Network hospitals
9100+
Claim settlement ratio
99.99
Sum insured
3 CR
No. of Plans
14
Solvency Ratio
1.7
Pan India Presence
-
PolicyX.com is a Recognised Niva Bupa Partner View Certificate
Network hospitals
9100+
Claim settlement ratio
99.99
Sum insured
3 CR
No. of Plans
14
Solvency Ratio
1.7
Pan India Presence
-
PolicyX.com is a Recognised Niva Bupa Partner View Certificate
Niva Bupa Health Premia is a comprehensive health insurance plan that offers complete coverage to an individual and their family. The plan offers wide coverage from maternity and newborn baby cover to emergency medical treatments across the globe. Moreover, the plan allows customization with its 3 available variants. Along with this, the plan comes with several standout features such as the Premium waiver option, Loyalty Additions, Refill Benefits, and many more.
Niva Bupa Health Insurance Plan Detailed Review
All about Niva Bupa Health Insurance Company
18 - 65 Years
Individual & Family
1 & 2 years
Silver | Gold | Platinum
3 | 4 | 5 | 6 | 7 |7.5 | 8 | 9 | 10 | 11 | 12 | 13| 14 | 15 | 20 | 30 |50 L | 1 | 2 | 3 Cr.
30 Days
*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.
With wide coverage options, Manipal Cigna Super Top Up Plan lets you customize your health insurance plan as per your requirements:
Coverage for SI: For Individual/ Family Floater: 5 | 7.5 L / For Family First: 1 | 2 | 3 | 4 | 5 L
Room Rent
Covered up to SI
ICU Charges
Covered up to SI
Pre-Hospitalization
Covered up to 90 days
Post-Hospitalization
Covered up to 180 days
Domiciliary Hospitalization
Covered up to SI
Daycare Treatment
Covered up to SI
OPD Charges
Not Available
COVID-19 Treatment
Covered
Cataract
Not Covered
No Claim Bonus
Available as a Loyalty Addition
Automatic Restoration
Available
Daily Hospital Cash
Available as a Rider
Organ Donor
Covered up to SI
Maternity Cover
Covered
New Born Baby Cover
Covered up to SI
AYUSH Treatment
Covered
IVF Treatment
Not Covered
Modern Treatment
Covered up to SI with a sub-limit of 1L
Ambulance
Available
Air Ambulance
Covered up to SI
Compassionate Travel
Covered up to SI
Global Coverage
Not Available
E-Consultation
Unlimited Tele/ online consultation
Health Check-Up
Available
Second Medical Opinion
Not Available
Vaccination
Covered for New- Born Baby
Co-payment
Not Applicable
Sub-limits
Applicable
Coverage for SI: For Individual/ Family Floater: 10 | 15 | 20 | 30 | 50 L For Family First: 5 | 6 | 7 | 8 | 9 | 10 L
Room Rent
Covered up to SI
ICU Charges
Covered up to SI
Pre-Hospitalization
Covered up to 90 days
Post-Hospitalization
Covered up to 180 days
Domiciliary Hospitalization
Covered up to SI
Daycare Treatment
Covered up to SI
OPD Charges
Not Available
COVID-19 Treatment
Covered
Cataract
Not Covered
No Claim Bonus
Available as a Loyalty Addition
Automatic Restoration
Available
Daily Hospital Cash
Available as a Rider
Organ Donor
Covered up to SI
Maternity Cover
Covered
New Born Baby Cover
Covered up to SI
AYUSH Treatment
Covered
IVF Treatment
Not Covered
Modern Treatment
Covered up to SI with a sub-limit of 1L
Ambulance
Available
Air Ambulance
Covered up to SI
Compassionate Travel
Covered up to SI
Global Coverage
Available as per the T&C
E-Consultation
Unlimited Tele/ online consultation
Health Check-Up
Available
Second Medical Opinion
Not Available
Vaccination
Covered for New- Born Baby
Co-payment
Not Applicable
Sub-limits
Applicable
Coverage for SI: For Individual/ Family Floater: 1 | 2 | 3 Cr.For Family First: 10 | 11 | 12 | 13| 14 | 15 L
Room Rent
Covered up to SI
ICU Charges
Covered up to SI
Pre-Hospitalization
Covered up to 90 days
Post-Hospitalization
Covered up to 180 days
Domiciliary Hospitalization
Covered up to SI
Daycare Treatment
Covered up to SI
OPD Charges
Available
COVID-19 Treatment
Covered
Cataract
Not Covered
No Claim Bonus
Available as a Loyalty Addition
Automatic Restoration
Available
Daily Hospital Cash
Available as a Rider
Organ Donor
Covered up to SI
Maternity Cover
Covered
New Born Baby Cover
Covered up to SI
AYUSH Treatment
Covered
IVF Treatment
Not Covered
Modern Treatment
Covered up to SI with a sub-limit of 1L
Ambulance
Available
Air Ambulance
Covered up to SI
Compassionate Travel
Covered up to SI
Global Coverage
Available as per the T&C
E-Consultation
Unlimited Tele/ online consultation
Health Check-Up
Available
Second Medical Opinion
Covered Worldwide
Vaccination
Covered for New- Born Baby
Co-payment
Not Applicable
Sub-limits
Applicable
Room rent limit is the maximum amount of bed charge that you can claim if you are hospitalized.
