Niva Bupa Aspire Plan

Introducing the Niva Bupa Aspire Start Young Plan

Introducing a health insurance plan that rewards you for starting young and allows for overseas treatment.

Several health insurance plans are available, but have you heard about a plan that offers complete maternity benefits? Yes, now there's a plan that covers complete maternity benefits under M-iracle benefits. Niva Bupa's Aspire Start Young plan is a comprehensive health insurance solution. The Niva Bupa Aspire Plan offers comprehensive health insurance with unique benefits like maternity coverage, overseas treatment, and wellness rewards. It offers not just great maternity benefits but also rewards you for staying healthy. It also provides borderless benefits – another unique feature. The plan comes in four variants:

• Gold+
• Diamond+
• Platinum+
• Titanium+

This plan is ideal for young individuals who have just started working. The plan offers comprehensive coverage up to ₹1 Crore at a reasonable premium. This plan stands out from others in the market by offering unique additional benefits. Below, discover how Niva Bupa Aspire's plan is different.

To check other plans offered by Niva Bupa Health Insurance, click here.

What Makes the Niva Bupa Aspire Plan Stand Out?

M-iracle

The name of this feature, M-iracle, celebrates parenthood. Babies are indeed miracles that bring new meaning to lives. It covers expenses if you plan to adopt a child, a unique offering in today's insurance market. If you choose this plan, you will receive the following benefits:

• Vaccination for the expecting mother.
• Gynaecologist consultation.
• Sonogram.
• Blood and other accompanying tests.
• Delivery procedure (Normal or Caesarean section).
• In vitro fertilization (IVF procedure).
• Gamete intrafallopian transfer (GIFT).
• Zygote intrafallopian transfer (ZIFT).
• Intracytoplasmic Sperm Injection (ICSI).
• Medical termination of pregnancy (MTP).
• Treatment of infertility.
• Charges for legally adopting a child.

Booster+

Under the Booster+ benefit of the Niva Bupa Aspire Plan, you can carry forward the unutilized base sum insured. The base sum insured will also accumulate up to 10 times, depending on the variant you choose.

Let's understand this with a simple example:

Rahul, a 25-year-old, opted for the policy with an INR 10 Lakh base sum insured in 2023. For the next 10 years, he does not make a claim. By 2033, his INR 10 Lakh Sum Insured (SI) will grow to INR 1.10 Crore (INR 10 Lakh + INR 1 Crore Booster+).

This way, by the age of 35, he will be completely secured for any medical emergency.

Lock the Clock & Lock the Clock+

This feature ensures that the policyholder's entry age, at the time of purchase, is locked until a claim is paid.

Additionally, Lock the Clock+ is an extended version: if you make an M-iracle claim, premiums remain unchanged, but other types of claims will affect premiums accordingly.

Live Healthy Benefits

Under this benefit, you can earn a discount on your next renewal simply by walking. To do this, download the Niva Bupa App and collect health points by walking. According to the plan, 1000 steps equal 1 point.

Future Ready Benefits

The Future Ready benefit allows you to add your spouse to the plan. The amazing part is that all waiting periods will be waived off as per your policy tenure. Let's explain this with an example:

Ramesh purchased the Niva Bupa Aspire plan at age 25. He added the Future Ready benefit to the policy. After he got married at age 30, his wife was unfortunately diagnosed with a critical illness. However, he can avail of the cashless treatment benefit without waiting because he had already served his waiting period and can now claim the treatment charges.

This plan also waives off the maternity benefit waiting period and covers your spouse for all benefits you already have.

Borderless Benefits

With this benefit, you can receive planned or emergency treatment at any hospital worldwide. This means that even if you are diagnosed with a disease in India but wish to be treated at one of the top hospitals globally, it is possible. Whether in London, France, Germany, or anywhere else, you can avail of the treatment and claim reimbursement. In this case, you can also choose co-payment options.

WellConsult (OPD)

With the WellConsult benefit, you receive complete wellness and OPD benefits. Here is a list of all the exclusive benefits for you:

• Telephone or video consultation on the network.
• Physical consultation with specialists.
• Prescribed diagnosis.
• Prescribed medicine or pharmacy cost.
• Mental care coverage.
• Diet and nutrition coaching.
• Smart fitness coaching.
• Online reading, listening, and watching material for well-being from top wellness experts.
• Gym membership.

