Network hospitals
10000+
Incurred claim ratio
54.05%
Sum insured
Up to 3 CR
No. of Plans
16
Solvency Ratio
1.7
Pan India Presence
200+
PolicyX.com is a Recognised Niva Bupa Partner View Certificate
Network hospitals
10000+
Incurred claim ratio
54.05%
Sum insured
Up to 3 CR
No. of Plans
16
Solvency Ratio
1.7
Pan India Presence
200+
PolicyX.com is a Recognised Niva Bupa Partner View Certificate
Niva Bupa, formerly known as Max Bupa, is a leading health insurance company in India with a collaboration between Max India Limited and Bupa, a UK-based healthcare services provider with over 60 years of experience in the insurance industry. This partnership combines international healthcare with local expertise to offer comprehensive insurance plans covering various risks, including health and personal accidents. It is regarded as one of the most reliable insurance companies in India with a claim settlement ratio of 99.99%.
Since accidents are impossible to foresee and when they do happen, they can drain your bank account. It is advisable to have a good health insurance plan to preserve your finances and the future of your family. Niva Bupa Personal Accident Care covers various risks associated with accidents that can change an individual's life and affect their loved ones. This plan includes coverage for accidental death, permanent total disability, permanent partial disability, child education benefit, and funeral expenses.
Niva Bupa Health Insurance Plan Detailed Review
All about Niva Bupa Health Insurance Company
Adult Entry Age
Minimum-18
Maximum-65
For Dependent Child (Max 2 Kids)
Minimum-2
Maximum-21
Plan Type
Individual/ Family Floater
Policy Term
1/2/3 Years
Initial Waiting Period
No Waiting Period
Sum Insured
5 lakh to 25 Lakhs
30 Lakhs to 5 Crore
*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.
Family /Individual | Percentage Allocations |
Self | 100% of the Sum Assured |
Spouse | 50% of the Sum Assured or Rs 10 Lakhs whichever is lower. |
2 Children | 20% of the Sum Assured or Rs 2 lakhs whichever is lower. |
For more plan specifications download the brochure of Niva Bupa Personal Accident Plan:
It is a condition where the insured person suffers from a bodily injury resulting from an accident, which renders them unable to engage in any type of employment or occupation, whether or not it is related to their usual work, training, or education. Here is the coverage table:
Optional Benefits available under Accident Care | |||
Temporary Total Disability (TTD)* Sum Insured available | 1,000,000 | 2,000,000 | |
Temporary Total Disability Benefits | 1% of Sum Insured (SI) per week, Max upto 100 weeks TTD Sum Insured (SI) not to exceed 2 times of annual income |
||
Surgical Operations | Covered Upto Accident Hospitalization Limit | ||
Nursing Care, Drugs and Surgical Dressing | |||
Medical Practitioners/ Surgeon's Fee | |||
Room Rent | |||
Operation Theater Charges | |||
Anesthetics Fee (Including Administration) | |||
X-Ray Examination or Treatment's (Including CT) | |||
Diagnostic's Procedures and Therapies | |||
Prosthetic Implant | |||
Emergency Ambulance | Limited to Rs. 2,000 per claim | ||
Physiotherapy | Limited to 10% of Accidental Hospitalization Limit |
The specific list of permanent partial disabilities and their corresponding percentage of coverage under an insurance policy can vary depending on the policy and the insurer. However, here is a general list of permanent partial disabilities and their corresponding percentage of coverage:
Type of Partial Permanent Disability | Percentage of the Sum Insured | |
1. | Loss of use of both hands or loss of function in the wrist joint | 100% |
2. | Loss of use of both feet or loss of function in the ankle joint | 100% |
3. | Loss of use of one hand from the wrist joint and one foot from the ankle joint for the rest of one's life | 100% |
4. | Permanent loss of vision in one eye, as well as loss of one hand from the wrist joint. | 100% |
5. | Total and permanent blindness in one eye, as well as loss of use of one foot from the ankle joint. | 100% |
6. | Permanent blindness in one eye, as well as loss of function of one foot from the ankle joint. | 100% |
7. | Permanent loss of speech and hearing in both ears | 100% |
8. | Permanent loss of hearing in both ears | 50% |
9. | Quadriplegia | 100% |
10. | Permanent loss of use of one hand from the wrist joint | 50% |
11. | Permanent loss of use of one foot from the ankle joint | 50% |
12. | Permanent loss of sight in one eye. | 50% |
