Health Insurance Plans

What is Health Insurance?

Health insurance is a formal, legal contract between you and an insurance provider. In this plan, the insurer pays your medical and surgical costs in return for a regular fee, called a premium.

Think of it as a dedicated financial backup. When a medical emergency strikes, instead of depleting your life savings or liquidating investments like FDs or gold, the insurance company settles the hospital bills. In the Indian context, a health insurance policy acts as a critical buffer against the skyrocketing costs of private healthcare, ensuring that a single hospital stay does not lead to a long-term debt trap.

Why Do You Need Health Insurance?

While health insurance has many benefits, you should consider why medical insurance is essential for most people and families.

Unpredictable Medical Costs

Diseases, accidents, and health emergencies can strike at any time. Having medical insurance ensures you get timely treatment without worrying about the potential financial burden.

Medical Inflation

Healthcare is becoming more expensive each year in India and globally. New medical treatments, longer hospital stays, and more chronic illnesses are raising treatment costs. 

What feels affordable today may become a major financial burden in the future. Buying health insurance early in life helps you stay prepared. 

It also protects you financially as healthcare costs rise.

Financial Stability

Large hospital bills can drain your savings, disrupt financial planning, or push families into debt. This is where investing in a reliable health insurance plan helps protect your short- and long-term goals.

Access to Better Healthcare

Medical insurance enables you to get treated at reputed hospitals without having to worry about medical expenses.

Peace of Mind

Having health insurance as a financial safety net helps you feel protected and confident. It lets you live freely, go further, and pursue your goals without fear.

Family Protection

A family floater plan safeguards you and your loved ones under a single best medical insurance policy.  It makes it convenient for you by providing customised, specialised coverage tailored to your family’s unique needs.

Tax Savings

In India, you can deduct health insurance premiums from your taxes.  This lowers your tax bill under Section 80D of the Income Tax Act.  It gives you financial benefits under Indian tax laws. 

Thus, remember that health insurance is not an expense. An investment in your future well-being and your loved ones.

Types of Health Insurance Plans in India

The following are some types of health insurance policies, depending on their specific functions and needs:

What is Mediclaim Policy?

A mediclaim policy is a type of health insurance that offers financial protection against rising medical expenses. It covers the cost of hospitalisation, surgeries, and treatments if you fall ill or meet with an accident. Instead of using your savings to pay large hospital bills, the insurer pays the covered expenses as per the policy terms.

Mediclaim plans reduce the financial stress linked to medical emergencies. Along with hospitalisation costs, many policies also cover diagnostic tests, consultation fees, OPD expenses, and pre- and post-hospitalisation charges. In simple terms, a mediclaim policy acts as a financial safety net. With healthcare costs steadily increasing, it helps you access quality treatment without putting pressure on your savings.

Key Features of a Mediclaim Policy

Before buying a mediclaim plan, it is important to understand its core features. These features define the scope of coverage and how the policy supports you during medical needs.

• Coverage: Mediclaim policies cover expenses arising from illness, accidents, and hospitalisation. This typically includes room charges, surgeries, diagnostic tests, medicines, and ambulance services.

• Cashless Treatment: Insurers have tie-ups with network hospitals where you can receive treatment without paying upfront. The insurer settles eligible bills directly with the hospital, as per policy terms.

• Policy Renewal: Most mediclaim policies are renewable annually. Renewing on time ensures uninterrupted coverage and continued financial protection against unexpected medical expenses.

What is Cashless Mediclaim Policy?

A cashless mediclaim policy allows you to receive medical treatment at a network hospital without paying hospital bills upfront.During a medical emergency, you do not need to arrange funds upfront. The insurer directly pays the hospital for eligible expenses as per your policy terms.

Under a cashless facility, you can access quality treatment seamlessly at network hospitals. This feature reduces financial stress and ensures timely access to medical care.

To avail of a cashless claim, you need to follow these simple steps:

1. Choose a Network Hospital: Select a hospital from the approved network. Inform the insurer at least 72 hours before planned treatment or within 24 hours in case of emergency admission.

2. Provide Identification: Present your health card or policy number along with a valid photo ID at the hospital.

3. Pre-authorisation: The hospital shares your treatment details with the insurer for approval.

4. Approval and Treatment: Once approved, you can proceed with treatment under the cashless facility.

5. Final Settlement: After discharge, the insurer settles eligible expenses directly with the hospital. You only pay for non-covered items, if any.

Safeguard Your Health with a Cashless Mediclaim

A cashless mediclaim policy strengthens your financial preparedness during medical emergencies. It ensures that lack of immediate funds does not delay necessary treatment. By removing the need for upfront payments, it allows you and your family to focus on recovery instead of expenses.

Niva Bupa offers extensive network coverage across more than 10,000+ hospitals in India. A dedicated claims team is available 24/7 and processes claims quickly, often within 30 minutes of pre-authorisation approval, ensuring a smooth and efficient process.

What is the Difference Between Health Insurance and Mediclaim Policy?

When choosing between health insurance and mediclaim insurance, consider key factors. This helps you get the best coverage for your family’s health and finances.

While some people use the terms interchangeably, health insurance and mediclaim insurance differ in key ways.

These include coverage scope, coverage limits, premiums, extra benefits, the claim process, and overall use. Both health insurance and mediclaim plans help cover medical costs. Health insurance often covers more treatments and offers wider benefits.

What is the Right Time to Take the Best Health Policy?

While there is no legal age limit for buying medical insurance, most experts agree you should buy it once you start earning. People often see delaying this decision as a financial risk rather than a saving.

Here is why the timing of your purchase is so critical:

The Benefit of Lower Age

Insurers calculate premiums based on the risk associated with your age. When you buy a policy in your early 20s, the premium is much lower. Starting in your 40s results in a higher value. By starting early, you lock in a more affordable rate for your youth.

Serving Out Waiting Periods

Most policies have a mandatory waiting period of two to four years for pre-existing diseases and specific surgeries. If you buy a policy while you are young and healthy, you complete these waiting periods without ever needing to file a claim. This ensures that when you do reach an age where health issues might arise, your policy is already fully functional.

Securing Coverage Before Illness Strikes

Once you are diagnosed with a lifestyle condition such as diabetes or hypertension, it becomes much harder to get a comprehensive health policy. Insurers may either reject the application, charge a very high "loading" fee, or exclude that specific condition forever. Buying a policy while you have a clean medical record ensures you get the widest possible coverage.

Accumulating the No Claim Bonus

By starting early, you have a higher chance of going several years without making a claim. Most insurers, reward this by increasing your insured amount every year at no extra cost. Over a decade, your coverage could double or triple without any increase in your premium.

