Navi Health Insurance

About Navi Health Insurance

Navi Health Insurance is a wholly-owned subsidiary of Navi Technologies, a digital finance lending organization owned by Sachin Bansal. Navi Health Insurance began its operations in November 2017, adopting a digital method of selling insurance products via the Navi Health Insurance App. It serves over 1.1 million customers and offers a variety of health insurance plans, along with motor, property, commercial, and gadget insurance solutions.

Navi Health Insurance Plans provide individuals with health coverage of up to ₹1 Crore through a paperless process. The insurer boasts a large network of over 10,000+ cashless hospitals, providing quality medical care. Navi Health Insurance also focuses on a hassle-free claim settlement process, often within 20 minutes, offering customers a smooth insurance experience.

Navi Health Insurance operates on the values of Integrity, Respect, Collaboration, Innovation, and Customer-Centricity. Its plans offer several benefits, including:

• In-patient hospitalization
• Cashless hospitalization
• Pre and post-hospitalization
• Hospitalization at-home cover
• COVID-19 cover
• Daycare treatment
• No room rent capping
• Optional critical illness cover
• Optional maternity cover
• And more

Navi Health Insurance at a Glance

• Network Hospitals: 10,000+
• Incurred Claim Ratio: 52.40%
• Sum Insured: Up to ₹1 Crore
• Solvency Ratio: 2.6
• Customer Support: 24x7

Key Features of Navi Health Insurance

Navi Health Insurance is among the top performers in the insurance sector. To gain more insight into the company's performance, consider the following key features:

• The company has tie-ups with more than 10,000+ hospitals.
• It has a presence in more than 400+ locations.
• Has a Solvency Ratio of 2.6 as per the IRDAI annual report 2021-22.
• The claim settlement ratio of Navi Health Insurance is 99.99%.
• As per the IRDAI annual report 2021-22, the annual premium of Navi Health Insurance is ₹106.57 Crore.
• It offers a hassle-free 20-minute claim settlement process for both cashless and reimbursement claims.
• The insurer offers plans with a Sum Insured (SI) of up to ₹1 Crore.

Why Choose Navi Health Insurance?

Navi Health Insurance plans offer multiple advantages. Here are some top reasons why many choose Navi:

• Digital Insurance Products: Navi Health Insurance provides hassle-free insurance solutions via their Navi Health Insurance App, making it easy to avail policies instantly through smartphones.
• Multiple Categories of Insurance: Navi Health insurance policies cater to diverse customer needs. Customers can choose from a variety of insurance and investment solutions.
• Smooth Renewal Process: Navi Health Insurance offers a smooth policy renewal process. Policyholders can visit the official website, enter policy details, and pay the renewal premium. A confirmation email is sent upon successful payment.
• Online Consultations Available: Policyholders can benefit from unlimited e-consultations with top medical practitioners from the comfort of their homes, often with a minimal additional premium cost.
• Coverage Against Accidents: Navi Health Insurance Plans offer an additional 100% sum insured for road accident injuries if your base sum insured has been exhausted, ensuring safety under unforeseen circumstances.
• Positive Reviews: Navi Health Insurance receives positive reviews for its smooth claim settlement process and commitment to providing all-round protection and assistance to customers.

Why Should You Buy from PolicyX.com?

With many buying options available, you might wonder why to choose PolicyX.com. Here's why:

• IRDAI Approved: PolicyX.com adheres to all guidelines and protocols approved by the IRDAI, the regulatory body created to protect policyholders' interests.
• Free Comparison Service: Easily compare the best health plans in India without any extra cost.
• Compare 15 Companies in 30 Seconds: With us, you can compare plans from up to 15 companies in just a few seconds.
• Buy Insurance within 5 Mins: Our easy 4-step online buying process allows you to purchase your policy without any hassle.
• 24x7 Customer Service: PolicyX.com experts are always available to resolve any of your insurance-related queries.
• Free Future Claim Assistance: Our team will assist you at every step of your claim process, from intimation and documentation to any other required procedures.

