Niva Bupa Health Recharge Plan

Niva Bupa Health Recharge Plan is the most suitable plan covering medical expenses protecting you and your family from personal accidents and critical illness. This plan offers high coverage at affordable premium rates, and it gives you the freedom to customise your health plan as per your risks.

Key Features And Benefits

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  Cashless hospitalisation

  In medical emergencies for you and your family, you need not worry about finances as there would be cashless treatment approval in the hospital within 30 minutes with no third party (TPA) involvement.

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  Pre and Post Hospitalisation

  You will also get the Pre-Hospitalisation and Post-Hospitalisation cover in this plan. All the expenses are done 60 days before hospitalising and 90 days after discharge are covered in the Health Recharge Plan.

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  Domiciliary cover

  If in case, you are not hospitalised, and all your treatments are done at home, then all those expenses are also covered in this plan. Some individuals prefer their treatment to be done at home rather than in a hospital. On the other hand, some doctors also advise staying at home for the treatment.

• 

  Mental disorder treatment

  Expenses incurred for in-patient treatment for mental illness are covered under the policy subject to sub-limit for specific conditions specified in the policy contract.

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  Organ Transplant Cover

  If you are going through any organ transplantation surgery, then the donor's expenses and the surgery expenses are covered in this plan up to sum assured.

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  Hospital rooms cover

  The plan covers the cost of a single private room's rent up to the sum assured.

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  Emergency ambulance

  The policy covers ambulance expenses needed to transfer the insured following an emergency to the nearest hospital. These expenses are paid up to Rs. 1,500 per Hospitalisation only if the insurer has accepted the in-patient claim.

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  E-consultation

  Suppose the insured person is diagnosed with an illness or is planning to undergo a planned surgery or a surgical procedure. In that case, the insured person can obtain an e-consultation during the policy period.

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  Add-on benefits of niva bupa health recharge plan

  There are some add-on benefits of the policy that you can add at the time of inception of the policy. You can customise your plan by adding the following benefits.

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  Personal accident cover

  The plan gives a personal accident cover to the insured.
  • Accident Death
  • Accident Permanent Total Disability
  • Accident Permanent Partial Disability
  

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  Critical illness cover

  If you are diagnosed with any critical illness like cancer, kidney failure, and many more, all are covered under this plan from Rs. 1 lakh to Rs. 10 lakh.

To purchase the policy, follow these steps

• To apply for the product, click on 'Apply Now' and fill in the necessary details
• Make the fee payment online using your preferred mode of payment
• Fill in your name and mobile number
• Complete the process by clicking 'Buy Now', you can also request a call back

Here are the mandatory documents required while purchasing the policy:

• Photograph of the applicant
• Age proof such as birth certificate, voter’s ID, PAN card, passport etc.
• Identity proof such as passport, Aadhaar card, PAN card, voter’s ID etc.
• Income proof such as Form 16, salary slips, employment certificate etc.
• Address proof such as telephone bill, electricity bill, passport, bank statement, voter’s ID etc.
• Medical Test that the insurer requires you to undergo.

Cashless claims

With the Niva Bupa Health Recharge Plan, you can avail the benefit of cashless treatment with our 5000+ network hospitals by following the following process:

• Get admitted to any one of Niva Bupa network hospitals.
• Use your Niva Bupa Health Card or share your policy number with the concerned team at a hospital along with your Passport/PAN card/Voter's ID as identification proof.
• Now, the network hospital will verify your identity for validation and submit the pre-authorisation request to the insurer
• After validation, the insurer will review and confirm their confirmation by fax and email to the network hospital. The insurer ensures you are also notified of the same through text message and email. The insurer will respond to your request within 30 minutes of filing the claim request.
• The only activity left to do now is the final settlement of your claim (as per policy terms & conditions) with the hospital after completion of all the necessary formalities

Reimbursement claim

• If you get hospitalised, notify the insurer within 48 hours of admission in our network or non-network hospital. After getting admitted, pay the amount directly to the hospital you are in.
• After you are discharged from the hospital, make sure you have all the relevant documents, invoices, medical reports and discharge certificates with you. The insurer would need the originals of all the mentioned documents to process your reimbursement
• Send all the documents to the insurer, which should be filled and signed in the claim form. Send your valid ID proof and age proof as well.
• After receiving your documents, the insurer will review your claim request and accordingly will give our approval, raise a query or reject the same (as per policy terms & conditions)
• Finally, the insurer will settle the claim (as per policy terms & conditions) and reimburse the approved amount.

Collect below mentioned relevant document in original from the hospital and submit them to us within 15 days of discharge from the hospital

• Original investigation reports
• Final hospital discharge summary, FIR or post-mortem report if happened
• Pharmacy bills along with the prescription
• Cancelled cheque or NEFT details for payment
• Original bills, receipts, and discharge reports
• Indoor case papers and duly filled claim form
• Original hospital bills, valid photo ID proof and treating doctor's report
• Original consultation notes, nature of operation performed and surgeon's bill and receipt
• Test reports along with attending doctor’s or surgeon’s report

1. Ailment wise capping and ambulance charges
2. Ailments requiring treatment due to use or abuse of any substance, drug or alcohol and treatment for de-addiction
3. Breach of law with criminal intent, intentional self-injury
4. Circumcision unless required for the treatment of illness or accidental bodily injury
5. Dental treatments and cosmetic surgeries
6. Hearing aids, spectacles or contact lenses including optometric therapy. Abuse or the consequences of the abuse of intoxicants or hallucinogenic substances
7. Miscarriage, abortion and c-section deliveries, sexually transmitted diseases such as AIDS and HIV
8. Refer the policy document to know more about exclusions in detail

BFL Helpline Number:  08698010101

Niva Bupa Helpline Number:   1860-500-1000

E-mail –  wecare@bajajfinserv.in

Mailing address: Ground Floor, Bajaj Finserv Corporate Office, Off Pune-Ahmednagar Road, Viman Nagar, Pune – 411014.

*For claim related issues, please refer to your policy document or certificate of insurance (COI).