Niva Bupa (Formerly known as Max Bupa) Arogya Sanjeevani Policy

Arogya Sanjeevani is a standard health insurance policy that was launched by IRDAI from April 01, 2020. All the health insurance providers including Niva Bupa (Formerly known as Max Bupa) health insurance provide Arogya Sanjeevani health insurance policy. will be offered by all health insurance companies in India. The policy sum insured ranges from Rs 1 lakh to Rs 5 lakh. Check out the features, benefits, and coverage offered under Niva Bupa (Formerly known as Max Bupa) Arogya Sanjeevani Policy:

Read More

Get up to 5% discount**
Get insured from the comfort of your home No medicals required

Tell us about you

Niva Bupa (Formerly known as Max Bupa) Arogya Sanjeevani Policy

All savings are provided by the insurer as per the IRDAI approved insurance plan. Standard T&C Apply
*Tax benefit is subject to changes in tax laws. Standard T&C Apply

Get up to 5% discount**
Get insured from the comfort of your home No medicals required
I am a

My name is

My number is

By clicking on 'View Plans' you, agreed to our Privacy Policy and Terms of use
Close
Back
I am a

My name is

My number is

Select Age

City Living in

    Popular Cities

    Do you have an existing illness or medical history?

    This helps us find plans that cover your condition and avoid claim rejection

    Get updates on WhatsApp

    What is your existing illness?

    Select all that apply

    When did you recover from Covid-19?

    Some plans are available only after a certain time

    Key Features of Niva Bupa (Formerly known as Max Bupa) Arogya Sanjeevani Plan

    Arogya Sanjeevani Policy by Niva Bupa (Formerly known as Max Bupa) health insurance company comes loaded with the following features:

    • You can buy Arogya Sanjeevani plan on both Individual and family floater basis
    • Comprehensive health insurance cover at an affordable premium
    • People who cannot afford to pay a higher premium can buy this policy with a sum insured options up to Rs 5 Lakh
    • You can cover your loved ones under a single plan including your parents-in-law
    • It also covers expenses incurred on modern treatments
    • All the claims are subjected to 5% co-pay
    • The policy offers a free look period of 15-30 days
    • Cashless claim pre-authorization is given in 30-minutes
    • The insurer offers direct claim settlement facility

    Eligibility Criteria

    Entry Age for Adults

    18-65 years

    Entry Age for Children

    3 months to 25 years

    Policy Term

    1 Year

    Coverage

    Individual/Family Floater

    Members Covered

    Self, spouse, parents, children, parents-in-law

    Sum Insured

    Rs 1 Lakh – Rs 5 Lakh

    Renewability

    Lifelong

    Inclusions of Niva Bupa (Formerly known as Max Bupa) Arogya Sanjeevani Policy

    The policyholder can avail the following coverage benefits under this policy:

    • The policy covers room rent charges, nursing expenses, boarding expenses, ICU charges, etc.
    • Pre and post hospitalization expenses are covered for 30 days and 60 days respectively
    • Road ambulance charges are also recompensed
    • Cataract treatment expenses are also covered
    • Daycare treatments are also covered
    • Niva Bupa (Formerly known as Max Bupa) Arogya Sanjeevani Policy covers modern treatment expenses such as Uterine Artery Embolization, robotic surgeries, Bronchial Thermoplasty, oral chemotherapy, etc.
    • However, a co-payment of 5% is applicable on the claim amount

    Exclusions of Niva Bupa (Formerly known as Max Bupa) Arogya Sanjeevani Policy

    Claims for the following expenses shall not be covered under the Niva Bupa (Formerly known as Max Bupa) Arogya Sanjeevani health scheme:

    • Any treatment which is taken overseas
    • Reconstructive and cosmetic surgeries
    • HIV and AIDS treatment
    • Unproven or experimental treatments
    • Inconsistent diagnostic procedures
    • Treatment required for psychiatric conditions and mental disorders
    • Obesity and weight control programs
    • Off-label drug or treatment
    • Puberty and menopause-related disorders
    • Reproductive medicine & other maternity expenses
    • Sexually transmitted infections & diseases
    • Sleep disorders
    • Unlawful activity
    • Unrecognized physician or hospital
    • Suicidal attempts and self-inflicted injuries
    • Any injury or illness directly or indirectly related to war conditions, nuclear radiations and radiological emissions
    • Any diseases or illness caused after the consumption of alcohol and drugs
    • Involvement in adventure sports or activities

    How to Renew Niva Bupa (Formerly known as Max Bupa) Arogya Sanjeevani Policy?

