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Highly flexible health insurance plan featuring unlimited sum insured restoration for all illnesses, Day-1 coverage for pre-existing diseases (with optional loading), and 'Lock the Clock' premium freezing until your first claim
Two hospital bills in year one, on ₹10 Lakh of cover.
| Bill | ReAssure 3.0 |
|---|---|
| 1st bill₹7,00,000 | CoveredPaid from Sum Insured ₹7,00,000 |
| 2nd bill₹12,00,000 | CoveredPaid from |
Tell us about your family and health - this list reorders around what matters to you.
Start the 90-second checkBlack has no room capping at all; the other three stop at a category. If you take a room above your category, a flat co-pay from Annexure V applies to the entire claim, not just the room charge. Your plan fixes the room you are eligible for.
On Classic plan, claiming any room category above General Ward costs you 20% to 50% of the whole admissible claim. On a Rs 4,00,000 hospital stay at the 40% band, you pay Rs 1,60,000 from your own pocket.
By default the insurer deducts the items in Annexure I - gloves, syringes, nebulisation kits, ECG electrodes and dozens more - from your hospital bill. Claim Safeguard+ buys all four of those lists back, so those charges are paid up to your Sum Insured. It is an optional benefit you have to ask for, on every plan.
Without Claim Safeguard+, these deductions typically run 10 to 20% of a hospital bill. On a Rs 4,00,000 admission that is Rs 40,000 to Rs 80,000 you pay at discharge. Reasonable and Customary Charges still apply, so an item priced far above the local going rate can still be trimmed.
Follow-up consultations, medicines, physiotherapy and tests for 180 days after discharge are paid up to your Sum Insured, on every plan. That is twice the common market window, and it covers the long tail after heart surgery or a knee replacement. You can change the 180 days to 30, 60, 90, 270 or 365 days, but only when you buy.
Only expenses for the same condition count, and only if the hospitalisation claim itself was paid. The day-count change cannot be opted for, modified or removed at renewal.
ReAssure Forever refills your cover after your first paid claim, and once switched on it stays on for life as long as you renew without a break. Each refill can pay up to your Base Sum Insured, there is no limit on how many times it refills in a year, and it can top up the same bill that used up your cover.
Your very first paid claim only triggers ReAssure Forever - it does not get the refill itself. If you break renewal, the trigger is lost.
There is no separate pool sitting above your cover from day one. The extra room for a single large bill comes from ReAssure Forever: once your first claim has been paid, the refill can top up the very bill that used up your cover, up to your Base Sum Insured. On a 10 Lakh cover that means a later single bill can be paid up to 20 Lakh from base plus refill.
This headroom does not exist on your first-ever claim. Until one claim has been paid, a single bill can only draw on your Base Sum Insured and accumulated Booster+.
Twelve advanced procedures including robotic surgery, oral chemotherapy, stem cell therapy and deep brain stimulation are covered. Elite and Black pay them up to your full Sum Insured. Classic and Select cap them at Rs 1,00,000 for each complete claim, which a single robotic surgery can pass in one admission.
The Rs 1,00,000 cap on Classic and Select applies per complete claim, so a long treatment course does not get a fresh limit each time within the same claim. The Modern Treatments+ option removes that cap entirely, and it can be bought only on those two plans.
Critical Illness is an optional benefit you buy on top of the plan. It pays a lump sum, up to INR 3 Crore, if you are diagnosed with one of the 20 illnesses listed in Annexure IV - cancer of specified severity, heart attack, stroke, major organ transplant and others. It pays once in your lifetime, and the diagnosis must happen in India.
Two timing rules decide whether a claim is paid: the illness must first occur and be diagnosed after 90 days from the start of your first policy with Niva Bupa, and you must survive 30 days after the diagnosis.
A condition you already had is covered only after 36 months of continuous cover, and only if you declared it when you applied and Niva Bupa accepted it. You can buy the wait down to 24 or 12 months, but only when you buy the policy.
