Niva Bupa Health Assurance Plan
Niva Bupa Health Assurance Plan, offers comprehensive cover, with a combination of – Critical Illness Cover + Hospital Cash + Personal Accident Cover. It covers 20 critical Illnesses and can be taken as an individual or family floater.
Key Features
Guaranteed Cash Benefit
Hospital Cash + Personal Accident Cover
Under section 80D of Income Tax Act.
Benefits
| Critical Illness Cover | ||||
| Level 1 | Level 2 | Level 3 | Level 4 | |
| Sum Assured (SA) in Rs. | 3 lacs | 5 lacs | 7.5 lacs | 10 lacs |
| Base line cover benefits | ||||
| Coverage offered for 20 Critical Illnesses | 100% of SA | 100% of SA | 100% of SA | 100% of SA |
| Hospital Cash Cover | ||||
| Level 1 | Level 2 | Level 3 | Level 4 | |
| Daily Cash Benefit in Rs./day | 1000/day | 2000/day | 3000/day | 4000/day |
| Personal Accidental Cover | ||||
| Level 1 | Level 2 | Level 3 | Level 4 | |
| Sum Assured (SA) in Rs. | 3 lacs | 5 lacs | 7.5 lacs | 10 lacs |
| Base line cover benefits | ||||
| Accidental Death | 100% of SA | 100% of SA | 100% of SA | 100% of SA |
| Permanent Total Disability | 100% of SA | 100% of SA | 125% of SA | 125% of SA |
| Permanent Partial Disability | As per the grid mentioned herewith | |||
| Child Education Benefit | lump sum 5% of sum assured or Rs. 50,000, whichever is lower per child, | |||
| Funeral Expenses | Rs. 5000 | |||
You can opt for 2 year policy tenure & avail discount.
If the policy holder is not convinced with the terms and conditions of the policy, s/he can cancel the same within 15 days of the receipt of policy document.
100% of sum assured (Applicable only for 2 Adults, No coverage for children)
How it works
Critical Illness Benefit:-
If s/he is diagnosed with any of the below critical illnesses, Guaranteed Cash Benefit paid on diagnosis:
| Sr. No | Illnesses Covered |
| 1 | Cancer of Specified Severity |
| 2 | First Heart Attack of Specified Severity |
| 3 | Open Chest CABG |
| 4 | Open Heart Replacement or Repair of Heart Valves |
| 5 | Coma of Specified Severity |
| 6 | Kidney Failure Requiring Regular Dialysis |
| 7 | Stroke Resulting in Permanent Symptoms |
| 8 | Major Organ/Bone Marrow Transplant |
| 9 | Permanent Paralysis of Limbs |
| 10 | Motor Neurone Disease with Permanent Symptoms |
| 11 | Multiple Sclerosis Persisting Symptoms |
| 12 | Aplastic Anaemia |
| 13 | Bacterial Meningitis |
| 14 | Loss of Speech |
| 15 | End Stage Liver Disease |
| 16 | Deafness |
| 17 | End-stage Lung Disease |
| 18 | Fulminant Viral Hepatitis |
| 19 | Major Burns |
| 20 | Muscular Dystrophy |
Personal Accident Cover Benefit:-
- Accidental Death – Guaranteed Cash Benefit, in case of death of policy holder.
- Permanent Total Disability – Compensation in case of Permanent Total Disability, due to an accident.
- Permanent Partial Disability - Compensation in case of Permanent Partial Disability, due to an accident.
- Unique Child Education Benefit – lump sum 5% of sum assured or Rs. 50,000 per child, whichever is lower, payment for children insured under the policy if the proposer’s claim for accidental death or permanent total disability has been accepted.
- Funeral Expenses – an amount of Rs. 5,000 will be paid to the family in case of an accidental death of an insured person.
- Worldwide Coverage – coverage against all the accidents 24*7 worldwide.
Hospital Cash Cover Benefit:-
Expenses like patient attendee’s lodging, nursing expenses, money spent on commuting etc. The benefits available under hospital cash cover benefit:-
- Daily Cash Benefit of Rs. 1000-4000/day of hospitalization (up to 45 days)
- Double Cash Benefit for ICU (maximum up to 7 days)
Sum Assured options: - Below are the different levels of Sum Assured for Critical Illness, Personal Accident Cover and Hospital Cash Cover
| Sum Assured (in Rs.) | ||||
| Benefit | Level 1 | Level 2 | Level 3 | Level 4 |
| Critical Illness | 3 lacs | 5 lacs | 7.5 lacs | 10 lacs |
| Personal Accident | 1000/day | 2000/day | 3000/day | 4000/day |
| Hospital Cash | 5 lacs | 10 lacs | 20 lacs | 25 lacs |
Exclusions
Initial waiting period – Critical Illness 90 days and Hospital Cash 30 days, from the policy start date.
Survival period – to avail benefits under critical illness, the life insured has to survive for 30 days from date of diagnosis.
Specific Waiting period – 24 months waiting period for specific illnesses under Hospital Cash Cover.
Pre-existing diseases – will not be covered until 48 months of continuous coverage.
General conditions for exclusions – Multiple claims will not be honored under Permanent Total Disability, Permanent Partial Disability or Critical Illness.
Specific Exclusions – Please refer to Health Assurance policy wording for specific exclusions related to Personal Accident, Critical Illness and Hospital Cash.