Comprehensive Financial Planning

Health insurance is the foundation of a sound financial plan. A single hospitalisation can wipe out years of savings intended for other goals like buying a home or further education. Having a policy in place from the start of your career ensures your savings remain protected from medical inflation.

Benefits of Buying Health Insurance at an Early Age

The biggest advantage of starting early is that time is on your side. As per the latest reports, medical inflation in India currently hovers at 14%, locking in your protection today ensures that the rising cost of surgeries and treatments never dictates the quality of care you receive.

Lock in Significantly Lower Premiums

Insurance companies calculate your premium based on risk, and when you are young, that risk is at its lowest. By purchasing the best health insurance in India in your 20s, you can secure a massive coverage for a fraction of the cost you would pay just a decade later. This allows you to enjoy comprehensive coverage while keeping your monthly expenses manageable, effectively "freezing" lower rates for the long term.

Breeze Through Waiting Periods Early

Most policies have a "waiting period" of 3 years for specific ailments or pre-existing conditions. By starting early, you serve this time while you are still healthy and unlikely to need hospitalisation. This means that when you reach a stage in life where you may face health issues, your policy is fully matured. You can then receive 100% of your benefits with no stressful delays.

Comprehensive Coverage Without Exclusions

When you apply for medical insurance at a young age, you are less likely to have chronic diseases. This makes your application cleaner.  It lets you get a standard plan with no exclusions or extra loading charges. It covers your whole body from day one. It also prevents gaps in coverage if you sign up too late.

Build a Massive Safety Net with Cumulative Bonuses

Every year you don't make a claim, the best health insurance plans in India reward you with a "Cumulative Bonus." If you start at 25, you may double your coverage through these bonuses by age 35. 

You do this without paying a single rupee extra in premium. This helps your policy stay ahead of medical inflation, providing you with a giant financial reservoir for your future.

Common Reasons People Delay Buying Health Insurance

Most people do not avoid insurance out of carelessness. They delay it because, at certain stages of life, present needs feel more urgent than future protection.

1. The "Healthy Adult" Trap

The Scenario: "I am a healthy adult in my 20s. I hit the gym, eat well, and haven’t seen a doctor in years. Why should I pay a premium for something I won’t use?" 

The Reality: Health insurance is cheapest when you are young and healthy. By buying now, you secure a lower premium for life and serve your "waiting periods" while you don't need the coverage. If you wait until you are sick, your premium will be higher. Insurers may exclude some conditions as pre-existing illnesses.

2. The "Corporate Cover" Reliance

The Scenario: "My company already provides a group health insurance policy that covers me and my family. I don't think I need an extra personal plan." 

The Reality: Corporate cover is valid only as long as you are with the employer. If you switch jobs, face a layoff, or decide to start your own business, you end up with zero protection. Additionally, most corporate plans have sub-limits. These caps on room rent or surgeries may not cover all modern private healthcare costs.

3. The "Financial Priority" Delay

The Scenario: "I have other financial goals right now, saving for a car or a house. I’ll buy health insurance next year when I have more disposable income." 

The Reality: A single medical emergency can wipe out your entire savings intended for that car or house. Health insurance is not an expense that competes with your goals. A safety net protects your savings from hospital bills.

4. The "Nothing to Lose" Mindset

The Scenario: "Medical emergencies only happen to older people. I’m only 30; I have plenty of time to think about insurance when I'm older." 

The Reality: Lifestyle diseases (like diabetes and hypertension) and accidents do not look at age. Furthermore, insurers offer "No Claim Bonuses" (Cumulative Bonus). If you start young and stay healthy, your coverage grows each year at no extra cost. This can give you a large fund by the time you reach old age.

5. The "Tax Benefit" Only Mindset

The Scenario: "I only buy insurance at the end of the financial year if I need to save on tax under Section 80D. If my taxes are sorted, I don't see the point." 

The Reality: While the tax saving is a great perk, the primary purpose is medical security. Delaying the purchase until “tax season” may lead to a rushed choice. You might pick a plan that does not meet your medical needs. Plus, if a medical emergency strikes in November, a plan bought in March for tax reasons won't help you.

Choosing the Right Health Insurance Policy in India

Protect yourself and your family by choosing a health insurance plan that fits your needs. It should cover essential costs and match your budget.  Here are some things to consider when choosing the best medical insurance policy in India:

A well-chosen policy ensures long-term health and financial security; therefore, it is crucial to research and purchase the right health insurance for yourself and your loved ones.

Things to Consider Before Buying a Health Insurance Plan in India

When buying health insurance for you and your loved ones, keep these points in mind. 

They will help you understand what you need and what you are buying.

• Health history of all of the insured

• Family structure

• Age of family members

• Sum insured amount

• Coverage inclusions

• Exclusions

• Co-payments

• Sub-limits on treatments

• Network hospitals

• Waiting periods

• Premium affordability

• Long-term renewability

• Add-on benefits

• Claim Settlement Ratio

Carefully evaluating the policy is critical when choosing a policy that truly supports you in times of need. Use the factors above to get the best health insurance plan for yourself and your family.

Comparing Niva Bupa Health Insurance Plans

Comparing health insurance plans helps you quickly understand their coverage, benefits, and costs. The table below shows a simple comparison of Niva Bupa health insurance plans to help you choose the right one.

What is a Pre-Authorisation Request in Health Insurance?

A pre-authorisation request is when a hospital TPA desk asks your health insurance company for approval before starting a treatment or procedure. This confirms that your policy covers the treatment. It helps you avoid unexpected expenses and lowers the chances of your claim being rejected. In simple words, it is getting the insurer’s approval before the treatment begins.

Which Treatments and Medicines Need Prior Approval?

• Medicines that may pose greater health risks or lead to serious side effects.

• High-cost medicines, especially when lower-cost alternatives are available

• Medical equipment meant for long-term use, such as mobility aids

• Planned surgeries that are not required in an emergency

Is Pre-Authorisation Required in Medical Emergencies?

Pre-authorisation is usually not required in medical emergencies. In such situations, immediate treatment is the priority, and hospitals can proceed without prior approval from the insurer. However, the hospital or the insured person must inform the insurance company within the specified time limit to ensure smooth claim processing.

How Do You Apply for Pre-Authorisation?

Pre-authorisation is a simple step that helps you access cashless treatment smoothly. Understanding the process in advance can save time and reduce stress during hospital admission.

• Visit a network hospital and submit a pre-authorisation request at the insurance desk

• Submit the request at least 48 hours before planned admission or within 24 hours in case of an emergency

• Provide required documents such as ID proof, policy details, and medical reports

• The insurer reviews the request and usually responds within 30 minutes

• Once approved, treatment proceeds under the cashless facility

What is a Health Card?

