National Insurance Company Limited

CIN - U10200WB1906GOI001713 IRDAI Regn. No. - 58

National Senior Citizen Mediclaim Policy

RATE CHART

Plan A – Premium Table for Individuals / Premium Table for Senior most member (for floater policy)
SI 1,00,000 2,00,000 3,00,000 4,00,000 5,00,000 6,00,000 7,00,000 8,00,000 9,00,000 10,00,000
60-65 7,313 11,427 14,284 16,456 19,746 23,696 28,009 30,809 32,388 33,360
66-70 10,970 17,141 21,426 24,683 29,619 35,544 42,013 46,214 48,582 50,040
71-75 12,638 19,747 24,684 28,436 34,124 40,948 48,401 53,241 55,969 57,648
76-80 14,454 22,586 28,232 32,524 39,029 46,834 55,358 60,894 64,014 65,935
81-85 19,047 29,761 37,201 42,855 51,427 61,712 72,945 80,239 84,350 86,881
86+ 20,951 32,738 40,921 47,141 56,570 67,884 80,239 88,263 92,784 95,569

Plan A - Premium Table for spouse (for floater policy)

SI 1,00,000 2,00,000 3,00,000 4,00,000 5,00,000 6,00,000 7,00,000 8,00,000 9,00,000 10,00,000
50-55 1,332 2,081 2,602 2,997 3,596 4,316 5,101 5,611 5,899 6,075
56-60 2,358 3,684 4,605 5,305 6,366 7,640 9,030 9,933 10,441 10,755
61-65 3,657 5,714 7,142 8,228 9,873 11,848 14,005 15,405 16,194 16,680
66-70 5,693 8,897 11,121 12,811 15,372 18,447 21,804 23,985 25,215 25,971
71-75 6,812 10,644 13,305 15,327 18,393 22,071 26,088 28,698 30,168 31,073
76-80 8,094 12,648 15,810 18,213 21,856 26,227 31,000 34,101 35,848 36,923
81-85 11,066 17,291 21,614 24,899 29,879 35,855 42,380 46,619 49,007 50,477
86+ 13,619 21,280 26,599 30,641 36,770 44,125 52,155 57,371 60,310 62,119

Plan B – Premium Table for Individuals / Premium Table for Senior most member (for floater policy)
SI 1,00,000 2,00,000 3,00,000 4,00,000 5,00,000 6,00,000 7,00,000 8,00,000 9,00,000 10,00,000
60-65 10,419 16,280 20,350 23,443 28,132 33,759 39,902 43,893 46,142 47,526
66-70 15,628 24,420 30,525 35,165 42,198 50,637 59,854 65,839 69,213 71,289
71-75 17,906 28,134 35,167 40,512 48,614 58,337 68,955 75,850 79,737 82,129
76-80 20,387 32,177 40,221 46,334 55,602 66,722 78,867 86,753 91,198 93,934
81-85 26,310 42,399 52,999 61,054 73,266 87,919 1,03,921 1,14,312 1,20,170 1,23,775
86+ 28,941 46,639 58,298 67,160 80,592 96,711 1,14,312 1,25,743 1,32,187 1,36,153

Plan B - Premium Table for spouse (for floater policy)

SI 1,00,000 2,00,000 3,00,000 4,00,000 5,00,000 6,00,000 7,00,000 8,00,000 9,00,000 10,00,000
50-55 1,897 2,965 3,707 4,269 5,124 6,149 7,267 7,994 8,404 8,656
56-60 3,359 5,249 6,560 7,558 9,070 10,883 12,865 14,151 14,875 15,323
61-65 5,209 8,141 10,176 11,722 14,066 16,880 19,951 21,947 23,072 23,764
66-70 8,111 12,674 15,842 18,250 21,901 26,280 31,064 34,170 35,922 36,999
71-75 9,651 15,164 18,955 21,836 26,203 31,443 37,167 40,883 42,979 44,268
76-80 11,417 18,019 22,524 25,948 31,137 37,364 44,165 48,581 51,071 52,603
81-85 15,286 24,633 30,792 35,472 42,568 51,081 60,378 66,415 69,819 71,914
86+ 18,812 30,316 37,894 43,654 52,385 62,862 74,303 81,734 85,922 88,500
Note: Age band 50-55 and 56-60 shall only available to spouse in floater policy
The premiums rates given above are all inclusive of TPA charges and exclusive of GST.
For without TPA – 6% discount on the premiums tabulated above.

National Insurance Co. Ltd. Page 1 of 2 National Senior Citizen Mediclaim Policy
Regd. & Head Office: 3, Middleton Street, (UIN: NICHLIP21083V022021)
Kolkata 700071
Optional Cover

(a) Pre-existing diabetes/ hypertension

Cover Additional Premium with/ Copayment
without TPA
Pre-existing diabetes or Additional Premium of 13.5% 10% copayment on admissible claim amount
Hypertension of individual premium for diabetes or hypertension claims
Pre-existing diabetes and Additional Premium of 30% of 25% copayment on admissible claim amount
Hypertension individual premium for diabetes or hypertension claims
GST extra
If policy is with TPA – Additional Premium percentage shall apply on the individual premium as per Rate Chart
If policy is without TPA – Additional Premium percentage shall apply on the individual premium discounted by 6% as specified in
the Rate Chart.

(b) Outpatient treatment

Limit of cover 2,000 4,000 5,000 7,500 10,000 15,000
Premium 1,400 2,800 3,500 5,250 7,000 10,500
GST extra

(c) Critical Illness

Age Band 1,00,000 2,00,000 3,00,000 4,00,000 5,00,000 6,00,000 7,00,000 8,00,000 9,00,000 10,00,000
50-55 1,359 2,718 4,077 5,436 6,795 8,153 9,512 10,871 12,230 13,589
56-59 2,536 5,071 7,607 10,143 12,679 15,214 17,750 20,286 22,822 25,357
60-65 3,639 7,278 10,917 14,556 18,196 21,835 25,474 29,113 32,752 36,391
66-70 7,804 15,607 23,411 31,214 39,018 46,822 54,625 62,429 70,232 78,036
71-75 13,074 26,148 39,222 52,296 65,371 78,445 91,519 1,04,593 1,17,667 1,30,741
76-80 19,653 39,306 58,958 78,611 98,264 1,17,917 1,37,570 1,57,222 1,76,875 1,96,528
81-85 21,618 43,236 64,854 86,472 1,08,090 1,29,708 1,51,327 1,72,945 1,94,563 2,16,181
86+ 24,861 49,722 74,582 99,443 1,24,304 1,49,165 1,74,025 1,98,886 2,23,747 2,48,608
GST extra

(d) Personal Accident

CSI 1,00,000 2,00,000 3,00,000 4,00,000 5,00,000 6,00,000 7,00,000 8,00,000 9,00,000 10,00,000
Premium 90 180 270 360 450 540 630 720 810 900
GST extra

No loading shall apply on renewals based on individual claims experience

Insurance is the subject matter of solicitation

National Insurance Co. Ltd. Page 2 of 2 National Senior Citizen Mediclaim Policy
Regd. & Head Office: 3, Middleton Street, (UIN: NICHLIP21083V022021)
Kolkata 700071