Niva Bupa Health Insurance (formerly known as Max Bupa Health Insurance Company)
Earlier known as Max Bupa, Niva Bupa Health Insurance is one of the top standalone health insurance companies founded in 2008. The main aim of the company is to provide the complete medical needs of the people whether, you are an individual, family, or senior citizen. They offer comprehensive coverage to the policyholders. To form NIVA BUPA, formerly known as MAX BUPA, two big companies came together, these companies are- True North, an Indian private equity business, and Bupa, a global healthcare service provider company.
What Does Niva Bupa Health Insurance Do?
Niva Bupa is a Health Insurance company that offers several quality-driven products to safeguard policyholders, families, children, and senior citizens. Like any wise investment, health insurance by Niva Bupa can be your high-valued investment that can be fruitful during hard times. With Niva Bupa Health Insurance you can feel safe when in need. You need to pay the amount as premiums and during times of need, the company will pay the bills. That's how niva bupa health insurance works.
Some Interesting Facts about Niva Bupa Health Insurance?
The company has covered around 70 lakh people and settled claims without the intervention of TPAs.
To promote a healthy lifestyle they launched the "Niva Bupa Health App" to track health.
Their claim settlement ratio is 99.99% as per IRDAI.
They offer to give the greatest medical treatment to their customers by operating a huge network of over 10,000+ cashless hospitals.
Some of the Awards and Achievements
The Economic Times Best Brands 2019.
Max Bupa's GoActive Health Insurance Plan is recognized as the product of the year.
Golden Peacock Award for its product Heartbeat Health Insurance Plan.
IT Management Best Practices at the Celent Model Insurer Asia Awards 2016.
Best Product Innovation Award for Heartbeat Family First at Indian Insurance Awards 2011.
All you Need to Know about Niva Bupa Health Insurance Company. Find Complete Details in one go
Formerly known as MAX Bupa Health Insurance, Niva Bupa Health Insurance is a specialized health insurance company, that provides a wide range of health insurance policies to their customers.
Here are some of the Niva Bupa Health Insurance plans:
1. Niva Bupa Health Insurance Companion Individual
The most cost-effective Health Insurance plan which is specifically designed for young individuals offers a lot of benefits, including direct claim settlement, and pre and post-hospitalization. At very low premiums, the policyholders will get the courage up to 1 crore.
2. Niva Bupa Health Companion Family First Plan
Niva Bupa Health Companion family first plan that is designed for joint family. With this plan, you can cover up to 19 members of the family. The coverage has an individual sum insured for every member of the family with a floater sum insured, which they can utilize anytime.
3. Niva Bupa Health Companion Family Floater Insurance Plan
Now, this is the floater plan, which is designed for the nuclear family, where you can include 2 adults and 4 children in the single premium where you can get a sum insured of up to Rs 1 crore.
4. Niva Bupa HeartBeat Plan
Heartbeat plan covers you as an individual and your family. You can check its Gold and Platinum with unlimited benefits. The entry age for adults in this plan is 18 to 65 years and you can include your children as dependent when they are 91 days old up to 21 years. The, most amazing part of this plan is that it covers maternity expenses as well.
Know more about Niva Bupa Health Insurance Plans
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 Top-Up Plans
If you think, your current health insurance coverage is not sufficient to meet your healthcare needs, then you can opt for a NIva Bupa Health Insurance Super Top-Up plan to provide supplement your coverage. Here are the top-up plans Niva Bupa offers:
Niva Bupa Health Reassure
Niva Bupa Health Companion
Niva Bupa Health Premia
Niva Bupa GoActive
Know more about Niva Bupa Health Insurance Top-Up plans.
Niva Bupa Health Insurance Plan Detailed Review
All about Niva Bupa Health Insurance Company
Why Choose Niva Bupa Health Insurance Plan?
Niva Bupa is the top standalone company that provides specialized health insurance plans in India as well as out of India. They are known for their multiple policy plans which they offer to individuals as well as families. Read about the benefits it offers:
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 10,000+ 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.
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 consultations related to healthcare and wellness services.
Emergency Ambulance Coverage Niva Bupa health insurance covers the charges of an emergency ambulance.
Know What is Covered - Inclusions
All your inpatient hospitalization in which there is a need to stay in the hospital for 24 hours or more in order to receive medical care.
Pre and Post-Hospitalisation Care
Your medical insurance with Niva Bupa will give you coverage against all the procedures that are being done before hospitalization like diagnostic tests, and post-hospitalization like aftercare as well.
Day Care Procedures
If there is a requirement for any procedure that will take only a few hours of medical treatment, it will also be covered.
In the Niva Bupa Health Insurance, ambulance charges are also covered.
The cost of organ harvesting from the donor will be covered.
What is not Covered?- Exclusion
Dental Treatment costs unless it is due to cancer or acute trauma case.
The cost of any external devices like spectacles, hearing aids, artificial limbs, crutches, artificial teeth, and veneers, are not included in the policy.
Costs of treatment for self-inflicted injuries such as suicide cases will not be covered.
Surgeries like botox, liposuction, and more will not be included if it not from accidental burns or cancer treatment costs.
Waiting Period in Niva Bupa Health Insurance
When you buy a policy, your coverage does not start immediately after the issuance. There is a time frame that you need to complete before the coverage of this policy begins. This time period is called the waiting period in Niva Bupa Health Insurance. At this time you cannot claim the money. The range and time period of the waiting period depend on various factors like policy, coverage, and types of diseases.
