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Niva Bupa  Health Premia Individual medical insurance

Compare Premia Individual medical quotes

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Key Highlights of Health Premia Individual medical insurance

Health care is very expensive nowadays. More than the disease itself, it is often the cost of treatment that takes its toll. Health insurance policy covers medical expenses incurred during pre and post hospitalisation stages. Buy Indian health insurance policy for you and your family and get rid of health care expense worries.

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Sum Insured

3 lac - 300 lacs options available

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Claims settlement ratio **

8.0%

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Incurred claims ratio

88%

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Number of policies issued *

23,330

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Number of lives covered *

23,330

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Tenure options

1 year options available

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List of network hospitals

8,600+ hospitals

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Maximum family floater coverage

Self, Spouse + 4 dependent children

* As per IRDAI report   |   ** As per NL25 data published on the Insurance Company website

Health Premia Individual medical insurance

Key features of Health premia individual insurance
  • Room Rent: Covered upto Sum Insured
  • Co-pay: NIL co-pay for all inpatients, 20% for OPD treatment
  • Restoration (Refil) Benefit :Upto 100% of Base Sum Insured per year
  • Life long renewal
  • 15 Day Free look period.
  • International coverage for specified illness and medical emergencies.
  • Every year free health check up for all members.
  • Hospitalization
    • Pre-hospitalization: Medical expenses up to 90 days prior to date of admission in the hospital.
    • Post-hospitalization: Medical expenses up to 180 days after discharge from the hospital.
  • Emergency Ambulance Charges
    • Network Hospitals: covered up to sum insured.
    • Non-Network hospitals: covered up to Rs-2,000 per event.
  • Day care procedures: covered up to sum insured.
  • Income tax benefit: under section 80-D for claiming the tax deduction for the payment of premium.

Niva Bupa Premia Individual health Insurance - FAQ's

The following KYC documents are required from the insured person/proposer in cases of reimbursement-
  • If claim amount is below 1 lakh- Photo Id proof & address proof
  • If claim amount is above 1 lakh- Photo Id proof, address proof and a recent photograph

A printed name cancel cheque under the name of the proposer/ patient has to be submitted. If the name is not printed on the cancel cheque, we will require an attested bank passbook along with the bank statements of the last three months.

The following KYC documents are required for reimbursement if there is a death of a policyholder-
  • Photo Id proof, address proof and a recent photograph of either the patient/proposer
  • Photo id proof, address proof and a recent photograph of the nominee.

A deductible is a cost-sharing requirement. It states that the insurer will not be liable for a specified amount in case of indemnity policies. This is applicable for a specified number of days/hours in case of hospital cash policies which apply before any benefits are payable by the insurer. Remember that a deductible does not reduce your sum insured.

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Brochure

Review Niva Bupa Premia individual mediclaim brochure to understand coverage details.

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Proposal form

Fill the online Health Premia individual mediclaim proposal form.

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Policy wordings

Review Health Premia individual mediclaim policy wordings which explains the terms and conditions.

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