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Niva Bupa Health Insurance FAQs

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Niva Bupa Health Insurance Plan List

  • Individual (17)
  • Family (17)
  • Woman (17)
  • Blood Pressure (17)
  • Kids (17)
  • Thyroid (17)
  • Diabetes (17)
  • Parents (15)
  • Maternity (3)
  • Heart (7)
  • Senior Citizen (9)
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Cancer

  • Are pre-existing conditions related to cancer covered under Niva Bupa Health Insurance's cancer plans?

    Niva Bupa Health Insurance has a specific plan named Criticare in which they provide coverage for 20 illnesses including cancer. It has a sum insured of up to 3 Crore.

  • Who is eligible for Niva Bupa Health Insurance Cancer Plans?

    To get the Niva Bupa health insurance for cancer your age should be 18 years to 65 years old and dependent children should be 2 years to 21 years of age.

  • Can I avail of cashless treatment for cancer-related expenses under Niva Bupa health insurance?

    Yes, you can avail of cashless treatment for cancer-related expenses under Niva Bupa Health Insurance. You have to inform Niva Bupa before your hospitalisation and you have to take treatment at network hospitals.

  • Does Niva Bupa Health Insurance cover alternative cancer treatments?

    Yes, there are plans that cover alternative treatments like AYUSH, homeopathic etc and for cancer, it will depend on the type of plans purchased. To know more carefully read your policy documents.

  • Are chemotherapy and radiation therapy covered under Niva Bupa Health Insurance cancer plans?

    Yes, the Niva Bupa Health Insurance cancer plan does cover chemotherapy and radiation therapy and it will also depend on the plan you have purchased.

  • Are there any exclusions to be aware of in Niva Bupa Health Insurance's cancer plans?

    Permanent exclusions like self-harmed injury or illness, use of narcotics, abuse of drugs, use of alcohol, and nuclear contamination are permanently excluded from the health insurance plan.

Claim Settlement

  • What are the different claim settlement options offered by Niva Bupa Health Insurance?

    Cashless claims and reimbursement claims are the two claim settlement options that are offered by Niva Bupa Health Insurance. In a cashless claim, the insurer will directly settle the claim by paying the bill amount to the hospital. In a reimbursement claim, you have to pay hospital bills from your pocket and afterwards, your bill amount will get credited to your bank account after you file a claim by submitting all documents.

  • How long does it take for Niva Bupa Health Insurance to settle a claim?

    Niva Bupa Health Insurance settles the cashless claim directly with the hospital and in the reimbursement claim, the company takes 7 days to settle the claim.

  • Can I track the status of my claim online through Niva Bupa Health Insurance's website?

    Yes, you can track the status of your claim online through the Niva Bupa Health Insurance website.

  • What documents are required to file a claim with Niva Bupa Health Insurance?

    The documents that are required to file a cashless claim are a health card along with your identification proof and in a reimbursement claim you have to submit all bills from the hospital and a duly filled claim form along with identification proof.

  • What steps should I take if my claim with Niva Bupa Health Insurance is denied or delayed?

    If your claim gets rejected then you should contact Niva Bupa Customer Support to know the reason for the rejection. If you are unsatisfied with the decision then you should file a complaint to the Insurance Regulatory and Development Authority of India ( IRDAI ).

Critical Illness

  • What critical illnesses are covered under Niva Bupa's critical illness insurance?

    The critical illnesses that are covered under Niva Bupa critical illness insurance are cancer, open heart CABG, heart attack, kidney failure, organ or bone marrow transplant, end-stage liver disease, end-stage lung disease, etc.

  • Can I purchase Niva Bupa critical illness insurance as a standalone policy?

    Yes, you can purchase Niva Bupa critical illness insurance as a standalone policy.

  • Are there any age restrictions for enrolling in Niva Bupa critical illness insurance?

    Yes, there are age restrictions available for enrolling in Niva Bupa critical illness insurance. The age requirement for adults is between 18 years and 65 years and for children it is from day 1 to 21 years old.

  • Can I pay an extra premium to waive the waiting period for critical illness claims?

    Yes, you can waive the waiting period for critical illness claims by paying an extra premium for the health insurance.

