Niva Bupa Health Insurance
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Niva Bupa Health Insurance (formerly known as Max Bupa Health Insurance Company)

Niva Bupa Health Insurance Company (formerly known as Max Bupa Health Insurance Company) is a joint venture between True North, an Indian private equity firm, and the global healthcare services expert, Bupa. It is a specialized health insurer that offers myriad health insurance plans, covering hospitalization expenses, critical care, and other healthcare needs.

Besides, Niva Bupa Health Insurance company promotes a healthy lifestyle with the help of rewards and allows the insured members to track their health through the 'Niva Bupa Health App'.

Niva Bupa Health Insurance Company is a standalone health insurance company that ensures to cater to everybody's medical needs, be it individuals, families, or senior citizens, and offers plans that give extended coverage to the policyholders. Continue reading to explore more about the Niva Bupa Insurance company:

Awards and Accolades

Niva Bupa Health insurance has received several awards and accolades such as:

  • The Economic Times Best Brands 2019 award
  • The Super Brand 2019 award
  • The prestigious 'Technology Maturity' award
  • Max Bupa Health App was awarded Best Tech for Health Category 2019

Key Features of Niva Bupa Health Insurance (formerly known as Max Bupa Health Insurance Company)

Take a look at the company's performance and get an insight into how the company is performing in the market and decide whether you should buy it or not:

  • Network Hospitals: Niva Bupa Health Insurance company provides cashless treatment for hospitalization and settles all your medical expenses incurred in the treatment. It has tie-ups with more than 8,600+ hospitals in its network that provide a cashless facility and serves you for complementary health check-ups, pre and post-hospitalization costs, and coverage for pre-existing diseases Explore the network hospitals of Niva Bupa.
  • Solvency Ratio: To assess the company's ability to meet its long-term financial obligations, one must go through the solvency ratio of the company. As per IRDAI, maintaining the Solvency ratio of 1.5 is mandatory. At present, the Solvency Ratio of Niva Bupa is 1.82
  • Annual premium: As per the IRDAI report 2020-21, Niva Bupa has an Annual Premium of 1,750 Cr.
  • Claim Settlement: This factor tells you the ability of the company to settle claims and helps you understand the history of the insurer. According to the IRDAI Annual Report 2020-21, Niva Bupa settles 99.93% of claims within 3 months
Highlight of Niva Bupa Health Insurance

Benefits of Choosing Niva Bupa Health (formerly known as Max Bupa Health Insurance)

Niva Bupa comes with several benefits that ensure to fulfill all your healthcare needs. In the section below, we have discussed some of the benefits of Niva Bupa Health Insurance.

  • Customer Centricity:
    Niva Bupa offers a customer-centric approach of health insurance products and services to our customers such as involving direct claim settlement, preauthorization of cashless claims within 30 minutes, and it also provides the access to customer care 24X7 to resolve their queries. Additionally, they also have a 'point of care' desk at leading hospitals that helps customers with their claims.
  • Niva Bupa Health Application:
    Niva Bupa Health App has been designed to help customers to manage and track their health along with their insurance plan. You can book cashless OPD appointments with a doctor or a medical lab. Moreover, you can get information about the renewal status.
  • Comprehensive Plans:
    Niva Bupa provides comprehensive plans that are designed in a way that suits all the customer's needs and requirements. For larger families, Niva Bupa has a comprehensive insurance product i.e., Health Premia that provides good care for families.
  • Doctor Consultation:
    Niva Bupa Health Insurance offers cashless facilities at OPD Network hospitals with 2,000 doctors and teleconsultation with which they promise to provide quick doctor's consultation related to healthcare and wellness services.
  • Lifelong Renewability:
    The plans offered by Niva Bupa offer a lifelong renewal with a quick and easy process. It saves your pocket from financial stress caused due to medical emergencies and keeps you prepared to handle any critical health situation.

Niva Bupa Health Insurance Plans

Niva Bupa health insurance (formerly known as Max Bupa Health Insurance company) provides a wide range of healthcare plans to individuals, families, and senior citizens. Niva Bupa health plans are designed to cater to the specific needs of people such as cover for critical illness, pre-existing diseases, etc.

Niva Bupa Individual and Family Health Plan

Comprehensive

A complete health insurance policy that covers you and your family with a wide range of SI (3 Lakhs to 1 crore) and keeps giving you more benefits.

Unique Features

  • Covers up to 6 members
  • Unlimited SI restoration
  • Coverage for modern treatment

Comprehensive

Protect your entire family with smart features that provide you with everything you need under a health insurance plan.

Unique Features

  • No room rent capping
  • 20% increase in SI as no-claim bonus
  • 100% SI restoration

Comprehensive

A comprehensive medical policy that blends well with the lifestyle of your family while offering SI options from 5 Lakhs to 3 Crores.