    This policy can be renewed for a lifetime and the process of renewing Arogya policy by Niva Bupa (Formerly known as Max Bupa) Insurance is quite simple and convenient. The renewal process of Niva Bupa (Formerly known as Max Bupa) Arogya Sanjeevani medical policy is as follows-

    • Go to the insurer’s or Policy Bazaar’s website
    • Click on the policy renewal option
    • Provide your medical insurance policy number
    • Click on the submit option
    • You will know the amount of premium renewal
    • Go to pay now option and make the payment online for your policy renewal

    Claim Process of Niva Bupa (Formerly known as Max Bupa) Arogya Sanjeevani Policy

    To file a claim for a planned treatment you should inform the insurer 72 hours before hospitalization If it is an emergency hospitalization inform the insurance company at least 24 hours after the hospitalization. However, the procedure for cashless and reimbursement claims is elucidated below-

    Cashless Claim Procedure at Network Hospitals

    You can avail cashless treatment at a network hospital only. You can check the list of network hospitals on their site. Please follow the process described below.

    • Firstly, take admission in a network hospital
    • For easy identification, you use your Niva Bupa (Formerly known as Max Bupa) Health Card/PAN card/Policy Number/ Voter
    • Hospital authorities will validate your identity proof. After that, the pre-authorization request will be submitted to the Niva Bupa (Formerly known as Max Bupa) medical insurance team
    • A confirmation email or fax will be sent to the hospital team. You will receive the confirmation on SMS also
    • Once all the formalities are completed, the claim will be settled

    Reimbursement Claim Procedure in Non-network Hospitals

    • If you take the treatment in a non-network hospital notify the insurer within 72 hours of the treatment
    • Pay all the bills to the hospital for the treatment
    • Before the discharge do not forget to collect the medical reports, documents, discharge

    Certificate, and Original Invoices

    • Now fill the claim form and sign it before sending it to the insurer. All attach all the documents with your age proof and valid ID proof. The claim form is available in the policy documents and on the insurer’s site.
    • Once all the formalities are completed, your claim request will be reviewed and, based on the same your medical insurance claim will be accepted or rejected
    • On approval, your claim will be settled, and the amount will be reimbursed

    Documents Required

    Following documents are required to file a claim with Niva Bupa (Formerly known as Max Bupa) health insurance company:

    • Duly filled and signed claim form
    • KYC form
    • Hospital discharge certificate
    • Medical reports/ receipts/bills
    • Doctor’s prescription and consultation letter
    • Copy of Niva Bupa (Formerly known as Max Bupa) medical insurance policy
    • Copy of PAN Card and address proof
    • Death certificate/post-mortem report (accidental death)
    • I.R report (accidental cases)

    Niva Bupa (Formerly known as Max Bupa) Arogya Sanjeevani Policy Terms and Conditions

    • Niva Bupa (Formerly known as Max Bupa) Arogya Sanjeevani policy covers pre-existing diseases after a waiting period of 48 months
    • A waiting period of 24 months applies to specific illnesses such as cataract surgery, etc.
    • All the claims filed in the initial 30 months are not covered

    Niva Bupa (Formerly known as Max Bupa) Arogya Sanjeevani Policy FAQs

    Health insurance articles

    Recent Articles
    Popular Articles
    Omicron COVID Variant: All You Need to Know

    08 Dec 2021

    The COVID-19 pandemic has been making the world dance to its tunes...
    Read more
    Do E-cigarettes Increase the Risk of Stroke in Young People?

    06 Dec 2021

    It is no secret that smoking is injurious to health. Smoking...
    Read more
    11 Easy Tips to Save Money on Your Health Insurance Premium

    30 Nov 2021

    Health insurance has become imperative today with the cost of...
    Read more
    Health Insurance Vs Medical Loan – Which is Better?

    16 Nov 2021

    Medical emergencies always come unannounced. With medical...
    Read more
    8 Important Tips to Maintain a Healthy Diet for Your Kids

    15 Nov 2021

    For a parent, nothing is more important than the well-being of...
    Read more
    PMJAY Scheme: Ayushman Bharat Yojana Eligibility & Registration Online
    Prime Minister Shri Narendra Modi announced the launch of (PMJAY) Ayushman Bharat Yojana in his Independence...
    Read more
    Best Health Insurance Plans in India 2022
    Finding the best health insurance plan from so many different health insurance companies can get confusing for many...
    Read more
    Best Maternity Insurance Plans
    Maternity or pregnancy is an important phase of life, and one needs to prepare in advance to embrace parenthood...
    Read more
    Covaxin vs. Covishield vs. Sputnik vs. Pfizer: Which one should you get?
    Covaxin vs. Covishield vs. Sputnik vs. Pfizer, the speculation continues regarding the difference between the...
    Read more
    Best Health Insurance Plans for Senior Citizens in 2021
    Considering the increase in medical inflation in India, buying adequate health insurance for your loved ones has...
    Read more
     
    Close
    Download the Policybazaar app
    to manage all your insurance needs.
    INSTALL