Its an identification insurance card given by your health insurance company when you buy a plan. It helps you access healthcare services, and you must present it at a network hospital for cashless treatment. You also need this card when you claim health insurance reimbursements. You can also use a digital health card on your phone or laptop, making it easy to access your benefits whenever you need them.

Benefits of Health Card

A health card helps you handle medical expenses easily by offering convenience and financial support when you need it most.

• Cashless treatment: Insurer pays the hospital directly at network hospitals

• Policy details access: All important policy information is available instantly

• Easy and convenient: Saves time, paperwork, and is easy to carry

• Nationwide use: Can be used at empanelled hospitals across the country

Health Insurance Myths

Myth: Employer-Provided Health Insurance is Always Sufficient

This is incorrect. Employer health plans cover many employees. They may not meet each person’s unique needs.

Whether risks or the insured amount limit coverage, you should have at least one supplementary health policy. This can lock in lower prices when you are younger. It can ensure lifetime renewability. It can also maintain coverage after you leave an employer.

Myth: Health Insurance is Too Expensive

This depends on some very specific circumstances. Since insurance works on a risk-based model that pools money from thousands of customers, insurers do not charge the same premium to every customer.

Insurers consider the type and coverage of the policy, your age, health risks, medical history, pre-existing conditions, lifestyle habits such as smoking or drinking, body weight, and medical inflation to decide your premium.
Based on these factors, insurers may charge customers a very low or very high premium, so customers must understand the policy nuances to determine its value.

Myth: Employer-Provided Health Insurance is Always Sufficient

This is incorrect. Employer health plans cover many employees. They may not meet each person’s unique needs.

Whether risks or the insured amount limit coverage, you should have at least one supplementary health policy. This can lock in lower prices when you are younger. It can ensure lifetime renewability. It can also maintain coverage after you leave an employer.

Myth: Health Insurance is Too Expensive

This depends on some very specific circumstances. Since insurance works on a risk-based model that pools money from thousands of customers, insurers do not charge the same premium to every customer.

Insurers consider the type and coverage of the policy, your age, health risks, medical history, pre-existing conditions, lifestyle habits such as smoking or drinking, body weight, and medical inflation to decide your premium.
Based on these factors, insurers may charge customers a very low or very high premium, so customers must understand the policy nuances to determine its value.

Myth: Pre-existing conditions aren’t covered

That is untrue. While pre-existing conditions often have a waiting period of 1 to 3 years, depending on the policy and insurer, they are covered if they are listed in the policy opted for and disclosed at the time of purchase.

Myth: The Best Plan is the One with the Lowest Premium

This is untrue. Avoid picking a health insurance plan based only on price. A low premium may mean gaps in coverage and higher out-of-pocket costs. If a plan offers full coverage and a lower premium after comparison, it is worth considering.

Myth:  You get coverage as soon as you buy the plan

This is untrue as the coverage for different aspects of the policy depends on the specific waiting period assigned to it. You can claim most benefits after 30 days from the policy start date. Some covers, including pre-existing conditions and maternity benefits, need a longer waiting period of up to 4 years.

Myth: Pregnancy is not included in health insurance

That is untrue, as some health insurance policies offer coverage for delivery and labour expenses, newborn baby care, pre- and post-hospitalisation natal care, ambulance cover, and more. So, check the specific policy you need based on your family's plans in the near future, especially since maternity coverage often comes with a waiting period, so you need to have the policy for a specific duration before being eligible for coverage.

Myth: Online plans are not safe

This is untrue, as most insurance providers today offer medical insurance plans online. This is to improve accessibility, give customers time to do their research and choose what they need at their own pace, and reduce intermediary costs, resulting in cheaper, better, and more secure policies tailored to the individual and their needs. 

Myth: People who smoke and drink are not eligible for health insurance:

That is untrue; while smokers and drinkers will be required to pay a higher premium than non-smokers and non-drinkers, they will still be eligible for the policy, subject to meeting other criteria depending on the specific policy chosen.

Myth: Network hospitals can only be found in big cities<H3>

That is incorrect. Niva Bupa works with over 10,000 hospitals in more than 450 PAN India, allowing fast cashless claims anywhere in India. If you visit a registered hospital outside the network, you can request a reimbursement settlement. The insurer will complete your claim within the prescribed timeframe, provided the hospital does not appear on their "unrecognised" list.

Why Should You Compare Health Insurance Plans Online?

When you invest in health insurance, which offers long-term coverage, it is wise to compare policies carefully. Choose the right plan for financial security and peace of mind. Unlike asking someone questions when you feel rushed, online comparison is easier and more comfortable. 

It also saves time by avoiding manual difference checks for most insurance seekers. Here are some of the key ways online comparison for insurance plans is better:

• Compare premiums

• Check features

• Analyse sum insured options

• Review exclusions and waiting periods

• Check the network hospital lists

• Understand claim settlement processes

• Assess customer ratings

• Make informed decisions without agents

• Purchase instantly

All in one spot instead of having to call intermediaries, online tools simplify research and help you choose efficiently.

How to Choose the Right Sum Insured in Health Insurance?

Selecting the right sum insured is a key decision. It sets how much financial protection you get during a medical crisis. Since healthcare costs rise each year, coverage that seems enough today may not be enough later.

Here are the key factors to consider when choosing your insured amount:

• Current Age and Life Stage: Younger individuals generally require a lower coverage as they have fewer health risks. However, as you age, the likelihood of lifestyle diseases and chronic conditions increases, necessitating a higher coverage limit to manage frequent hospital visits.

• Medical Inflation: Healthcare inflation often outpaces general inflation. It is wise to choose a sum insured that accounts for the rising costs of surgeries, medicines and hospital room rents over the next five to ten years.

• Family Size and Composition: If you choose a family floater plan, all members share the insured amount. A larger family, especially with elderly parents or young children, needs a higher total limit. This helps ensure that one person’s treatment does not use up funds for others.

• Pre-existing Medical History: Look at your family’s medical history. If serious illnesses like heart disease or cancer run in your family, choose a higher coverage amount. These conditions often involve long term treatments and multiple hospitalisations which can quickly deplete a basic cover.

• City of Residence: The cost of medical treatment varies greatly depending on your location. If you live in a metro city or a Tier 1 area, hospital and consultation costs are much higher. A high coverage amount is essential.

• The Nature of Your Occupation: If your work is stressful or risky, choose a health plan with full coverage. Your work life can affect your long-term health risks and the medical care you may need later.