Unique Features

  • Maternity benefits available
  • 10% increase in SI annually
  • International coverage available

Affordable

A budget-friendly health insurance plan that offers coverage to individuals and families with tailor-made benefits and great value for money.

Unique Features

  • No room rent capping
  • Up to 100% of SI restoration
  • 20% increase in SI as no claim bonus

Digital

NivaBupa Go Active

A modern-day digital insurance plan offering you cashless OPD and diagnostic services along with basic coverage and healthcare benefits.

Unique Features

  • Early age enrolment discounts
  • Up to 10 OPD consultations per year
  • No room rent capping

Comprehensive

NivaBupa Heart Beat

A complete health plan, providing a wide range of medical benefits along with global emergency coverage.

Unique Features

  • Maternity & New born coverage
  • No room rent capping
  • 10% increase in SI annually

Affordable

NivaBupa Super Saver

An individual and family health plan, providing a cover of up to 1 crore at affordable premiums combined with advanced features and benefits.

Unique Features

  • Up to 200% of SI as NCB
  • Up to 150% of SI restoration
  • Unlimited e-consultation

Niva Bupa Specialized Health Plans

Top-up plan

A super top-up plan providing extra coverage to you and your family on the basis of deductible with SI options of up to 95 lakhs.

Unique Features

  • No room rent capping
  • Unlimited E-consultation available
  • Pharmacy and diagnostic services

Critical Illness

Buy a cover of up to 2 crores to secure you and your loved ones against 20 major critical illnesses with the Niva Bupa CritiCare plan.

Unique Features

  • Daily hospital cash
  • Accident care available
  • Lifelong renewability

Personal Accident

NivaBupa AccidentCare

Offers personal accident cover of up to 2 crores on an individual and family floater basis. Pays 100% of SI to your family in case of accidental death.

Unique Features

  • Global coverage available
  • Child education benefit
  • 125% of SI for permanent disability

Comprehensive and Top-Up plan

NivaBupa Money Saver

A unique health insurance plan that combines the benefits of basic SI and top-up cover to offer enhanced protection to individuals and families.

Unique Features

  • 100% SI restoration
  • Unlimited e-consultation
  • No room rent capping

Senior Citizen

NivaBupa Senior First

A plan providing comprehensive protection to senior citizens with multiple coverage options counting from 5 - 25 Lakhs.

Unique Features

  • Coverage for modern treatments
  • Multiple co-payment options
  • Unlimited SI restoration
Niva Bupa Health Insurance Banner

Max Bupa Health Insurance Network Hospital List

Max Bupa Health Insurance Network Hospitals are present in 32 states nationwide. With a wide network of hospitals, Max Bupa Health Insurance ensures that you are medically secured, irrespective of the city you reside in.

How To Calculate Niva Bupa Health Plans Premium? (formerly known as Max Bupa Health Insurance Company)

Niva Bupa allows its customers to calculate their premiums online with the help of the Niva Bupa Health Insurance Premium Calculator. With the help of this calculator, one can calculate how much he needs to pay annually.

Know more about Niva Bupa Health Insurance Plan Premium Calculator

Take a look at the below section wherein you can explore all the aspects involved in premium calculation with the help of the Niva insurance premium calculator.

Health ReAssure

SI Options5L10L20L25L50L1Cr
Sample Annual Premium - 1A7,6979,11113,01013,89517,43920,983
Sample Annual Premium - 2A11,40913,35419,90221,23226,54831,864
Sample Annual Premium - 2A+1C15,09217,56526,04627,81434,88841,961

Health Premia

Silver VariantGold VariantPlatinum Variant
SI Options5L7.5 L20L30L50L1 Cr3 Cr
Sample Annual Premium - 1A12,27414,03519,54920,34621,40652,39160,467
Sample Annual Premium - 2 A21,31725,02934,86835,95737,46386,23798,893

Senior First

Gold VariantPlatinum Variant
SI Options5L10 L10L15L25L
Sample Annual Premium - 1A16,12520,04325,47630,18238,506
Sample Annual Premium - 2 A22,38627,83934,50742,04754,609

Factors that Affect Premium Calculation of Niva Bupa Plans

There are some factors, which have a direct impact on the health insurance premium. Let's check out a few of those factors that may help you to make an informed decision:

  • Age:
    The younger your age, the less prone you are to catch illnesses. Therefore, a 25-year old has to pay a lower premium as compared to a 40-year old individual.
  • Body Mass Index:
    If you have a high BMI, you are more likely to suffer from illnesses like heart problems, diabetes, etc. Therefore, health insurance companies have to spend more on your treatments. In return, they charge high premiums.
  • Sum Insured:
    If you go with a high coverage amount, you have to shell out a higher premium against it and vice-versa.
  • Profession:
    The work you do for a living has a significant impact on the health insurance premium. If you are employed as a minor, construction worker, or scientist surrounded by chemicals, you have a higher chance of getting injured and applying for claims. Therefore, you have to pay a higher premium in return.

