Health Plus – Mediclaim

Inpatient Hospitalization - 536 Day Care Treatments -

Up to Sum Insured Covered upto Sum Insured

Loyalty Credit (SI enhancement Re-fill Benefit(can be triggered

irrespective of claim) - For SI 5 Lacs only once in year) - Reinstates 100%
and above : 10% per annum up to 100% of Base Sum Insured. Applicable for
of Base Sum Insured different illness

In-built Hospital Cash Benefit -

INR 1,000 per day (max up to 30 Optional Accidental Death Cover
days with 1 day deductible)

PRODUCT STRUCTURE
Policy Tenure 1 year
Entry Age Adult- 18 years to 65 years#; Child - 91 days to 21 years
Section-1
Hospitalisation Cover
Plans Self, Spouse and up to four Children (1A, 1A1C, 1A2C, 1A3C, 1A4C, 2A, 2A1C, 2A2C, 2A3C, 2A4C)
Base Sum Insured INR 2 Lacs/4 Lacs/5 Lacs/7 Lacs/10 Lacs/15 Lacs
Sub Sections
• Nursing charges excluding private nursing charges
• Medical Practitioners’ fees, excluding any charges
or fees for Standby Services
• Medicines, drugs and consumables
• Physiotherapy, investigation and diagnostics
procedures directly related to admission Up to Base Sum Insured
• Intravenous fluids, blood transfusion, injection
Inpatient Care administration charges and /or consumables
• Operation theatre charges
• The cost of prosthetics and other devices or
equipment if implanted internally during Surgery

SI - INR 2L - 2% of SI per day

Hospital accommodation - Room Rent/day
SI - INR 4L/5L/7L/10L/15L- Single Private Room
SI - INR 2L- Up to 4% of SI per day
Hospital accommodation- ICU/day
SI - INR 4L/5L/7L/10L/15L- Up to Actuals
Day Care Treatment Listed Day Care Treatments covered up to Base Sum Insured
Pre - hospitalization Medical Expenses
Up to Base Sum Insured
(including Medical Practitioner's consultation, diagnostics tests,
30 days
medicines, drugs and consumables)
Post- hospitalization Medical Expenses
Up to Base Sum Insured
(including Medical Practitioner's consultation, diagnostics 60 days
tests, medicines, drugs and consumables)
Organ Transplant Up to Base Sum Insured
Loyalty Credit:
For SI INR 5 Lacs and above: 10% per annum upto 100% of Base Sum Insured
SI enhancement irrespective of claim
Re-fill Benefit
Reinstates 100% of Base Sum Insured. Applicable for different illnesses
(Can be triggered only once in year)
e-Consultation Within Network Provider only
Emergency Ground Ambulance- Within India
Up to INR 5,000 per hospitalization
(one transfer per Hospitalization)
Waiting period for Pre-Existing Diseases (PED) 48 months
Initial Waiting Period 30 days
Sub-limit on specified illness/conditions Sub limits applicable on list of disease
Hospital Cash Benefit
Plan Type Individual Basis
Relationships Covered Self, Spouse and up to four Children (1A, 1A1C, 1A2C, 1A3C, 1A4C, 2A, 2A1C, 2A2C, 2A3C, 2A4C)
Daily Cash Benefit INR 1,000 per day; max up to 30 days with 1 day deductible
Waiting period for Pre-Existing Diseases (PED) 48 months
Initial Waiting Period 30 days
Section 2 - Optional Cover
Plan Type Individual Basis
Relationships Covered Self, Spouse and up to four Children (Self- 100%, Spouse- 50%, Four Children 25% each)
Accidental Cover Sum Insured (SI) Same as Hospitalisation Base Sum Insured
Sub Sections
Accidental Death (AD) 100% of Accidental Cover SI

Product Name: Health Plus, Product UIN No.: NBHHLGP22157V032122

 HEALTH PLUS – MEDICLAIM
Premium Table - Mediclaim
Age 18-45 46-55
Family
Combination/ 200,000 400,000 500,000 700,000 1,000,000 1,500,000 200,000 400,000 500,000 700,000 1,000,000 1,500,000
Sum Insured
1A 3,398 4,824 5,114 5,559 5,892 7,153 5,776 8,200 8,693 9,450 10,015 12,159

