Variant 2022 - Products Benefits Table# Standard Exclusions and Waiting Period

Plan Type Individual / Family Floater

Standard Exclusions – Applicable waiting periods
3 4 5 7.5 10 12.5 15 20 30 50 1
Base Sum Insured (INR) Investigation & Evaluation | OPD Treatment | 30-day initial waiting period | 36 months waiting
Lakhs Lakhs Lakhs Lakhs Lakhs Lakhs Lakhs Lakhs Lakhs Lakhs Crore

HEALTH
Unproven Treatments | Unrecognized Physician or period on pre-existing diseases | 24 months waiting
Benefits Hospital | Hazardous or Adventure sports | Dental/ period on specific diseases.
oral treatment | Sleep disorders | Treatment for
Inpatient Care Covered up to Sum Insured (No Capping on Room Rent) alcoholism, drug or substance abuse or any addictive

COMPANION
condition and consequences thereof. Refer to the
Day Care Treatment All procedures Covered up to Sum Insured policy document for complete list of exclusions under
Health Companion product.
AYUSH Treatment(2) Covered up to Sum Insured
The Smart Just Got Smarter
Covered up to Sum Insured with sub-limit of INR 1 Lakh on few robotic surgeries
Modern Treatments
(as specified in policy terms)

Pre Hospitalisation 60 Days; Covered up to Sum Insured

Easy to Reach
Post Hospitalisation 180 Days; Covered up to Sum Insured If you would like to find out more, please reach out to our specialised sales team or your Niva Bupa
advisor. We are available to fully understand your requirements and help you select the right plan
Organ Donor Covered up to Sum Insured
for you and your family.
Road ambulance: up to INR 2,000 per hospitalisation
Ambulance
Air ambulance: up to INR 2,50,000 per hospitalisation Say ‘Hi’ to us on WhatsApp: Helpline: Email ID:
9811956696 1860-500-8888 customercare@nivabupa.com
In case of claim free year, increase of 20% of expiring Base Sum Insured in a
No Claim Bonus Policy Year; maximum up to 100% of Base Sum Insured (In case of claim, no Website: www.facebook.com/ www.twitter.com/
reduction in No Claim Bonus) www.nivabupa.com nivabupahealthinsurance nivabupa
Refill(1) Up to Base Sum Insured (Applicable for both same & different illness)

Annual (From Day 1); For defined list of tests; up to INR 500 for every INR 1 Lakh NIVA BUPA HEALTH INSURANCE COMPANY LIMITED
Health Check-up Base Sum Insured (Individual policy: maximum INR 5,000 per Insured; Family
Floater policy: maximum INR 10,000 per policy) Registered Office Address: C-98, First Floor, Lajpat Nagar, Part 1, New Delhi-110024
Fax No: +91 11 41743397
Vaccination for Animal Bite(3) Up to INR 5,000

Home Care / Domiciliary

Covered up to Sum Insured
Treatment

Optional Benefits

a. Claim Safeguard: Non-payable items paid up to sum insured

b. No Claim Bonus Safeguard: No impact on No Claim Bonus
Safeguard Add-on if claims in a policy year is up to INR 50,000 Safeguard
c. Sum Insured Safeguard: CPI (Consumer Price Index)
linked increase in base sum insured
Add-on
Hospital Cash(4) INR 1,000/day INR 2,000/day INR 4,000/day

Annual Aggregate Deductible Deductible of INR 1, 2, 3, 4, 5 & 10 Lakhs

No Claim Bonus&:
Room rent:
15 days free look period (30 days if the policy with Policy Period as 3 years has been sold through distance marketing) 20% increase in Base Sum Insured, every
No more capping on Room Rent. Covered
Note: claim free year. Maximum 100% of Base
(2) Minimum 24 hour hospitalisation required for all AYUSH treatments.
up to Sum Insured
Sum Insured.
(3) Vaccination for Animal Bite – OPD benefit up to defined limit as part of overall limit
(4) Hospital Cash – Minimum 48 hours of hospitalisation required. Maximum coverage offered for 30 days/policy year/ insured person. Payment made Disclaimer: This is only a summary of the product features and is for reference purpose only. The details of benefits available shall be as described in the
from day one subject to hospitalisation claim being admissible prospectus, and will be subject to the policy terms, conditions and exclusions. Please call our customer service if you require any further information or
clarification. Insurance is a subject matter of solicitation. Niva Bupa Health Insurance Company Limited (formerly known as Max Bupa Health Insurance Refill Benefit(1): Safeguard Add-on$$$:
Company Limited) (IRDAI Registration No. 145). ‘Bupa’ and ‘HEARTBEAT’ logo are registered trademarks of their respective owners and are being used by
Niva Bupa Health Insurance Company Limited under license. $Niva Bupa processes pre-authorisation requests within 30 minutes for all active policies, subject
One time refill of Base Sum Insured, Go truly cashless with coverage
to receiving all documents and information(s) up to Niva Bupa’s satisfaction. The above commitment does not include pre-authorisation settlement at the now even for same illness. even for non-payable items like
time of discharge or system outage. $$Number of network hospitals shown is an approximate figure and is subject to change without prior notice, please visit Triggers after 1st claim is paid. gloves etc.^^
our website to access latest and updated list of network hospitals. $$$This is an additional add-on which will be available post payment of additional premium.
^Inflation rate would be computed as the average Consumer Price index (CPI) of the entire calendar year published by the Central Statistics Office. *Covers
COVID-19 related hospitalisation. #Limits as defined in the product benefit table or in the policy document. (1) Refill Benefit – Reinstatement of an amount equal
to base sum insured. Applicable for same/different illness and on complete/partial exhaustion of sum insured. Available once during a policy year. ##Tax benefits
are subject to changes in tax laws. Please consult your tax advisor for more details. ^^As per the list I under Annexure I of policy Terms and conditions. &In
Hopitalisation: Air Ambulance:
case of claim, no reduction in No Claim Bonus. @Health card can be downloaded from Niva Bupa Health App or log in at www.nivabupa.com. For more details Now covers hospitalisation for 2 hours Now covers air ambulance up to INR 2.5
on risk factors, terms and conditions, please read sales brochure carefully before concluding the sale. CIN: U66000DL2008PLC182918, Product Name: Health or more Lakhs per hospitalisation
Companion | Product UIN: NBHHLIP23108V062223; Add-on Name: Safeguard | Add-on UIN: MAXHLIA21576V012021. UIN: NB/BR/CA/2022-23/227.
 Make Your Plan Even Smarter with the Smart Add-Ons Claim Process
Hospital Cash
Hospital Cash gives you the freedom to manage any miscellaneous expenses that you may incur during
hospitalisation for up to 30 days
CASHLESS HASSLE FREE
CLAIMS PROCESSING REIMBURSEMENT PROCESS
Safeguard Add-on

