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Max Bupa Critical Illness vs Gain Insurance Policy

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In today's fast-paced world, health risks, including chronic life-threatening diseases, are rapidly increasing. Critical illnesses can affect anyone, regardless of age, causing significant financial, physical, and emotional distress. Having strong critical illness insurance coverage is crucial because treatment for these diseases is often prolonged and expensive. For such scenarios, insurance providers offer critical illness plans. One such plan is the Niva Bupa Critical Illness policy. This article discusses the features, advantages, and coverage of the Niva Bupa Critical Illness Plan, highlighting why it is a good option for critical illness coverage.

Introduction to Critical Illness Insurance

Critical illness insurance provides financial assistance to policyholders upon diagnosis of a life-threatening medical condition that requires substantial funds for treatment. Unlike typical health insurance, critical illness coverage pays out a lump sum amount upon diagnosis of a covered disease or condition. This payment can be used to cover treatment costs, therapies, medical bills, lost wages due to lifestyle changes, and other related expenses.

Eligibility Criteria

Applicants must meet the following criteria:

  • Minimum age requirement: 18 Years
  • Maximum age requirement: 65 Years
PLAN DETAILS

Max Bupa Critical Illness


Gain Insurance Policy

Premium Including GST
Product Type Critical Illness Health Insurance Individual and Family Health Insurance
Key Features
(Key features of the plan)
  • Features and Benefits
  • Eligibility and Coverage
  • Need For Critical Illness Plans?
  • Family coverage
  • Multiple sum insured
  • Save tax
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)
- 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)
10000 14000
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)
- 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.)
- Not Covered
Sub Limit
(Sub-limit is a monetary capping that applies on specific diseases like cataract)
- Applicable
Co-pay
(Mentioned %, if any is to be borne by Insured and rest will be borne by insurer)
- Applicable
Plan Entry Age Min- 18 years, Max- 65 years 18 years to 65 Years
Plan Premium Entry Age and S/A 12,521 17700
Plan Waiting Period 90 days 30
Plan Coverage Upto 20 critical illnesses -
Plan Sample Premium 12,521 -
Plan Brochure Brochure URL Brochure URL
Policy Term 1, 2, 3 years 1 year
ICU Charges - Covered
Covid-19 Treatment - Covered
Cataract - Covered
Automatic Restoration - Not Covered
Ayush Treatment - Not Covered
Modern Treatment - Covered
E Consultation - Not Covered
Air Ambulance - Not Covered
Global Coverage - Not Covered
Claim Ratio 98 99.06
Solvency Ratio 3.03 2.21
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