Niva Bupa Aspire Health Insurance Plan

Plan Highlights

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      About Niva Bupa Aspire Health Insurance Plan

      Considering the younger generation's healthcare requirements, Niva Bupa Health Insurance Company has launched the Niva Bupa Aspire Health Insurance plan. The plan offers unique benefits like Lock the Clock and Booster+, among others. With the Niva Bupa Aspire Health insurance plan, the insured can avail of several unique benefits that have been explained in detail below.

      Eligibility
      Adult minimum entry age
      18 years
      Adult maximum entry age
      46 years
      Renewability
      Lifelong
      Child minimum entry age
      1 day
      Child maximum entry age
      NA
      Get more details ›
      Get more details ›

      Niva Bupa Aspire Health Insurance Plan: Key Highlights

      Categories Specifications
      Coverage ₹5 lakh to 1 crore
      Pre-existing Diseases Waiting Period 3 years
      Discount Up to 30% live healthy discount
      Check premium ›

      Aspire Gold+ Features

      What we love
      Get maternity coverage for both mother & new born baby
      Fast ForwardKnow more ›
      Maternity Coverage (M-iracle Benefit)Know more ›
      2 Hour HospitalizationKnow more ›
      Coverage
      Room rent limit
      Any category
      Room rent limit is the maximum amount per day cost allowed by the insurer. Related expenses, such as doctor consultation etc. are paid in proportion to the room rent limit. Look out for plans with No Room Rent limit
      Restoration of cover
      Rs 10 lakh unlimited times in a year; both related and unrelated illness. This will be carried forward at every renewal maximum up to 100%
      Very useful feature, in case the sum Insured gets exhausted in a year due to multiple claims or a large claim. Insurer restores the sum insured to provide continued coverage to policyholders.
      Co-pay
      100% paid by the insurer
      Co-pay is the share of claim to be paid by the policyholder, while the rest is paid by the insurer. Always look out for plan with 0% co-pay or minimum co-payment.
      Pre-hospitalization coverage
      60 days
      Expenses incurred BEFORE hospitalization, such as doctor visits, diagnostic tests etc. Insurance company pays for such expenses upto a certain number of days (ex. 30-90 days) prior to hospitalization.
      Post-hospitalization coverage
      180 days
      Expenses incurred AFTER hospitalization, such as doctor visits, medicines etc. Insurance company pays for such expenses upto a certain number of days (ex. 30-180 days) after the hospitalization.
      Day care treatment
      All day care treatments are valid. Get covered even with just 2 hours of hospitalization—no need to meet the 24-hour minimum requirement.
      Treatments that do not require hospitalization, such as Cataract, Chemo etc.
      Hospitalization at home
      Up to Rs 10 lakh
      This feature covers for scenarios where hospital bed is not available AND the doctor has recommended treatment at home.
      Ambulance charges
      Up to Rs 10 lakh
      Covers for ambulance charges before or after the hospitalization.
      Cashless hospitals
      10614 cashless hospitals in India
      Check in your city
      Hospitals that have a direct tie-up with the insurance company, where insured can avail cashless treatment. Larger the network in your area, better it is.
      Value Added Services
      Mid year member addition
      Child aged upto 90 days and newly wedded spouse can be added in the policy after issuance
      Free health checkup
      Available once every policy year for all the insured member who are of 18 years or above, starting from day 1, for tests selected from the approved list. Up to Rs. 500 for each Rs. 1 Lac of Base Sum Insured (Individual: Max Rs. 5,000 per person. Family Floater: Max Rs. 10,000 per policy).
      Complimentary health checkups in the policy to ensure wellbeing of the policyholders.
      E-consultation
      Unlimited e - consultation
      Free Online doctor consultation(s) is an additional feature to keep your health in check
      Discount on Renewal
      Up to 30% discount on renewal premium (basis number of steps taken)
      An additional discount for staying active and fit. Can be availed at the time of renewal
      Daily cash allowance
      Optional benefit; up to Rs 2,000 per day
      Insurer offers a fixed daily payout for each day till the time the policyholder remains hospitalized. Covers for expenses such as meals, transport etc. of the attendant.
      Out patient consultation benefits
      Available as an optional cover
      Waiting periods
      Existing Illness cover
      3 years
      The minimum period policyholder needs to wait before filing a claim. In case of pre-exisitng illnesses such as diabetes, thyroid etc., look for plans with less waiting periods.
      Initial Waiting Period
