuous coverage required
  • Better than NMP (48M) and ASP (48M)
  • Same as NYIMP
  • Must disclose all PEDs at proposal
  • 5-year moratorium after 5 continuous years
  • Portability: time served credited

the insurer· Standard Exclusions· Same as NYIMP Base Exclusions

What Does NOT Cover

Standard exclusions apply. 's key difference from exclusion perspective: maternity for deliveries beyond 2 is excluded (same as NYIMP's post-1 delivery exclusion, but allows 2 before exclusion kicks in).

⏱️ First 30 Days — Non-Accident

All non-accident illness claims: excluded in first 30 days of fresh policy. Accident-related claims: payable from Day 1. Continuous renewals: 30-day wait not applicable.

🩺 PED During 36-Month Wait

Pre-existing conditions excluded for the first 36 months of continuous coverage. All PEDs must be declared at proposal. Non-disclosure of PED is grounds for claim rejection.

🤰 Third+ Delivery

covers maximum 2 deliveries per insured person. Third delivery and beyond: not covered. This is 's maternity ceiling — compared to NYIMP's 1-delivery ceiling, 's 2-delivery limit is far more family-friendly but not unlimited.

🌍 Treatment Outside India

Medical treatment received outside India: excluded. 's domestic travel benefit covers travel within India only — not international medical expenses. For international coverage, a separate travel insurance policy is required.

🔄 Cosmetic / Gender Change

Cosmetic surgery, gender reassignment, aesthetic plastic surgery: excluded. Reconstructive plastic surgery necessitated by accident or disease: covered under inpatient benefits.

🍺 Substance Abuse / Self-Harm

Conditions arising from alcohol, drug, or substance abuse. Intentional self-harm, suicide attempts. Standard universal health insurance exclusion.

🧘 Psychotherapy / OPD Counselling

Psychological counselling, cognitive/family/group therapy without hospitalisation: excluded. Inpatient psychiatric treatment under a qualified psychiatrist: covered under mental illness benefit.

⏳ Specific Waiting Period Conditions

Morbid obesity during 4-year wait. Refractive error during 2-year wait. Depression/Schizophrenia during 2-year wait. Maternity during 24-month wait. Infertility during its waiting period.

Cashless + Reimbursement· 72-Hour/24-Hour Intimation· Instalment Premium — Grace Period 30 Days

How to File an Claim

follows the same cashless + reimbursement claim structure as NYIMP. Key advantage: at network hospitals, 's actual single AC room means no room rent-related proportionate deduction discussions — the full room cost (single AC) is admissible. the insurer Toll-Free: 022 4302 0000.

  1. Verify Network Hospital & Intimate TPA — 72 Hours Prior (Planned) / 24 Hours After (Emergency)

    Check policy schedule for TPA name and contact. Confirm the hospital is in the insurer's network. For planned admission: intimate 72 hours prior with hospital name and condition. For emergency: intimate within 24 hours. advantage: at any network hospital single AC room — no pre-negotiation needed on room selection to avoid sub-limit issues.

  2. Cashless at Network Hospital — No Room Rent Concern

    Request cashless pre-authorisation through hospital insurance desk. 's actual single AC room benefit means: choose any single AC room at the hospital without worrying about whether the cost exceeds a % of SI limit. The hospital submits the room cost; TPA approves actual single AC room rates. No proportionate deduction on associated medical expenses.

  3. Reimbursement at Non-Network Hospital

    Pay bills at discharge, collect: Discharge Summary, all bills and receipts, investigation reports, Claim Form Part A & Part B. Submit to TPA within 15 days of discharge. Pre and post-hospitalisation: submit separately after completing treatment. All documents in original required.

  4. Maternity Claim — Plan 24+ Months Ahead

    Maternity cashless: intimate hospital and TPA when delivery is approaching. Confirm maternity benefit limit from your schedule. Remember: allows 2 covered deliveries. After the first covered delivery, the second remains available — confirm second delivery eligibility with Probitas at 022 4302 0000 before second pregnancy. Newborn vaccination: submit receipts (no hospitalisation required).

  5. Instalment Premium — Ensure Grace Period Compliance

    If premium is paid half-yearly or quarterly: a grace period of 30 days applies after each instalment due date. During the grace period, coverage is NOT available — any hospitalisation during the grace period (before instalment is paid) will not be covered. Set calendar reminders for instalment dates to maintain uninterrupted coverage.