Why Niva Bupa Health Insurance?

  • Specialized health insurer
  • Coverage for COVID-19
  • 7600+ Niva Bupa network hospitals
  • 2000+ doctors network
  • In-house claim settlement team
  • Health check-ups available from Day-1
  • Hassle-free cashless claim processing in 30 minutes
  • 24*7 customer care assistance
  • Online reimbursement process

Niva Bupa Health Exclusion List

Some health conditions and diseases are generally not covered under mediclaim policies. Know what is not included in health plans offered by Niva Bupa in the section below:

Injury due to use & abuse of intoxicant substances like alcohol or drugs

Congenital disease

Hospitalization out of war, riot, strike, and nuclear Weapons

Niva Bupa Buying Process (formerly known as Max Bupa Health Insurance Company)

You can buy Niva Bupa health plans online in two ways i.e. buy a Niva Bupa policy directly from the brand website or through PolicyX.com. Read below to explore the buying processes in both cases.

Buy from the Company

  • Visit the official website of the company.
  • On the home page, fill in the details and click on "View Plans".
  • Among all the available plans, select the best-suited plan to meet your needs
  • Pay the premium online.
  • Once done, the company will send all the policy details to your registered email address

Buy from PolicyX

  • Fill in the details in the "Calculate Premium form".
  • Fill in the necessary details to get the list of quotes.
  • Choose the desired Niva Bupa health plan and pay the premium.
  • After the payment, the policy will be shared on your registered email address.

Why Buy From PolicyX.com?

PolicyX.com provides the key features of the plan in a simple yet detailed manner, making your decision of choosing an insurance policy easier.

  • IRDAI Approved: PolicyX.com is an IRDAI approved web aggregator that helps consumers in comparing, choosing, and buying policies online.
  • Free Comparison Service: PolicyX.com provides a single platform where you can compare different insurance companies, insurance plans, and their premiums.
  • Compare 15 companies in 30 sec: Consumers can compare up to 15 companies in just 30 sec on PolicyX.com.
  • Buy Insurance within 5mins: PolicyX offers a simple and quick buying process where consumers can buy insurance in less than 5mins.
  • 24x7 Customer Service: PolicyX is always with their customers as we offer 24x7 customer care service.
  • Free Future Claim Assistance: PolicyX is always there to help and assist your claim under any term insurance company.
Why Choose PolicyX.Com

Niva Bupa Renewal Process

For Niva Bupa Health Insurance Renewal, follow the below mentioned steps. The plan comes with a Lifetime Renewability feature, which means there are no restrictions or age bar on Niva Bupa Health Insurance Renewal.

Follow the below steps to renew your Niva Bupa policy easily:

  • Visit the company's website and click on the 'Renew' option.
  • Enter your 14 digit policy number and click 'Submit'.
  • You will get the renewal premium amount.
  • Click on the 'Pay now' option to make the payment.
  • On successful payment, you will receive a policy transaction number. A new policy kit will be emailed to you within 48 hours.

How to File a Niva Bupa Health Insurance Claim?

Niva Bupa allows its customers to file the claims in two simple ways. Let's learn about them in the table given below.

For Cashless Claims

  • Get admitted to any one of the network hospitals associated with Niva Bupa.
  • Show your Niva Bupa health card at the hospital's reception desk.
  • The hospital will submit the pre-authorization request form to the company.
  • The company will review your request and provide confirmation.
  • If approved, the company will directly settle the claim with the hospital.

For Reimbursement Claims

  • Intimidate the company within 48 hours of hospitalization, or within 24 hours of hospitalization in emergency cases.
  • Avail treatment, pay all the bills by yourself.
  • Fill in the claim form to initiate the reimbursement process.
  • Send the duly filled form along with original hospital bills, diagnostic reports, discharge summary, medical prescription & Post Mortem Reports (if applicable).
  • Once approved, you will receive the reimbursement amount in your registered bank account.

How to Contact Niva Bupa Health Insurance Company (formerly known as Max Bupa Health Insurance Company)

Niva Bupa Health Insurance Company Limited, 14th Floor, Capital CyberScape, Sector 59, Gurugram, Haryana

customercare[at]nivabupa[dot]com

1860-500-8888

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Niva Bupa Health Insurance: Frequently Asked Questions

1. How long does it take to get reimbursement for the claims made?

The time may vary from one case to another. However, the company makes sure to settle your reimbursement claim in the fastest way possible.