Serving 36 months is not enough on its own. A condition you did not declare at application is not covered even after the wait ends. A specific condition can also carry a personal waiting period of up to 48 months, set when your policy is issued.
A named list of common conditions and procedures - cataract, hernia, piles, joint replacement, fibroids and others - is covered only after 24 months of continuous cover. Accident claims are covered from day 1 and cancer after only 30 days. You can move this wait to 12 months, or push it out to 36, when you buy the policy.
If a listed condition is also pre-existing for you, the longer 36-month wait applies instead of 24 months. The wait applies even to a listed condition you develop after buying the policy.
ReAssure 3.0 does not pay for childbirth. Delivery costs, normal or caesarean, are excluded on every plan, and there is no maternity add-on you can buy. Ectopic pregnancy is the one exception the exclusion leaves in, so it is paid as an ordinary hospitalisation claim. Miscarriage is paid only when it follows an accident.
If you plan to have a child, this policy will not fund the delivery. The WellConsult+ OPD add-on also does not pay for maternity specialist consultations, so pre-natal visits stay out of pocket there too.
There is no newborn cover in ReAssure 3.0. A child can only join the policy from 91 days of age, so a baby's first three months are not insured, including a NICU admission straight after birth. Treatment for an external congenital anomaly is separately excluded at any age.
A NICU stay in the first days of life is the biggest newborn cost, and this policy pays none of it because the baby cannot be covered before 91 days.
Out-patient cover comes only from the optional WellConsult+ benefit. You choose a WellConsult+ Sum Insured of 1x to 5x your base premium, and that pool pays for consultations, prescribed diagnostics, pharmacy, dental, eye and physiotherapy visits. Each head has its own share of the pool - in-clinic consultations 37.5%, diagnostics 20%, medicines 5%. Tele-consultations are unlimited.
WellConsult+ works in India only. If you pay the clinic yourself and claim the money back, a flat 20% co-payment applies - on a ₹10,000 OPD bill you pay ₹2,000 from your own pocket. Cashless within the partner network avoids this.
Hospitalisation for a mental illness is paid the same way as any other illness - up to your Sum Insured, with no separate cap in the wording. Out-patient therapy is not part of the base plan. Online emotional and mind wellness sessions are available as optional benefits through the insurer's partner network, and WellConsult+ carries unlimited mental wellness sessions.
The counselling benefits are online sessions through partner platforms, not sessions with a psychiatrist of your choice, and they are available in India only. All waiting periods and exclusions apply to them.
Booster+ is this plan's bonus. Whatever part of your Base Sum Insured you do not use in a year carries forward to the next year, and it can build up to 10 times your Base Sum Insured. On a 10 Lakh cover with no claims, that is 1 Crore of Booster+ sitting on top of your 10 Lakh after ten years.
The carry-forward is what you did not use, so a year with a large claim adds little. If you reduce your Base Sum Insured later, the accumulated Booster+ is cut in the same proportion - halving a 10 Lakh cover to 5 Lakh halves your Booster+ too.
You can choose an annual aggregate deductible from nine levels, from ₹10,000 up to ₹5,00,000, on any variant. You pay hospital costs from your own pocket until your spending for the year crosses the level you picked; after that the insurer pays. It resets every policy year, and you cannot take it together with the co-payment option.
The deductible applies to reaching the hospital, hospitalisation, pre and post hospitalisation, home care or domiciliary treatment, and organ donor costs. It does not apply to the health check-up, second opinion, e-consultation, personal accident, shared accommodation cash or hospital daily cash benefits. The amount you pay yourself must still be a cost the policy would otherwise pay.
39 named illnesses wait 24 months accidents from day 1 read by 9 body regions about 4 min
How long you wait, for what
Covered from the first day, with no waiting at all.
After the first month, ordinary illness is covered.
Each one is then covered, like any other illness.