National Young India Mediclaim Plus Policy — Frequently Asked Questions

Frequently Asked Questions

Five confirmed differences between and NYIMP:

1. Room Rent — The Biggest Difference:
: "Actual room charges for lowest Single AC room and actual ICU charges are payable." No sub-limit.
NYIMP: Room rent per Table of Benefits sub-limit (typically 1% of SI/day).
At ₹5L NYIMP: room rent cap = ₹5,000/day. At Delhi/Mumbai hospitals where rooms cost ₹8,000+/day: proportionate deduction on entire related bill.: full single AC room cost covered — no deduction.

2. Maternity: 2 deliveries vs 1 delivery lifetime (NYIMP).

3. Infertility coverage ( only — NYIMP: not covered).

4. Domestic travel benefit ( only).

5. Cumulative Bonus structure: 10%/year max 40% vs 5%/year max 50% (NYIMP).

Choose if: You use premium private hospitals· You're planning two children· You want infertility coverage· You travel within India frequently for work· You want maximum CB in 4 years vs 10 years.

Choose NYIMP if: Budget is primary concern· One child planned only· You use Tier-2 hospitals where room costs rarely exceed sub-limits· You want 50% max CB over a 10-year horizon.

Call 022 4302 0000 for premium comparison at your age, SI, and zone.
"Actual room charges for lowest Single AC room and actual ICU charges are payable."

What this means practically:
When you're admitted to a hospital under, you may choose any single AC room and the ACTUAL cost of that room (whatever the hospital charges for a single AC room) is covered — no percentage-of-SI sub-limit applied.

How this differs from NYIMP's sub-limit structure:
NYIMP example (₹5L SI): Room rent cap = 1% of ₹5L = ₹5,000/day. If you take a ₹8,000/day single AC room: excess ₹3,000/day = proportionate deduction. ALL related expenses (doctor fees, nursing, medicines) are reduced by the same 37.5% (₹3,000/₹8,000) proportion. On a ₹5L surgery bill, this proportionate deduction can add ₹1–2L of out-of-pocket cost.

example: Same ₹8,000/day room at the same hospital. the insurer covers the full ₹8,000/day as per actual hospital billing for lowest single AC rate. No proportionate deduction on any associated medical expenses. All hospitalisation costs settled at actual rates.

Limits within "actual room":
covers the "lowest Single AC room" rate at the hospital — not the most expensive suite. If a hospital has single AC rooms at ₹8,000/day and executive rooms at ₹20,000/day: covers the ₹8,000/day rate. If you upgrade to a suite: you pay the difference between ₹8,000 and ₹20,000 personally.

Call 022 4302 0000 for hospital-specific guidance.
"The National Young India Mediclaim Plus Policy provides maternity coverage for up to two deliveries, including pre-natal, post-natal, and childbirth (caesarean or normal) expenses. It also covers newborn care and vaccination costs.The policy must be active continuously for 24 to 36 months, depending on the plan version."

What's covered for each delivery:
→ Normal delivery hospitalisation
→ Caesarean section (including complicated deliveries)
→ Pre-natal hospitalisation expenses
→ Post-natal hospitalisation expenses
→ Newborn baby coverage from birth for 3 months
→ Newborn vaccination costs (no hospitalisation required)

Waiting period: 24 months from inception before first maternity claim.
Second delivery: After first covered delivery, the second maternity benefit remains available for the second pregnancy. Same waiting period conditions apply from policy inception (both deliveries must occur after the 24-month wait from inception).

Why this matters:
Buy at 24: maternity covered from age 26. First child: covered. Second child (say age 29–30): also covered under same. No need to switch products. Compare NYIMP: covers only 1 delivery — after first claim, second delivery requires a different product, re-started waiting periods, and portability complexity.

Infertility: Covered with its own waiting period. Confirm infertility benefit limits and waiting period with Probitas at 022 4302 0000.
"Good Health Incentive - Cumulative Bonus (CB) to increase by 10% of SI up to maximum 40% of SI, for claim free policy years." NYIMP: "Cumulative Bonus 5% up to 50%, for claim free years."

