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Niva Bupa Health Insurance Plans Overview

Niva Bupa health insurance offers 4 health insurance plans. The premium of these plans starts from Rs. 3762/yr. The sum insured ranges from Rs. 2 Lakh - 1 Cr. Details of the comprehensive coverage provided by the following 4 Niva Bupa health insurance plans are listed below:

Niva Bupa Health Companion Policy

Starting Premium- 8,056/Yr

An affordable health insurance plan that makes securing health painless

  • Unlimited online/ tele consultations.
  • Pharmacy & diagnostic services: Get discounts through our empanelled sevice provider.
  • Mental disorder treatment: Covered up to Sum Insured (sub-limit applicable on few conditions).
  • Modern treatments: Covered up to Sum Insured (sub-limit applicable on few conditions).

Eligible Age

90 days onwards

Coverage

3 Lakh - 1 Cr

Niva Bupa Health Recharge Policy

Starting Premium- 3,762/Yr

Niva Bupa Health Recharge is a super top-up plan that enhances your and your family’s health insurance cover. Niva Bupa Health Recharge’s deductible acts like a stepney to your health insurance plan. It’s an additional coverage offered to you with a threshold limit. It comes into effect only when your total claim in the same year surpasses the threshold limit This plan has certain sub-limits pertaining to Modern treatments and Mental disorder treatments. For Modern treatment, the following procedures have a sub-limit of Rs 5 lac: Deep Brain stimulation, Immunotherapy- Monoclonal antibody to be given as injection and Intra vitreal injections. For the following procedures, the sub-limit is Rs 2 lac: Bronchial Thermoplasty and Vaporisation of the prostate. Robotic surgeries have a sub-limit of Rs 2.5 lac and Stereotactic radio surgeries have a sub-limit of Rs 3.5 lac, respectively. In all these cases, maximum payout will be the sub-limit specified or the Base sum insured, whichever is lower. Under Mental disorder treatments, following disorders/conditions shall be covered upto 10% of Base sum insured or Rs 50,000, whichever is lower: Severe depression, Schizoprenia, Bipolar disorder, Post-traumatic stress disorder and Generalized anxiety disorder

Eligible Age

91 days - 65 years

Coverage

2 Lakh - 95 Lakh

Niva Bupa Reassure Policy

Starting Premium- 10,431/Yr

Niva Bupa Health Insurance Company Ltd. (formerly known was Max Bupa Health Insurance Company Limited) is a joint venture between Fettle Tone LLP (an affiliate of True North Fund VI LLP), a leading Indian private equity firm, and the UK based healthcare services expert, Bupa Singapore Holdings Pte. Limited.While Bupa has six decades of experience in the healthcare industry and a 29 million customer-base in over 190 countries; Fettle Tone LLP (an affiliate of True North Fund VI LLP) is a leading Indian private equity firm, with a focus on investing in and transforming mid-sized profitable businesses into world-class industry leaders.

  • Booster Benefit- Get discounts during renewals for every claim free year.
  • Shared accomodation cash benefit: Up to 15 Lacs base sum insured: 800 per day (maximum 4,800) Above 15 Lacs base sum insured: 1,000 per day; (maximum 6,000)

Eligible Age

90 days - 65 years

Coverage

3 Lakh - 1 Cr

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FAQs

Niva Bupa is among the most well-known health insurance companies in India. It has won various recognitions and awards, which is also trusted by many. An exhaustive list of Niva Bupa cashless hospitals allows you to seamlessly settle your claims. Niva Bupa is one of the exclusive health insurance providers who focus on settling claims within a matter of 30 minutes. They are customer-centric in their approach, and they also offer a range of products to suit everyone’s needs at affordable pricing with the latest features and benefits. This is why you should opt for Niva Bupa Health Insurance policies for all your health insurance requirements.

A cashless facility is available only at a Niva Bupa network hospital. If you are admitted to a non-network hospital, you’ll have to pay the bills upfront and file for a claim after your discharge from the hospital. You can check the Niva Bupa hospital list on the company website.

A network hospital is a specific hospital that has a tie-up with the insurer so that cashless claim facilities are provided to its clients. This helps in the speedy claim settlement process as well. 

So, in a network hospital, you only need to provide your insurance and KYC details at the time of hospitalisation and the hospital takes care of the entire documentation process. Claims are settled directly by the insurer to the hospital without you having to pay the upfront amount for treatment.

On the other hand, non-network hospitals do not provide cashless treatment facilities. In these hospitals, you need to pay for the entire bill yourself and then claim the same from the insurer as a reimbursement along with all documentation, treatment details, original bills and receipts and your bank account details.

This is the basic difference between the two.

There are certain eligibility criteria that you need to fulfil to be eligible to buy a health plan by Niva Bupa. Being a citizen of India and meeting the age criteria are generic criteria. Generally, Niva Bupa Health Insurance policies cover all dependent children when they are in the age group of 91 days to up to 25 years. However, most policies allow adults upto 65 years of age to enter a plan, unless it is a specifically designed Senior Citizen Plan. However, some plans also have a lifelong entry age.

Also, remember that all Niva Bupa Health Insurance policies can be renewed lifelong as long as the premiums are paid on time and there is no lapse.

Niva Bupa Health Insurance plan allows you a grace period of 30 to 60 days of grace period after the premium due date during which the premium needs to be paid. However, the health insurance coverage would lapse if the premium is not paid within the due date and no claim would be admissible. So, in case you wish to file a claim within the grace period, you would first need to pay the premium to get the policy in force and then file a claim. The grace period is given so that you can retain your no-claim bonus for that duration.

Niva Bupa makes the claim process very easy and simple. Depending on the hospital that you seek treatment in, you can file your claim. The advantage of a network hospital is that you can get the benefit of making cashless claims. Your medical bills will be settled directly by Niva Bupa, and you will only have to cover the uncovered expenses. As Niva Bupa Health Insurance has an in-house claim settlement team, they are very quick to settle claims.

You have the option of buying Niva Bupa health insurance online from the Niva Bupa website. However, with Turtlemint, you can experience a smooth and pocket-friendly purchase.

Claim Settlement Ratio varies from time to time as it is a representation of the claims settled by an insurance company against the total number of claims made in a financial year. Niva Bupa claims to have settled 91.6%⁶ of their claims.
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