Niva Bupa GoActive Plan Benefits & Coverage | PolicyX
Niva Bupa Health Insurance Niva Bupa Health Insurance ★ 4.4

Niva Bupa GoActive

Available for families and individuals, GoActive is a versatile health ...Read More

Up to 1 Cr
Sum insured
1
No. of plans
320+
Pan India presence
94.4%
Claim settlement ratio
🛡️ IRDAI Approved
4.4/5 · 2,740 reviews
🏥 10,000+ hospitals
📊 3.03 solvency ratio
94.4% claim settlement

About Niva Bupa GoActive

A quick read on what this Niva Bupa Health Insurance plan covers and why it might be a fit for you.

The Niva Bupa GoActive plan offers exclusive features to meet all your health insurance needs.

Hospitalizations can occur unexpectedly, and owning health insurance provides financial security, especially when it's too late to buy it. It is advisable to purchase health insurance at a younger age, ideally in your 20s or 30s. The Niva Bupa GoActive health plan offers an 'Early Age AdvantAGE' benefit, providing renewal discounts for those who purchase the policy at a younger age.

The Niva Bupa GoActive plan is a comprehensive health insurance policy available on an individual or family floater basis. It covers various aspects, including hospitalization expenses, alternative treatments, and home healthcare. Additionally, it includes a behavioral assistance program and personal health check-ups. The family floater option provides complete coverage for your family members.

Plan at a glance

Eligibility, sum insured options and policy mechanics — pulled straight from the policy wording.

Entry age
91 days to 65 years
Plan type
Individual and Family Health Insurance
Sum insured options
₹7 L
Waiting period
30 days
Renewability
Lifetime
Policy term
1 year

*Initial Waiting Period is the time period between the issuance of the policy and the time it starts actively. During this period, a policyholder has to wait to avail of the benefits offered under a health insurance plan.

Pros & cons

A quick honest summary — the strengths and the trade-offs.

Pros

  • Pharmacy and diagnostic services
  • Domiciliary hospitalisation
  • Personal accident benefits
  • Refill benefits
  • Daily health coaching

Cons

  • Maternity benefit not available
  • Adventure sports not covered
  • HIV/AIDS not covered
  • Cosmetic surgery not covered
  • War injuries not covered

What's covered

Every CMS-driven coverage flag from the plan wording — only items with a published value render below.

Hospitalization

  • Room rent Covered
  • ICU charges Covered
  • Pre-hospitalization Covered
  • Post-hospitalization Covered
  • Domiciliary hospitalization Covered
  • Day-care treatment Covered
  • OPD charges Covered
  • Covid-19 treatment Covered
  • Cataract Covered

Bonuses & restoration

  • No-claim bonus Not covered
  • Automatic restoration of SI Covered
  • Daily hospital cash Not covered

Family & special care

  • Maternity cover Not covered
  • New-born baby cover Not covered
  • IVF treatment Not covered
  • AYUSH treatment Not covered
  • Organ donor expenses Covered

Modern & preventive care

  • Modern treatment Covered
  • Road ambulance Covered
  • Air ambulance Not covered
  • E-consultation Covered
  • Health check-up Covered
  • Second medical opinion Covered
  • Vaccination Not covered

Conditions & global

  • Co-payment Covered
  • Sub-limits Covered
  • Compassionate travel Not covered
  • Global coverage Covered

Choose your Niva Bupa GoActive family floater plan:

  • 1 Adult
  • 1 Adult + 1 Child
  • 1 Adult + 2 Children
  • 2 Adults
  • 2 Adults + 1 Child
  • 2 Adults + 2 Children
  • 2 Adults + 3 Children
  • 2 Adults + 4 Children

Additionally, the plan includes a refill benefit for the sum insured under its optional I-Protect cover, allowing for subsequent claims up to 100% of the base sum insured within the same policy year.

Niva Bupa Health Insurance Network Hospital List

Niva Bupa Health Insurance Network Hospitals are present in 31 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.

Know More About Network Hospitals →

Inclusions & exclusions

What the plan pays for, and what it doesn't.