      30 days; except claims arising due to an accident, provided the same are covered. This is standard in the industry across all insurance policies
      The amount of time you’ll have to wait from the date of issue to actively start using your health insurance policy and benefiting from it.
      Specific Illness cover
      24 months; for slow growing diseases like knee replacement, hernia, cataract etc. See full list of diseases mentioned in policy wordings
      Certain diseases or medical conditions and procedures may come with a specific waiting period.These may include cataracts, ENT disorders, osteoporosis, hernia, joint replacement surgery, etc. The waiting period for such illnesses can vary from 2 to 4 years, depending on the policy’s terms and conditions.
      Additional Features
      Alternate medicine (AYUSH)
      Up to Rs 10 lakh
      Few diseases may require alternate treatment such as Ayurveda, Yoga and Naturopathy, Unani, Siddha and Homeopathy (AYUSH). Do check if your plan covers the same and up to what limits.
      Worldwide coverage
      Available as an optional cover
      The higher the coverage the better as medical treatments abroad are expensive.
      Consumables Coverage
      Available as an optional cover
      Consumables are usually, but not restricted to, medical aid/ equipment that have to be discarded after use. The cost incurred from the consumables is directly billed to the patient, if not covered in the health insurance policy.
      Domestic evacuation
      Air ambulance up to Rs 10 lakh per Hospitalisation
      This feature refers to the process of transferring an individual to his home country for medical treatment from the location where he/she suffered a medical emergency. A really important part of health insurance plan for the frequent travellers
      Cover for organ donor
      Up to Rs 10 lakh
      Covers for Organ transplants. Hence if an individual is looking to avail such a procedure in the near future, he/she must take a plan with high cover amount
      Animal bite vaccination
      Not available in this plan
      Maternity Benefit(s)
      Maternity cover
      Up to Rs 12,000 for deliveries, IVF, adoption, surrogacy and more. Applicable for Individual policies as well. Works with Booster+ and Fast Forward optional cover; after 4 years waiting period
      Covers for expenses incurred on child delivery, pre and post-natal expenses are covered. Suitable for couples planning or expecting a child. Do check the waiting periods in your plan.
      New Born Baby cover
      New Born baby is covered up to Sum Insured from day 1 if maternity claim is paid or if M-Miracle waiting period is served
      Baby Addition to Policy
      Premium will be charged at the time of renewal or policy anniversary whichever is earlier if maternity claim is paid. In case maternity claim is not paid then policy has to endorse and premium to be paid.
      Pre and Post Natal benefit
      Covered Upto Maternity Cover of Rs 12000
      Download policy documents
      We have summed up the plan for you but if you are still curious read all the fine prints here
      Prospectus
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      Brochure
      Policy Wordings
      Network list
      Disclaimer: The plan features detailed are for a ₹10 Lakh cover. Not all features may be applicable to your specific profile.
      Buy now ›

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        Key Benefits of Niva Bupa Aspire Health Insurance Plan

        M-iracle Benefit
        M-iracle Benefit
        The M-iracle benefit from the Niva Bupa Aspire Health Insurance plan provides the insured with childbirth-related expenses. It covers expenses arising from maternity, surrogacy, adoption and childbirth.
        Lock the Clock+ Benefit
        Lock the Clock+ Benefit
        The lock-the-clock+ benefit ensures that the insured pays the premium amount determined at the age when they purchased the plan. The benefit is available until a claim is filed. It is important to note that the m-iracle benefit explained above does not impact the lock-the-clock+ benefit.
        Unlimited Restoration of the Sum Insured
        Booster + Benefit
        The booster+ benefit of the Aspire health plan from Niva Bupa Health Insurance ensures the insured balance is carried forward to the following year. It is important to note that the benefit can be availed up to 10 times the base sum insured depending on the entry age of the primary policyholder.
        Borderless Benefit
        Borderless Benefit
        With the borderless benefit from the Niva Bupa Aspire insurance plan, the insured can get treatment irrespective of their current location.
        Second Medical Opinion Benefit
        Second Medical Opinion Benefit
        The second medical opinion benefit is provided to the insured in case of a serious illness diagnosis. The benefit can be availed multiple times within a policy year.
        View more benefits
        Get covered today ›