1A 1C 4,770 6,795 7,207 7,840 8,312 10,102 8,109 11,551 12,252 13,326 14,129 17,173

1A 2C 6,503 9,283 9,849 10,717 11,366 13,824 11,054 15,781 16,742 18,218 19,321 23,500

1A 3C 7,973 11,396 12,092 13,161 13,959 16,985 13,554 19,372 20,555 22,371 23,728 28,872

1A 4C 9,117 13,039 13,837 15,061 15,975 19,443 15,498 22,164 23,521 25,602 27,157 33,051

2A 4,967 7,077 7,506 8,165 8,658 10,524 8,443 12,030 12,760 13,880 14,717 17,889

2A 1C 6,208 8,861 9,400 10,229 10,847 13,192 10,554 15,062 15,980 17,387 18,439 22,426

2A 2C 7,320 10,457 11,095 12,075 12,806 15,580 12,443 17,776 18,861 20,526 21,769 26,485

2A 3C 8,954 12,804 13,587 14,789 15,687 19,092 15,221 21,765 23,097 25,140 26,667 32,454

2A 4C 10,523 15,057 15,980 17,396 18,453 22,463 17,887 25,596 27,164 29,571 31,368 38,184

Premium Table - Mediclaim + Personal Accident

Age 18-45 46-55
Family
Combination/ 200,000 400,000 500,000 700,000 1,000,000 1,500,000 200,000 400,000 500,000 700,000 1,000,000 1,500,000
Sum Insured
1A 3,501 5,029 5,371 5,918 6,405 7,923 5,879 8,405 8,950 9,809 10,528 12,929

1A1C 4,898 7,052 7,528 8,289 8,954 11,064 8,237 11,808 12,573 13,775 14,771 18,135

1A2C 6,657 9,591 10,234 11,256 12,136 14,979 11,208 16,089 17,127 18,757 20,091 24,655

1A3C 8,153 11,755 12,541 13,790 14,857 18,332 13,734 19,731 21,004 23,000 24,626 30,219

1A4C 9,322 13,450 14,350 15,780 17,002 20,983 15,703 22,575 24,034 26,321 28,184 34,591

2A 5,121 7,385 7,892 8,704 9,428 11,679 8,597 12,338 13,146 14,419 15,487 19,044

2A1C 6,388 9,220 9,849 10,858 11,745 14,539 10,734 15,421 16,429 18,016 19,337 23,773

2A2C 7,525 10,868 11,608 12,794 13,833 17,120 12,648 18,187 19,374 21,245 22,796 28,025

2A3C 9,185 13,266 14,164 15,597 16,842 20,824 15,452 22,227 23,674 25,948 27,822 34,186

2A4C 10,780 15,570 16,622 18,294 19,736 24,388 18,144 26,109 27,806 30,469 32,651 40,109

*Premiums are inclusive of GST, in INR.

Disclaimer: Insurance is a subject matter of solicitation. Niva Bupa Health Insurance Company Limited (formerly known as Max Bupa Health Insurance Company
Limited) (IRDAI Registration No. 145). ‘Bupa’ and ‘HEARTBEAT’ logo are registered trademarks of their respective owners and are being used by Niva Bupa
Health Insurance Company Limited under license. Registered office:- C-98, First Floor, Lajpat Nagar, Part 1, New Delhi-110024, CIN: U66000DL2008PLC182918.
Customer Helpline: 1860-500-8888. Fax: +91 11 30902010. Website: www.nivabupa.com. Product Name: Health Plus. Product UIN: NBHHLGP22157V032122.
Disclaimer: Insurance is a subject matter of solicitation. Max Bupa Health Insurance Company Limited (IRDAI Registration Number 145), 'Max',
UIN: NB/SS/CA/2021-22/401. “For more details on risk factors, terms and conditions please read sales brochure carefully before concluding a sale” #For
'Max
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(Registration No.
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Health Insurance C-98, Lajpat
Company LimitedNagar 1, Delhi-110024,
and the Customer
insurance products Helpline: 1860-500-8888.
are underwritten Fax:
by Niva Bupa Health
+91 11 30902010.
Insurance Website: www.maxbupa.com. CIN: U66000DL2008PLC182918, Product Name: Max Health Plus. Product UIN:
Company Limited.
MAXHLGP18130V011718. Please read the Sales Brochure carefully before concluding a sale. For internal use only.
Product Name: Health Plus, Product UIN No.: NBHHLGP22157V032122
Product Name: Max Health Plus, Product UIN: MAXHLGP18130V011718