Niva Bupa Health Insurance FAQs

Frequently asked questions

What types of medical expenses are compensated by Niva Bupa health insurance?

Niva Bupa Health Insurance covers expenditure incurred by the insured during hospitalisation as specified in their policy. It covers the expenses against hospitalisation, pre-and post-hospitalisation, daycare and domiciliary treatments. Also, get coverage for personal accidents, and organ donor’s expenses.

Check the health insurance plans offered by Niva Bupa Health Insurance here.

Who is the TPA of Niva Bupa health insurance?

TPA (third-party administrator) from Niva Bupa health insurance is a corporate agent who operates in the company's network hospital. However, you can avail of Niva Bupa Health Insurance policies online without the need to go to a third-party administrator. You can directly compare the policies and choose one as per your requirement on the insurer’s website or visit the Bajaj Finserv Insurance Mall.

Does Niva Bupa health insurance cover the hospitalisation expenses incurred during a medical emergency?

Yes. Niva Bupa health insurance covers the medical expenses incurred during hospitalisations up to the sum insured under the policy. However, you must check if there is a waiting period before using the facilities to avoid confusion while claiming benefits.

Is it necessary to undergo a medical check-up before buying Niva Bupa health insurance?

A medical examination is not always required; it depends on your age. You can check the policy terms and conditions to know whether a pre-policy medical examination is required or not. Mostly, policyholders of age 60 years and above require a pre-policy check-up from an authorised diagnostic centre.

Which plan of Niva Bupa health insurance is best?

Niva Bupa health insurance offers a wide range of comprehensive health insurance plans that cater to every individual's needs. You can choose from the various plans offered by the insurer that best suits your needs.

 

Is Niva Bupa a good health insurance provider?

Niva Bupa is a known brand in the insurance industry and offers multiple insurance plans. Niva Bupa health insurance plans are preferred as they have a high claim settlement ratio and an extensive network of hospitals providing cashless benefits. The easy claim process and reliable reputation also make the brand reliable.

Can I avail of the cashless facilities across all hospitals?

You can avail of the cashless facility at any of Niva Bupa’s network hospitals. You must check the Niva Bupa health insurance hospital list to find those that can provide you with cashless benefits. In case of cashless treatment, the medical bills are settled directly with the hospital by the insurance company, keeping you away from the stress of arranging for finance on short notice during a medical emergency.

What is a ‘pre-existing disease or condition’?

A pre-existing disease means a disease or condition a policyholder has before signing the policy. All policies arrive with a waiting period, ranging from a month to a couple of years. The claim regarding the pre-existing disease or condition can be availed after the waiting period is over. You need to check your policy documents to know the waiting period.

Read more about pre-existing diseases in health insurance.

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Disclaimer

*T&C Apply. Bajaj Finance Limited (‘BFL’) is a registered corporate agent of third party insurance products of Bajaj Life Insurance Limited (Formerly known as Bajaj Allianz Life Insurance Company Limited), HDFC Life Insurance Company Limited, Life Insurance Corporation of India (LIC), Bajaj General Insurance Limited(Formerly known as Bajaj Allianz General Insurance Company Limited), SBI General Insurance Company Limited, ACKO General Insurance Company Limited, HDFC ERGO General Insurance Company, TATA AIG General Insurance Company Limited, ICICI Lombard General Insurance Company Limited, New India Assurance Limited, Chola MS General Insurance Company Limited, Zurich Kotak General Insurance Company Limited, Star Health & Allied Insurance Company Limited, Care Health Insurance Company Limited, Niva Bupa Health Insurance Company Limited, Aditya Birla Health Insurance Company Limited and Manipal Cigna Health Insurance Company Limited under the IRDAI composite registration number CA0101. Please note that, BFL does not underwrite the risk or act as an insurer. Your purchase of an insurance product is purely on a voluntary basis after your exercise of an independent due diligence on the suitability, viability of any insurance product. Any decision to purchase insurance product is solely at your own risk and responsibility and BFL shall not be liable for any loss or damage that any person may suffer, whether directly or indirectly. For more details on risk factors, terms and conditions and exclusions please read the product sales brochure & policy wordings carefully before concluding a sale. Tax benefits applicable if any, will be as per the prevailing tax laws. Tax laws are subject to change. BFL does NOT provide Tax/Investment advisory services. Please consult your advisors before proceeding to purchase an insurance product. Visitors are hereby informed that their information submitted on the website may also be shared with insurers. BFL is also distributor of other third party products from Assistance service providers such as CPP Assistance Services Private Limited, Bajaj Finserv Health Limited. etc. All product information such as premium, benefits, exclusions, value added services etc. are authentic and solely based on the information received from the respective Insurance company or the respective Assistance provider company.

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