Niva Bupa Health Companion Plan: Affordable Insurance Health Plan

Why Choose Health Companion Plan

Niva Bupa Health Companion Plan covers a wide range of healthcare expenses for both individuals and families. Depending on your budget and requirement, you can choose your sum insured from Rs. 3 lakh to Rs.1crore. In Health Companion Plan, the insured receives several benefits, including Organ donor expenses, In-patient hospitalization expenses, Pre-hospitalization & Post-hospitalization expenses, Daycare expenses, Health check-up, Domiciliary hospitalization expenses, and Modern treatments. In addition, you can add hospital cash benefit and Safeguard (rider). In this Plan you will get Refill benefit, No Claim Bonus, Lifelong renewal benefit, and Tax benefit under Section 80D, these are other benefits of Health Companion Plan. As a result, the policy offers many benefits which may help the insured in case of a medical emergency.

Network hospital	10000+	Claim approval time	30Min.
Claim settlement ratio	99.99%	Claim type	In house claim
Eligibility Criteria
Entry age		91 Days to 100 Years
Family size		Covered upto 6 member
Plan type		Individual/Family floater
Tenure		1 Year, 2 Year & 3 Year
Cashless hospitalization		All over India
Base sum insured		3L, 4L, 5L, 7.5L, 10L, 12.5L, 15L, 20L, 30L, 50L, 1Cr

Features		Health Companion Plan
In-Patient treatment		Covered upto sum insured
Room rent		Actual
ICU Charges		Actual
Pre-Hospitalization		60 Days
Post-Hospitalization		180 Days
Day Care treatment		All Day Care treatment covered
Organ donor		Covered upto sum insured
Domiciliary Hospitalization		Covered upto sum insured
Home Care treatment		Covered upto sum insured
Refill benefit		100% of sum insured, single times
No claim bonus		20% of sum insured up to 100%
Ayush treatment		Covered upto sum insured
Modern treatment		Covered up to sum insured & sub limit of 1 lac on few robotic surgery
Road Ambulance		INR 2000/Hospitalization
Air Ambulance		Covered upto 2.5lakh
Preventive Health Check-up		Cover from day 1
Vaccination for Animal bite		Animal bite vaccination Upto INR 5000
Tax Benefit u/s 80D		Upto INR 75000
Waiting Period
From Day One		Only Accidental
After 30 Days		Dengue, Malaria, Fever, Jaundice, Typhoid etc.
After 2 Years		Stone, hernia, Piles, Ulcer, Fistula, Gallbladder, Hip & Joint replacement, Tonsils, ENT surgery, Gyno surgery, etc
After 3 Years		Pre Existing Disease Such As Hypertension, Thyroid, Asthma, Diabetes etc.

Optional Benefit		Hospital Cash benefit
		Personal Accident(PA)
		Safeguard
		Deductible Benefit

More Unique Features

No Claim Bonus (fixed) – 20% of base sum insured maximum upto 100%. It will never reduce.
Health Checkup From Day 1 – Niva Bupa Health Companion plan covers your health checkup from same year onwards.
Vaccination expense – Health Companion Plan covers Animal bite vaccination.

What Covered Under Niva Bupa Health Companion Plan?

Lifelong renewal - Renew your cover lifelong and stay covered forever.
No sub-limit on room rent - With this health plan you can get the room you like and the treatment you deserve without a hassle.
No geography-based sub-limits - No matter where you buy your policy you can get treated in any city or hospital you like in the country with no additional co-pays or sub-limits.
Hospitalization expenses - Cover medical expenses incurred at the time of hospitalization that include room rent, ICU expenses, nursing expenses, surgeon’s fees road ambulance charges, anesthesia fees, blood and oxygen etc.
Pre-hospitalization - Niva Bupa Health Companion plan covers medical expenses for 60 days of pre-hospitalization. These cover tests, medicine purchases, and other medical expenses that have incurred before hospitalization.
Post-hospitalization - Niva Bupa Health Companion plan covers medical expenses for 180 days of pre-hospitalization. These cover tests, medicine purchases and other medical expenses that has incurred after discharge.
Day Care treatment - Day-care treatments are those surgery that take hospitalization less than 24-hours like Stone, Cataract, Dialysis, Chemotherapy, Radiotherapy etc.
Organ donor expenses - We will indemnify the Medical Expenses incurred for a living organ donor’s treatment as an Inpatient for the harvesting of the organ donated.
Domiciliary hospitalization – Secure all medical expenses during domiciliary hospitalization.
Home health care – Get treated at Home.
Refill benefit - With the Refill benefit of Niva Bupa Health Companion plan if any claim, partial or totally is made during the policy period than 100% sum insured will be restored automatically single time without any additional cost.
No Claim Bonus – Your coverage will increased by 20% of suminsured every year maximum upto 100%. In Health Companion Plan the no claim bonus will never reduce.
AYUSH treatment – Niva Bupa Health Companion plan covers In-patient hospitalization expenses even for alternate treatments method. Ayurveda, yoga, naturopathy, Unani, siddha and homeopathy.
Modern Treatment – Modern treatment Covered treatment like deep brain stimulation, oral chemotherapy to robotic surgery, stem cell therapy, bronchial thermoplasty, intra vitreal injections balloon Sinuplasty etc.
Road ambulance - Niva Bupa Health Companion Plan covers Road Ambulance cost up to INR 2000/Hospitalization.
Emergency Air ambulance - Niva Bupa Health Companion Plan covers Air Ambulance expenses maximum up to 2.5lakh
Preventive health checkup – You will get preventive health checkup benefits from same year onwards, irrespective of claim.
Vaccination benefit – Animal bite vaccination covered upto INR 5000.
Tax benefits - You can avail tax benefits for the premium amount under Section 80 D of the Income Tax Act.
Free look period - Get a 15 days free look period to understand and change your decision.
Long-Term Discount - Pay for a 2 years policy term and get 7.5% discount and 15% discount on choosing 3 years policy term.