13. | Permanent loss of speech | 50% |
14. | Uniplegia | 25% |
Entry Age - 18 - 65 Years (All figures in Rs.) | |||||||||
Premium | 1 Adult | 2 Adult | 2 Adult + 2 Children | ||||||
Cover | 1 Year | 2 Year | 3 Year | 1 Year | 2 Year | 3 Year | 1 Year | 2 Year | 3 Year |
25 Lakhs | 3,382 | 6,341 | 9,216 | 5,205 | 9,759 | 14,184 | 5,205 | 9,759 | 14,184 |
30 Lakhs | 4,088 | 7,665 | 11,140 | 6,040 | 11,325 | 16,459 | 6,040 | 11,325 | 16,459 |
50 Lakhs | 6,790 | 12,731 | 18,503 | 8,821 | 16,539 | 24,037 | 8,821 | 16,539 | 24,037 |
The plan offers a variety of unique features to ensure that customers are well-protected in case of accidents. Here are some of its important benefits:
Understanding the coverage and benefits offered by the Niva Bupa Accident Care plan requires a detailed reading of the terms and conditions. It is also significant to keep in mind that the policy may be subject to certain exclusions or limitations. Lets us have a look at a few exclusions:
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
This plan is designed for youngsters and allows the policyholder to go overseas for treatments.
Unique Features
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
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
Suraksha Plan
A personal accident insurance policy that offers a lump sum compensation in case of permanent disability or death resulting from an accident.
Unique Features
Corona Plan
The plan covers you and your family against COVID-19, covers the Comorbidities arising out of COVID, and imposes no room rent capping.
Unique Features
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.
A maximum of 2 dependent children are covered under Niva Bupa Accident Care Plan.
The money is deposited into the insured person's account 90 days after the occurrence of the event.
No funds will be transferred to the insured person's account if they pass away prior to the processing of a claim under this accident care plan.
The plan offers discounts of 12.5% for two years and 15% for three years.
Prosthetic implantation is covered by this plan, and the costs are reimbursed up to the policy's accident hospitalization maximum.
Yes, emergency ambulance charges are covered by Niva Bupa Accident Care, which is limited to Rs. 2,000 per claim.
Yes, this plan pays the costs associated with accidental hospitalization which is covered up to the accident hospitalization limit of the policy.
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Raghoba Phadke
Guwahati
April 8, 2024
PolicyX made me buy the Niva Bupa Reassure 2.0 health policy. And the customer care executives are so soft-spoken and compassionate about their customer needs.
Akshat R Verma
Allahabad
April 8, 2024
PolicyX suggested buying Niva Bupa Senior First health insurance for my old age parents. I& 039;m happy to gift them good health, thank you PolicyX.
Akash Banerjee
Pune
April 8, 2024
The team of PolicyX is always open to clear any doubts. I highly recommend buying Niva Bupa health policy from them.
Sarthak Parmal
Delhi
April 8, 2024
I bought Niva Bupa health insurance for my parents, thanks to PolicyX that now I can be prepared for their health needs.
Trishna Rohilla
Bengaluru
April 8, 2024
I got hospitalized due to an accident and my base policy was not sufficient for treatment. So, PolicyX made me buy the Niva Bupa Health Recharge add-on plan. Now, I’ll be prepared for any...
Sunaina Khanna
Ahmedabad
April 8, 2024
All my queries related to claim settlement ratio for Niva Bupa and claim process were resolved by PolicyX insurance agents
Babita Thapa
Allahabad
April 8, 2024
I had some reimbursement claim queries related to the Niva Bupa Aspire policy, the customer support team of PolicyX understood my requirement and they stood by me to get the claim.
Ritu Mandotkar
Guwahati
April 8, 2024
I lost my grandmother because my family did not have so much wealth or savings to get her treatment done. But I decided to buy health insurance for my parents and now I feel relieved because my...
Naval Goel is the CEO & founder of PolicyX.com. Naval has an expertise in the insurance sector and has professional experience of more than a decade in the Industry and has worked in companies like AIG, New York doing valuation of insurance subsidiaries. He is also an Associate Member of the Indian Institute of Insurance, Pune. He has been authorized by IRDAI to act as a Principal Officer of PolicyX.com Insurance Web Aggregator.
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