Inclusions of Navi Health Insurance

• Pre and Post Hospitalization Expenses

  Navi understands the impact of rising medical expenses, covering in-patient hospitalization expenses, including pre and post-hospitalization.

• AYUSH Treatments

  Most Navi Health Insurance plans include alternative treatment cover, which policyholders can utilize. AYUSH treatments include Ayurveda, Unani, Siddha, and Homeopathy.

• Hospitalization Expenses

  Navi health insurance plans cover hospital expenses such as room rent, ICU charges, surgery expenses, and doctor consultations.

• Day Care Treatments

  Many procedures do not require 24-hour hospitalization. A majority of Navi health insurance plans are designed to cover daycare procedures for policyholders.

• Domiciliary Hospitalization

  Upon a doctor's recommendation, policyholders can receive medical care in the comfort of their home. Navi health insurance plans cover domiciliary hospitalization up to specified sub-limits.

Exclusions of Navi Health Insurance

• Self-Inflicted Injuries

  Navi's health policies do not cover injuries or hospitalization caused by self-harm.

• Cosmetic Procedures

  Navi Health Insurance plans do not cover cosmetic surgeries or treatments.

• Adventure Sports

  Navi Health Insurance plans do not cover hospitalizations or accidents caused by adventure sports.

• Obesity or Weight Control Treatments

  Navi Health Insurance plans generally do not cover treatments related to obesity and weight management, such as bariatric surgeries.

• Involvement In Illegal Activities

  Navi health insurance plans do not cover individuals or families for hospitalization or injuries caused by unlawful activities.

Navi Health Insurance Buying Process

To buy a Navi Health Insurance policy, you have two options: purchase directly from the Navi app or buy from PolicyX.com.

Buy from PolicyX.com

1. Step 1: Fill in your details in the 'Calculate Premium' form.
2. Step 2: The next page will display all available plans.
3. Step 3: Choose the Navi health plan and click on 'Buy Now'.
4. Step 4: Pay the premium, and your policy document will be shared with you on your registered email ID.

Buying from the Navi App

1. Step 1: Visit Google Play Store or Apple App Store.
2. Step 2: Download the 'Navi Health Insurance' app.
3. Step 3: Verify your contact details.
4. Step 4: Enter the requested information.
5. Step 5: Choose from the list of available plans.
6. Step 6: Choose payment terms.

Navi Health Insurance Claim Process

Navi Health Insurance offers an easy and convenient claims settlement process. Policyholders can choose either cashless or reimbursement claims:

Cashless Claim Process

1. Step 1: Notify the company about your claim request by calling its toll-free number or sending an email.
2. Step 2: For planned hospitalization, notify the company at least 48 hours prior to admission.
3. Step 3: In case of emergency hospitalization, the claim notification should be sent to the company within 24 hours of admission or before discharge, whichever is earlier.
4. Step 4: Provide your health card along with photo identification proof to the hospital authorities.
5. Step 5: Duly fill out the cashless request form and submit it to the hospital.
6. Step 6: The pre-authorization request form will be sent by the hospital to the TPA's cashless department.
7. Step 7: At the time of discharge, the hospital will forward a final authorization request.
8. Step 8: Discharge will be processed upon receipt of the final authorization letter by the hospital.
9. Step 9: Once approved, the payment will be made directly to the network hospital.

Reimbursement Claim Process

If you are admitted to a non-network hospital, you must pay the hospital directly after the treatment is completed.

1. Step 1: Customers are required to settle all hospital bills.
2. Step 2: At the time of discharge, collect all important documents provided by the hospital, including the discharge summary and bills.
3. Step 3: Submit all these documents to the company or Third-Party Administrator (TPA) within 15 days from the date of discharge.
4. Step 4: The company will verify all documents. Upon approval, the claim amount will be released.