CB comparison at ₹10L Base SI:

(10%/year, max 40%):
Year 1: ₹11L effective· Year 2: ₹12L· Year 3: ₹13L· Year 4: ₹14L (MAX)· Year 5+: stays at ₹14L

NYIMP (5%/year, max 50%):
Year 1: ₹10.5L· Year 2: ₹11L· Year 4: ₹12L· Year 5: ₹12.5L· Year 10: ₹15L (MAX)

Which is better?
For years 1–4: clearly better (₹14L vs ₹12L at year 4)
For years 5–9: plateaued at ₹14L; NYIMP still growing (₹12.5L → ₹14.5L)
At year 9: NYIMP overtakes (₹14.5L vs ₹14L still)
At year 10: NYIMP = ₹15L; = ₹14L — NYIMP wins on long-term maximum

The verdict for 18–43 buyers:
If you buy at 25 and are still on it at 29 (4 years later): you've already reached maximum CB at ₹14L. In NYIMP, you'd have only ₹12L at the same point. For young families where health events are more likely in the early 30s, having ₹14L vs ₹12L effective cover at that point is meaningful. 's faster CB serves the 18–43 demographic better in practice.

CB reduction on claim: reduces CB by 10% per claim year. NYIMP reduces by 5%. Call 022 4302 0000 for premium difference between NYIMP and at your age.
"Premium can be paid in installments (half yearly/quarterly)."

instalment options:
Half-yearly: pay 50% of annual premium every 6 months
Quarterly: pay 25% of annual premium every 3 months

Grace period on instalments:
A grace period of 30 days is standard for health insurance instalment payments. During the grace period (30 days after instalment due date), coverage is NOT available. If an instalment is overdue and a hospitalisation occurs within the 30-day grace period: that claim may not be admissible. Pay instalments on time to maintain continuous coverage.

Why instalment payment matters for young adults:
Annual health insurance premiums for a young family on (self + spouse + child) can be ₹20,000–₹40,000/year depending on SI and zone. For couples managing home loans, car loans, or other financial commitments, a quarterly payment of ₹5,000–₹10,000 is much more manageable than an annual lump sum of ₹20,000–₹40,000. The instalment option is unique to in the insurer's young adult portfolio — NYIMP requires annual payment.

Note: The premium loading (if any) for instalment payment should be confirmed with the insurer/Probitas. Some insurers charge a small loading for quarterly/half-yearly payment. Call 022 4302 0000 for exact instalment premium amounts and any loading applicable.
"Domestic Travel, if applicable as per terms." This benefit is confirmed but the specific scope and limits are detailed in the policy wording (not in publicly available summaries).

What is known:
includes a domestic travel benefit — covering certain medical expenses arising during travel within India. This benefit is unique to in the insurer's young adult portfolio — not available in NYIMP, NMP, NMPP, ASP, or NSTUMP.

Who benefits most:
→ Young IT professionals on frequent city-to-city travel (Bengaluru–Hyderabad–Mumbai–Delhi routes)
→ Consultants and business travellers who spend significant time in cities without their primary hospital network
→ Families visiting relatives in different states who want health protection while travelling
→ Anyone who wants health coverage that doesn't depend on being in their home city

What specifically is covered under "Domestic Travel":
The exact scope (emergency hospitalisation while travelling, specific travel-related medical expenses, evacuation costs) is detailed in the policy wording. The "if applicable as per terms" qualifier in the suggests this benefit has specific qualifying conditions.

Our recommendation: Call Probitas at 022 4302 0000 before purchase to get a clear understanding of:
→ The exact medical expenses covered under domestic travel
→ The monetary limits for domestic travel benefits
→ Whether it covers only emergencies or also planned treatment away from home
→ The claim process for domestic travel-related hospitalisations

Get Your the insurer National Young India Mediclaim Plus Policy Quote

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Tell us your age, SI preference, and family planning needs. Our specialist will provide exact premium from the insurer's Rate Chart, compare vs NYIMP at your specific profile, and help determine whether the Plus upgrade is worth the premium difference for you.

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By submitting you agree to our Privacy Policy and Terms & Conditions. National Young India Mediclaim Plus Policy· the insurer· IRDAI Entry age: 18–43 years. Room rent: actual single AC room charges. Maternity: up to 2 deliveries with 24-month wait. CB: 10%/year max 40%. Premium: annual/half-yearly/quarterly. PED: 36 months. Reinstatement: ₹5L+ only. Domestic travel benefit subject to policy terms. All terms per policy wording. Probitas Insurance Brokers Pvt. Ltd.· IRDAI Lic. No. 528.

💜🏥 Young India. Upgraded. No Room Rent Cap. 2 Deliveries. Infertility. 10%/Year CB.

National Young India Mediclaim Plus Policy· the insurer· Age 18–43· Actual Single AC Room Charges· Maternity (2 Deliveries) + Infertility· Domestic Travel· CB 10%/Year → Max 40% in 4 Years· Premium Instalments· No Pre-Medical· 022 4302 0000