Conditions you declared when you bought the plan.
After this, only proven fraud can be held against a claim.
Already diagnosed with one of these? A different rule applies - conditions you already have follow the pre-existing waiting period.
Anal boil or infection
Rectal & Anal Area
A painful, pus-filled boil located near the anus.
“Hemorrhoids, fissure, fistula or abscess of anal and rectal region”
Section 5.1.2.f · pages 30–31
Piles
Rectal & Anal Area
Swollen veins near the anus that can cause pain or bleeding.
“Hemorrhoids, fissure, fistula or abscess of anal and rectal region”
Section 5.1.2.f · pages 30–31
Tear or track near anus
Rectal & Anal Area
Painful cuts or small unnatural tunnels in the skin near the anus.
“Hemorrhoids, fissure, fistula or abscess of anal and rectal region”
Section 5.1.2.f · pages 30–31
Bone thinning
Back & Spine
Weak and brittle bones that can break easily.
“Osteoarthritis, joint replacement, osteoporosis, systemic connective tissue disorders, inflammatory polyarthropathies, Rheumatoid Arthritis, gout, intervertebral disc disorders, arthroscopic surgeries for ligament repair”
Section 5.1.2.f · pages 30–31
Knee ligament or tear injury
Legs & Feet
A tear in the bands or pads inside the knee joint.
“Osteoarthritis, joint replacement, osteoporosis, systemic connective tissue disorders, inflammatory polyarthropathies, Rheumatoid Arthritis, gout, intervertebral disc disorders, arthroscopic surgeries for ligament repair”
Section 5.1.2.f · pages 30–31
10 never paid 6 paid only if a condition is met 11 in every policy read from all 28 under a minute
No waiting period reaches these - the plan does not cover them at all.
If your doctor prescribes a drug for something it was not formally approved to treat, the policy will not pay - even though off-label prescribing is routine, particularly in cancer care.
Extra / Off label usage (using a drug or procedure for conditions other than it was explicitly approved for) will not be covered under the policy.
Wording p.44 cl.7.A
Once a patient is declared brain dead or in a vegetative state, the insurer stops paying for artificial life support. If a patient is on a ventilator, the insurer can also ask for an assessment to check whether the patient is brain dead.
Artificial life maintenance for the Insured Person who has been declared brain dead or in vegetative state. In patients on artificial life support like ventilator, we may request for assessment to ensure the insured is not brain dead.
Wording p.33 cl.5.2.7
The insurer can refuse anything it judges above the going rate, or not medically needed at all. It applies to every claim, so keep the treating doctor's reasoning on the file.
Costs which are not Reasonable and Customary and treatments which are not Medically Necessary.
Wording p.33 cl.5.2.6
Insurance may not pay for general caretaking. Staying at a facility just to rest is not covered. Hiring helpers for daily tasks like walking or dressing may also be paid from your own pocket.
Expenses related to any admission primarily for enforced bed rest and not for receiving treatment. This also includes:
Custodial care either at home or in a nursing facility for personal care such as help with activities of daily living such as bathing, dressing, moving around either by skilled nurses or assistant or non-skilled persons.
Any services for people who are terminally ill to address physical, social, emotional and spiritual needs.
Wording p.31 cl.5.1.5
Any medical or ambulatory device you use at home is not paid: a pulse oximeter, blood-pressure and sugar monitors, the automatic machine for peritoneal dialysis, CPAP and BiPAP, crutches, a wheelchair. If you need any of these at home, you pay for them yourself.
We do NOT pay for any Medical & ambulatory devices used at home (like Pulse Oxymeter, BP monitors, Sugar monitors, automation device for peritoneal dialysis, CPAP, BiPAP, Crutches, wheel chair etc.)
Wording p.7 cl.4.4 Note; p.6 cl.4.2.1 Note
Acts of terrorism are excluded here, and so are war, rebellion and nuclear or radiological events. Many Indian health policies pay for terrorism-related injury; this one does not. The exclusion also applies when the injury or illness results from these events indirectly.
