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Personal Accident Insurance

One accident can impact your entire household. Niva Bupa’s Personal Accident Insurance offers comprehensive protection against accidental death and permanent disability, along with add-ons like hospital cash and child education cover. Safeguard your family’s future—no matter what life throws your way.

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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.

What is Personal Accident Insurance Cover?

A personal accident insurance policy provides protection against death, permanent disability, and temporary disability in case of an accident. For example, the personal accident coverage from Niva Bupa offers protection in the event of both total and partial permanent incapacity. It even includes a provision for paying for a child's education after the primary insured person passes away. It is a financial product that provides value for money.

Why do you Need a Personal Accident Insurance Cover?

According to the 'Road Accidents in India-2021' report by the Ministry of Road Transport & Highways, 4,12,432 road accidents have been reported in the country during 2021, claiming 1,53,972 lives. Therefore, incorporating personal accident coverage into your current health insurance plans is a wise decision, whether you commute by motorbike or automobile. Before choosing a personal accident policy, you should speak with an expert. For additional information, call us at 1860 500 8888.

What are the Features of Personal Accident Policy?

Personal accident insurance policy is a fixed benefit plan that provides financial protection to policyholders in case of:

  • Accidental Death

  • Permanent Total Disablement

  • Permanent Partial Disablement

  • Temporary Total Disablement

A lump sum payment is made in the event of death or permanent disability under the personal accident insurance plans. While in the case of temporary disability, a weekly or monthly benefit is paid for a specified period. Medical expenses incurred due to accidents related to hospitalisation, surgery, medication, ambulance charges, and other necessary treatments are also covered. Some policies also provide an education fund for the insured person's dependent children.

How to Opt for the Best Personal Accident Plan?

Compare coverage & premium of personal accident insurance plans online to get coverage against accidental death, injury & permanent disability. Additionally, you must take note of the following things before choosing personal accident insurance policy:

  • Sum Insured

  • Network Hospitals

  • Exclusions and Limitations

  • Policy Duration

  • Additional Benefits and Riders

  • Claim Process

  • Customer Service

  • Insurer's Reputation and Financial Stability

If you're unsure about the best personal accident insurance plan for your needs, consider seeking advice from an insurance agent or financial advisor. They can provide personalised guidance based on your circumstances.

What are the Benefits of Personal Accident Health Insurance Policy?

Now you can protect your entire family with personal accident insurance plans against accidental injuries. The personal accident policy provides several benefits to you and your family, such as:

Financial Protection:

It offers compensation in the form of a lump sum or periodic payments, helping to cover medical expenses, loss of income, and other financial burdens that may arise due to an accident.

Worldwide Coverage:

This personal accident policy typically provides coverage worldwide. Whether the accident occurs at home, during travel, or at work, the policyholder is protected.

No Prior Medical Examination:

This personal accident insurance policy generally does not require a prior medical examination for coverage, making it accessible to a wide range of individuals.

Supplemental Coverage:

It can complement existing health and life insurance policies. Additionally, personal accident policy provides an additional layer of coverage specifically tailored to accidents and their associated consequences.

Customisable:

This allows individuals to choose the coverage amount, additional benefits, and policy duration that best suits their circumstances.

24/7 Coverage:

This personal accident insurance policy provides coverage round the clock, whether the insured person is at work, at home, or is engaged in leisure activities, as long as the accident falls within the policy's terms and conditions.

Who Should Buy Health Insurance for Personal Accidents?

The personal accident insurance policy is a benefit policy that pays for death, disablement, and weekly benefits. It is a worldwide cover available 24X7, which is most suitable for the following individuals:

  • Individuals without employer coverage, such as those who are self-employed

  • People working in high-risk occupations like construction, mining, aviation, or law enforcement

  • Frequent travellers

  • Sole breadwinners and parents with dependent children

  • Individuals without adequate emergency savings or with insufficient health coverage

What are the Tax Benefits of Personal Accident Policy?

Personal accident insurance policy from Niva Bupa offers financial assistance for expenses incurred due to an accident and even provides tax benefits under Section 80D of the Income Tax Act. The tax implications are explained below:

  • Section 80D provides deductions for premiums paid towards health insurance, including personal accident insurance policy, for self, spouse, children, and parents.

  • Tax benefits are subject to a limit of ₹25,000 for a policy taken for self, spouse, or children. An additional ₹25,000 is provided for a policy taken for parents (₹50,000 for senior citizen parents).

  • The deduction is available only for premium payments made in any mode other than cash.

How to Make a Claim for a Personal Accident Plan?

It is crucial to read the personal accident insurance policy documents to get acquainted with the claim settlement procedure. This will avoid any surprises at the time of claim filing and will allow you to meet all the specified timelines. You must be vigilant and transparent while going through the following steps to increase your chances of claim acceptance under the personal accident insurance: 

Step 1: Notify the insurer about the accident as soon as possible

Step 2: Obtain the claim form and fill it out accurately

Step 3: Submit the form and the required documents

Step 4: Respond promptly to the insurer in case of any queries or requests for information

Step 5: Be available for the medical examination to assess the extent of the injuries

Step 6: Await claim decision based on the personal accident policy terms and the provided documents

What are the Documents Required at the Time of a Personal Accident Insurance Claim?

Here are some common documents that are typically requested during the claim process of a personal accident insurance:

  • Claim form

  • Accident report/FIR

  • Medical reports, including diagnostic tests, hospital records, and doctor's notes

  • Hospital bills and invoices

  • Discharge summary

  • Medical certificates

  • Proof of identity

  • Policy documents, including the policy schedule, terms, and conditions

  • Any other relevant documents like salary slips or income tax returns to claim loss of income

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