Niva Bupa Health Premia Plan - Know Features and buy Online | PolicyX
Niva Bupa Health Insurance Niva Bupa Health Insurance ★ 4.4

Niva Bupa Health Premia Plan

The Niva Bupa Health Premia Plan offers comprehensive health insurance ...Read More

Up to Unlimited
Sum insured
320+
Pan India presence
94.4%
Claim settlement ratio
🛡️ IRDAI Approved
4.4/5 · 2,748 reviews
🏥 10,000+ hospitals
📊 3.03 solvency ratio
94.4% claim settlement
Written by Simran saxena
Reviewed by Raj Kumar
Published: 27 Sep 2024
Updated: 27 Jul 2026
Expert Verified
IRDAI Licensed

Overview

Health Premia is a health insurance plan that covers hospitalization expenses along with key medical needs like pre and post-treatment costs, daycare procedures, and emergency care. It also offers higher sum insured options and added benefits like restoration of coverage and global treatment support, making it suitable for both individual and family protection.

Video reviews

Walkthroughs from the PolicyX team — pros, cons, real claim experiences and who should buy.

All about Niva Bupa Health Insurance Company

All about Niva Bupa Health Insurance Company

Niva Bupa Health Insurance Plan Detailed Review

Niva Bupa Health Insurance Plan Detailed Review

Niva Bupa Health Premia Additional Benefits

Critical Illness Cover

The Niva Bupa Health Premia Plan provides enhanced protection against 20 critical illnesses such as heart surgery, cancer, kidney failure, and strokes. Additional coverage is provided as a lump sum amount upon the first diagnosis of any of these illnesses.

Daily Hospital Cash Benefit

This plan provides a daily lump sum amount in case of hospitalization and covers miscellaneous expenses incurred during hospitalization.

Personal Accident Cover

Using this optional cover, a lump sum amount is paid in case of accidental death or permanent partial disability. Anyone aged 18 years or above can opt for this cover.

Health Coach

The Niva Bupa Health Coach App helps track health parameters such as calorie intake and BMI daily.

Inclusions

  • Inpatient hospitalization expenses
  • Pre and post-hospitalization cover
  • Daycare treatments
  • Ambulance charges
  • AYUSH treatment
  • Organ donor expenses
  • Maternity and newborn cover (as per plan variant)
  • Optional global treatment coverage
  • Restoration of sum insured
  • No claim bonus benefits

Exclusions

Every health insurance plan has a set of services that are excluded from its list of plan benefits. Take a look at the exclusions of the Niva Bupa Health Premia Plan below:

Permanent Exclusions

  • Hazardous activities
  • Sexually Transmitted Infections and Diseases
  • Unlawful activity
  • Suicidal death claims
  • External Congenital Anomaly
  • Self-inflicted injuries

Waiting Periods for Specific Conditions

Certain diseases and treatments are covered under the Niva Bupa Health Premia Insurance plan after a specific waiting period:

  • Specific ailments after 12 months
  • Pre-existing diseases after 24 months

Niva Bupa Health Premia Sample Premium Illustration

Take a look at the sample premium illustrations below under different variants and with growing age for a Sum Insured (SI) of ₹10 Lakh.

Silver Variant

Age Premiums for Individuals Premiums for Family Plan
30 12,274 29,509
40 16,953 33,447
50 27,750 49,532

Gold Variant

Age Premiums for Individuals Premiums for Family Plan
30 16,436 40,336
40 22,081 45,143
50 35,708 64,935

Platinum Variant

Age Premiums for Individuals Premiums for Family Plan
30 52,391 1,19,697
40 63,627 1,29,847
50 93,994 1,74,752

Plan at a glance

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

Entry age
18 - 65 Years
Plan type
Individual and Family Health Insurance
Sum insured options
₹3 L, ₹5 L, ₹10 L, ₹15 L, ₹30 L, ₹50 L, ₹1 L, ₹2 L, ₹3 L
Waiting period
30 days
Renewability
Lifetime
Policy term
1 & 2 years

*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

  • Refill benefit for any illness
  • 10% Loyalty Additions to Sum Insured
  • Tenure Discounts of up to 15%
  • Worldwide Maternity Benefits
  • Inpatient care

Cons

  • No OPD Coverage
  • No HIV/AIDS Coverage
  • 20% co-payment
  • Pre-existing Diseases covered after 2 years
  • Treatment for Alcoholism (excluded)

What's covered

A quick look at what this plan covers — and what it doesn't.

Hospitalization

  • Room rent Covered
  • ICU charges Covered
  • Pre-hospitalization Covered
  • Post-hospitalization Covered
  • Domiciliary hospitalization Covered
  • Day-care treatment Not covered
  • OPD charges Covered
  • Covid-19 treatment Covered
  • Cataract Covered

Bonuses & restoration

  • No-claim bonus Covered
  • Automatic restoration of SI Covered
  • Daily hospital cash Covered

Family & special care

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

Modern & preventive care

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

Conditions & global

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

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 →

Who can buy this plan

Eligibility criteria pulled straight from the policy wording.

  • Entry Age: 18 Years
  • Max Entry Age: 65 Years
  • Sum Insured: ₹3 Lakh to ₹1 Crore
  • Waiting Period: 30 Days

Frequently Asked Questions

The 5 most-asked questions about Niva Bupa Health Premia Plan, answered.

Yes. Maternity and Newborn baby coverage are available under the Niva Bupa Health Premia Plan. You can utilize the coverage after serving the waiting period. The limit for the coverage varies as per their variants.
Yes, this plan offers various discounts. If you pay for a 2-year policy then you are eligible to get a discount of 7.5% on the premium of the second-year policy.
Yes. Various add-on benefits are available under this plan such as personal accident cover, critical illness cover, health coach, hospital cash, etc.
Niva Bupa settles all the required claims in 30 minutes that helps your loved ones in case of hard times.
Under this benefit, if the policyholder passes away or is diagnosed with any of the specified illnesses, then the beneficiary will get a free extension of 1 year. The benefit is available under all three variants of the plan.

Health Insurance Premium Calculator

PolicyX.com premium calculator offers premium comparison for some of the best health plans in India. Input your details and find the most suitable health insurance policies for your requirements.

Compare Health Insurance Plans

Select a company and plan for each side to see a detailed side-by-side comparison.

Insurance:
Compare:

Share your Valuable Feedback

Rating Icon 4.4

Rated by 2,694 customers

Was the Information Helpful?

Select Your Rating

We would like to hear from you

Let us know about your experience or any feedback that might help us serve you better in future.

Reviews and Ratings

Do you have any thoughts you'd like to share?

📞 Call Free