Niva Bupa Health Recharge Super Top Up

All You Need To Know

‘Niva Bupa Health Recharge’ from Niva Bupa provides health insurance coverage for you and your family. It is a super top-up policy providing extra coverage at nominal cost.

  • In-Patient Care (Hospitalization)

We cover the cost of medical treatment when you or your insured family members are hospitalized for treatment.

  • Hospital Accommodation

We cover the cost of hospital accommodation up to a single private room without any capping on room rent charges (for Sum Insured of Rs.5 lacs and above).

  • Pre & Post Hospitalization Medical Expenses

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 till 90 days after you get discharged from the hospital. This is subject to Niva Bupa accepting the In-patient Care hospitalization, day care or domiciliary hospitalization claim.

  • Day Care Treatments Covered

We cover all day care treatments under the product.

  • Domiciliary Treatment

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 hospitalization. Such treatment should continue for at least 3 consecutive days and confirmation from treating medical practitioner that insured person could not be transferred to the hospital or the hospital bed was unavailable, as the case may be.

  • Organ Transplant

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.

  • Alternative Treatments

Avail In-patient treatment under AYUSH (Ayurveda, Unani, Siddha and Homeopathy) up to the Sum Insured.

  • Emergency Ambulance

We also cover the ambulance expenses to transfer the insured following an emergency to the nearest hospital. These expenses are paid up to Rs. 1,500 per hospitalization only if we have accepted the In-patient claim.

  • Pharmacy And Diagnostic Services

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.

  • E-Consultation

If the insured person is diagnosed with an illness or is planning to undergo a planned surgery or a surgical procedure, the insured person can obtain an e-consultation during the policy period.

  • Loyalty Additions (applicable only for Sum Insured up to Rs.25 Lac)

For each policy year, we offer an additional 5% of expiring Base Sum Insured up to a maximum of 50% of Base Sum Insured of that policy year. This benefit is applicable only for Base Sum Insured up to Rs.25 Lac.

  • Artificial Life Maintenance

Expenses incurred for artificial life maintenance, including life support machine are covered under the policy subject to terms and conditions of the policy.

  • Modern Treatments

Modern treatments such as oral chemotherapy, robotic surgeries, intra vitreal injections, deep brain stimulation etc. will be covered either as inpatient care or as part of day care treatment in a hospital subject to sub-limit for specific conditions as specified in the policy contract.

  • Personal Accident Cover (Optional)

Personal Accident coverage against accident death, permanent total and permanent partial disability.

  • Critical Illness Cover (Optional)

Critical illness coverage against major illnesses and procedures like cancer, CABG, open heart replacement, kidney failure, stroke, major organ/bone marrow transplant, etc.

  • Annual Aggregate Deductible

Choosing an Annual Aggregate Deductible is mandatory under this product Post completion of 5 years in this policy and before the eldest member turns 50 years of age, there is a one-time option to either modify the deductible chosen or convert the policy to an indemnity policy (without deductible), without any medical underwriting or pre-policy medical check-up.

  • Tax Benefit

Save tax under Section 80D of the Income Tax Act when you buy a Niva Bupa health insurance policy. Tax benefits are subject to changes in the tax laws. Kindly consult your tax advisor for more details.

  • Assured Policy Renewal For Life

Once insured with us, you will always remain our customer subject to continued payment of premium. We assure you renewability for life with no extra loadings based on your claim history.

  • Direct Claim Settlement

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

Cashless Facility can be availed only at our 4600+ network providers or service providers. Please contact us for more details.

  • Free Look Period

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 within which you can cancel your plan stating the reason.

  • Information At Your Fingertips

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.

Click Here to read the policy wording.

Commission on General Insurance

 