        Niva Bupa Aspire Health Insurance Plan Inclusions & Exclusions

        1. Annual Health Check-up
          The annual health check-up benefit under the Niva Bupa Aspire medical insurance includes medical test facilities. The test must be booked through a mobile app and is available exclusively on a cashless basis minus reimbursements.
        2. Live Healthy
          The Live Healthy inclusion provides the insured with a 30% discount at the time of renewal by downloading the app and gaining health points.
        3. Second Medical Opinion
          The Aspire Health plan from Niva Bupa health insurance allows you to get a second medical opinion from any medical care provider. This inclusion pays for the same under hospitalisation expenses.
        4. Hospitalisation Expenses
          The Niva Bupa Aspire Health plan covers any expenses incurred when the insured is admitted. This benefit also includes hospitalisation for 2 hours or more and at least 24 hours for AYUSH treatment at an AYUSH Hospital.
        5. Road Ambulance Benefits
          If the insured must be transported to the nearest hospital through a road ambulance, the expenses incurred will apply to the sum insured.
        6. Air Ambulance Benefits
          In an emergency, the air ambulance expenses will be covered up to the base sum insured.
        7. Domiciliary Treatment
          The domiciliary treatment benefit is applicable when the insured requires medical treatment at home with a medical practitioner. It also applies when the medical professional monitors and signs the therapy at home.
        8. Pre-Hospitalisation Benefits
          The pre-hospitalisation benefit available through the Niva Bupa Aspire Health plan covers expenses like diagnostic tests, medicines and other tests for up to 60 days before being hospitalised.
        9. Post-Hospitalisation Benefits
          The post-hospitalisation benefits can be claimed within 180 days after the insured has been discharged.
        10. Modern Treatments benefit
          It covers expenses for treatments like balloon sinuplasty, stem cell therapy, deep brain stimulation and oral chemotherapy.
        11. Organ donor benefits
          The organ donor benefits cover the expenses for the organ donated by an individual to the insured. It is applicable only when the hospitalisation is claimed.
        12. Organ Harvesting benefits
          It covers the expenses for harvesting the required organ from the insured.
        13. Reassure+ Benefits
          The reassure+ benefit provides the insured with an unlimited sum insured amount. It is activated when the insured pays the first claim and stays for the entire policy duration, subject to continuous renewals.
        14. Reassure X Benefits
          The Reassure X benefit is provided to the insured individual from the first claim that is paid. It is essential to ensure the policy is renewed without a break for the unlimited sum insured to be present.
        15. Cash-Bag Benefit
          The Niva Bupa Aspire health plan provides the insured with cash back on each year that passes without a claim filing. The amount collected can help pay OPD, deductibles, co-payments, and other expenses applicable to the plan.
        16. Future Ready
          The future-ready inclusion in the Niva Bupa Aspire health insurance assures your future spouse will be provided with guaranteed issuance and continuity for waiting periods.
        17. Fast Forward
          The fast forward benefit ensures that the base sum of the health plan and the m-iracle sum insured amount is brought forward.
        18. Safeguard+
          It ensures that the insured can claim the safeguard inclusion on all non-payable items. It also assures that if a claim amounting to less than Rs 1 lakh is filed within the policy year, there will be no impact on the booster+ and safeguard+ benefits.
        19. Personal accident
          The personal accident inclusion will provide the insured with the amount that equals up to 5 times the base sum insured. The amount can go up to a sum of Rs 1 crore.
        20. Annual Aggregate Deductible
          The yearly aggregate deductible is provided to the insured based on the expenses incurred to reach the hospital.
        21. Hospital Cash
          The insured is paid an additional fixed amount based on each day of hospital stay for up to 30 days.
        View more Inclusions
        1. Investigation and Evaluation
          It does not cover hospitalization costs solely for the purpose of diagnostic or evaluation of a suspected health issue.
        2. Rest, Cure, Rehabilitation or Respite Care
          It excludes expenses incurred just for bed rest and not receiving medical treatment.
        3. Weight Control or Obesity Treatments
          It does not pay for fat loss or weight management treatments, unless advised by the doctor.
        4. Cosmetic or Plastic Surgery
          It does not cover costs for plastic surgery or cosmetic treatments, unless medically required.
        5. Dental Treatments
          It does not pay expenses incurred on dental surgeries or treatments.
        6. Adventure Sports or Hazardous Sports
          It excludes the costs of treating injuries resulting from adventure sports like rafting, mountaineering, horse racing, etc.
        7. War or Nuclear Event
          It does not pay for the treatment of injuries sustained in a war or war-like situation or nuclear and radiological emissions.
        View more Exclusions
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        • Relationship manager For every customer
        • 24*7 claims assistance In 30 mins. guaranteed*
        • Instant policy issuance No medical tests~
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        ₹1000 Cr worth of claims assisted in 2022-2023
        How we helped our customers