• Future Financial Goals: A higher sum insured acts as a shield for your savings. By paying a slightly higher premium now, you can be better prepared. This can help prevent a medical emergency from forcing you to sell your investments. It also helps protect your long-term financial plan.

Choose Health Insurance Coverage of Your Choice

When you choose a health insurance provider, you aren't just buying a policy; you are choosing a partner for your toughest days. We focus on features that provide real-world utility rather than just looking good on a brochure.

• Day Care Treatment Coverage: Modern medical advancements mean that many surgeries no longer require a twenty four hour hospital stay. Our plans cover over five hundred day care procedures, including cataracts and dialysis, ensuring you receive the same level of financial support for quick, advanced treatments.

• Cumulative Bonus for Preventive Care: We believe in rewarding proactive health management. For every year you do not file a claim, your insured amount increases by a significant percentage at no extra cost. This allows your coverage to grow naturally alongside your age and potential medical requirements.

• Alternative Medicine (AYUSH) Benefits: We recognise that many individuals prefer holistic healing methods. Our policies extend coverage to inpatient treatments under Ayurveda, Yoga, Unani, Siddha, and Homeopathy, provided they are conducted in government recognised or accredited hospitals.

• Air Ambulance and Emergency Transport: In critical situations where time is of the essence, our plans cover the costs of emergency air or road ambulance services. This ensures that you can reach the best medical facility in the country, regardless of the distance or the severity of the emergency.

• Pre and Post Hospitalisation Support: Medical expenses often start before you enter a hospital and continue long after you are discharged. We cover diagnostic tests, consultations, and medications for up to sixty days before admission and one hundred and eighty days after discharge.

• Health Check-up Coupons: Prevention is a cornerstone of our philosophy. Upon every policy renewal, we provide complimentary health check-up vouchers for adult members, helping you monitor vital statistics and detect potential issues at an early stage.

• Direct Cashless Settlement: To eliminate the stress of arranging large sums of money during an emergency, we offer a direct cashless settlement at our extensive network of partner hospitals. This ensures a seamless process where the hospital and the provider settle the bill directly.

How Health Insurance Works in India?

In India, health insurance operates as a contract between you and an insurance company. You pay a specific amount, known as a premium, and in exchange, the insurer covers your medical expenses as per the terms of the policy.

Understanding the process is essential to ensure you receive the maximum benefit during a medical emergency. Here is a breakdown of how the system functions:

The Step-by-Step Process

• Policy Selection and Premium Payment: You begin by choosing a plan that fits your needs, such as an individual or family floater policy. You pay an annual premium to keep the cover active. In India, these premiums are also eligible for tax deductions under Section 80D of the Income Tax Act.

• The Waiting Period Phase: Once the insurer issues the policy, it usually applies a waiting period. Most plans have a standard thirty day initial waiting period for all claims, except for accidents. Specific illnesses and pre-existing diseases typically have a longer waiting period ranging from two to four years.

• Medical Event and Hospitalisation: When a medical emergency or a planned surgery occurs, you must be admitted to a hospital for at least twenty four hours to trigger a standard claim. However, modern policies also cover "Day Care" procedures like cataract surgery which take less than a day.

• Claim Settlement Methods: There are two primary ways to settle your hospital bills in the Indian market:

  • Cashless Claims: If you are treated at a "Network Hospital" (a facility that has an agreement with your insurer), the insurance company settles the bill directly with the hospital. You only pay for non-medical items like gloves or administrative fees.

  • Reimbursement Claims: If you choose a hospital outside the network, you must pay the entire bill yourself first. After discharge, you submit all original bills and reports to the insurer to get the money back.

• The Role of TPAs and In-House Teams: Many Indian insurers use a Third Party Administrator (TPA) to process claims and manage hospital coordination. Some larger companies have their own in-house claim settlement teams to speed up the approval process and provide a smoother customer experience.

• Renewals and No Claim Bonuses: Health insurance in India is usually an annual contract. If you do not make a claim during the year, many providers reward you with a "No Claim Bonus" (NCB). This either increases your insured amount or provides a discount on the next year's premium.

• Restoration of Sum Insured: A popular feature in the Indian market is the "Restoration" or "Refill" benefit. If you exhaust your entire coverage amount during a single hospitalisation, the insurer automatically restores the sum insured for the next illness within the same policy year.

Top 10 Factors Influencing Health Insurance Premiums

Health insurance premiums are not static costs. As insurance is a risk-pooling mechanism, it considers each member's risk and determines the actual cost accordingly. 

For example, a smoker and a non-smoker with other conditions remaining the same will be different. Similarly, a person in their 40s will pay a higher premium than someone in their early 20s. 

This is because the risk associated with the older person will be higher, all else equal. The following are some of the factors that influence health insurance premiums:

• Age

• Sum insured

• Type of plan

• Number of members

• Pre-existing conditions

• Lifestyle factors

• City of residence

• Add-ons opted

• Coverage level

• Medical inflation adjustments

These factors are used in actuarial calculations to set premiums that balance risk and long-term sustainability.

How to Calculate Health Insurance Premiums?

Calculating a health insurance premium involves more than just a flat rate. In India, insurers use many risk factors and simple math to set the exact amount you pay. Understanding these variables can help you find ways to lower your costs while maintaining adequate cover.

Here are the primary factors used to calculate your premium:

• Entry Age of the Insured: Age is the most significant factor. Since younger individuals statistically fall ill less often, insurers offer them lower premiums. As you grow older, the risk of hospitalisation increases, which leads to a corresponding rise in the premium amount.

• Number of Family Members Covered: A family floater plan covers many members under one shared sum insured. It usually costs more than a single individual plan. However, the cost per person is often lower with a floater plan than with separate policies.

• Sum Insured and Plan Type: The total coverage amount you choose directly impacts the cost. A higher coverage provides greater financial safety but comes with a higher premium. Additionally, "Comprehensive" or "Gold" plans cost more than "Basic" or "Standard" plans.  They include more features, like OPD cover or global treatment.

• The Choice of Zone or City: Insurers often group India into zones. For example, Zone A covers metros like Mumbai and Delhi. Zone B covers smaller towns. Because medical care costs more in large cities, people there often pay higher premiums than in small towns.

• Pre-existing health conditions mean you already have a medical condition. Examples include diabetes or high blood pressure. If you have a medical history, the insurer may add a “loading.” This is an additional charge on the premium to cover the higher risk associated with those specific health conditions.

• Policy Tenure and Discounts: Paying for insurance in advance for two or three years, instead of one, can save you money. Many insurers offer a multi-year discount ranging from seven to fifteen percent on the total premium amount.

