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Niva Bupa Heartbeat Health Insurance Plan

What is the Plan all About?

The heartbeat health plan is a comprehensive health plan to provide a comprehensive blanket cover for your protection to combat those growing medical treatment costs. A heartbeat plan is a simple plan which provides comprehensive health coverage for you and your family.

This health plan is available under 2 variants which are Gold & Platinum basis the Health Cover amount opted. This plan can be opted as an individual, family floater, and as a family first (for extended family).

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Key Features

  • Direct Claim Settlement with the Co.
  • Cashless treatment in more than 3500+ Network Hospitals
  • Assured policy renewal
  • No minimum and maximum age limit for enrollment
  • Grab Discount for opting 2 year policy term

Policy Benefits

  • Hospitalization expenses for medical treatment are covered up to the sum insured under inpatient benefits.
  • Pre & Post Hospitalization expenses are covered which is 60 days before hospitalization and 90 days after discharge as per the policy conditions.
  • Daycare procedures are covered under this plan only if not undertaken in OPD.
  • OPD will also cover the platinum plan. 
  • Organ Donor medical expenses are covered under this plan.
  • Domiciliary treatment or home based treatment is covered as per the specified limits under this plan.
  • Maternity benefits available upto 2 deliveries for family floater & family first heartbeat plans.

Value Added Benefit

  • Free Health Check up every 2 years at the time of renewal with empaneled service provider.
  • Top up your coverage with the High Deductible option at an affordable cost.
  • Additional benefits through Health Relationship Program.
  • Cost of emergency Ambulance service is covered post acceptance of the claim as specified.
  • Special value added services like international treatment, OPD cover, emergency medical evacuation, child care benefits are exclusively available with the Platinum variant of Heartbeat health insurance plan.
  • Tax Benefit under section 80D of Income Tax Act, 1961.

Sub Limits

  • Room Rent Limit varies as per the sum insured opted. Shared room or 1% of the base sum insured for health cover upto 3 lacs,Single private room for health cover 5 lacs to 50 lacs and family first gold plan.
  • Voluntary Co pay applies for insured less than 65 years of age upto 10% or 20 % of the claim amount.

Waiting Period Clause

  • Initial Waiting Period: Any diseases contracted during first 90 days of the policy start date, except those arising out of accidents.
  • Specific Waiting Period: Some treatments such as non infective arthritis, joint replacement, hernia, etc. is covered after 2 consecutive policy years.
  • Pre existing Disease Waiting Period: Silver variant of this plan has a waiting period of 4 years and gold and platinum variant has a waiting period of 2 years to cover pre existing diseases.

Add on Features

Look, we always want more with our investment and the below-listed services are like "more" for you. 

  • E-Consultation is available for both the Gold and Platinum Plan.
  • Personal Accident Cover for both the Gold and Platinum Plan.
  • Critical Illness is covered under both the Gold and Platinum Plan. 

Who can Buy the Plan?

Factor Minimum Maximum
Age (as on last birthday) No Limit No Limit
Sum Assured 2 Lacs 50 Lacs
Cover Type Individual/Family Floater/Family First -
Policy Tenure 1 Year 2 Years
Grace Period 30 Days From The Date Of Expiry To Renew The Policy -
Free Look Period 15 Days -
Riders Nil -

Exclusions

  • Non Allopathic Treatment
  • Pre-existing Conditions 
  • Expenses attributable to self-inflicted injury
  • Convalescence and Rehabilitation Benefits, etc.
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