        Policybazaar Claim Process

        Step 1
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        In case of emergency we are just a call away.

        • Inform your Dedicated Relationship Manager
        • Or, Call us on the 24x7 toll-free helpline 1800-258-5881
        Step 2
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        Take care of your family, we will do the rest.

        Our claim specialists will reach your location & complete the formalties from filing the claim to documentation to coordinating with insurer, TPA & hospital.

        Available in New Delhi and 114+ cities

        View cities list ›

        If you are not a Policybazaar customer you can view Niva Bupa Health Insurance claim process here 👇
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        Niva Bupa Aspire Health Insurance Plan: FAQs

        Disclaimer: The list mentioned is according to the alphabetical order of the insurance companies. Policybazaar does not endorse, rate or recommend any particular insurer or insurance product offered by any insurer. For complete list of insurers in India refer to the Insurance Regulatory and Development Authority of India website www.irdai.gov.in
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        Niva Bupa Health Insurance claim process

        Niva Bupa Health Insurance offers two types of claim settlements – cashless and reimbursement. Follow the steps to raise a claim:

        1
        Step 1: Find network hospital
        • Find the nearest network hospital of Niva Bupa Health Insurance
        • Get admitted to the hospital
        2
        Step 2: Inform Niva Bupa Health Insurance
        • Notify the insurance company about the hospitalization
        • In case of pre-planned hospitalization, intimate the insurer before hospital admission.
        3
        Step 3: Get Pre-authorization
        • Fill up the pre-authorization form and submit it to the hospital staff
        • The pre-authorization form will be sent to Niva Bupa Health Insurance for approval.
        • Once approved, obtain medical treatment.
        4
        Step 4: Hospital Discharge
        • At the time of discharge, sign all the medical documents.
        • Pay for the items/services not covered under the Niva Bupa Health Insurance policy
        5
        Step 5: Claim settlement
        • The network hospital will send the hospital bill to Niva Bupa Health Insurance.
        • After review, the insurance company will pay the bill amount directly to the network hospital.
        1
        Step 1: Get Hospitalized
        Get admitted to a non-network hospital of the insurance provider
        2
        Step 2: Intimate the Insurance Company
        • Inform the insurance company about the hospitalization
        • In case of planned hospitalization, notify the insurer before hospital admission.
        • Receive medical treatment
        3
        Step 3: Hospital Discharge
        • At the time of discharge, pay the entire hospital bill in full.
        • Collect all the medical documents, bills and payment receipts
        4
        Step 4: Submit Documents
        Send all the required documents to the insurance company
        5
        Step 5: Settlement of Claim
        The insurance company will review the documents and pay the claim amount.
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        Our Claim specialists in below cities will reach your hospital or home in 30 minutes to support your health insurance claim

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        *We will respond in the first instance within 30 minutes of the customers contacting us. 30-minute claim support service is for the purpose of giving reasonable assistance to the policyholder in pursuance of the claim. Settlement of claim (including cashless claim) is the responsibility of the insurer as per policy terms and conditions. The 30- minute claim support is subject to our operations not being impacted by a system failure or force majeure event or for reasons beyond our control. For further details, 24x7 Claims Support Helpline can be reached out at 1800-258-5881.