The smart companion

For a truly cashless experience Avail 30 minutes$ cashless claims Non network hospitalisation
1. Coverage for non-payable items like gloves etc. processing at 8500+ Network In case you wish to get treatment done
2. Inflation protection coverage^ – Increase in base sum insured on a cumulative basis each policy Hospitals$$ across India at non-network hospital, please notify

just got smarter

year based on Inflation Rate Niva Bupa Health Insurance within 48
3. No Impact on No Claim Bonus – There will be no impact on your no claim bonus, if claims in a hours of admission.
policy year are up to INR 50,000

Introducing the all new Variant 2022.

STEP 1 STEP 1
An improved and comprehensive plan to keep you and
An Affordable Plan with Smarter Savings Document Submission Document Collection
your family financially secure and comfortable during any At the time of hospitalisation, produce Collect all relevant documents, invoices,
your Niva Bupa Health Card@, or medical reports, discharge certificate
unexpected medical emergency or health related problems. Annual Aggregate Deductible Doctor Discount share your policy number along with
identification documents like Passport/
from Hospital in originals and receipt
of the payment made at the time of
Choose a deductible and save additional on Get an additional 5% discount if any of
It’s time to make your smart choice, even Smarter. your premium insured is a registered medical practitioner PAN card/ Voter’s card. For any further
assistance in an unknown environment,
discharge

you can reach out to Niva Bupa Point of

care desks at select network hospitals
Tenure Discount Standing Instructions Discount
Now avail discount of 7.5% on the premium Get 2.5% discount on renewal premium
of second policy year if you pay for a 2-year if standing instruction for auto debit on STEP 2
policy term in advance, and additional 15% renewal is provided and the policy is
discount on third year’s premium if you renewed using the same Insta Reimbursements
choose a 3-year policy term To avail Insta reimbursement, upload
STEP 2 the requisite documents on Niva Bupa
Family Discount Tax Savings## website or Niva Bupa Health app. You
10% discount on premium if 2 or more Income tax benefit under the Section 80D Document Verification
can alternatively send the physical
members are covered in an Individual plan of the Income Tax Act, 1961. Network hospital checks and submits
documents to us at Niva Bupa Health
preauthorisation form to Niva Bupa
Insurance Company Limited, 2nd Floor,
Health Insurance
Plot No D-5, Sec-59, Noida, Gautam
Budhnagar, Uttar Pradesh – 201301.

Discount Illustration to Maximize Your Savings

The Smart Companion for the Smarter You Individual Policy (2 members, 3 year tenure) STEP 3
STEP 3
The new Variant 2022 comes packaged with smart features that gives you and your family the assurance of good At inception Claims Processing and Settlement Claim Settlement
health at all times and keeps you one step ahead to track your health. So you get complete peace of mind. Premium (100 per year for each member) 600 Documents submitted by the network We review and make payment to you as
Term Discount (7.5% on 2nd year + 15% on 3rd year) 45 hospital are verified by our in-house per Policy terms and conditions
Pre & post Hospitalisation Expenses Modern Treatments Family Discount @ 10% 56 team of doctors to ensure hassle free
are now covered for 60 days and 180 days Coverage for Modern Treatments like and speedy payouts
Doctor Discount @ 5% 25
respectively up to the Sum Insured Deep Brain Stimulation, robotic surgeries,
etc. up to the Sum Insured Final Premium 474
Premium without Discount 600
Total Savings 21%
Home Care/Domiciliary Treatments AYUSH Treatments
Now you get coverage for Home Inpatient AYUSH Treatments are covered At renewal Assistance. Anytime. Anywhere
Care/Domiciliary Treatments that allows you to opt for Ayurveda, Premium (100 per year for each member) 600
(treatment taken at home) up to the Unani, Siddha and Homeopathy
Sum Insured treatments up to the Sum Insured Term Discount (7.5% on 2nd year + 15% on 3rd year) 45
Niva Bupa Health App CIA Chatbot
Family Discount @ 10% 56
Doctor Discount @ 5% 25 From locating a network hospital to CIA Chatbot Talk to our interactive
Vaccinations for Animal Bite Organ Donor keeping track of your health policy chatbot CIA on www.nivabupa.com
Additional Auto-debit discount of 2.5% 12
Get covered against cost of Vaccinations Hospitalisation expenses covered for details or staying on top of your health for anytime assistance!
for Animal Bite up to INR 5,000 harvesting of organ form an Organ Donor. Final Premium 463 with regular health tips and more, it’s all
Premium without Discount 600 possible in just a few taps on your phone.
Total Savings 24% Available on both iOS and Android