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Critical Illness Insurance

A major illness can turn your family’s world upside down—emotionally and financially. Niva Bupa’s Critical Illness Insurance provides a lump sum payout on diagnosis of serious conditions like cancer, stroke, or heart attack. Focus on healing while we handle the financial pressure. Your recovery is our priority.

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Why Choose Niva Bupa?

Trusted by over 1.4 crore+ happy customers, Niva Bupa (formerly known as Max Bupa Health Insurance) provides a wide range of health insurance plans to suit every need

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30 min

Cashless Claim Processing 1

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15 Lakh+

Claims paid since inception 2

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1.4 Crore+

Happy customers served till date

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Custom Health Insurance Plans designed for You

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How does Our Claim Process work?

Get to know the steps involved in the claim Process, Whether it is a planned or emergency hospitalisation. Filling a claim is made easy by choosing any of the following ways:

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1

Hospital Admission:

Get admitted to a Niva Bupa network hospital.

2

Identification:

Present your Niva Bupa Health Card or policy number along with valid ID (Passport/PAN card/Voter’s ID) to the hospital staff.

3

Pre-authorisation:

The hospital will verify your details and submit a pre-authorisation request to Niva Bupa.

4

Niva Bupa Confirmation:

After verification, Niva Bupa will confirm coverage to the hospital via fax and email, and notify you by text and email, typically within 30 minutes of the request.

5

Final Settlement:

Upon completion of treatment and necessary formalities, the hospital will settle the claim with Niva Bupa according to your policy terms.

Critical Illness Insurance

Critical illness insurance is a health policy to safeguard you against serious conditions like cancer, kidney failure, and heart attacks. With this policy, you can receive a lump sum payment to address high medical expenses, additional costs related to hospitalisation, or even income loss.The burden of unexpected critical illnesses can affect your finances and mental well-being. However, a critical illness policy alleviates the financial strain, ensuring that your focus remains on your recovery rather than worrying about the expense of care. Let us support you in managing your healthcare expenses while maintaining financial stability.

What are the Features of the Critical Illness Insurance Policy?

Experience a safety net like no other with Niva Bupa's critical illness insurance as it offers comprehensive coverage. When a catastrophic illness strikes, we've got your back, taking care of not just your health but also your financial obligations. With Niva Bupa CritiCare, your well-being is fortified against a wide range of conditions. From the severe impact of cancer, heart attacks, and strokes to the need for complex procedures like organ transplants and heart valve repairs, we stand by your side. We even provide support for ongoing challenges such as kidney failure requiring dialysis and the enduring effects of diseases like multiple sclerosis and muscular dystrophy under the critical illness coverage. Your health is our priority.

Remember, our health insurance policies like critical illness insurance are designed as fixed benefit plans, delivering a promise of security.

Feature

Description

Critical Illness 

Covered upto 20 critical illness

Tax Benefits

As per section 80D

Free look period

15 days

Cover starts from

₹3 Lakhs - ₹2 crores

Premium starts from

₹12,521 / year

Why Do You Need a Critical Illness Cover?

Don't let the absence of a critical illness coverage drain your hard-earned savings and jeopardise your family health insurance future financial aspirations. The burden of expensive treatments can be overwhelming, but with the right critical insurance cover, you can alleviate the financial stress and embrace a healthier life.

Tailoring your insurance to suit your needs is within your grasp. Whether you opt for a standalone insurance plan or add it as a supplementary benefit to your existing health insurance plan, the choice is yours. Discover the perfect critical illness cover by connecting with our chatbot CIA or calling us at 1860 500 8888. Let us guide you towards securing the ideal protection you and your loved ones deserve.

How to Choose the Best Critical Illness Policy?

When selecting the optimal insurance policy like critical illness insurance, consider the following guidelines. Look for a plan that offers favourable and flexible terms tailored to meet your specific needs: 

  1. Assess the maximum number of illnesses the critical illness policy covers within a premium amount that fits your budget.

  2. Consider the specific illnesses you are already diagnosed with or anticipate being diagnosed with, considering factors such as your age and lifestyle. Remember, not all critical illness plans cover the same range of illnesses.

  3. Evaluate the waiting period associated with the critical illness policy. Ensure it is not long before you can make a claim and receive a payout

Know the Benefits

Eligibility for a substantial lump sum payment if you are diagnosed with a critical illness covered by the policy. This amount can even provide income tax benefits under Section 80DA critical illness insurance or critical illness policy can be beneficial in covering the expenses related to critical illnesses and lifestyle diseases. There are numerous other benefits too, such as:  

  1. Access to affordable premium critical illness cover for serious conditions often entails substantial medical expenses, which are paid out at predetermined intervals.

  2. Inclusion of diseases that may not be covered by standard health policies are also covered under the critical illness plans.