        *Product information is authentic and solely based on the information received from the Insurer. Policybazaar is acting only as a facilitator and claims settlement shall be at the sole discretion of the Insurer. Policybazaar does not provide any medical or surgical advice or diagnosis and is not responsible for your interactions / treatment by a medical practitioner/hospital. Please consult a registered medical practitioner for any medical or surgical advice. The Information that you obtain or receive from Policybazaar, and its employees, or otherwise on the Website is for informational purposes only. As per the Insurance guidelines, you are allowed to cancel the policy with-in 30 days from the date of Issuance of policy.This option is available incase of policies with a term of one year or more.

        *All the health insurance plans cover hospitalization expenses including COVID-19 treatment cover up to the specified limits. You can also buy specific COVID-19 health insurance policies such as Corona Kavach Policy and Corona Rakshak policy.

        **All savings and online discounts are provided by insurers as per IRDAI approved insurance plans. #Tax Benefits are subject to changes in tax laws.

        *₹1748/month is the starting price for a 1 crore health insurance for an 18-year-old male, with no pre-existing diseases. Discount on renewal premium is subject to the number of wellness points earned in the health insurance policy. For more details about the plans, please read the sale brochure carefully to get upto 100% discount on renewal premium.

        *₹400/month is the starting price for ₹ 5 lakh Health insurance for a 30 year old male & 29 years old female, living in Delhi with no pre-existing diseases

        *₹541/month is the starting price for ₹ 10 lakh Health insurance for a 30 year old male & 29 years old female, living in Delhi with no pre-existing diseases

        *₹762/month is the starting price for ₹ 1 Crore Health insurance for a 30 year old male & 29 years old female, living in Delhi with no pre-existing diseases

        *₹243/month(₹ 8/day) is the starting price for a 5 lakh health insurance for a 20-year-old male, non-smoker, living in Bengaluru with no pre-existing diseases

        *₹2020/month is the starting price for ₹ 1 Cr Health insurance for a 50 year old male & 50 years old female, living in Bangalore with no pre-existing diseases rounded off to nearest 10.

        *₹390/month (₹13 per day) is starting price for 1 cr. Health insurance for 25 years old male, with pre-existing diseases, residing from tier 1 city rounded off to the nearest 10.

        *No medical tests are required unless requested by the insurer’s underwriter. In-case of pre-existing diseases relevant medical proof would be required as per the terms and condition of the policy opted.

        *The values taken for effective cost calculation are indicative values and may change as per the selected plan.

        *Coverage upto double the amount of Sum Insured is available on certain covers for a minimum plan of Rs. 5 Lakh on the first claim only to an individual of upto 45 years of age with no pre-existing diseases. The benefit is available with or without extra cost depending on the plan chosen.

        *Coverage of pre-existing diseases is provided by insurer as per their underwriting policy.

        *The scope of coverage may vary from plan to plan.

        ~Source: Google Review Rating available on:- http://bit.ly/3J20bXZ

        ##On ground claim assistance is available in 114 cities

        Tax Benefits are subject to changes in tax laws. For more details on risk factors, terms and conditions, please read the sales brochure and applicable rules and regulation carefully before concluding a sale.

        STANDARD TERMS AND CONDITIONS APPLY. For more details on risk factors, terms and conditions, please read the sales brochure carefully before concluding a sale.

        Policybazaar is a registered Composite Broker |Registration No. 742, Valid till 09/06/2027, License category- Composite Broker| Visitors are hereby informed that their information submitted on the website may be shared with insurers.

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