Your dreams & plans are precious to us as they are to you, and to fulfill them you need protection. The Heartbeat health insurance plan protects you through a comprehensive cover for you and your family’s healthcare needs.
We cover cost of medical treatment when you or your insured family members are hospitalised for treatment.
No limit on the hospital room rent. Room rent is covered up to Sum Insured except suite and above room category. ICU charges are covered up to Sum Insured.
We reimburse pre & post hospitalization medical expenses incurred due to illness/injury. The period of the treatment covered is 60 days before you get admitted to the hospital and 90 days after you get discharged from the hospital. This is subject to Niva Bupa accepting the In-patient Care hospitalisation, Day Care or Domiciliary hospitalisation claim.
We cover day care treatments under the product. Please refer to Annexure III of the policy document to know the day care procedures covered under the product.
In case a bed in the hospital is unavailable or on advice of the attending medical practitioner, treatment is administered at home; we pay for medical treatment taken at home, which would otherwise have required hospitalisation. Such treatment should continue for at least 3 consecutive days and confirmation from treating medical practitioner/insured that insured person could not be transferred to the hospital or hospital bed was unavailable, as the case may be.
We will indemnify the medical expenses incurred on the insured person’s hospitalization for Inpatient Care on treatment taken under Ayurveda, Unani, Siddha and Homeopathy.
Medical expenses for an organ donor’s In-patient treatment for the harvesting of the organ donated is also covered provided the organ is for the use of the insured person.
We also cover the road ambulance expenses to transfer the insured following an emergency to the nearest hospital. We also provide ambulance coverage if the medical condition requires immediate ambulance services from the existing Hospital to another Hospital with advanced facilities for management of the current Hospitalization. These expenses are paid up to Sum Insured (network hospitals) or up to Rs 2,000 (non-network hospitals) only if we have accepted the In-patient claim.
The plan provides you maternity benefits for up to two deliveries. This benefit is available after both you and your spouse have been covered under the policy for two continuous years.
The new born baby will be covered as an insured person from birth without additional premium, till the next policy year, if the maternity claim is admissible under the policy. We also cover vaccination expenses of the new born baby for the first year if you add the baby in the policy for the next policy year.
You can avail health checkup for Diagnostic Tests purposes post completion of 1st policy year for any insured person (including children), so that you live a healthier and happier life. You can undergo a health checkup through our service provider on cashless basis. You can choose tests of your choice up to a sub-limit as per the plan chosen.
In case you have exhausted your Base Sum Insured and Loyalty Additions (if any) partially or completely, you are entitled for an additional sum insured equal to the base sum insured for a subsequent claim in the same year. This benefit can be availed for both same and different illnesses.
You may purchase medicines and diagnostic services from the empanelled service provider through our mobile application or website. The cost for the purchase of the medicines or diagnostic services shall be borne by you.
Irrespective of your claim history, you will get an increase of 10% of expiring base Sum Insured every year, subject to maximum of 100% of base Sum Insured.
Expenses incurred for hospitalization (including day care treatment) due to condition caused by or associated with HIV / AIDS are covered under the policy subject to sub-limit as specified in the policy contract. This benefit is provided subject to a waiting period of 48 months from inception of the cover with Us, with HIV / AIDS covered as a benefit.
Coverage for Medical referral, Emergency medical evacuation, Medical repatriation, Compassionate visit, Care and/or transportation of minor children & Return of mortal remains. The services are provided when Insured Person(s) is/are traveling within India to a place which is at a minimum distance of 150 kilometers from the residential address, and the travel is for less than 90 days period.
Expenses incurred for inpatient treatment for mental illness are covered under the policy subject to sub-limit for specific conditions as specified in the policy contract. This benefit is provided subject to a waiting period of 36 months from inception of the cover with Us, with Mental illness covered as a benefit.
Personal Accident coverage can be opted for any adult insured against accidental death, permanent total and partial disability.
Critical illness coverage for any adult insured against major illnesses like cancer, CABG, open heart replacement, kidney failure, stroke, major organ/bone marrow transplant etc.
Daily hospital cash benefit for an amount of Rs. 3,000 per day in case of hospitalization. Minimum 48 hours of continuous hospitalization required, however claim would be paid from day one subject to hospitalization claim being admissible. Maximum coverage offered for 30 days/policy year/insured person.
Unlimited tele / online consultations available under this product.
Automatic free of charge extension for 1 year if the Policyholder (who should also be an Insured Person) dies or is diagnosed or undergoes treatment for the first time, with any of the Specified Illness during the Policy. (Not available for individual cover)
There will be no co-payment if you choose Zone 1 coverage. If you choose Zone 2 coverage, you will be entitled for a premium discount but will have to bear a 20% co-payment for treatment in Mumbai (including Navi Mumbai and Thane), Delhi NCR, Kolkata & Gujarat state.
In addition to the zonal co-payment, you can opt for a co-payment of 10% or 20%.
The entry age for adults under this policy can be from 18 to 65 years. The entry age for dependent children is from 91 days to 30 years in a family floater policy.
The policy can be taken individually or for the family. The family floater policy is available for husband, wife and a maximum of 4 children.
