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NPS Swasthya: Health Cover, Withdrawals, and Charges Explained
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CNBC TV18•21-09-2026, 07:54
NPS Swasthya: Health Cover, Withdrawals, and Charges Explained
- •PFRDA introduces NPS Swasthya, combining an NPS investment account with a super top-up health insurance policy, effective immediately.
- •The scheme allows subscribers to build a retirement corpus while accessing health insurance and using part of the corpus for eligible healthcare expenses.
- •NPS Swasthya has two distinct components: an NPS investment account and a separate super top-up health insurance policy, each governed by its respective laws.
- •Subscribers can withdraw up to 25% of their contributions for eligible healthcare expenses, with no limit on withdrawals or waiting periods; funds are paid directly to healthcare providers.
- •The standard insurance is a family-floater super top-up policy covering the subscriber, spouse, and up to two dependent children, with entry ages 18-70 and renewal up to 85.
Key Questions Answered
An NPS Swasthya subscriber maintains two legally and operationally separate components: an NPS investment account and a super top-up health insurance policy governed by insurance regulations.
Subscribers can make partial withdrawals for eligible outpatient and inpatient healthcare expenses up to 25% of their contributions to the NPS Swasthya account.
If the insurance cover lapses due to unpaid premiums after the grace period, the Swasthya account is closed, and the balance is transferred or converted into an All Citizen Model NPS account.