  • Can I add family members to my critical illness insurance policy with Niva Bupa Health?

    Yes, you can add your family members to the critical illness policy of Niva Bupa Health Insurance.

Diabetes

  • What diabetes-related conditions are covered under Niva Bupa health insurance plans?

    Yes, there is a plan available in Niva Bupa named “ReAssure” that gives coverage for diabetes-related conditions.

  • Are there any specific eligibility criteria for enrolling in Niva Bupa health insurance plans?

    Every health insurance comes with certain eligibility criteria and you have to fulfil those criteria to enrol with Niva Bupa health insurance plans.

  • Can I purchase a diabetes insurance plan from Niva Bupa Health Insurance if I already have diabetes?

    Yes, you can purchase health insurance from Niva Bupa Health Insurance if you are already a diabetes patient. There will be a waiting period for a certain year which you have to serve to get a claim for diabetes treatment.

  • What specific benefits does Niva Bupa's insurance plan offer to help policyholders manage and reduce the risks associated with diabetes?

    Niva Bupa health insurance plans offer several specific benefits to help policyholders manage and reduce the risks associated with diabetes. Those benefits are hospitalisation expenses, pre and post-hospitalisation expenses, cashless hospitalisation, diagnostic test coverage, ambulance charges, daycare procedures etc.

  • Are there any waiting periods for coverage of diabetes-related expenses under Niva Bupa Health plans?

    Yes, there is a waiting period for diabetes and it will depend on whether it is pre-existing or it is diagnosed after purchasing the policy. If it is diagnosed after purchasing the policy then you will get coverage after 30 days of policy purchase. If you have diabetes as a pre-existing disease then you will get a claim after serving a waiting period of 3-4 years.

Maternity

  • What maternity-related expenses are covered under Niva Bupa health insurance plans?

    Niva Bupa Health Insurance covers different types of expenses related to maternity like medical tests and scans, doctor consultations, medication, hospitalisation costs, room rent, and prenatal and postnatal care.

  • Is there a waiting period for maternity coverage to become effective under Niva Bupa Health's plan?

    Yes, there is a waiting period for maternity coverage to become effective and you have to serve 2-4 years of waiting period. There are plans available in which you have to serve only a 9-month waiting period to get coverage of maternity.

  • Can I purchase Niva Bupa health insurance if I am already pregnant?

    No, you cannot purchase a Niva Bupa health insurance plan to get coverage for maternity if you are already pregnant.

  • Are prenatal check-ups, delivery, and postnatal care covered under Niva Bupa health insurance?

    Yes, prenatal check-ups, delivery and postnatal care are covered by Niva Bupa Health insurance under maternity coverage.

  • Does Niva Bupa health insurance cover newborn baby expenses?

    Yes, Niva Bupa health insurance gives coverage for newborn baby expenses.

  • Does Niva Bupa health Insurance cover normal and caesarean deliveries?

    Yes, Niva Bupa Health Insurance covers both normal and caesarean deliveries.

Plan Coverage

  • What types of health insurance plans does Niva Bupa offer?

    Niva Bupa offers different types of health insurance plans like individual health insurance, family health insurance plans, senior citizens health insurance plans, and travel insurance plans.

  • Does Niva Bupa offer any health insurance plans specifically designed for athletes or people with active lifestyles?

    No, there are no specific health insurance plans available in Niva Bupa that are only for athletes or people with active lifestyles.

  • Can I get a discount on my Niva Bupa health insurance premium if I have a healthy lifestyle (e.g., gym membership, and healthy BMI)?

    Yes, there are plans available in Niva Bupa in which you can get a discount on your premiums if you have a healthy lifestyle.

  • Does Niva Bupa cover alternative therapies like Ayurveda or homoeopathy for certain conditions?

    Yes, Niva Bupa Covers alternative therapies like Ayurveda or homoeopathy for certain conditions.

  • Can I pay my Niva Bupa health insurance premiums in installments?

    Yes, you can pay your Niva Bupa health insurance premiums in installments on a monthly, quarterly, or half-yearly basis.

Premium

  • Does Niva Bupa offer any discounts on premiums for groups (e.g., companies, associations)?