Niva Bupa Aspire Start Young Plan Benefits

Niva Bupa Aspire Plan provides standard benefits typically covered in a health insurance policy, such as hospitalisation coverage, pre and post-hospitalisation, room rent, domiciliary treatment, personal accident coverage, and AYUSH Treatment. However, it also offers exclusive and revolutionary benefits. Here is a list of benefits this plan offers its policyholders:

• M-iracle
  Under the M-iracle benefit, Niva Bupa Aspire Health Insurance covers expenses related to maternity, IVF, adoption, surrogacy, vaccinations, consultation, sonogram costs, gamete intrafallopian transfer, blood tests, treatment of infertility, and charges for legal adoption of a baby.
• Lock the Clock and Lock the Clock+
  This benefit ensures that you pay the premium amount determined at your entry age when you purchased the plan, until you make a claim. This means your premiums will remain the same until you claim the benefit. After a claim, you will pay premiums according to your current age. However, with Lock the Clock+, maternity claims will not affect your premium.
• Booster Plus
  Under the Booster Plus benefit, you can carry forward the balance sum insured up to 10 times, depending on your entry age and chosen variant. It boosts your existing sum insured with every renewal.
• Cash-Bag benefit
  You can accumulate cashback for every claim-free year. Though an optional benefit, you can accumulate 10% of the first renewal premium and 5% of every subsequent renewal premium.
• Fast Forward
  An add-on benefit applicable for policies with 2 and 3 years of tenure. It brings forward the future base sum insured and M-iracle sum insured. This means you can opt for a full claim before the policy completion. For example, if you opt for a sum insured of INR 75 Lakh for 3 years and an emergency occurs in the first policy year, you can claim the full amount of INR 75 Lakh.
• Borderless
  The plan allows you to receive treatment from anywhere in the world. This benefit also allows you to opt for a second opinion if you wish to be treated in the best hospitals globally, even outside India. You can also opt for cashless benefits for hospitals outside India.
• WellConsult OPD Wallet
  You will get unlimited tele and video consultations, pharmacy, gym, fitness coach, diet sessions, diagnostics, and emotional wellness. This benefit takes care of your mental and physical wellness comprehensively.
• Safeguard+
  It is a three-way protection benefit for policyholders. With this, you can increase the Sum Insured (SI) as per the inflation rate. Alternatively, you can protect your bonus from claims filed under INR 1 Lakh. It also provides coverage for medical equipment such as gloves, cotton, scissors, etc., which are usually not covered in the policy.
• Organ Donor Expenses
  The policy also covers the cost of organ transplants up to the sum insured. This includes vaccination, surgery, and pre and post-hospitalisation costs.

Specifications of Niva Bupa Aspire Variants

Exclusions

• Cost of investigation and evaluation.
• Rest cure, rehabilitation, and respite care.
• Obesity or weight control measures.
• Cosmetic or plastic surgery.
• Injury due to hazardous or adventure sports.
• Breach of law.
• Treatment cost of alcoholism.
• Spas or nature cure clinics cost.
• Dental treatment.

How to Claim?

The company offers cashless claim settlement services for a hassle-free experience. You can get treated at one of the network hospitals or diagnostic centres. For cashless claim settlement, you need to inform the company within 24 hours for emergency admission and 72 hours for planned admission.

For Cashless Claim Settlement:

1. Visit the company's website.
2. Click on "Claim Settlement".
3. Enter your details and await approval.

In case of emergency, simply show your ID and health e-card at a Niva Bupa network hospital to avail services.

If you receive medical services from a non-network hospital, you can avail reimbursement.

Steps for Reimbursement Claim:

1. Inform the company within 30 days of discharge.
2. Visit the company website or call customer care.
3. Fill in the required details and information.
4. Once the documents are submitted and approved, your claim will be processed within 7 days.

Documents Required for Reimbursement Claim Settlement Process:

• Discharge summary provided by the hospital.
• Final consolidated bill and detailed breakup bill.
• Original receipts for all payments made to the hospital.
• Prescriptions for medicines and pharmacy bills.
• Investigation and lab reports.
• In case of a road traffic accident, please submit an MLC/FIR.
• Cancelled cheque.
• If the amount is below or equal to INR 1 Lakh, you need to submit KYC documents.
• Angiography report and scanned original implant invoice along with payment receipts and implant labels/stickers for stents/mesh/IOL in case of coronary artery disease.
• Road Traffic Accident: Copy of the First Information Report (FIR) from the Police Department, copy of the Medico-Legal Certificate (MLC), first consultation papers, and a doctor's certificate confirming whether the patient was under the influence of alcohol or any drug at the time of incidence.
• Blood test report and platelets report in cases of Dengue/Malaria/Typhoid.
• Histopathology report in case of cancer.
• Ultrasound report and a certificate from the treating doctor confirming the obstetric history of Gravida, Para, Living children, or Abortions for Maternity Claim.
• Ultrasound report and first consultation paper in case of kidney stones/gallstones.

You can also visit PolicyX for help or any further information.

To Sum Up

Niva Bupa Aspire Start Young health insurance is a robust plan with a wide range of sum insured options. Additionally, numerous optional coverage features are available to enhance the policy. With global coverage and maternity benefits, you can customize the plan to suit your needs. These benefits are the key highlights of this plan. With global coverage, you can opt for treatment at some of the best medical organizations worldwide. Niva Bupa Health Insurance is a reliable and trustworthy insurer with a high claim settlement ratio, offering all-around protection to its customers.