• Lifestyle and Habits: Your personal habits play a role in the calculation. For example, insurers may charge smokers or people with a high Body Mass Index (BMI) higher premiums. They do this because these groups face a greater risk of serious health issues.

• Deductibles and Voluntary Co-payment: You can choose to lower your premium by opting for a "Deductible." This means you agree to pay a fixed amount of the medical bill yourself before the insurance kicks in. The higher the deductible you choose, the lower your annual premium will be.

Health Insurance Premium Calculator

We understand that health insurance should be transparent, easy to navigate, and tailored to your specific life stage. Our Health Insurance Premium Calculator is a digital tool designed to take the guesswork out of your financial planning. It allows you to explore our various products and see exactly how different factors influence your costs.

• Instant Accuracy: Our calculator gives a precise estimate in seconds. You won’t wait for an agent’s call. You won’t need to decode complex tables. It uses real-time data to show a clear breakdown of the base premium, selected add-ons, and applicable taxes.

• Interactive Customisation: You can "play" with the variables. Want to see how much more a ₹1 Crore cover costs compared to ₹10 Lakhs? Or how adding your parents affects the total? The calculator updates instantly, allowing you to build a plan that fits your budget perfectly.

• Comparison of Variants: Whether you are looking at our Classic, Select, Elite, or Black variants, the calculator helps you compare benefits side-by-side. This ensures you aren't just buying a policy based on price, but based on the real-world utility of the features.

Exploration of Add-ons: Our calculator makes it easy to include optional covers like Hospital Cash, Personal Accident, or Critical Illness. You can see the incremental cost of these riders before making a final commitment.

How to Reduce Your Health Insurance Premiums?

While health insurance is essential, premium costs can vary a lot based on your choices. By understanding the levers that influence pricing, you can secure comprehensive coverage without overstretching your budget.

Here are the most effective ways to reduce your health insurance premiums:

Start as Early as Possible

Age is the most influential factor in premium calculation. Insurers view younger policyholders as lower-risk individuals. By purchasing a plan in your 20s or early 30s, you lock in a lower base rate. You complete mandatory waiting periods for specific illnesses while you are healthy, so you receive full coverage when you actually need it.

Opt for a Family Floater Plan

If you are looking to cover your spouse, children, or parents, a family floater is typically more cost-effective than buying separate individual policies. Since the insured amount is shared across all members, the insurer charges a single premium that is usually lower than the combined cost of multiple individual plans.

Choose a Voluntary Deductible

A deductible is a fixed amount you agree to pay out of your own pocket before the insurance company starts paying. By opting for a higher voluntary deductible, you reduce the insurer’s liability, and in return, they offer you a significant discount on your annual premium. This is a smart move if you are generally healthy and have an emergency fund for minor medical costs.

Leverage Multi-year Policy Discounts

Most providers in India, offer discounts if you pay your premium for two or three years upfront. These discounts can range from 7.5% to 15%. Not only does this save money, but it also protects you from any annual premium hikes during that period.

Utilise the "Top-up" or "Super Top-up" Strategy

Instead of buying a base policy with a very high sum insured, start with a modest base plan. A high sum insured usually comes with a much higher premium. For example, choose a ₹5 Lakh base plan, then add a Super Top-up plan of ₹20 Lakhs with a deductible. Super Top-up plans cost less than base plans and still provide strong financial protection for major surgeries or critical illnesses.

Accumulate No Claim Bonuses (NCB)

Insurers reward claim-free years by either increasing your sum insured for free or offering a discount on the renewal premium. By avoiding claims for minor, manageable expenses, you build up your NCB, which can eventually increase your coverage up to 100% without a single rupee increase in your premium.

Maintain a Healthy Lifestyle

Modern insurance plans often include Wellness Programmes. By using wearable devices to track your steps or undergoing regular health check-ups, you can earn "Health Points.” At renewal, you can use these points to get a discount on your premium, sometimes saving up to 20% to 30%.

Which is the Most Affordable Niva Bupa Health Insurance Plan?

Health insurance is truly affordable when it offers the right balance of premium cost, strong coverage, and long-term benefits. Based on these factors, here are some of the most affordable Niva Bupa health insurance plans.

ReAssure 3.0

ReAssure 3.0 from Niva Bupa is a feature-rich family health insurance cover offering extensive protection and the benefit of unlimited sum insured restoration. It provides cover for hospital stays, daycare procedures, organ donor expenses, and associated pre- and post-hospital costs.

Some of the standout features include:

• Go limitless with no cap on your sum insured

• Get coverage from day 1 for pre-existing diseases

• Access executive health check-ups, priority claims, and dedicated support with Niva Bupa One

• Go borderless and get treatment anywhere in the world

This plan is suitable for families looking for long-term, high coverage with added wellness and premium-saving benefits.

Rise Health Insurance Plan

Rise Health Insurance plan is an entry-level family health plan that offers essential protection at an affordable cost. The plan offers coverage for hospitalisation expenses, daycare procedures, and pre- and post-hospitalisation costs. 

Some of the standout features include:

• 50% premium return that can be accumulated and earn up to 10% returns

• Flexi-Pay option for convenient premium payment

• ₹5,000 Smart Cash benefit if treatment is taken in a government hospital without making a claim

• Unlimited digital consultation with general physicians through our mobile app.

This plan is suitable for young families or first-time buyers who want reliable health insurance at a budget-friendly cost.

Reassure 2.0

This comprehensive health plan combines affordability with enhanced benefits. It combines strong coverage with smart features such as:

• Lock the clock feature that lets you pay premiums based on your entry age

• ReAssure forever benefit that supports continued coverage even after multiple claims

• Booster+ that carries forward unused sum insured up to 10 times the base cover

• Health check-ups from Day 1 to encourage preventive care

• Tax benefits on premiums under Section 80D

This plan is ideal for families looking for long-term security and higher protection against medical inflation. 

Aspire Health Insurance

This health insurance plan by Niva Bupa blends strong core protection with benefits that help you save and grow your coverage. Aspire plan blends smart premium savings with comprehensive benefits and long-term value.

Some of the standout features include:

• Lock the age, pay premiums as per entry age till you claim

• Don’t lose what you don’t use. Carry forward the balance sum insured

• Maternity coverage including IVF, Adoption and more

• Use and get back your base coverage. Unlimited times and forever

Aspire is ideal for those who want comprehensive health protection with cost-saving features and value-added rewards.

Senior First

Senior First is a health insurance plan designed for senior citizens, offering medical coverage with features that support age-related healthcare needs. Since premiums for senior plans are usually higher due to greater health risks, this plan balances strong coverage with pricing that is more affordable compared to similar options.