Discount

Long-Term Discount – Pay for a 2 years policy term and get 7.5% discount and 15% discount on choosing 3 years policy term.
Family Discount - 10% on family discounts on 2 or more members are covered under an individual policy.
Standing Instruction Discount – 2.5% Discount on auto debit on renewal.
Doctor Discount – 5% discount if an insured person is a certified medical practitioner.
Live Healthy Benefit – Collect health points by taking steps and get 30% discount on renewal.

Add on covers

Hospital Daily Cash Benefit – Company will pay for an Insured, an additional fixed amount for each day’s hospitalization for a maximum up to 30 days. One day is considered 24 continuous hours of hospitalization.
Personal Accident – In the event of the unfortunate demise of the insured within policy period from the date of the Accident, the company will pay the Sum Insured. The Personal accident benefit will terminate after the Accidental Death benefit is paid for.
Safeguard - Nonpayable items will be covered with a safeguard feature.
Deductible benefit – If you are choosing deductible options such as INR 100000, INR 200000, INR 300000, INR 400000, INR 500000 & INR 1000000 which reduce your premium.

Renewal Process

Life-long Renewal - Get a life-long renewal, regardless of your health status or previous claims made under your policy.
Sum Insured Enhancement - To protect yourself from rising medical expenses, you can enhance your sum insured or add more members of your family in your existing policy at the time of renewal.
Portability and Migration - You can port or migrate your policy at the time of renewal. Please reach out to us for any queries regarding migration and portability.

How to File a Claim

You can file a claim in Niva bupa reassure 2.0 plan in two ways as mentioned below:

1. Cashless Claim

Intimation – Fill up the pre-authorization form at the network hospital for cashless approval.
Approval/ rejection – Once the hospital intimates the company, the company sends you the status update.
Hospitalization – Hospitalization can be done on the basis of pre-authorization approval.
Claim settlement – At the time of Discharge Company will settle the claim directly with the hospital.

2. Reimbursement

Hospitalization – you need to pay the bills initially and preserve the original invoices.
Register your claim – Post-hospital discharge send to the company all your invoices and documents.
Verification – The company verifies your claim-related invoices and treatment documents.
Claim settlement – The company sends the approved amount to your bank account.

Exclusions of Niva Bupa Health Companion Plan

Conflict & Disaster -Treatment for any Injury or Illness resulting directly or indirectly from nuclear, radiological emissions, war or war-like situations, rebellion.
Breach of law – Company do not cover expenses for treatment directly arising from or consequent upon any insured person committing or attempting a breach of law with criminal intent.
Treatment for alcoholism & drug abuse – Treatment for alcoholism, drug or substances abuse or any addictive condition and consequence thereof remain uncovered.
Congenital external disease, defects or anomalies – Company do not cover medical expenses incurred for congenital external disease defects or anomalies.
Maternity Expenses - Pregnancy, dental treatment, external aids and appliances.
Investigation & Evaluation - Expenses related to any admission primarily for diagnostics and evaluation purposes only are excluded. Any diagnostic expenses which are not related or not incidental to the current diagnosis and treatment are excluded.
Unproven Treatments - Expenses related to any unproven treatment, services and supplies for or in connection with any treatment. Unproven treatments are treatments, procedures or supplies that lack significant medical documentation to support their electiveness.
Unrecognized Physician or Hospital - Treatment or Medical Advice provided by a Medical Practitioner not recognized by the Medical Council of India or by Central Council of Indian Medicine or by Central council of Homeopathy.
Costs which are not Reasonable and customary and treatments which are not medically Necessary.

FAQ

1.How does Niva Bupa Health Insurance's Health Companion Policy stand out from the competition?

Niva Bupa Health Insurance's Health Companion Policy comes with cashless treatment benefits, tax benefits under Section 80D of the Income Tax Act, 1961, refill benefit, No Claim Bonus, a wide range of sum insured options, and lifetime renewal benefits.

2.Does this policy cover treatment for COVID-19 if I have a positive diagnosis?

Yes, of course. In accordance with the terms and conditions of this policy, you are covered for treatment required due to a positive diagnosis of COVID-19.

3.Is there a minimum and maximum entry age for Niva Bupa Health Insurance's Health Companion Policy?

Niva Bupa Health Insurance's Health Companion Policy has a minimum entry age of 91 days. The policy does not have a maximum entry age.

4.Can you tell me what the minimum and maximum terms of the policy are?

Niva Bupa Health Insurance offers a Health Companion Policy that can be purchased for one year or two years. If you buy the policy for two years, you can get a discount. This discount is only available on premiums paid for the second year in this case. In order to continue receiving coverage benefits, you must renew your policy at the end of your policy term.

5.Is it possible to claim tax benefits on this policy's premium?

That's right. According to Section 80D of the Income Tax Act, 1961, you can claim a tax deduction on the premium paid for this policy. Taxpayers can avail of a discount of Rs. 25,000 every year, while senior citizens can take advantage of a discount of Rs. 30,000 every year.

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