Niva Bupa Claims procedure

Cashless Claims Reimbursement Claims
  • Step 1: Get admitted to any one of the network hospitals.
  • Step 1: In case of hospitalization intimate within 48 hours of your admission in a network or non-network hospital. After getting admitted pay directly to the hospital.
  • Step 2: Use your cashless health card and any photo ID card for authentication.
  • Step 2: On discharge, please ensure you collect all relevant documents, invoices, medical reports and discharge certificate from the hospital in originals.
  • Step 3: After the validation, submit the pre-authorisation form to the company.
  • Step 3: Send these documents and the completely filled and signed claim form to the company, along with your valid ID proof and age proof.
  • Step 4: Claim settlement department will review and provide confirmation to the Network Hospital by fax or E-mail and also send you a text message and an E-mail confirming the same within 4 hours.
  • Step 4: Claim settlement department will review your claim request and accordingly will approve, query or reject the same (as per policy terms & conditions).
  • Step 5: The claim will be settled(as per policy terms & conditions) with the hospital after completion of all formalities.
  • Step 5: The claim will be settled (as per policy terms & conditions) and re-imburse the approved amount.

Niva Bupa Health Insurance review

Niva Bupa Health Insurance
Sum Insured
2 lacs - 300 lacs options available
Tenure Options
1 year
Claims Incurred Ratio *
54.00%
Claims Settlement Ratio **
85.96%
List of Network Hospitals
4,500+ hospitals
Number of Policies issued *
696,107
Number of Lives Covered *
54,33,000
Maximum Family Floater Coverage
Self, Spouse + 4 dependent children
* As per IRDAI report for 2018-19   |   ** As per NL25 data published on the Insurance Company website

Niva Bupa health insurance useful links

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Niva Bupa insurance plan network hospital list.

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Tax benefits Tax benefits

Tax deduction on health insurance premium paid for you, your family and your parents.

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