Some of the standout features include:
 

• ReAssure benefit that allows unlimited restoration of the base sum insured after the first claim

• No mandatory pre-issuance medical tests for easier policy purchase

• Health check-ups included to encourage regular monitoring of health

• No sub-limits on common health conditions for smoother claim experience

This plan helps seniors stay protected, while giving families peace of mind that quality treatment remains affordable when it is needed most.

Health Premia

This health insurance plan combines high coverage limits with wellness-focused features. It is suitable for those seeking broader protection against rising medical costs while enjoying added flexibility and lifestyle benefits.

Some of the standout features include:

• Premium waiver benefit that continues policy coverage without premium payment in specific situations

• New age treatment coverage for modern medical procedures

• Refill benefit that restores the sum insured after a claim for continued protection

• Health check-up benefit to encourage preventive care and early detection

• Maternity benefit and newborn coverage for growing families

• Loyalty additions that increase your sum insured over time

• International coverage and inbuilt travel insurance for global protection

Health Premia plan is ideal for families who want wider health coverage with premium benefits and long-term protection.

Health Recharge

Health Recharge is a super top-up health insurance plan that increases your existing health cover at an affordable cost. This Niva Bupa Health Insurance plan offers extra financial protection after you use up your base policy limit.

Some of the standout features include:
 

• Super Top-Up cover that enhances your existing health insurance protection

• Coverage up to ₹95 lakhs for stronger financial security

• Pre- and post-hospitalisation medical expenses coverage

• Unlimited online consultation facility for quick medic al advice

• Pharmacy and diagnostic services available  through our empanelled service providers

This plan is suitable for families who already have a base health policy and want higher coverage at a reasonable cost, helping them stay prepared for unexpected high medical expenses.

Benefits of 0% GST on Health Insurance!

The GST Council brought a major reform to the insurance sector in its 56th meeting, effective 22 September 2025. All individual life and health insurance policies are now exempt from the previously applicable 18% GST.

The government is working toward “Insurance for All by 2047.” To help reach this goal, health insurance is becoming more affordable for everyone. The IRDAI (the insurance regulator) is now working with insurance companies to lower costs. 

Key Advantages of 0% GST

• Immediate Financial Relief: Removing the 18% tax on health insurance lowers your out-of-pocket cost. Individual and family floater plans are now about 15–18% cheaper.

• More Affordable for Seniors: Seniors usually pay higher premiums because of age. Removing GST saves them money and helps them keep good coverage on a fixed income.

• Upgrade to Higher Coverage: You can use the tax savings to increase your insured amount. Also, you can add extra covers like Critical Illness or Hospital Cash.

• Encouragement for First-time Buyers: Young professionals and families now find health insurance affordable. With 0% GST, the base premium is exactly what you pay, making it easier to buy your first policy.

• Support for Rural and Semi-urban Areas: Lower costs help insurance companies reach smaller towns and villages. This results in more people across India access quality healthcare.

Comparison: Before vs. After GST Reform

To illustrate the impact, consider a family floater plan with a base premium of ₹30,000:

Important Notes to Remember

• Applicability: This 0% rate applies to Individual and Family Floater policies. Group Health Insurance (provided by employers) generally continues to attract the standard 18% GST.

• Effective Date: The benefit applies to all new policies issued and existing policies renewed on or after 22 September 2025.

• Riders & Add-ons: Most health-related riders purchased alongside your individual plan are also eligible for this tax exemption.

How to Save Tax with a Medical Insurance Policy

Under Section 80D of the Income Tax Act, 1961, if you invest in health insurance, you can get a deduction of up to:

• Self and Family: Up to ₹25,000 per year.

• Senior Citizens (60 years or more): Up to ₹50,000 per year.

• Parents: Additional deduction of ₹25,000.

• Parents (Senior Citizens - 60 years and above): Additional deduction of ₹50,000.

• Preventive Health Check-up: Up to ₹5,000.

This reduces your overall tax liability and supports preventive financial planning.

Get 100% Cashless Treatment at Any Hospital of Your Choice

Modern health insurance has evolved to put the patient first. With the Cashless Everywhere initiative, you are no longer confined to a specific list of partner hospitals. You can now receive treatment at any facility across the country without paying the medical bills upfront.

• Ultimate Flexibility: Choose the best hospital for your specific condition, whether it is a specialised heart centre or a local multi-speciality clinic.

• Direct Settlement: Your insurer coordinates directly with the hospital's billing department, ensuring your focus remains on recovery rather than arranging immediate funds.

A health insurance claim is the process of requesting the insurer to pay for medical expenses covered under your policy. Claims can be cashless or reimbursement-based.

How Do Health Insurance Claims Work?

1. Cashless Claims

Cashless claims are available at network hospitals. When you are admitted, the hospital and insurer coordinate through pre-authorisation. Once approved, your treatment proceeds without you paying the major expenses upfront. After treatment, the insurer settles the bills directly with the hospital.

2. Reimbursement Claims

If you receive treatment at a non-network hospital, you can file a reimbursement claim. You must initially pay the hospital bills. Once discharged, submit all documents, bills, and reports to the insurer. After review, the insurer reimburses the admissible amount.

The process involves simple steps, intimation, documentation, verification, approval, and settlement. Niva Bupa’s digital-first approach speeds up the process and makes it more convenient.

Health Insurance Claims

Every insurer has a standard claim process. Key steps include:

• Notify the insurer

• Choose cashless or reimbursement

• Submit required documents

• Pre-authorisation for planned admissions

• Verification

• Settlement

Niva Bupa simplifies claims with digital submission, tracking, and faster turnaround times.

Documents for Health Insurance Claim Reimbursement

You may need:

• Claim form

• Hospital bills

• Discharge summary

• Test reports

• Doctor’s prescriptions

• Diagnostic bills

• Pharmacy bills

• Accident reports (if applicable)

• ID proof

Proper documentation expedites reimbursement.

Who are Third-Party Administrators in Health Insurance?

When it comes to purchasing a medical insurance policy, third-party administrators (TPAs) hold significant influence over your experience. They are the crucial individuals and agencies you'll directly interact with when making claims. So, if you're planning to secure a health insurance policy soon, a TPA will play a vital role in your journey.

TPA

A third-party administrator does not work for the insurer. It independently supports you by coordinating between you and the insurance company. The TPA is licensed by the IRDAI to execute this task for insurers across categories, and not just for players engaged in health insurance. 

It can be an individual, an agency, or a company retained by the insurer to perform various administrative services, such as managing customer service on the insurer's behalf. Typically, it receives a 5.5% fee of the premium amount. However, for the customer, the services provided by the third-party administrator are free, with no hidden costs in the contract.

