Step 1: Get admitted to any recognised Hospital for treatment or meet a doctor for OPD consultation (as per eligibility)

Step 2: Pay directly to the hospital or to the doctor (as applicable)

Step 3: Collect all relevant documents, invoices, medical reports, discharge certificate from Hospital in originals and receipt of the payment made to the hospital

Step 4: Upload documents here

Step 5: We review and make payment to you as per Policy terms and conditions

Closure for a reimbursement claim differs from one case to another. We try to process every reimbursement claim at the earliest.

If the claim is not notified to Niva Bupa or the documents are not submitted within the stipulated time as mentioned in the above sections, then you shall have to provide to us a written reason for the delay. We will condone such a delay if it has been proved to be for reasons beyond the claimant's control.

The document should be provided with the necessary information in respect of all claims at your/the insured person's expense within 30 days of the insured person's discharge from the hospital (in the case of pre-hospitalisation medical expenses and hospitalisation medical expenses) or within 30 days of the completion of the post-hospitalisation medical expenses period (in the case of post-hospitalisation medical expenses) or within 30 days of death or disability due to accident (in case of personal accident cover). 

Visit www.nivabupa.com  and click on “claims”.

Then select claim form in the drop down and then click on services form and download the form as per your plan.

For all plans:

If the form is downloaded from the website, it is of 16 pages. In case of re-imbursement fill page 1-11. In case of cashless claim your hospital will fill page 12-16. However your signature will be required for approval. 

Yes, you can. Our paperless claim submission process allows you to submit your reimbursement claims through Niva Bupa website for hassle free and faster claim processing. Just click here to begin.

The claims for which cashless facility has not been pre-authorised or for which treatment has not been taken at a network provider, you should inform us at customer care of the claim along with the following details. This has to be done within 48 hours of admission to the hospital or before discharge from the hospital, whichever is earlier:

1.     The policy number.

2      The patient’s name.

3      The hospital’s name, complete address and contact number.

4      Name of the attending medical practitioner.

5      Date of admission and expected date of discharge.

6      The nature of illness/injury and the treatment/surgery taken

No, the online claim reimbursement process is available only for Niva Bupa retail policy holders, i.e. members who are covered under Health Premia, ReAssure, GoActive, Health Companion, Heartbeat, Health Recharge, Health Assurance, Corona Kavach, Health Pulse, and Arogya Sanjeevani.

·         Faster claim submission and processing

·         Instant acknowledgement

·         Claim document checklist & clear definitions available to guide what specific                   document needs to be submitted

·         Paper less claim submission, no need to fill claim form

No. Only retail customer can submit online claim through website

This option is not available currently.

Yes you can change your mobile number, reference number / acknowledgement will be triggered to modified number while other claims communications will be triggered to registered number only.

No, please choose one from the drop down

Yes, you can choose the member from dropdown

Not necessary, you can also raise a claim w/o login

Yes, you can raise a claim by choosing others from hospital list & you will be asked to mention hospital name and address

The allowed file formats are jpg, jpeg, gif, pdf & tiff

In case of pre-post claim, all main claims will be displayed & you can choose the main claim number under which you want to tag the pre-post. 

A printed name cancel cheque under the name of the proposer/ patient has to be submitted. If the name is not printed on the cancel cheque, we will require an attested bank passbook along with the bank statements of the last three months.