Treatment for any Injury or Illness resulting directly or indirectly from nuclear, radiological emissions, war or war like situations (whether war is declared or not), rebellion (act of armed resistance to an established government or leader), acts of terrorism.
Wording p.33 cl.5.2.2
For an external birth defect, this plan does not pay for the treatment, and it does not pay for the screening or the counselling either. No waiting period turns any of it into cover. Internal anomalies are covered.
Screening, counseling or treatment related to external Congenital Anomaly.
Wording p.33 cl.5.2.3
Medical costs for family planning are not covered. This means the policy may not pay for treatments to prevent pregnancy. It also may not pay for treatments to get pregnant.
Expenses related to sterility and infertility. This includes: a. Any type of contraception, sterilization b. Assisted Reproduction services including artificial insemination and advanced reproductive technologies such as IVF, ZIFT, GIFT, ICSI c. Gestational Surrogacy d. Reversal of sterilization
Wording p.33 cl.5.1.15
Standard health policies may not cover the costs of pregnancy or childbirth. Normal deliveries and C-sections are excluded. The usual exception is an ectopic pregnancy; where a policy pays maternity as a benefit, its own wording says so.
a. Medical treatment expenses traceable to childbirth (including complicated deliveries and caesarean sections incurred during Hospitalization) except ectopic pregnancy; b. Expenses towards miscarriage (unless due to an Accident) and lawful medical termination of pregnancy during the Policy Period.
Wording p.33 cl.5.1.16
On the Classic and Select variants, this plan pays only for a mono-focal lens in cataract surgery. If you want a multifocal lens, you pay the extra cost from your own pocket. The restriction sits in the benefit clause, not in the exclusions list.
Cataract: Classic & Select Variant covers only Mono-focal Lens.
Wording p.6 cl.4.2.1 Note
Written as exclusions, but the policy states a way in. The condition is the whole point.
In a life-threatening situation or after an accident, expenses up to the stage of stabilisation are payable.
Insurance companies have a list of banned hospitals and doctors. If you go to them, your claim may be rejected. The exceptions are a life-threatening emergency or an accident - and even then the policy pays only up to the point you are stabilised.
Expenses incurred towards treatment in any Hospital or by any Medical Practitioner or any other provider specifically excluded by Us and disclosed in Our website / notified to the Policyholders are not admissible. However, in case of life threatening situations or following an Accident, expenses up to the stage of stabilization are payable but not the complete claim.
The complete list of excluded providers can be referred to on our website.
Wording p.32 cl.5.1.10
Diagnostics related or incidental to the treatment you were admitted for stay covered.
Health insurance pays for actual medical treatments. If you stay in a hospital purely for diagnostic tests or scans, the bill may not be covered. There must be an active treatment going on.
Expenses related to any admission primarily for diagnostics and evaluation purposes only are excluded.
Any diagnostic expenses which are not related or not incidental to the current diagnosis and treatment are excluded.
Wording p.31 cl.5.1.4; reinforced at p.6 cl.4.2.1 Note
Paid for reconstruction following an accident, burns or cancer, certified as medically necessary.
Surgeries done just to look better are excluded. However, plastic surgery needed after a bad accident may be covered. Surgeries for burns or cancer reconstruction are also covered.
Expenses for cosmetic or plastic surgery or any treatment to change appearance unless for reconstruction following an Accident, Burn(s) or Cancer or as part of medically necessary treatment to remove a direct and immediate health risk to the insured. For this to be considered a medical necessity, it must be certified by the attending Medical Practitioner.
Wording p.31 cl.5.1.7
Dental treatment caused by an accident or by cancer is paid - in hospital or not.
What matters here is the cause of the dental work, not whether you were admitted to hospital. If an accident or cancer caused it, the insurer pays whether you are in hospital or not. Dental treatment from any other cause is not paid.