Scope of Work for a TPA

The scope of work for a TPA is primarily customer service. This includes claims processing, which requires you to interact with a TPA. Insurers across verticals, including health insurance companies, outsource their claims processes (in part or in full) to a TPA of their choice. When you file a medical insurance claim, the third-party administrator connects with the hospital to complete the process. 

In India, many health insurance companies have their own dedicated departments for claims processing. For instance, Niva Bupa Health Insurance processes your claims without a TPA, significantly reducing the time required.

Role/Importance of TPA

While some of the functions of the third-party administrator have been touched on earlier, let's delve into further details for better insight. Broadly, the TPA promotes cashless facilities, provides customer service, and processes claims.

Customer Service

From the day you purchase your policy, the third-party administrator begins handling your insurance-related services. Any service of yours which is due is now the responsibility of the TPA. Some of these services include delivery of the health/identity card, addressing your grievances, and, of course, settling claims. 

The TPA streamlines costs and services, keeps you posted on network hospitals, and addresses any concerns you may have. The TPA also makes payments to the hospital (in non-cashless cases) and assists with reimbursement through your provider.

Cashless Service

The TPA is also responsible for building the health insurance company's hospital network. In the process, it provides you, the insured, with a cashless facility. It takes the call on the empanelment of a hospital based on its service track record, infrastructure and facilities, management background, and IT infrastructure.

Claims Processing

This is the role for which the TPA is best known. It coordinates with hospitals for claim settlements, verifies bills for treatments, checks for false claims, and even settles payments with hospitals for cashless facilities.

IRDAI Amendments

Until recently, a policyholder had to accept any third-party administrator their health insurance provider chose. This changed on December 3, 2019, when the IRDAI announced amended regulations giving customers the right to choose a TPA from the list suggested by their health insurance provider. 

Hence, if the insurer engages the services of only one TPA because of those factors, you will have no option but to go along with that particular TPA. The regulator also says it is the insurer’s “prerogative” to engage or discontinue a TPA's services for a specific health insurance product. Also, the only time you can choose (an alternate) TPA is if the services of the original TPA are terminated during the period of your health insurance coverage.

IRDAI’s 2025-2026 Health Insurance Reforms: Putting Policyholders First

The IRDAI has overhauled health insurance rules for 2025–2026 to make coverage more accessible, transparent, and consumer-friendly.

Here’s how these reforms protect you:

• No Age Limit: People of any age, can buy new health insurance policies and enjoy lifelong access to healthcare.

• Reduced PED Waiting Periods: Insurers now limit the waiting period for pre-existing diseases to 3 years, down from 4.

• Limited Premium Hikes: Insurers can raise annual premiums by no more than 10%, protecting older and long-term policyholders.

• Shorter Moratorium Period: After 5 years, insurers cannot contest claims for non-disclosure, except in cases of proven fraud.

• Full AYUSH Coverage: Treatments like Ayurveda, Yoga, Unani, Siddha, and Homeopathy are now fully covered within your sum insured.

• Guaranteed Coverage for Serious Illnesses: Insurers cannot refuse coverage for severe conditions such as cancer, heart disease, or AIDS.

• Enhanced Consumer Flexibility: You get a 30-day “free-look” period to review or cancel your policy. If you hold multiple policies, you can choose which insurer to claim from first.

What is Covered in Health Insurance Policy?

A health insurance policy usually covers many medical expenses to protect you during planned treatments and emergencies. The exact coverage depends on the policy terms, but most plans generally include the following:

• Hospitalisation

• Surgeries

• ICU charges

• Diagnostics

• Ambulance costs

• Daycare procedures

• Pre- and post-hospitalisation

• Certain modern treatments

• Maternity (if applicable)

• AYUSH coverage (where applicable)

What is Not Covered in Health Insurance Policy?

Health insurance policies also specify certain exclusions. Being aware of these helps avoid confusion at the time of claim settlement. Common exclusions may include:

• Cosmetic procedures

• Non-prescribed treatments

• Self-inflicted injuries

• Experimental treatments

• Waiting period for specific illnesses

When you understand what a policy covers and what it does not, you can make better decisions and choose the right coverage for yourself and your family.

What All Diseases Are Covered in Niva Bupa Health Insurance?

Niva Bupa health insurance plans cover many illnesses and medical conditions, as per the policy terms and waiting periods. Coverage typically includes:

• COVID-19

• Cancer

• Heart ailments

• HIV AIDS

• Diabetes

• Cataract

• Arthritis

• Critical Illnesses

The exact disease coverage depends on the specific plan selected, policy conditions, and completion of waiting periods. Reviewing the policy document helps ensure clarity on coverage details.

Health Insurance Add-Ons to Maximise Your Coverage

A well-structured comparison of health insurance add-ons helps you identify which features offer the most practical value for your specific situation. The table below outlines how these riders enhance your primary policy and who should consider them.

Optional Add-Ons in Health Insurance

A standard health insurance policy gives you a solid foundation, while optional add-ons let you build a customised safety net. These covers fill gaps a basic policy might miss, such as non-medical expenses or outpatient care.

Key optional add-ons:

• Daily Hospital Cash: Get a fixed amount for each day you stay in the hospital. Use it for extra expenses like travel, meals, or lost income.

• Safeguard or Consumables Cover: The insurer pays for non-medical items like PPE kits, oxygen masks, and gloves, keeping your claim nearly 100% cashless.

• Pre and Post Hospitalisation: Covers medical costs before and after hospitalisation, including tests and medicines.

• Unlimited Restoration of Sum Insured: If you exhaust your coverage, your sum insured refills automatically. In family floater plans, this keeps other members protected even if one member uses the full coverage.

• International or Global Coverage: Extends coverage to hospitals abroad for serious conditions, letting you access global treatments without financial worry.

• Annual Health Check-up: Provides yearly check-up vouchers for you and your family, covering key tests like blood sugar, cholesterol, and kidney function.

• Reduction in Pre-existing Disease Waiting Period: Shortens the waiting period for pre-existing conditions from 3–4 years to 1–2 years, giving faster access to benefits.

• Modern Treatment Cover: Covers advanced treatments like robotic surgery, stem cell therapy, and oral chemotherapy without sub-limits.

What is the Waiting Period in a Medical Insurance Policy?

In health insurance, a waiting period is a specific duration of time that must pass before you can start making claims for certain medical conditions. During this interval, the insurer will not provide coverage for those specific ailments, even if you are hospitalised.

This clause is designed to prevent "moral hazard," where individuals might buy insurance only after discovering they are unwell. Understanding these timelines is crucial to ensure you are not caught off guard during a medical emergency.

