NPS Health Scheme 30 Lakh Cover is part of a new framework under which retirement savings are combined with a health fund and super top-up health insurance.
The PFRDA has issued operational guidelines for the scheme.
The arrangement is designed to provide subscribers with a separate NPS Health Investment Account along with a Super Top-Up Health Insurance Policy.
The two components will remain legally and operationally separate.
How NPS Health Scheme 30 Lakh Cover Works
The health arrangement includes a family floater policy covering the subscriber, their spouse and up to two dependent children. Parents are not included under the policy.
The initial contribution to the NPS Health account is at least ₹1,000.
The first-year contribution also includes the insurance premium and applicable tax, while an annual maintenance charge of ₹200 applies.
After the initial contribution, the minimum contribution is ₹10.
The pension fund may also charge up to 0.08% annually on the NPS Health fund, in addition to the ₹200 annual maintenance charge.
Health Cover Options Under the Scheme
The super top-up insurance provides different combinations of deductibles and coverage amounts.
A ₹10,000 deductible is linked to ₹1 lakh of cover, while a ₹50,000 deductible provides ₹5 lakh of cover.
For higher coverage, a ₹1 lakh deductible provides ₹10 lakh of insurance, while a ₹3 lakh deductible provides coverage of up to ₹30 lakh.
This means the ₹30 lakh cover comes with a ₹3 lakh deductible and is not a ₹30 lakh first-rupee health insurance cover.
The policy is available to customers aged 18 to 70 years. Subject to the applicable rules and policy conditions, renewal can continue until the age of 85.
Money Can Also Be Used for Healthcare
Subscribers can withdraw up to 25% of their contributions in the NPS Health account for eligible healthcare expenses.
These can include hospitalisation and eligible outpatient treatment.
The amount is not paid directly to the subscriber.
Instead, it is paid to the hospital or relevant healthcare service provider for the eligible treatment.
The insurance component can cover hospitalisation, daycare procedures, home hospitalisation, AYUSH treatment and certain specified modern treatments, subject to the policy’s terms and conditions.
What Subscribers Should Know
NPS Health Scheme 30 Lakh Cover combines retirement-oriented savings with a separate health insurance component, but the insurance options have different deductibles and coverage limits.
The PFRDA’s operational guidelines for the scheme were issued in September 2026.
Subscribers should check the applicable policy terms, premium, deductible and eligibility conditions before opting for the arrangement.