    Yes, Niva Bupa Offer discounts on premiums for group health insurance.

  • How much is the annual premium for Niva Bupa health insurance?

    Annual premiums for Niva Bupa health insurance depend on different factors such as the age of the policyholder, sum insured, types of plan, add-on cover, and pre-existing conditions. You can also use a premium calculator to calculate your premium according to your needs and requirements.

  • Can we pay the Niva Bupa health insurance premium monthly?

    Niva Bupa offers a flexible payment option to its customers and you can pay your premium monthly for your health insurance plan.

  • What is the maximum limit for Niva Bupa health insurance sum insured?

    The maximum sum insured available in the health insurance is 1 Crore.

  • Can I choose a deductible option to lower my Niva Bupa premium?

    Yes, you can choose the deductible option to lower your Niva Bupa Health insurance premium.

Renewal

  • What is the grace period for Niva Bupa health insurance renewal?

    The grace period for Niva Bupa health insurance renewal is 30 days.

  • Can I renew my Niva Bupa health insurance after expiry?

    No, you cannot renew your policy of Niva Bupa health insurance after expiry.

  • How many days before Niva Bupa health insurance can be renewed?

    According to IRDAI, you can renew your health insurance policy within 30 days.

  • Can I switch to a different plan during the renewal process with Niva Bupa Insurance?

    Yes, you can switch to a different plan during the renewal process with Niva Bupa health insurance.

  • Can I adjust the sum insured amount during the renewal process with Niva Bupa health insurance?

    Yes, you can increase or decrease your sum insured during the renewal process of Niva Bupa Health Insurance.

Tax Benefit

  • Do I need any documents from Niva Bupa to claim tax deductions for my health insurance premiums?

    No, You don’t need a document from Niva Bupa to claim a tax deduction for your health insurance premiums.

  • Is there a maximum limit on the amount I can claim for tax deductions on Niva Bupa health insurance premiums?

    Yes, there is a limit on the amount you can claim for a tax deduction on Niva Bupa premiums under Section 80D of the Income Tax Act. People who are senior citizens can claim the amount 50,000 and for adults, it is 25,000.

  • Can I claim tax benefits for Niva Bupa health insurance premiums paid through a Health Savings Account (HSA)?

    No, you cannot claim tax benefits for Niva Bupa health insurance premiums paid through a Health Savings Account (HSA).

  • Can I claim tax benefits if I pay Niva Bupa health insurance premiums annually but file my taxes half-yearly?

    Yes, you can claim tax benefits if you pay Niva Bupa health insurance premiums annually if you file your taxes half-yearly.

  • Are there any restrictions on claiming tax benefits for health insurance premiums if I am an NRI (Non-Resident Indian) with Niva Bupa Health insurance?

    Yes, NRIs (Non-Resident Indians) can claim tax benefits on health insurance premiums paid for themselves, their spouse, and dependent children under Section 80D of the Income Tax Act.

Top-up

  • Can I purchase a top-up health insurance plan from Niva Bupa if I already have an existing health insurance policy?

    Yes, you can purchase a top-up health insurance plan from Niva Bupa even if you already have an existing health insurance policy.

  • Can I claim for pre-existing conditions under a Niva Bupa Top-Up plan?

    No, you cannot claim for pre-existing conditions under a Niva Bupa Top-up plan.

  • What happens if my claim amount exceeds both my base plan coverage and the Top-Up plan sum insured?

    If your claim amount exceeds both base plan coverage and Top-Up plan sum insured then you have to pay the rest amount from your pocket.

  • Does a Niva Bupa Top-Up plan cover hospitalisation expenses outside India?

    No, the Niva Bupa Top-Up Plan does not cover hospitalisation expenses outside India.

  • Can I customise my Niva Bupa Top-Up plan with additional riders?

    No, you cannot customise the Niva Bupa Top-Up Plan with additional riders because it is designed to be used as a support to your base plan.

Niva Bupa Health Insurance Top Up List

    Name of PlanSum Insured
    Health Recharge Policy Min: 18 years; Max: 65 years2 Lakh - 95 Lakh Check Premium

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