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Niva Bupa Health insurance Niva Bupa Claims procedure

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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

Description
Sum insured

3 lac - 300 lacs options available

List
Tenure options

1 year options available

Local_Hospital
Claims incurred ratio *

88%

Medication
Claims settlement ratio **

80%

Ambulance
List of network hospitals

8,600+ hospitals

Table
Number of Policies issued *

23,330

Group
Number of lives covered *

23,330

Diversity_3
Maximum family floater coverage

Self, Spouse + 4 dependent children

* As per IRDAI report   |   ** As per NL25 data published on the Insurance Company website.

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