  3. Eligibility for a substantial lump sum payment if you are diagnosed with a critical illness covered by the policy. This amount can even provide income tax benefits under Section 80D

Who should Buy Critical Illness Insurance?

Critical illness insurance is a wise investment for anyone who values financial security and wants to safeguard or protect themselves and their loved ones from the burden of high medical expenses. It is especially beneficial for individual health insurance with a family history of critical illnesses, those working in high-stress environments, or individuals with limited savings. Whether young and healthy or approaching retirement, critical illness insurance offers a safety net that can provide peace of mind and ensure you receive the best possible care without brooding about the financial implications. Don't wait for a health crisis to strike—be proactive and safeguard your future by considering critical illness policy today.

Experience Comprehensive Coverage With Critical Illness Insurance Policy?

Get unparalleled peace of mind with Niva Bupa's critical illness insurance. We provide comprehensive coverage and support when you face a catastrophic illness, ensuring your health and financial obligations are taken care of. With Niva Bupa CritiCare, you are fortified against various conditions, including cancer, heart attacks, strokes, organ transplants, heart valve repairs, kidney failure, and the enduring effects of diseases like multiple sclerosis and muscular dystrophy. Your well-being is our top priority. Our health insurance policies are designed as fixed benefit plans, guaranteeing security for you.

Get unparalleled peace of mind with Niva Bupa's critical illness insurance. We provide comprehensive coverage and support when you face a catastrophic illness, ensuring your health and financial obligations are taken care of. With Niva Bupa CritiCare, you are fortified against various conditions, including cancer, heart attacks, strokes, organ transplants, heart valve repairs, kidney failure, and the enduring effects of diseases like multiple sclerosis and muscular dystrophy. Your well-being is our top priority. Our health insurance policies are designed as fixed benefit plans, guaranteeing security for you.

Ensure tax benefits

When it comes to health insurance, including critical illness cover, many tax benefits are available to you. In India, three key laws provide avenues for obtaining these benefits. The primary one is Section 80D, which allows or permits you to deduct your premiums for health insurance plans, including those specifically designed for critical illness cover. The deduction amount can go up to ₹25,000 for self and up to ₹50,000 when paying for dependents such as spouses, children, or parents. Enjoy the advantages of these tax benefits to protect your health and maximise your savings with the critical illness policy.

Critical Illness Insurance Plan Vs Health Insurance Plan

 

Critical Illness Insurance Plan

Health Insurance Plan

A critical illness insurance plan provides a lump sum if the insured individual is diagnosed with a specific illness listed in the policy. The payout by the critical illness policy can be used at the insured person's discretion and is not limited to hospital bills alone. In addition, this plan typically covers illnesses that may not be included in a regular health insurance plan, offering additional protection and support

A health insurance plan covers medical expenses from illnesses, accidents, or injuries. In exchange for regular premium payments, the insurer bears all or a portion of these expenses. The payout can be utilised for hospital bills and medical costs incurred before, during, and after hospitalisation. Health insurance is recommended for everyone, as it provides vital financial support during health-related challenges. While a standard health insurance plan generally covers most common illnesses, it is essential to carefully review the terms and conditions of any plan under consideration

 

Illness covered under the plan

Critical illness insurance plans cover a diverse range of severe and life-threatening illnesses, which can vary depending on the insurance provider. These critical illness plans typically encompass conditions such as cancer, kidney failure, and other critical diseases. To ensure comprehensive coverage, it is essential to carefully select a critical illness insurance plan that includes the specific illnesses you may be at risk for or could potentially be diagnosed with.

How to file a claim?

The process for claiming benefits under the best critical illness policy may vary among different insurance providers. However, you can enjoy a seamless and efficient claim process if you have a Niva Bupa critical illness insurance plan. Here's what you need to do:

  1. Seek admission at any of our authorised hospitals and ensure a complete critical illness cover.

  2. Present your Niva Bupa health card for identification purposes

Documents Required

The specific documents required to process your critical illness insurance plan's benefits may vary depending on the insurance provider. Here are the documents typically required to complete the claims process for Niva Bupa's CritiCare plan:

  1. A completed and signed claim form.

  2. KYC (Know Your Customer) documents.

  3. The original discharge summary note. If another insurer holds the original note, please provide self-attested copies.

  4. The original copy of the final hospital bill. If another insurer holds the original bill, please provide self-attested copies.

  5. Consultation notes or investigation reports are obtained from sources outside the hospital before hospitalisation.

  6. Initial consultation notes and all relevant medical records since the onset of symptom

  7. Please be aware that these document requirements are specific to Niva Bupa's CritiCare plan. Therefore, it is advisable to consult your insurer to confirm the precise documentation needed for your critical illness insurance claim.

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