Let us check out some of the types of waiting periods:
Initial Waiting Period: The time period in the initial waiting period starts immediately after you get the policy. Most of the time it is 30 days from the date you get the policy.
Waiting Period for Pre-Existing Diseases (PED) For pre-existing diseases such as diabetes and hypertension, a longer waiting period of 2 to 4 years is initiated. During this time, you cannot claim your hospitalization or treatment expenditure.
Factors to Consider While Buying Niva Bupa Health Insurance
Choosing the best health plan involves proper planning. You need to consider various factors before investing in the right medical coverage. Study the scheme for the following advantages to understand and compare the best medical insurance in India.
Verify Eligibility Health Policies come up with the different entry age restrictions. In Care Health, the entry age is 91 days on a floater basis.
Ensure the Maximum Coverage Check out the coverage your health insurance is providing. Like Care Health provides pre and post-hospitalization expenses, diagnosis expenses, and annual health checkups.
Look for Affordable Premiums Keep a note of the premiums that you need to pay. Niva Bupa Health provides a digital portal where you can calculate the premiums.
Check for the Exclusions You need to check for the exclusion list before choosing the health care policy. There are certain conditions under which you cannot make the claim.
Understand the Co-Payment Clause It is advised to check the co-payment clause before you invest in the insurance.
Select Wide Cashless Network Hospital Check for the network hospitals the insurance providers are offering. Ensure the number of reputed cashless hospitals they have on the list.
Bid for Higher Claim Settlement Ratio The claim settlement ratio is the company's face value. The higher the claim settlement ratio, the higher the company's value. Niva Bupa Health Insurance promises the highest claim settlement ratio of 100%.
Why Choose the Online Procedure to Buy Care Mediclaim Policy?
Choosing an online platform is the easiest way to save time and effort in this digitally-equipped world. There are many reasons why you should opt for the online procedure:
Convenient Policy Selection You can schedule unlimited appointments with the experts to understand the policy details. You can study, compare, choose, and make payments for your insurance anywhere on the online portal.
Best Customer Care Services for Queries The team of Niva Bupa Health Insurance and PolicyX is always available for all your queries concerning the terms and conditions of the policies. With the live chat options, you can discuss any policy-related matter at your convenience.
Instant Premium Quote Calculations You will get the digital premium calculator to help you elevate your premiums and opt for customized healthcare insurance for you and your family members.
Secure Payment Modes The policy portal of Care Health Insurance offers various digitally secure payment modes, such as credit/debit cards or net banking. You will receive authentic policy documents immediately after completing the payment. This way you can get an instant mediclaim policy in less than an hour.
Transparent Policy Evaluation Care Health promises a transparent policy evaluation process. All the terms and conditions are ready for your reference.
Readily Available Value Added Services You can check out other add-on benefits while browsing mediclaim policies. These include OPD care, a co-payment waiver, and a reduced wait time for pre-existing diseases, among others, to cover all the needs.
Benefits of Purchasing Health Insurance at an Early Age
Although, there are no specific age criteria for buying health insurance plans. But buying insurance at an early age is highly beneficial. Read below to get to know why buying health insurance at an early age is beneficial.
Your premiums will be less at an early age.
At an early age, a continuous cover with renewals will help you to go out with the waiting period.
No medical test is required if you purchase health insurance at an early age.
You can avail a no-claim bonus for every claim-free year.
You do not need to share your medical bills as the co-payment is not applicable in this case.
How to Renew Health Insurance Policy?
As the term policy ends, you need to renew it in order to continue the uninterrupted healthcare coverage and added advantages. Follow these steps to renew the insurance:
Visit the official Niva Bupa Official website for health insurance policy renewal.
Go to the renew section.
Give your complete details, such as policy number, contact number, and much more.
Check the payment section and make the payment for the renewal premium through any secure payment mode.
How to Buy
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.
How to Claim?
These are the steps you need to know for filing your claim. Filing a health insurance claim will become very easy if you choose the best and easiest way. That is why we have jotted down the steps you should follow to file a claim.
Niva Bupa Health Insurance offers 2 methods of claim settlement- Cashless Claim settlement, and Reimbursement claim settlement. Check out the Steps you can follow for Niva Bupa Health claim settlement.
Steps 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.
Steps 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.
Once you submit the claim intimation, the company will start their work of verification. They might assign a field doctor if required for this process. After completing the verification process, you will get the claim immediately.
Documents required while filing the claim
Duly completed and signed claim form, in original
Valid photo-ID proof
Medical practitioner's referral letter and prescription
Original bills, receipts, and discharge cards from the hospital/medical practitioner
Original bills from pharmacy/chemists
Original pathological/diagnostic tests reports/radiology reports and payment receipts
Indoor case papers
First Information report, final police report, if applicable
Any other document as required by the company to assess the claim
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.
Choose Policyx for all your Niva Bupa Health Insurance queries. We are:
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.
End Note-Contact Details
Niva Bupa Health a dedicated insurance company that works 24*7 for customer case support. They make sure to resolve all the customer queries, no matter what time. For a branch-wise contact detail, you can read more about Niva Bupa Health Insurance Customer Care.
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.
An explorer and a curious person, Simran has worked in the field of insurance for more than 3 years. Traveling and writing is her only passion and hobby. Her main agenda is to transform insurance information into a piece that is easy to understand and solves the reader’s query seamlessly.