Types of Waiting Periods

• Initial Waiting Period: Most policies have a standard 30 day waiting period starting from the date of policy issuance. During this first month, no claims are admissible except for those arising from an accidental injury. This is the only period that applies to every new policyholder regardless of their health status.

• Pre-existing Disease (PED): If you already have a condition like diabetes, hypertension, or asthma when buying a policy, it counts as a pre-existing disease. The waiting period shall not more than 36 months.

• Specific Illness: Some common treatments have a 2-year waiting period, even if the condition isn’t pre-existing. This includes cataract surgery, hernia repair, joint replacement, and kidney or gallbladder stones.

• Maternity Benefits: Maternity cover usually has a waiting period of 9 months to 4 years. Insurers require continuous coverage before paying for pregnancy or newborn expenses.

• Mental Illness: Modern policies cover mental health, but many insurers set a waiting period to ensure you have a stable policy history before covering psychiatric treatments.

How to Manage Waiting Periods?

• Disclose Early: Always be honest about your medical history. Failing to disclose a condition to bypass a waiting period can lead to your claim being rejected or the policy being cancelled later.

• Portability Benefits: If you switch from one insurer to another, you do not have to start your waiting periods from scratch. You get "credit" for the time you have already spent with your previous insurer.

• Waiver Add-ons: Some insurers offer optional riders that allow you to reduce the waiting period for pre-existing diseases from four years to one or two years for an additional premium.

What is the Eligibility for Health Insurance?

Eligibility criteria vary depending on the chosen plan. However, generally, the requirements are

• Age

  • Adults aged 18–65.

  • The policy can cover children from 16 days of age.

  • Senior citizen plans have upper age limits of up to 70 years.

• Medical Tests

  • Mandatory medical tests for those over 45 

  • Others may require routine blood, urine, and organ function tests, depending on pre-existing ailments

• Medical Condition

  • Disclosure of pre-existing conditions is essential; it may lead to waiting periods or influence premiums.

Always check specific policy terms and ensure you meet the eligibility criteria specified above to avail the benefits of a medical insurance policy.

What are the Health Insurance Terms You Need to Know About?

Navigating a health insurance policy document can feel overwhelming due to the specific terminology used by insurers. To help you make an informed decision and ensure a smooth claim process, it is essential to understand these fundamental terms.

1. Sum Insured

This is the maximum amount that the insurance company will pay in a single policy year for your medical treatments. If your hospital bill exceeds this amount, you will have to pay the balance from your own pocket.

2. Premium

The premium is the fixed amount you pay every year to keep your health insurance policy active. This amount is determined by factors such as your age, family size, city of residence, and the type of plan you have chosen.

3. Pre and Post Hospitalisation

Pre- and post-hospitalisation cover the medical expenses you incur before and after a hospital stay. This includes doctor consultations, diagnostic tests, and medicines needed for diagnosis, treatment planning, and recovery. It ensures your care is financially supported not just during hospitalisation, but throughout the entire treatment journey.

4. Cashless & Reimbursement Claim

A cashless claim lets you receive treatment at a network hospital without paying the bills upfront, as the insurer settles the covered expenses directly with the hospital. If you visit a non-network hospital, you pay the full amount first and later submit the bills and medical reports to the insurer for reimbursement.

5. No Claim Bonus (NCB)

As a reward for not filing any claims during the policy year, insurers often increase your sum insured at no extra cost during renewal. In some plans, this bonus can double your coverage over a few claim-free years.

6. Co-payment

A co-payment is a fixed percentage of the total claim amount that you agree to pay. For example, if your policy has a 10% co-payment and the bill is ₹1,00,000, you pay ₹10,000 and the insurer pays the remaining ₹90,000.

7. Deductible

This is a fixed amount you must pay towards your medical expenses before the insurance company starts to pay. High-deductible plans usually have significantly lower annual premiums.

8. Day Care Procedures

These are medical treatments or surgeries that require less than 24 hours of hospitalisation due to advanced technology, such as cataract surgery, dialysis, or chemotherapy.

9. Restoration or Refill Benefit

If you exhaust your sum insured during a policy year, this feature automatically restores the entire amount for your next hospitalisation. This is a vital safety net in family floater plans.

10. Exclusions

Every policy has a list of what is not covered.

• Permanent Exclusions: Treatments that are never covered, such as cosmetic surgery or injuries from high-risk adventure sports.

• Temporary Exclusions: The policy covers certain conditions only after a specific waiting period, such as pre-existing diseases.

How to Renew Health Insurance Plans Online from Niva Bupa

Renew your health insurance policy with the same care as buying it. A lapse in coverage can cause you to lose accumulated benefits like the No Claim Bonus and waiting period credits. At Niva Bupa, we have designed our online renewal process to be quick, secure, and entirely paperless.

Steps to Renew Your Niva Bupa Policy Online

• Visit the Official Website or App Navigate to the 'Renew' section on the Niva Bupa website or open the Niva Bupa health app on your smartphone.

• Enter Your Policy Details You will be asked to provide your policy number and the date of birth of the eldest member covered under the plan. This ensures your data remains private and secure.

• Review and Customise Once your policy details appear, you can review your current sum insured and benefits. This is a great time to:

  • Increase your sum insured to account for inflation.

  • Add new family members, such as a spouse or a newborn.

  • Include new add-ons like the ReAssure benefit or Safeguard+ for consumables.

• Instant Quote and Payment The system will generate your renewal premium instantly. You can make the payment using various secure digital methods, including credit cards, debit cards, UPI, or net banking.

• Download Your Policy Document As soon as the payment is successful, your renewed policy document will be sent to your registered email address. You can also download it directly from the website or app.

Why Renew Your Policy Online?

• Continuous Protection: Online renewal ensures your policy does not lapse, keeping your waiting period credits intact for pre-existing diseases.

• Convenience: You can renew your policy from anywhere, at any time, without the need for physical documentation or visiting an office.

• Digital Discounts: Niva Bupa often provides exclusive discounts for customers who choose to renew their policies online.

• Paperless Records: Your renewal history and policy documents are stored digitally, making them easy to access whenever you need to file a claim.

Important Things to Remember During Renewal

• The Grace Period: If you miss your renewal date, Niva Bupa usually provides a 30 day grace period. Whilst your benefits are preserved during this time, you cannot make a claim for any illness that occurs within this gap.

• Health Disclosure: Share details of any new chronic health conditions at renewal to ensure a smooth claim process later. This helps the insurer assess your risk correctly and prevents claim rejections in the future.

• Tax Benefits: Ensure you save your renewal premium receipt, as it is a valid document for claiming tax deductions under Section 80D.