Features

  • ‘Niva Bupa Health Recharge’ from Niva Bupa provides health insurance coverage for you and your family. It is a super top-up policy providing extra coverage at nominal cost.
  • In-Patient Care (Hospitalization)
  • We cover the cost of medical treatment when you or your insured family members are hospitalized for treatment.
  • Hospital Accommodation
  • We cover the cost of hospital accommodation up to a single private room without any capping on room rent charges (for Sum Insured of Rs.5 lacs and above).
  • In-Patient Care (Hospitalization)
  • We cover the cost of medical treatment when you or your insured family members are hospitalized for treatment.
  • Pre & Post Hospitalization Medical Expenses
  • 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 till 90 days after you get discharged from the hospital. This is subject to Niva Bupa accepting the In-patient Care hospitalization, day care or domiciliary hospitalization claim.
  • Day Care Treatments Covered
  • We cover all day care treatments under the product.
  • Domiciliary Treatment
  • 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 hospitalization. Such treatment should continue for at least 3 consecutive days and confirmation from treating medical practitioner that insured person could not be transferred to the hospital or the hospital bed was unavailable, as the case may be.
  • Organ Transplant
  • 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.
  • Alternative Treatments
  • Avail In-patient treatment under AYUSH (Ayurveda, Unani, Siddha and Homeopathy) up to the Sum Insured.
  • Emergency Ambulance
  • We also cover the ambulance expenses to transfer the insured following an emergency to the nearest hospital. These expenses are paid up to Rs. 1,500 per hospitalization only if we have accepted the In-patient claim.
  • Pharmacy And Diagnostic Services
  • 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.
  • E-Consultation
  • If the insured person is diagnosed with an illness or is planning to undergo a planned surgery or a surgical procedure, the insured person can obtain an e-consultation during the policy period.
  • Loyalty Additions (applicable only for Sum Insured up to Rs.25 Lac)
  • For each policy year, we offer an additional 5% of expiring Base Sum Insured up to a maximum of 50% of Base Sum Insured of that policy year. This benefit is applicable only for Base Sum Insured up to Rs.25 Lac.
  • Artificial Life Maintenance
  • Expenses incurred for artificial life maintenance, including life support machine are covered under the policy subject to terms and conditions of the policy.
  • Modern Treatments
  • Modern treatments such as oral chemotherapy, robotic surgeries, intra vitreal injections, deep brain stimulation etc. will be covered either as inpatient care or as part of day care treatment in a hospital subject to sub-limit for specific conditions as specified in the policy contract.
  • Personal Accident Cover (Optional)
  • Personal Accident coverage against accident death, permanent total and permanent partial disability.
  • Critical Illness Cover (Optional)
  • Critical illness coverage against major illnesses and procedures like cancer, CABG, open heart replacement, kidney failure, stroke, major organ/bone marrow transplant, etc.
  • Annual Aggregate Deductible
  • Choosing an Annual Aggregate Deductible is mandatory under this product Post completion of 5 years in this policy and before the eldest member turns 50 years of age, there is a one-time option to either modify the deductible chosen or convert the policy to an indemnity policy (without deductible), without any medical underwriting or pre-policy medical check-up.
  • Tax Benefit
  • Save tax under Section 80D of the Income Tax Act when you buy a Niva Bupa health insurance policy. Tax benefits are subject to changes in the tax laws. Kindly consult your tax advisor for more details.
  • Assured Policy Renewal For Life
  • Once insured with us, you will always remain our customer subject to continued payment of premium. We assure you renewability for life with no extra loadings based on your claim history.
  • Direct Claim Settlement
  • 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
  • Cashless Facility can be availed only at our 4600+ network providers or service providers. Please contact us for more details.
  • Free Look Period
  • 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 within which you can cancel your plan stating the reason.
  • Information At Your Fingertips
  • 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.
  • Click Here to read the policy wording.
  • Commission on General Insurance

Frequently Asked Questions

It becomes really difficult to decide how much cover is adequate. A cover which we find sufficient today becomes irrelevant tomorrow due to the rising medical inflation. At the same time buying a large insurance cover in the current policy may not be affordable or available. Our Niva Bupa Health Recharge’s deductible acts like a stepney to your health insurance plan. It’s an additional coverage offered to you with a threshold limit. It comes into effect only when your total claim in the same year surpasses the threshold limit.

Yes, Pre existing waiting period – 36 months, initial waiting period – 30 days, personal waiting period – 24 months, specific waiting period – 24 months.

A medical check-up 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 deductible opting for. (Subject to underwriting guidelines) 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.

Let us understand with an example:

  • Policies with you

    Policy A: Employer/regular health insurance policy with SI of Rs.5 lacs

    Policy B: Niva Bupa Health Recharge having SI of Rs.5 lacs and aggregate deductible (threshold) limit of Rs.5 lacs

  • Situation 1: A single admissible claim of Rs.7 lacs

    Policy A will pay Rs. 5 lacs

    Policy B will pay remaining Rs. 2 lacs as the threshold limit is crossed

  • Situation 2: 2 Admissible claims in a year amounting to Rs.3 lacs each

    Policy A will pay Rs. 3 lacs for the first claim and Rs. 2 lacs for the second claim

    Policy B will pay remaining Rs. 1 lac since the total claim in the year crosses the threshold limit

  • Situation 3: 2 Admissible claims in a year, one amounting to Rs.6 lacs and the 2nd amounting to Rs.3 lacs in the same year

    Policy A will pay Rs. 5 lacs for the first claim and policy B will pay Rs. 1 lac for the first claim and remaining Rs. 3 lacs for the 2nd claim since the total claim in the year crosses the threshold limit.

Yes, you can take Niva Bupa Health Recharge, irrespective of having plan from us or somewhere else.

It makes sense when you want to increase your total coverage without paying much. While anybody can buy our top-up option at any time, however, it is not advisable unless you have bought a base health insurance cover or the coverage offered by your employer is at least equal to the chosen deductible (threshold limit) amount of our top-up.

Yes, it covers (all sub-limits as mentioned in the policy schedule will apply).

Yes, you can avail a tax benefit available under Section 80D of the Income Tax Act 1961 by buying a health insurance policy. These benefits are 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.

Yes, policy for 1, 2, & 3 years is available. Customer is eligible for tenure discount too.
2 yrs. policy: – 7.5 % discount on 2nd year premium
3 yrs. policy: - 7.5 % discount on 2nd year premium & 15% discount on 3rd year premium

Of course, you can cover your family residing in India under one policy. You can use your health insurance policy across India. For cashless hospitalization, 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.