Save tax under Section 80D of the Income Tax Act when you buya Niva Bupa health insurance policy. Tax benefits are subject to changes in the tax laws, please consult your tax advisor for more details.
Once insured with us, you will always remain our customers subject to continued payment of premium. We assure you renewability for life with no extra loadings based on your claim history.
We believe you should focus on the treatment of your loved ones rather than running after claim settlement. Therefore, all claims are processed directly by our customer service team.
Cashless Facility can be availed only at our Network Providers or Service Providers. Please contact us for more details.
We endeavor for transparency and complete satisfaction and therefore, our policies are transparent and easy to understand. If you are not satisfied, we provide a 15-day free look period (30 days if the policy has been sold through distance marketing)within which you can cancel your plan stating the reason.
Get quick and easy access to your claims history, your health information, your health profile, including records of tests and other details on our website.
The policy term is one or two years.
Please do read more about the common exclusions in the policy terms & conditions.
There are various ways in which you can purchase this policy:
Online: On buying this plan online, your policy will be generated instantly along with your policy kit and card. This is applicable for cases which do not require further underwriting or medical checkup
If you wish to know more about Niva Bupa’s Health Insurance Plans, feel free to get in touch with our trained sales team or your local advisor. Call us on Phone 1860 500 8888 between 9 am and 6 pm India time (Monday to Saturday) or click on Click to arrange a call to buy the policy over the phone or to fix up an appointment. Branch: Please visit our branch in your city. The complete list of branch locations is available in the ‘Contact Us’ section of the website
Yes, you may avail a tax benefit available under Section 80D of the Income Tax Act 1961 by buying a health insurance policy as per applicable tax laws, which can amend from time to time. We advise you to consult your tax advisor for further details or clarifications.
A medical checkup may be necessary when you sign up for a new health insurance policy, depending upon the age of the proposed to be insured and the sum insured opting for. In case your proposal gets rejected by us, we will deduct the full cost of medical tests from your premium and the balance premium would be refunded.
Of course, you can cover your family residing in India under one policy. You can use your health insurance policy across India. For cashless hospitalisation, all you need to do is check for a Niva Bupa network hospital near your place of residence. You can also present your claim for reimbursement if you get treated at a hospital which is not a Niva Bupa network hospital.
We cover cost of medical treatment when you or your insured family members are hospitalised for treatment.
No limit on the hospital room category.
We reimburse pre & post hospitalization medical expenses incurred due to illness/injury. The period of the treatment covered is 60 days before you get admitted to the hospital and 90 days after you get discharged from the hospital. This is subject to Niva Bupa accepting the In-patient Care hospitalisation, Day Care or Domiciliary hospitalisation claim.
We cover day care treatments under the product. Please refer to Annexure III of the policy document to know the day care procedures covered under the product.
In case a bed in the hospital is unavailable or on advice of the attending medical practitioner, treatment is administered at home; we pay for medical treatment taken at home, which would otherwise have required hospitalisation. Such treatment should continue for at least 3 consecutive days and confirmation from treating medical practitioner/insured that insured person could not be transferred to the hospital or hospital bed was unavailable, as the case may be.
We will indemnify the medical expenses incurred on the insured person’s hospitalization for Inpatient Care on treatment taken under Ayurveda, Unani, Siddha and Homeopathy.
Medical expenses for an organ donor’s In-patient treatment for the harvesting of the organ donated is also covered provided the organ is for the use of the insured person.
We also cover the road ambulance expenses to transfer the insured following an emergency to the nearest hospital. We also provide ambulance coverage if the medical condition requires immediate ambulance services from the existing Hospital to another Hospital with advanced facilities for management of the current Hospitalization. These expenses are paid up to Sum Insured (network hospitals) or up to Rs 2,000 (non-network hospitals) only if we have accepted the In-patient claim.
The plan provides you maternity benefits for up to two deliveries, which can be availed worldwide excluding USA and Canada. This benefit is available after both you and your spouse have been covered under the policy for two continuous years.
The new born baby will be covered as an insured person from birth without additional premium, till the next policy year, if the maternity claim is admissible under the policy. We also cover vaccination expenses of the new born baby for the first year if you add the baby in the policy for the next policy year.
You can avail health checkup for Diagnostic Tests purposes post completion of 1st policy year for any insured person (including children), so that you live a healthier and happier life. You can undergo a health checkup through our service provider on cashless basis. You can choose tests of your choice up to a sub-limit as per the plan chosen.
In case you have exhausted your Base Sum Insured and Loyalty Additions (if any) partially or completely, you are entitled for an additional sum insured equal to the base sum insured for a subsequent claim in the same year. This benefit can be availed for both same and different illnesses.
You may purchase medicines and diagnostic services from the empanelled service provider through our mobile application or website. The cost for the purchase of the medicines or diagnostic services shall be borne by you.
Irrespective of your claim history, you will get an increase of 10% of expiring base Sum Insured every year, subject to maximum of 100% of base Sum Insured.