Common Room categories covered under room rent are:
Coverage status under Niva Bupa Health Premia Plan?
Covered up to SI
It is a special department in the hospitals where patients with serious medical conditions are treated.
Coverage status under Niva Bupa Health Premia Plan?
Covered up to SI
Medical expenses incurred before the hospitalization of the policyholder.
Coverage status under Niva Bupa Health Premia Plan?
This plan covers medical expenses incurred during pre-hospitalization for up to 90 days.
Medical expenses incurred after the discharge of the policyholder from the hospital.
Coverage status under Niva Bupa Health Premia Plan?
This plan covers medical expenses incurred during post-hospitalization for up to 180 days.
Home hospitalization arrangements for the insured person due to the unavailability of medical amenities in hospitals. The treatment should last equal to or more than 72 hrs to get financial coverage.
Coverage status under Niva Bupa Health Premia Plan?
Covered up to SI
Treatments that can be treated in less than 24 hours of hospitalization like blood dialysis, cataract, etc.
Coverage status under Niva Bupa Health Premia Plan?
Covered up to SI
Covers the cost of doctor consultation and prescribed medical tests that may not require hospitalization.
Coverage status under Niva Bupa Health Premia Plan?
Not Covered
For Individual/ Family Floater: Covered up to 50K per policy
For Family First: Covered up to 35K per policy
COVID-19 treatment includes the cost of treatment for COVID-19 with a confirmative diagnosis from Govt. approved Centre.
Coverage status under Niva Bupa Health Premia Plan?
COVID-19 treatment coverage is available under this plan.
A common eye condition in which your vision gets blurred.
Coverage status under Niva Bupa Health Premia Plan?
Not available
For every claim-free year, insurance companies reward policyholders with an increase in the Sum Insured amount as a no-claim bonus on policy renewal. However, in the case of a claim, this bonus amount either lapses or is reduced by a certain percentage that varies from plan to plan.
Coverage status under Niva Bupa Health Premia Plan?
Available
Automatic restoration is a benefit in which an insurance company restores the sum insured amount completely or up to a certain percentage after it gets fully exhausted in treatments. This restoration amount may vary from plan to plan.
Coverage status under Niva Bupa Health Premia Plan?
Available
It is a cash amount that you receive each day during the time of hospitalization.
Coverage status under Niva Bupa Health Premia Plan?
This plan provides a lump sum amount up to 7k daily in case of hospitalization and covers miscellaneous expenses incurred during hospitalization
It is a cover that includes the cost of the procedure for removing the damaged or malfunctioning organs from the body.
Coverage status under Niva Bupa Health Premia Plan?
The plan offers Organ Donor coverage up to the selected Sum Insured.
It refers to the cover that includes expenses for normal and c-section procedure deliveries.
Coverage status under Niva Bupa Health Premia Plan?
Silver | Gold | Platinum |
For Individual/ Family Floater: Available up to 60K | For Individual/ Family Floater: Available up to 60K | For Individual/ Family Floater: Available up to 2 L (worldwide) |
For Family First: Covered up to 35K | For Family First: Covered up to 1L | For Family First: Covered up to 1L (worldwide) |
It takes care of the medical expenses that arise due to the hospitalization of the newborn baby in case of unforeseen circumstances. Some of the common treatments that are covered under the newborn cover and these common treatments can vary from plan to plan:
Coverage status under Niva Bupa Health Premia Plan?
Covered up to SI
Refers to the cost of medicines and procedures used under AYUSH (Ayurveda, Yoga & Naturopathy, Unani, Siddha, and Homeopathy) treatment.
Coverage status under Niva Bupa Health Premia Plan?
It is covered under this plan up to the selected sum insured.
In Vitro Fertilization (IVF) is a method of assisted reproductive technology. The common expenses incurred under IVF and infertility treatments are for:
Coverage status under Niva Bupa Health Premia Plan?
Not Available
Medical treatments that demand the use of modern technology such as robotic surgeries, stem cell therapy, etc.
Coverage status under Niva Bupa Health Premia Plan?
Modern Treatments are covered up to the Sum Insured with sub-limit of Rs. 1 Lac on a few robotic surgeries
An ambulance is used to move the patient from home to hospital, transfer to another hospital, and take them for different tests outside the hospital.
Coverage status under Niva Bupa Health Premia Plan?
This plan covers Ambulance charges for both Network & Non-Network Hospitals.
Air ambulances are specially prepared planes that transfer the patient from one place to another in case of a health emergency.