Inclusions

  • Health coaching The health coaching app encourages you to follow lifestyle and health goals, promoting daily well-being. It also allows you to track your health activities.
  • I-Protect This option helps combat healthcare inflation by offering a 10% loyalty increment to the base sum insured on every renewal, with no capping on medical expenses.
  • Personal accidental coverage This cover includes injuries, hospitalization, and treatment resulting from an accident. It also covers accidental death and accidental permanent partial and total disabilities.
  • Annual aggregate deductible top-up An annual aggregate deductible top-up option is available, ranging from INR 25,000 to INR 10 Lakhs.

Exclusions

  • The GoActive policy of Niva Bupa has extended coverage, but it also has some exclusions. Below are the exclusions under the Niva Bupa GoActive insurance policy:
  • Pre-existing diseases (as per policy wordings)
  • Behavioral, neurodevelopmental, neurodegenerative, and sleep disorders
  • External congenital anomalies, HIV/AIDS, sexually transmitted diseases or infections, and related conditions
  • AYUSH treatments (except in-patient hospitalization for alternative therapies)
  • Dental, eyesight, and optical treatments
  • Experimental, unproven, inconsistent, irrelevant, or incidental diagnosis
  • Obesity/weight control treatments
  • Drug or alcohol abuse, and rehabilitation for drug addiction
  • Puberty and menopause treatments related to women's health, reproductive supplementation, and other maternity/newborn cover expenses
  • Robotics-assisted surgical, LASER, and light-based treatments
  • Worldwide medical treatment coverage (excluding emergency hospitalization due to accidental disability or death)
  • Unlawful activity
  • Unrecognized physician or hospital treatment/hospitalization
  • Service in armed forces, police organizations, at war, or participation in naval, military, or air force operations for an international institution
  • Participation in marine or aviation activities, including others mentioned in the policy schedule

Who can buy this plan

Eligibility criteria pulled straight from the policy wording.

  • Minimum Entry Age: 18 Years
  • Maximum Entry Age: 65 Years
  • Sum Insured: INR 4: 10 Lakhs
  • Initial Waiting Period: 30 Days

Other features & benefits

Benefits of Niva Bupa GoActive Insurance Policy

The Niva Bupa GoActive plan comes with ultimate health benefits. Read on to learn more:

  • Early age AdvantAGE

    Policyholders aged 35 years or less at policy inception receive lifetime discounts on renewals. Additionally, a 10% discount is applied to payable premiums in the first year and subsequent renewals.

  • Comprehensivity

    This plan offers comprehensive coverage for in-patient and out-patient hospitalizations, pre and post-hospitalization expenses, OPD consultations, annual health check-ups, and home healthcare benefits.

  • I-Protect

    This optional cover provides a 10% increase in the base sum insured, helping to mitigate rising healthcare costs. It also offers loyalty benefits and ensures policy renewal without breaks, regardless of claim frequency.

  • Behavioural assistance programs

    Recognizing the importance of mental and emotional well-being, the plan offers up to three expert counseling sessions for pre-marital concerns, nutritional information, stress management, and child and parenting advice. These services can be accessed via teleconsultation at +91 72900-44777.

  • Tax benefits

    You can avail tax benefits under Section 80D of the Income Tax Act, 1961, with this plan.

Niva Bupa GoActive Plan: FAQs

The 5 most-asked questions about Niva Bupa GoActive, answered.

Yes, this plan covers up to 10 OPD consultations (as per your policy terms and conditions/coverage)
Yes. The coverage for required health check-ups is available with this plan and you should check it out in your policy documents.
Yes, there are deductible options ranging from INR 25,000 to 10 Lakhs.
This plan covers accidental death, accidental permanent partial disability, and accidental permanent total disability up to INR 25 - 50 Lakhs.
AYUSH treatment is excluded but specifically in-patient treatment under Siddha, Unani, Ayurveda, and Homoeopathy is covered under the GoActive policy.

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Written and reviewed by

PolicyX content is researched in-house and reviewed by an IRDAI-certified insurance specialist before publication.

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