About Niva Bupa Health Insurance (formerly known as Max Bupa Health Insurance Company)
Niva Bupa Health Insurance is a stand-alone health insurance company that guarantees to meet everyone's medical needs, whether they are individuals, families, or senior citizens, and offers policies that give policyholders comprehensive coverage. True North, an Indian private equity business, and Bupa, a global healthcare services provider, formed Niva Bupa (formerly Max Bupa Health Insurance Company). It is one of the most trusted health insurance businesses in the country, with a CSR of 99.99% demonstrating brand dependability. Niva Bupa creates affordable health insurance policies for all demographic groups in society.
The company has covered over 70 lakh people and settles claims directly without the intervention of TPAs. Niva Bupa health insurance also has a global presence in over 190 countries. Furthermore, the insurer promotes a healthy lifestyle through prizes and allows covered individuals to track their health via the 'Niva Bupa Health App'. It offers to give the greatest medical treatment to its customers by operating a huge network of over 9100+ cashless network hospitals.
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
Niva 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 9,100+ 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 1.7
Annual premium: As per the IRDAI report 2021-22, Niva Bupa has an Annual Premium of 2,809 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 2021-22, Niva Bupa settles 99.99% of claims within 3 months
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.
All you Need to Know about Niva Bupa Health Insurance Company. Find Complete Details in one go
Top 5 Reasons to Select Niva Bupa Health Insurance Plans
There are multiple advantages that are associated with Niva Bupa health insurance plans if you select the right one suitable for you and your family's needs. The insurance provider is selected by many across the nation and we have mentioned the top 5 reasons below:
30 Minutes Claim Settlement Niva Bupa offers a quick and hassle-free claim settlement service. The insurer provides cashless claim processing in 30 minutes and is trusted by over 70 lakh customers.
Wide Range of Network Hospitals The insurer has a wide network of cashless hospitals providing the best medical care as per the insurance holders' requirements. With 9100+ cashless network hospitals, Niva Bupa offers planned and emergency hospitalization where you can avail of benefits based on your health insurance coverage.
Niva Bupa Value-Added Benefits Niva Bupa Insurance offers various benefits through its health insurance plans such as online discounts, long-term policy discounts, and wellness discounts at the time of policy renewal.
Refill Benefit Niva Bupa Health Insurance plans offer refill benefits wherein the insurance holders are offered an extra amount which is equal to the base sum insured in case the base plan is exhausted.
Wide Variety of Plans Health Insurance offered by Niva Bupa offers multiple categories of health insurance plans covering customers against, critical illnesses, accidents, international health emergencies and more.
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 Health Insurance Individual and Family Health Plan
Niva Bupa Reassure 2.0 provides insurance holders with a high sum insured through their platinum, titanium, and bronze variants along with a multitude of other features.
Lock premiums at entry age
Health check-ups from day 1
Health ReAssure 2.0 Plan (Pros)
Personal accidents covered
Three Plan variants
Home Care Treatments
Health ReAssure 2.0 Plan (Cons)
No OPD Cover
No Maternity Cover
No Sleep Disorder Covered
Pre-Existing Diseases after 3 yrs.
Alcoholism not covered
Health ReAssure 2.0 Plan (Other Benefits)
Shared Accommodation Benefit
Health ReAssure 2.0 Plan (Eligibility Criteria)
Entry Age - 18 Years
Max Entry Age - No Age Limit
SI - 5 L to 1 Cr
Waiting Period - 30 Days
Niva Bupa Saral Suraksha Bima
A personal accident insurance policy that offers a lump sum compensation in case of permanent disability or death resulting from an accident.
Large Sum Insured
High sum insured
Up to 50 % Cumulative Bonus
Saral Suraksha Bima (Pros)
Accidental Death Covered
Pay Rs 296 monthly as premium
Education Grant to children
Temporary Total Disablement
Hospitalisation due to an accident
Saral Suraksha Bima (Cons)
No Maternity Benefit
No Disablement Claims
War Injuries not covered
Accident through intoxication
COVID-19 death not covered
Saral Suraksha Bima (Other Benefits)
30-minute cashless claims
Road Ambulance Covered
Emergency Treatment Covered
Hassle Free Renewal Process
Saral Suraksha Bima (Eligibility Criteria)
Entry Age - 18 Years
Max Entry Age - 65 Years
SI - 2.5 L to 1 Cr
Waiting Period - 30 Days
Niva Bupa Corona Kavach
The plan covers you and your family against COVID-19, covers the Comorbidities arising out of COVID, and imposes no room rent capping.
Ventilator Expenses Included
PPE Kit expense Included
Covers ICU Charges
Niva Bupa Corona Kavach (Pros)
Home Care Treatment Expenses
Pre and Post Hospitalisation
AYUSH Treatments Coverage
Niva Bupa Corona Kavach (Cons)
OPD and Day Care Treatment
Evaluation and Investigations
Niva Bupa Corona Kavach (Other Benefits)
Coverage for Parents & PILs
Coverage for Dependent Children
Road Ambulance Covered
Hospital Daily Cash
Spouse Cover Available
Niva Bupa Corona Kavach (Eligibility Criteria)
Entry Age - 18 Years
Max Entry Age - 65 Years
SI - 50 Thousand to 5 Lakh
Waiting Period - 30 Days
Niva Bupa Health Insurance Network Hospital List
Niva Bupa Health Insurance Network Hospitals are present in 32 states nationwide. With a wide network of hospitals, Niva Bupa Health Insurance ensures that you are medically secured, irrespective of the city you reside in.
Factors that Affect Premium Calculation of Niva Bupa Health Insurance 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.
Hassle-free cashless claim processing in 30 minutes
24*7 customer care assistance
Online reimbursement process
Niva Bupa Health Insurance 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
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 insurance 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
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 Niva Bupa Health Insurance Plans 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.
Niva Bupa Healh Insurance 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
Niva Bupa Health Insurance: Frequently Asked Questions
1. 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.
2. 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.
3. 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.
4. Are Niva Bupa & Niva Bupa the same?
Yes, both are the same. The Niva Bupa Health Insurance has been rebranded as Niva Bupa Health Insurance after a change in its shareholding pattern.
5. 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
6. 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.
7. What is the tenure of Niva Bupa Health Insurance plans?
Insurance holders can select plans as per their requirements and needs, depending on the plan they select Niva Bupa Health Plans have insurance plans with 1 or 2 years.
8. Where can I avail cashless hospitalization facility under Niva Bupa Health Insurance?
Niva Bupa has 9100+ cashless network hospitals around the nation and insurance holders can avail of cashless hospitalization anywhere in the listed hospital list.