2. Can non-Indian individuals buy Niva Bupa health plans (formerly known as Max Bupa Health Insurance Company)?

Yes, they can. However, the coverage for the same will be valid only in India.

3. Do I need to go for a medical check-up before buying a Niva Bupa Health Insurance plan?

A medical examination is not always required. However, with growing age, the company may ask for certain tests. For example, if you are in your 60s, you must go to one of the company's empanelled hospitals for a medical check-up.

4. From where can I download the Claims Form?

For downloading the claim form, visit www.nivabupa.com and click on claims. Then select the claim form in the drop-down and then click on the services form and download the form as per your plan.

5. What to do if I have bought a Health Plan from Niva Bupa, but now I am not satisfied with it?

No worries. As per IRDAI guidelines, every insurance company including Niva Bupa Insurance offers its customers a Free-look period, wherein, if unsatisfied, the customers has the right to cancel their policy within 15 days of its inception.

6. What is the use of the Niva Bupa (formerly known as Max Bupa) Health App?

With Niva Bupa Health App, customers can easily manage their policy from the comfort of their home. One can easily book doctor appointments, pathology tests, raise their claims, take online doctor consultations and much more.

7. Who is TPA? And can I select one for myself?

TPA-Third Party Administrators are a separate entity that works independently and acts as the bridge between you and your insurance provider.

Yes, you can choose your preferred TPA. In the recent amendments of IRDAI, they have allowed the policyholder to choose a TPA of their choice from amongst the TPAs engaged by the insurer.

8. I am a 32-year-old Diabetic. Will I have to pay higher premiums for my Niva Bupa Health Policy (formerly known as Max Bupa Health Insurance Company)?

Yes. Majorly the health insurance premium gets affected by your growing age, pre-existing diseases, and other lifestyle habits. So on such grounds, the premium you will have to pay will be higher than that of any young healthy individual.

9. How many times can I make a claim under the Niva Bupa Health Insurance Policy (formerly known as Max Bupa Health Insurance Company)?

One can file any number of claims over a year under Niva Bupa Insurance. However, this should be kept in mind that the claim amount should not exceed the sum insured of your plan.

10. I am covered under a Group Health Insurance offered by my company. Do I still need an Individual or Family Health Plan?

More often, the Group health insurance comes with limited coverage and the sum insured offer is not as extensive as provided by individual health insurance. Therefore, considering the healthcare needs of yourself & your family, you can opt for another health insurance policy.

11. Are Max Bupa & Niva Bupa the same?

Yes, both are the same. The Max Bupa Health Insurance has been rebranded as Niva Bupa Health Insurance after a change in its shareholding pattern.

12. How can I use my Niva Bupa Health Insurance Policy?

To use your Niva Bupa Health Insurance at the tie of medical emergency, follow the below mentioned steps:

  • Inform the insurer
  • Share your health insurance card at the hospital
  • Pre-authorization request goes to the insurer
  • Verification process is done by the insurer
  • Claim settlement

13. I have bought health insurance from this company when its name was Max Bupa. Will I still get all the benefits that were promised by the company?

Yes, you will get all the benefits of the plan bought by you, as the company ensures to protect you and your family during the announced medical emergency.

14. Does Niva Bupa Health Insurance Company offer the facility of autorenewal?

Yes, the company allows you to choose for auto renewal facility so that you never forget to pay your premiums on time. For any auto renewal assistance, give a missed call on 0120-6940410, and the company’s representatives will get in touch with you.

Read Reviews & Ratings

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Vishal Singh

Delhi

September 27, 2022

I want to thanks Atul Bhardwaj he suggested me good policy and provide me good comparison which help me to choose best plan...........

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Sagar Jain

Delhi

September 14, 2022

Very Good Organization, Very Decent Staff. Sales team is very good, they are following clients in proper manner

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Mohan Bhargava

Chandigarh

September 14, 2022

Best company I ve ever seen. Good service. Politely way of talk. An employee of policy x is Azhar (13272) a best advisor. Good knowledge about the product and companies.

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Kakali Bagchi

Kolkata

September 14, 2022

The people who is seating in policyx.com are vary supportive and they guide for the best policy and they help after sale also

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Simran

Delhi

June 3, 2022

I must say that they truly process claims in under 30 minutes. It really is true and not just one of those hoax promises by a brand.

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Nivedita

Hyderabad

June 3, 2022

I have been their customer for years. Its hassles free, convenient, and most importantly, the team is proactive in their dealings. Great Job!

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Isha

Jaipur

June 3, 2022

Good company/. I have a good experience with this company especially when it came to a quick claim settlement process.

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Khushwant Kumar

Agra

August 12, 2021

thanks policyx itna help karne ke lie. Good luck. Sahi plan mil gaya mere conditions ke hisaab se. Very happy.

View All Niva Bupa Health Insurance Reviews