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Niva Bupa Heartbeat Health Insurance

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Niva Bupa Health Insurance
Heartbeat Policy
Cashless Approval TAT30 mins Cashless Claim Processing
Claim Settlement Ratio90.70%
Network Hospitals10,000+
Pre-existing Disease Coverage FromDay 1
Special BenefitsUnlimited restoration
Starting Premium for Rs. 5 lakhs SIRs. 550/month

About Niva Bupa Heartbeat Health Insurance

Heartbeat Policy offered by Niva Bupa Health Insurance is a comprehensive medical insurance policy that comes in different variants namely Gold, Silver, Platinum, and FamilyFirst. The variants differ in sum insured range and features but all of them offer great coverage benefits at affordable premiums. The sum insured options in these variants start at Rs. 5 Lakh and go up to as high as Rs. 1 crore. You can buy the policy on an individual or family floater basis, as per your requirement. You can include several add-on benefits under this policy for added coverage, by paying an extra premium. These include hospital cash, personal accident cover, critical illness cover, e-consultation, premium waiver, and enhanced geographical scope for international coverage.

The policy covers you for several healthcare expenses such as emergency road ambulance expenses, in-patient hospitalisation expenses, vaccination of the newborn baby, domiciliary hospitalisation expenses, daycare expenses, pre-hospitalisation and post-hospitalisation expenses, alternative treatment, etc. Other reasons to buy this policy are direct claim settlement, tax benefits under Income Tax Act, 1961, lifetime renewability benefit, no waiting period for accidental hospitalisation, and free look period. The policy is full of benefits and hence becomes a preferred choice for many.

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Key Inclusions and Exclusions of the Plan

What's Included

  • Treatment taken under AYUSH systems of medicines
  • Pre-hospitalisation and post-hospitalisation expenses for limited days
  • Maternity expenses for up to 2 deliveries after you and spouse are covered for 2 years
  • Expenses related to newborn baby’s vaccination
  • In-hospitalisation expenses

What's Not Included

  • Expenses related to treatment of HIV/AIDS or STDs
  • Treatment availed in an unrecognised hospital or by an unrecognised doctor
  • Treatment required due to participation in hazardous activities
  • Sleep disorders, infections, or STDs
  • Treatment taken outside India

10059 Niva Bupa Cashless Network Hospitals in India

Add-ons to Enhance Benefits

  • Hospital Cash

    With this add-on, you can avail daily cash of Rs. 1,500 per day, Rs. 3,000 per day Rs. 6,000 per day, as per the sum insured amount chosen.
  • Personal Accident Cover

    This add-on provides you cover in case of an accident, if you are aged 18 years and above, on an individual basis.
  • E-consultation

    With this add-on, you can avail unlimited tele or online consultations. The benefit is available in all variants. You can include this add-on under the policy, by paying an extra premium at the time of policy purchase.
  • Premium Waiver

    Premium waiver add-on offers you a one-time premium waiver if the policyholder (who is also the insured person) dies or suffers from specified illness.
  • Geographical Scope for International Coverage

    With this add-on, USA and Canada will be included for emergency medical evacuation, emergency hospitalisation and specified illness cover.

Claim Process at Niva Bupa Health Insurance

  • Network Hospital
  • Non-Network Hospital
  • 1

    Claim Assistance

    For any assistance or query, call InsuranceDekho at the toll-free number 755 1196 989.
  • 2

    Claim Intimation

    Emergency hospitalisation needs intimation within 24 hours and for planned hospitalisation intimate within 48 hours prior to admission.
  • 3

    Claim Processing

    Fill in the pre-authorisation form and hand it over to hospital's insurance/TPA desk to initiate claim request.
  • 4

    Claim Settlement

    Once your request is approved, claim is settled. If not approved, claim for reimbursement after discharge.
  • 1

    Claim Assistance

    For any assistance or query, call InsuranceDekho at the toll-free number 755 1196 989.
  • 2

    Claim Intimation

    Emergency hospitalisation needs intimation within 24 hours and for planned hospitalisation intimate within 48 hours prior to admission.
  • 3

    Claim Processing

    Submit claim form with original documents such as doctor’s reports, hospital bills, diagnostic tests, etc.
  • 4

    Claim Settlement

    Once your request for reimbursement of expenses is approved, the claim will be settled.

FAQs on Heartbeat Policy Health Insurance Plan

  • What are the add-on benefits under this policy?

    Heartbeat policy comes with several add-on benefits which you can voluntarily opt for by paying an extra premium. These are hospital cash, personal accident cover, critical illness cover, e-consultation, premium waiver and enhanced geographical scope for international coverage.

  • What are the sum insured options available under this policy?

    The sum insured options under this policy are of Rs. 5 Lakh, Rs. 7.5 Lakh, Rs. 10 Lakh, Rs. 15 Lakh, Rs. 20 Lakh, Rs. 30 Lakh, Rs. 50 Lakh, and Rs. 1 crore. 

  • Can I avail maternity benefits under this policy?

    Yes. You can avail maternity benefits under this policy, for Rs. 35,000 to Rs. 2 Lakh. The coverage benefits differ with different sum insured options.

  • Is there any additional coverage for platinum customers under this policy?

    Yes. The policy offers additional coverage to platinum customers such as international treatment for specified illnesses, cover for OPD treatment, cover for second medical opinion, and emergency medical evacuation and hospitalisation for medical emergencies. 

  • Am I covered for expenses incurred outside the hospital, under this policy?

    Yes. You are covered for the following expenses under this policy:

    • Pharmacy and diagnostic services
    • Emergency assistance services like air ambulance, medical referral, medical repatriation, etc.  
    • Domiciliary coverage treatments as prescribed by a medical practitioner

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