No Claim Bonus in Health Insurance: How it Works?
20 January, 2025
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In the ever-evolving world of health insurance, it’s easy to get tangled up in unfamiliar terms, and one that often sparks questions is What is No Claim Bonus in health insurance? If you’re new to health insurance or have heard this term and are curious about it, you’re in the right place. The No Claim Bonus (NCB) isn’t just another piece of insurance jargon; it’s a thoughtful feature that rewards you for staying healthy and avoiding claims. This blog will provide an in-depth guide regarding the No Claim Bonus in health insurance for your better understanding.
What is NCB?
A NCB is a reward that health insurance providers offer to the policyholders when they do not make any claims during a policy year. It’s a way of rewarding you for staying healthy and not utilising the insurance coverage. The bonus usually comes as either a discount on the premium or a cumulative bonus, leading to lower overall expenses and greater coverage.
Types of NCB
Generally, there are two types of NCB that are listed below:
Premium Discount
This type of NCB offers a discount on the premium for the following year. For instance, with a 20% NCB, your premium for the next policy year will be lowered by that percentage.
Cumulative Bonus
Another type of NCB involves increasing the sum insured without any additional cost. This means your coverage amount is enhanced while you continue paying the same premium.
How Does NCB Work?
Understanding how the No Claim Bonus health insurance works can significantly enhance your appreciation of this valuable feature in health insurance. Here’s a clear breakdown using simple examples to illustrate the two main ways NCB benefits you: through discounts on premiums and cumulative benefits.
NCB for Premium Discount
Let’s use an example to explain this. Imagine Suresh buys a health insurance policy with a sum insured of ₹5 lakh and pays an annual premium of ₹5,000. In case he doesn’t make any claims for the policy during the policy tenure, he becomes eligible for an NCB.
Here’s a detailed description of how the NCB benefits him:
- Initial Premium: Suresh’s annual premium for his health insurance is ₹5,000.
- No Claim Bonus: Since Suresh did not make any claims during the policy period, he is eligible for a 10% NCB.
- Discount Calculation: The 10% bonus translates to a discount of ₹500 on his premium.
- Renewal Premium: Instead of paying the full ₹5,000 for the next policy year, Suresh now only needs to pay ₹4,500.
- Savings: The No Claim Bonus health insurance has saved him ₹500 on his renewal premium, making his insurance coverage more affordable.
NCB for Cumulative Benefit
Suppose Suresh buys a health insurance policy with ₹5 lakh sum insured. He stays claim-free throughout the policy year, making him eligible for a NCB.
Here’s how the No Claim Bonus in health insurance can increase his coverage over time:
- Initial Sum Insured: The initial sum insured by Suresh is ₹5 lakh.
First-Year Bonus: Since he did not make any claims during the first year, his insurer offers a 10% increase in the sum insured. This means:
Increased Sum Insured: ₹5 lakh + 10% of ₹5 lakh = ₹5 lakh + ₹50,000 = ₹5.5 lakh.
Second-Year Bonus: Suresh remains claim-free in the following year as well. The insurer applies another 10% increase to the new sum insured of ₹5.5 lakh, resulting in:
Increased Sum Insured: ₹5.5 lakh + 10% of ₹5.5 lakh = ₹5.5 lakh + ₹55,000 = ₹6.05 lakh.
- Maximum Cap on NCB: Most insurers set a cap on how much the sum insured can increase through NCB. Let’s assume Suresh’s insurer has a cap of 50% over the original sum insured.
Total Potential Increase: Suresh's maximum increase is 50% of his original sum insured of ₹5 lakh, which amounts to ₹2.5 lakh. Therefore, the highest possible sum insured he can achieve is:
Final Sum Insured: ₹5 lakh (original) + ₹2.5 lakh (maximum NCB increase) = ₹7.5 lakh.
Due to the cumulative NCB, Suresh’s sum insured could reach ₹7.5 lakh after five consecutive claim-free years.
Benefits of NCB
NCB offers numerous benefits that are listed below:
Cost Savings
One of the primary advantages of NCB is the financial saving on premiums. A higher NCB translates to a lower premium amount, making health insurance more affordable.
Enhanced Coverage
Increasing the sum insured due to NCB provides additional coverage without increasing your premium. This added safety net can be crucial in case of high medical expenses.
Incentive for Healthy Living
NCB encourages policyholders to adopt a healthier lifestyle and avoid unnecessary claims. This benefits the insurer by reducing claim costs and promoting overall well-being.
Long-Term Financial Benefit
Accumulating NCB over several years can lead to significant savings on premiums or a considerable increase in coverage, making your long-term health insurance investment more valuable.
Final Thoughts
NCB is a valuable feature in health insurance that rewards policyholders for staying healthy and avoiding claims. By maintaining a claim-free record, you not only save on premiums but also enjoy increased coverage over time. Niva Bupa’s health insurance plans incorporate this feature to offer added value and reward you for healthy living. They help you avail yourself of a better value from your insurance policy. Explore their options to find a policy that aligns with your needs and benefits from their rewarding NCB feature.
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