Coverage status under Niva Bupa Health Premia Plan?
Covered up to SI
Refers to the travelling expenses of a family member of the insured person in case the policyholder gets admitted to a hospital outside his/her residential city.
Coverage status under Niva Bupa Health Premia Plan?
Covered up to SI
Any kind of medical/health emergency when you are outside of India.
Coverage status under Niva Bupa Health Premia Plan?
Not available
Available
If a policy offers E-consultation it allows policyholders to connect with a doctor for medical consultation through video chat, audio call, or chatbot.
Coverage status under Niva Bupa Health Premia Plan?
The plan offers unlimited tele/online consultations.
A facility where the policyholder can avail free health check-ups after fulfilling the company's policies.
Coverage status under Niva Bupa Health Premia Plan?
Health check-ups are available:
For Individual/ Family Floater: Available Annually
For Family First: Available once in 2 year
If the policyholder wants, they may opt for a second medical opinion wherein the policyholder can consult another doctor within the company’s network of medical practitioners.
Coverage status under Niva Bupa Health Premia Plan?
Not Available
Available worldwide, one opinion per insured person.
Coverage against the expenses incurred on vaccinations is provided by the insurance companies.
Coverage status under Niva Bupa Health Premia Plan?
Covered for newborn babies until they complete one year.
In the co-payment clause, policyholders have to pay a portion of the hospitalization expense on their own and the insurer will pay the rest of the amount.
Status under Niva Bupa Health Premia Plan?
No applicable co-payment.
Sub limit is a condition in which the insurer will have to pay the medical expense up to a certain percentage and the remaining amount will have to be paid by the policyholder.
Status under Niva Bupa Health Premia Plan?
The plan has a sub-limit available for Modern Treatments.
Every Health Insurance plan has a set of services that are excluded from its list of plan benefits. Take a look at the below exclusions of the Niva Bupa Health Premia Plan:
Permanent diseases or health conditions that are not included under ICICI Lombard Complete Health are:
Hazardous activities
Sexually Transmitted Infections and Diseases
Unlawful activity
Suicidal death claims
External Congenital Anomaly
Self-inflicted injuries
Certain diseases and treatments are covered under the Niva Bupa Health Premia Insurance plan after a certain period. Read the details below:
Specific ailments after 12 Months
Pre-existing diseases after 24 Months
Max Bupa Health Premia Plan provides enhanced protection coverage against 20 critical illnesses such as Heart surgery, Cancer, Kidney failure, Heart strokes, etc. Additional coverage is provided as a lump sum amount upon the first diagnosis of any of the illnesses.
This plan provides a lump sum amount daily in case of hospitalization and covers miscellaneous expenses incurred during hospitalization.
Using this optional cover, a lump sum amount is paid in case of permanent and partial disability or accidental death. Anyone from the family can opt for this cover who is aged 18 years or above.
Max Bupa Health Coach App helps track your health parameters such as calorie intake, and BMI, on a daily basis.
Take a look at the below-given sample premium illustrations under different variants and with growing age for an SI of 10L.
Age | Premiums for Individuals | Premiums for Family Plan |
30 | 12,274 | 29,509 |
40 | 16,953 | 33,447 |
50 | 27,750 | 49,532 |
Age | Premiums for Individuals | Premiums for Family Plan |
30 | 16,436 | 40,336 |
40 | 22,081 | 45,143 |
50 | 35,708 | 64,935 |
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 |
Niva Bupa Health Insurance Company offers several tailored health plans that are designed to serve you in the best way possible. Take a look:
Comprehensive
A complete health insurance policy that covers you and your family with a wide range of SI (3 Lakh to 1 Crore) and continues to give you more benefits.
Unique Features
Comprehensive
An individual and family plan that covers all day care treatments, modern treatments, comes with a safeguard add-on and provides annual health check-ups.
Unique Features
Comprehensive
A policy for you and your family which covers modern treatments, laser surgery, e-consultations, annual health check-ups, and coverage of 3 Crores.
Unique Features
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
Digital
A modern-day digital insurance plan offering you cashless OPD and diagnostic services along with basic coverage and healthcare benefits.
Unique Features
Comprehensive
A complete health plan, providing a wide range of medical benefits along with global emergency coverage.
Unique Features
Affordable
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
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
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
Personal Accident
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
Comprehensive and Top-Up plan
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
Senior Citizen
A plan providing comprehensive protection to senior citizens with multiple coverage options counting from 5 - 25 Lakhs.
Unique Features
Comprehensive 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.
Unique Features
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.
See More Health Insurance Articles
See More Health Insurance Articles
Yes. Maternity and Newborn baby coverage are available under the Max 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.
Max 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.
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...........
Sagar Jain
Delhi
September 14, 2022
Very Good Organization, Very Decent Staff. Sales team is very good, they are following clients in proper manner
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.
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
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.
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!
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.
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.
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