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Care Advantage Health Insurance is an ideal 1 Crore option so that a policyholder's family is adequately covered. Care Advantage health insurance offers multiple advantages to an insured individual, ranging from organ donation coverage, no claim bonus, emergency ambulance cover, 540+ day care procedures, pre & post-hospitalization expenses, and more.
Care Advantage offers 3 different sum insured options: INR 25 Lakh, 50 Lakh, and 1 Crore. The Care Advantage Plan is also available with a multitude of add-on covers loaded with different features which can be used to customize your plan to best suit your needs.
Care Advantage add-on covers include Covid Care with OPD, Smart Select, Co-payment Waiver, Room Rent Modification, No-Claim Bonus Super, and Care Shield.
| PLAN DETAILS |
Care Advantage Plan |
Niva Bupa Group Health Insurance |
| Product Type | Individual and Family Health Insurance | Group Health Insurance |
| Key Features (Key features of the plan) |
|
|
| OPD Details (In some policies, OPD (Out patient department) expenses are also covered.) |
Not Covered | - |
|
Room Rent (A limit of room rent cover during hospitalization if any) |
Covered | - |
| Domicillary Hospitalization (It is the expenses incurred on treatment of the patient at home) |
Not Covered | - |
| Pre-hospitalization (Expenses before the insured is hospitalized) |
Covered | - |
| Post-hospitalization (Expenses after discharge from the hospital) |
Covered | - |
| Day Care Treatment Covered (Day care treatments refers to the treatments that do not necessarily require 24hrs of hospitalization like MRI.) |
Covered | - |
| Hospital_network (Number of Hospital Network in city) |
11400+ | 10000 |
| Organ Donor Expenses (Expenses incurred on organ donor in case of organ transplants) |
Covered | - |
|
Hospital Daily Allowance (Some plans offer daily allowance to take care of expenses like food, etc) |
Not Covered | - |
| Ambulance Charges (Expenses incurred on ambulance charges) |
Covered | - |
|
Maternity Benefits (All Hospitalization cost covered at the time of pregnancy.) |
Not Covered | - |
| New Born Baby Covered (Newborn babies can be covered under the insurance plan after a certain period) |
Not Covered | - |
| Health Checkup (An added benefit of one time full health checkup of policy holder.) |
Covered | - |
|
Sub Limit (Sub-limit is a monetary capping that applies on specific diseases like cataract) |
Not Covered | - |
| Co-pay (Mentioned %, if any is to be borne by Insured and rest will be borne by insurer) |
Covered | - |
| Plan Entry Age | 91 days to Lifelong | Flexible eligibility |
| Plan Premium Entry Age and S/A | NA | NA |
| Plan Waiting Period | 30 | NA |
| Plan Coverage | Inpatient hospitalization cover, Pre post expenses, Daycare treatments covered, AYUSH treatment cover, Organ donor expenses | Group Health |
| Plan Sample Premium | 5,000 | - |
| Plan Brochure | Brochure URL | Brochure URL |
| Policy Term | 1, 2, 3 years | NA |
| ICU Charges | Covered | - |
| Covid-19 Treatment | Covered | - |
| Cataract | Not Covered | - |
| Automatic Restoration | Covered | - |
| Ayush Treatment | Not Covered | - |
| Modern Treatment | Not Covered | - |
| E Consultation | Not Covered | - |
| Air Ambulance | Covered | - |
| Global Coverage | Not Covered | - |
| Claim Ratio | 97 | 94.4 |
| Solvency Ratio | 1.74 | 3.03 |
|
Care Health Insurance Plan Detailed Review Niva Bupa Group Health Insurance Explained | Benefits & Coverage |
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