AccidentCare

1. Who can buy AccidentCare plan? What are the plan options?

• Adults between the ages of 18 years to 65 years and dependent children between 2 years and 21 years can opt for this plan.
• Both Individual (Self) and Family options (maximum upto 2 adults +2 children) are available.
  
  

2. In AccidentCare, can I renew my policy if I have taken claim during the year?
If the claim is made under Accident Death or Permanent Total Disability (PTD) or Permanent Partial Disability (PPD) for 100% of Sum Insured, then the AccidentCare benefit coverage cannot be renewed for that insured person.

3. Does the maximum sum insured limit in AccidentCare have any relation to my income?
Yes, for salaried persons the sum insured opted can be maximum 12 times of annual income & for self-employed it can be maximum 15 times of annual income.

4. Can I propose a policy for my family members without being an insured?
No, the proposer must be insured.

5. What all incidents will be considered as accident?
Accident or Accidental means a sudden, unforeseen and involuntary event caused by external, visible and violent means.

6. Can I claim for Permanent Partial Disability, Permanent Total Disability and Accidental Death under the AccidentCare during lifetime if incidents happen in the same sequence?

• Under AccidentCare, if the claim is made under Accident Death or Permanent Total Disability (PTD) or Permanent Partial Disability (PPD) for 100% of Sum Insured, then the AccidentCare benefit coverage will be terminated for the insured person and cannot be renewed.
• Post claiming Permanent Partial Disability (PPD), the remaining sum insured for other benefits will be reduced. For example, if 50% of Sum Insured has been claimed under PPD, then this Sum Insured shall also be reduced from all other benefits as well. If Permanent Total Disability (PTD) claim is made and accepted afterwards, the balance 75% of Sum Insured (125% - 50%) shall be paid and the AccidentCare coverage benefit shall terminate and cannot be renewed for the insured person.
• If 100% of PPD benefit would have been claimed, the AccidentCare coverage benefit would be terminated and cannot be renewed for the insured person.
  
  

7. Under AccidentCare, if the customer accumulates cumulative bonus, and takes a claim in the coming year, will his cumulative bonus reduce, or will it remain the same?
The cumulative bonus will remain same.

8. How much discount will I get if I buy a multi tenure policy?

• You can opt for 1 year, 2 year or 3-year term in your policy.
• Policy Term of 2 years: Avail 12.5% discount on 2nd year premium
• Policy Term of 3 years: Avail 12.5% discount on 2nd year premium and 15% discount on 3rd year premium.
  
  

9. Can I buy multiple policies of AccidentCare? If yes is there any limit to number of policies or sum insured coverage?
Yes, you can apply for multiple policies subject to maximum limit as per your income and basis company’s underwriting guidelines.

10. What is the maximum timeline defined to file the claim under AccidentCare and what is time frame given by Niva Bupa to pay the claim?

• The claims for AccidentCare have to be notified to Niva Bupa within 30 days from the date of death or disability.
• The claims for Accidental Hospitalization under AccidentCare are to be notified to us within 48 hours from the date of occurrence of the accident or hospitalization.
• All necessary documents must be submitted within 30 days from the date of intimation of the claim or date of discharge, whichever is earlier.
• Upon acceptance of a claim, the payment of the amount due shall be made within 30 days from the date of receipt of last necessary document.
  
  

11. Is it mandatory to mention occupation and risk class in the proposal form for AccidentCare?
Yes, it is mandatory. Occupation and Risk class must be mentioned in the proposal form for AccidentCare.

12. Is income proof mandatory for buying the policy?
Yes, Income Proof is mandatory if sum Insured is equal to or more than 50 Lacs.