All dental treatments other than due to accidents and cancers.
Wording p.33 cl.5.2.4
At 7.5 dioptres or worse the correction is paid - and this wording spells out exactly how to read the number.
Surgeries to remove your glasses are usually not covered. They are seen as a cosmetic choice. The policy pays only when your eyesight is very weak - 7.5 dioptres or worse.
Expenses related to the treatment for correction of eye sight due to refractive error less than 7.5 dioptres.
Less than 7.5 Diopter means a power of eye either >7.5 Dioptre for Hypermetropia or far sightedness (say +7.75 Dioptre) or < 7.5 Dioptre for Myopia or near sightedness (say -7.75 Dioptre).
Wording p.32 cl.5.1.13
Paid on your doctor's advice, at 18 or older, with BMI 40 or more - or 35 or more with obesity-related cardiomyopathy, coronary heart disease, severe sleep apnoea or uncontrolled Type 2 diabetes, after less invasive weight-loss methods have failed.
The policy pays for weight-loss surgery only when your doctor advises it, you are 18 or older, and your BMI is 40 or more - or 35 or more together with a condition like heart disease, severe sleep apnoea or uncontrolled diabetes. Surgery to change how you look is not covered.
Expenses related to the surgical treatment of obesity that does not fulfil all the below conditions:
Surgery to be conducted is upon the advice of the Doctor.
The surgery/Procedure conducted should be supported by clinical protocols.
The member has to be 18 years of age or older and;
Body Mass Index (BMI); i. greater than or equal to 40 or ii. greater than or equal to 35 in conjunction with any of the following severe co-morbidities following failure of less invasive methods of weight loss: 1. Obesity-related cardiomyopathy 2. Coronary heart disease 3. Severe Sleep Apnea 4. Uncontrolled Type2 Diabetes
Wording p.31 cl.5.1.6
Covered eventually, on a clock that isn't part of the standard waiting periods.
The insurer can apply a waiting period of up to 48 months to one named condition for one specific person. That is a year longer than the pre-existing-disease waiting period, and none of the three waiting-period add-ons shortens it. It is set when you buy the policy, and it is printed on your own schedule.
Conditions specified for an Insured Person under Personal Waiting Period will be subject to a Waiting Period of up to 48 months from the inception of the First Policy with Us.
Wording p.33 cl.5.2.1
11 just for qualifying 2 cost you a co-pay or a deductible about 3 min
Year 1 is always full rate
Must be re-declared at every renewal
Each policy year you pay claims up to your chosen deductible yourself before the policy pays.
You pay your chosen share of every single claim yourself.
91.93% claims settled 10,000 cashless hospitals 2.55 solvency under a minute

10 comparisons, every clause that differs under a minute
Sources
Everything on this page is read from the insurer’s own filings. It is an educational summary - not advice, not a recommendation to buy, and we sell nothing.
Plan facts last updated 9 Sept 2026.
IRDAI UIN: NBHHLIP26047V012526
3 documents we read this from under a minute
Sum Insured, bonus and extra pools only, computed for the Elite plan. Room rent, co-pay and other limits are separate rules, not in these figures.
Niva Bupa Health Insurance is a standalone health insurer (SAHI) incorporated in 2008 and operational from 2010, originally launched as Max Bupa through a joint venture between India's Max group and UK healthcare company Bupa. After True North's affiliate acquired the Max stake, it rebranded to Niva Bupa in 2021, with Bupa later becoming majority shareholder. It writes only health cover and listed on the Indian exchanges via its IPO in late 2024.
91.93%
of claims settled, counted by number of claims
59.02%
share of premium paid back out as claims
2.55
capital cushion held - IRDAI floor is 1.5
10,000+
where claims can be settled without you paying first
Every insurer sits inside the same regulated safety net. You are never left with only the insurer's answer.
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