Expenses incurred for hospitalization (including day care treatment) due to condition caused by or associated with HIV / AIDS are covered under the policy subject to sub-limit as specified in the policy contract. This benefit is provided subject to a waiting period of 48 months from inception of the cover with Us, with HIV / AIDS covered as a benefit.
Coverage for Medical referral, Emergency medical evacuation, Medical repatriation, Compassionate visit, Care and/or transportation of minor children & Return of mortal remains. The services are provided when Insured Person(s) is/are traveling within India to a place which is at a minimum distance of 150 kilometers from the residential address, and the travel is for less than 90 days period.
Expenses incurred for inpatient treatment for mental illness are covered under the policy subject to sub-limit for specific conditions as specified in the policy contract. This benefit is provided subject to a waiting period of 36 months from inception of the cover with Us, with Mental illness covered as a benefit.
Second medical opinion can be obtained once by an insured person during a policy year for the same specified illnesses or planned Surgery.
We cover specified vaccination expenses for insured children until they have completed 12 years. We also cover consultation for nutrition and growth provided to the child during a visit for vaccination.
Insured persons are eligible for treatment of specified illnesses outside India except USA & Canada on a preauthorized cashless basis.
We cover expenses incurred for OPD Treatment and/or Diagnostic Services and/or prescribed medicines for the OPD Treatment taken within India for up to an amount based on sum insured chosen by you.
In case of a medical emergency outside India, on a cashless facility basis only, we will arrange for medical evacuation of the Insured Person and cover the reasonable and customary costs of transportation of the Insured Person (and an attending Doctor if this is medically necessary).
We will indemnify, on cashless facility basis only, the medical expenses incurred on hospitalization due to an emergency outside India until the insured person reaches a medically stable condition.
Personal Accident coverage can be opted for any adult insured against accidental death, permanent total and partial disability.
Critical illness coverage for any adult insured against major illnesses like cancer, CABG, open heart replacement, kidney failure, stroke, major organ/bone marrow transplant etc.
Daily hospital cash benefit for an amount of Rs. 6,000 per day in case of hospitalization. Minimum 48 hours of continuous hospitalization required, however claim would be paid from day one subject to hospitalization claim being admissible. Maximum coverage offered for 30 days/policy year/insured person.
Unlimited tele / online consultations available under this product.
Automatic free of charge extension for 1 year if the Policyholder (who should also be an Insured Person) dies or is diagnosed or undergoes treatment for the first time, with any of the Specified Illness during the Policy. (Not available for individual cover)
Would like to inform you that by adding this benefit coverage extends to USA & Canada for Emergency Medical Evacuation, Emergency Hospitalization & Specified illness cover.
You can opt for a 10% or 20% co-payment.
The entry age for adults under this policy can be from 18 to 65 years. The entry age for dependent children is from 91 days to 30 years in a family floater policy.
The policy can be taken individually or for the family. The family floater policy is available for husband, wife and a maximum of 4 children.
Save tax under Section 80D of the Income Tax Act when you buya Niva Bupa health insurance policy. Tax benefits are subject to changes in the tax laws, please consult your tax advisor for more details.
Once insured with us, you will always remain our customers subject to continued payment of premium. We assure you renewability for life with no extra loadings based on your claim history.
We believe you should focus on the treatment of your loved ones rather than running after claim settlement. Therefore, all claims are processed directly by our customer service team.
Cashless Facility can be availed only at our Network Providers or Service Providers. Please contact us for more details.
We endeavor for transparency and complete satisfaction and therefore, our policies are transparent and easy to understand. If you are not satisfied, we provide a 15-day free look period (30 days if the policy has been sold through distance marketing) within which you can cancel your plan stating the reason.
Get quick and easy access to your claims history, your health information, your health profile, including records of tests and other details on our website.
The policy term is one or two years.
Please do read more about the common exclusions in the policy terms & conditions.
There are various ways in which you can purchase this policy:
Online: On buying this plan online, your policy will be generated instantly along with your policy kit and card. This is applicable for cases which do not require further underwriting or medical checkup
If you wish to know more about Niva Bupa’s Health Insurance Plans, feel free to get in touch with our trained sales team or your local advisor. Call us on Phone 1860 500 8888 between 9 am and 6 pm India time (Monday to Saturday) or click on Click to arrange a call to buy the policy over the phone or to fix up an appointment. Branch: Please visit our branch in your city. The complete list of branch locations is available in the ‘Contact Us’ section of the website
Yes, you may avail a tax benefit available under Section 80D of the Income Tax Act 1961 by buying a health insurance policy as per applicable tax laws, which can amend from time to time. We advise you to consult your tax advisor for further details or clarifications.
A medical checkup may be necessary when you sign up for a new health insurance policy, depending upon the age of the proposed to be insured and the sum insured opting for. In case your proposal gets rejected by us, we will deduct the full cost of medical tests from your premium and the balance premium would be refunded.
Of course, you can cover your family residing in India under one policy. You can use your health insurance policy across India. For cashless hospitalisation, all you need to do is check for a Niva Bupa network hospital near your place of residence. You can also present your claim for reimbursement if you get treated at a hospital which is not a Niva Bupa network hospital.