Filing a Health Insurance Claim with Niva Bupa

Filing a health insurance claim does not have to be stressful. Here is a complete step-by-step guide for both cashless and reimbursement claims with Niva Bupa.

Type 1: Cashless Claim Process

For planned hospitalization:

  1. Contact Niva Bupa helpline 1800-3000-1260 at least 3 days in advance
  2. Get pre-authorization from Niva Bupa
  3. Carry your health card to the hospital
  4. Hospital submits claim directly to Niva Bupa
  5. Upon discharge, review and sign the final bill

For emergency hospitalization:

  1. Get admitted at a network hospital
  2. Inform Niva Bupa within 24 hours
  3. Complete the pre-authorization formalities at hospital

Type 2: Reimbursement Claim Process

  1. Get treated at any hospital (network or non-network)
  2. Collect all original bills, reports, and documents
  3. Submit claim form within 15 days of discharge
  4. Wait for claim processing (typically 7-15 working days)
  5. Amount credited to your registered bank account

Documents Required

  • Duly filled claim form
  • Original hospital bills and receipts
  • Discharge summary
  • Doctor prescription and reports
  • KYC documents
  • Bank account details for reimbursement

Niva Bupa Helpline

24/7 Customer Care: 1800-3000-1260 | Email: care@nivabupa.com