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Criticare Plan vs Niva Bupa Group Health Insurance

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Know More About Plans

CritiCare, a plan that gives health and financial protection to you and your family against 20 critical illnesses!

The critical illness can be contagious to life and the family's financial security. To protect your finances in such times, Niva Bupa has developed a Critical Illness plan: CritiCare which provides coverage against 20 listed critical illnesses.

Before moving to the next point, read what the data has to say;

According to the Global Burden of Disease Research, the medical condition including heart-related diseases and strokes resulted in 2.5 million fatalities in India in 2019, with the younger generation bearing the brunt of the burden. Similarly, cancer has become one of the top five causes of untimely deaths in India, with a projected increase to 29.8 million in 2025 from 26.7 million in 2021, according to ICMR statistics. As a result, it is critical to be aware of these life-threatening diseases and take preventative actions.

Note: We don't claim this report, it's quoted from a credible source of the BFSI article.

Niva Bupa CritiCare Policy is designed for people diagnosed with any of the listed 20 critical illnesses and also protects their savings from being wiped out due to expensive medical treatments. However, if a critical illness has been diagnosed before buying the policy, it’s considered a pre-existing condition that is covered after a waiting period of 4 years.

You can also buy this policy in combination with;

  • CritiCare + AccidentCare + HospiCash
  • CritiCare + AccidentCare
  • CritiCare + HospiCash
  • AccidentCare + HospiCash
  • CritiCare Only
  • AccidentCare Only

Which critical illnesses are covered under Niva Bupa CritiCare insurance?
Check below the list of 20 critical illnesses that are covered under NivaBupa's critical illness policy:

  • Cancer of specified severity
  • Open chest CABG
  • First heart attack of specified severity
  • Open heart replacement or repair of heart valves
  • Stroke resulting in permanent symptoms
  • Permanent paralysis of limbs
  • Coma of specified severity
  • Kidney failure requiring regular dialysis
  • Major organ/bone marrow transplant
  • Motor neurone disease with permanent symptoms
  • End-stage liver disease
  • End-stage lung disease
  • Major burns
  • Loss of speech
  • Deafness
  • Aplastic anaemia
  • Bacterial meningitis
  • Fulminant viral hepatitis
  • Multiple sclerosis with persisting symptoms
  • Muscular dystrophy

In addition, the Niva Bupa CritiCare critical illness insurance plan has several other benefits which you can read further in this guide. We’ve also covered the eligibility options, specifications of coverage, exclusions, etc so that you can make an informed decision. 

PLAN DETAILS

Criticare Plan


Niva Bupa Group Health Insurance

Premium Including GST
Product Type Critical Illness Health Insurance Group Health Insurance
Key Features
(Key features of the plan)
  • Enhanced Coverage
  • Eligibility
  • Sample Premium
  • Explore Niva Bupa Group Plans
  • Niva Bupa Tax Benefits
  • Niva Bupa Eligibility
OPD Details
(In some policies, OPD (Out patient department) expenses are also covered.)
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)
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)
10000 10000
Organ Donor Expenses
(Expenses incurred on organ donor in case of organ transplants)
Not Covered -
Hospital Daily Allowance
(Some plans offer daily allowance to take care of expenses like food, etc)
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)
Not Covered -
Plan Entry Age Adults - 18 -65 years Flexible eligibility
Plan Premium Entry Age and S/A 17,765 NA
Plan Waiting Period 90 days to 4 years NA
Plan Coverage AccidentCare cover, CritiCare cover, HospiCash cover Group Health
Plan Sample Premium 17,765 -
Plan Brochure Brochure URL Brochure URL
Policy Term 1 year, 2 year, 3 years NA
ICU Charges Covered -
Covid-19 Treatment Not Covered -
Cataract Covered -
Automatic Restoration Not Covered -
Ayush Treatment Not Covered -
Modern Treatment Not Covered -
E Consultation Not Covered -
Air Ambulance Not Covered -
Global Coverage Not Covered -
Claim Ratio 98 98
Solvency Ratio 3.03 3.03
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