Tips for buying best mediclaim insurance
India health insurance tips and tricks to choose the best medical insurance in India
Know more »Heartbeat family first is a comprehensive plan that offers coverage for up to 19 family members with an individual sum insured for each one, and a floating sum insured that is accessible to any family member.
3 lac - 300 lacs options available
8.0%
88%
23,330
23,330
1 year options available
8,600+ hospitals
Self, Spouse + 4 dependent children
Plan Details | Silver Plan | Gold Plan | Platinum Plan |
---|---|---|---|
Base Sum Insured (per Insured Person & in ₹ Rs) | 1Lacs, 2Lacs, 3Lacs, 4Lacs & 5Lacs | 1Lacs, 2Lacs, 3Lacs, 4Lacs, 5Lacs, 10Lacs & 15Lacs | 5Lacs, 10 Lacs & 15 Lacs |
Floater Sum Insured – (available on a floating basis over Base Sum Insured & in ₹ Rs) | 3Lacs, 4Lacs, 5Lacs, 10Lacs &15Lacs | 3Lacs, 4Lacs, 5Lacs, 10Lacs, 15Lacs, 20Lacs, 30Lacs & 50Lacs | 15Lacs, 20 Lacs, 30 Lacs & 50 Lacs |
In-patient treatment | Covered up to Sum Insured | Covered up to Sum Insured | Covered up to Sum Insured |
Room Rent | Rs 3,000 per day or Shared Room | Covered up to Sum Insured (except for Suite or above room category) | Covered up to Sum Insured |
Pre hosptitalization medical expenses (60 days) | Covered up to Sum Insured | Covered up to Sum Insured | Covered up to Sum Insured |
Post hosptitalization medical expenses (90 days) | Covered up to Sum Insured | Covered up to Sum Insured | Covered up to Sum Insured |
Alternative Treatment | Covered up to Sum Insured | Covered up to Sum Insured | Covered up to Sum Insured |
Day Care Treatment | Covered up to Sum Insured | Covered up to Sum Insured | Covered up to Sum Insured |
Domiciliary Hospitalization | Covered up to Sum Insured | Covered up to Sum Insured | Covered up to Sum Insured |
Maternity Benefit* | Covered up to Rs 35,000 per Policy Year | Covered up to Rs 50,000 per Policy Year | Covered up to Rs 100,000 |
New Born Baby (covered upto the end of Policy Year)* | Covered up to Sum Insured | Covered up to Sum Insured | Covered up to Sum Insured |
Vaccination of the new born baby | Covered until new born baby completes one year, vaccinations as per defined list | ||
Living Organ Donor Transplant | Covered up to Sum Insured | Covered up to Sum Insured | Covered up to Sum Insured |
Emergency Ambulance Network Hospital | Covered up to Sum Insured Non-network Hospital: Covered up to Rs 2,000 per event |
||
Pharmacy and diagnostic services | Available through Niva Bupa empanelled service provider | ||
HIV / AIDS | Covered up to Rs 50,000 | ||
Emergency assistance services (only within India) | Covered up to Sum Insured | Covered up to Sum Insured | Covered up to Sum Insured |
Mental disorder treatment | Covered up to Sum Insured (sub-limit of Rs 50,000 applicable on few conditions) | ||
Loyalty Additions | Increase of 10% of expiring Base Sum Insured in a Policy Year; maximum up to 50% of Base Sum Insured | Increase of 10% of expiring Base Sum Insured in a Policy Year; maximum up to 100% of Base Sum Insured | |
Health Check-up ** | Once in two years, tests as per defined list Annual | Tests covered up to worth Rs 2,500 per Insured Person Annual | Tests covered up to worth Rs 5,000 per Insured Person |
OPD Treatment and Diagnostic Services | Not Applicable | Covered up to Rs 35,000 | |
Child Care Benefits (Vaccinations for children up to 12 years including one consultation for nutrition and growth during the visit for vaccination) | Not Applicable | Covered up to Sum Insured (As per defined list) | |
Emergency Medical Evacuation | Not Applicable | Covered up to Sum Insured ( for worldwide excluding USA, Canada & India) | |
Emergency Hospitalization | Not Applicable | Covered up to Sum Insured ( for worldwide excluding USA, Canada & India) | |
Specified Illness Cover *** | Not Applicable | Covered up to Sum Insured ( for worldwide excluding USA, Canada & India) | |
Second Medical Opinion | Not Applicable | Covered, One opinion per Insured Person per Specified Illness / planned Surgery / Surgical Procedure | |
Hospital Cash **** | Rs 1,500/day | Rs 3,000/day | Rs 6000/day |
Personal Accident cover (for insured aged 18 years & above on individual basis) | Personal Accident cover will be equal to 5 times of base Sum Insured; subject to maximum of 50 lacs | ||
Critical illness cover (for insured 18 years & above on individual basis) | Critical illness cover will be equal to base Sum Insured; subject to maximum of 10 lacs | ||
e-consultation | Unlimited tele / online consultations | ||
Premium Waiver | One time premium waiver if the Policyholder (who is also an Insured Person) dies or suffers from specified illnessy | ||
Enhanced Geographical Scope for International coverage | Not Applicable USA & Canada included for ‘Emergency Medical Evacuation', 'Emergency Hospitalization' & 'Specified illness cover' | ||
Co-payment | a. If you select Zone 2, then 20% co-payment will apply for treatment in Mumbai (including Navi Mumbai & Thane), Delhi NCR, Kolkata & Gujarat State b. Options of 10% and 20% co-payment |
Options of 10% and 20% co-payment Product. |
A waiting period is the length of time you, the insured, will have to wait before the benefits under the health policy can be utilised.
A ‘Free Look Period’ is a period of 15 days from the date of receipt of the policy that a policyholder, in this case you, have to review the entire health insurance plan. If you disagree with any of the terms or conditions mentioned in the policy, you have the option of returning the policy by stating the reasons for the objection. Following this, you are entitled to a refund of the premium paid, provided no claim has been made under this mediclaim insurance policy (subject only to a deduction of the expenses incurred by the company on medical examination and the stamp duty charges). Please note that this facility is not applicable on renewal and portability cases.
A grace period refers to a period of 30 days immediately following the premium due date of the medical insurance policy. During this period you can pay the premium of your expired policy and avail continuity benefits such as waiting periods and coverage of pre-existing disease.
Hospital cash is a daily benefit which provides the insured person with a lump sum amount in case of hospitalisation. You can use the money for meeting additional expenses or for compensating the loss of income during the period of hospitalisation.
Review Niva Bupa Heartbeat family first brochure to understand coverage details.
Know more »Review Heartbeat family first policy wordings which explains the terms and conditions.
Know more »Review and compare the best health insurance.
You can buy insurance online by using a credit/debit card, UPI, direct funds transfer using NEFT or RTGS or by using a cheque.
Know more »Insurance customers can quickly compare the details of benefits offered under Indian mediclaim insurance policies.
Know more »Compare Indian health insurance policies, Health insurance India comparison.
Know more »Niva bupa health insurance network hospitals list. Cashless & Hassle-free direct claim settlement with us at 6,900+ Hospitals
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Know more »India health insurance tips and tricks to choose the best medical insurance in India
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