Outpatient Care
vs
Niva Bupa Group Health Insurance

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Outpatient Care vs Niva Bupa Group Health Insurance

Outpatient Care

Most often health insurance plans inadequately cover OPD (out-patient department) expenses for an insurance holder, however, Star Outpatient Care is a unique plan to help insurance holders with these expenses. Health Insurance plans at large offer hospitalization expenses, however, are unable to pro...

Niva Bupa Group Health Insurance

Max Bupa Health Insurance rebranded itself to Niva Bupa Health Insurance on July 5th, 2021. With this change, the insurer introduced multiple new health insurance products across categories. Niva Bupa offers group health plans for corporates and start-ups alike. Group accident health insurance and O...

PLAN DETAILS

Outpatient Care


Niva Bupa Group Health Insurance

Premium Including GST
Product Type Individual and Family Health Insurance Group Health Insurance
Key Features
(Key features of the plan)
  • Plan Variants Available
  • Dental & Ophthalmic treatment
  • Lifelong Renewal Benefit
  • 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)
Not 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)
Not Covered -
Post-hospitalization
(Expenses after discharge from the hospital)
Not Covered -
Day Care Treatment Covered
(Day care treatments refers to the treatments that do not necessarily require 24hrs of hospitalization like MRI.)
Not Covered -
Hospital_network
(Number of Hospital Network in city)
14000 10425
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)
Not 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)
Not Applicable -
Co-pay
(Mentioned %, if any is to be borne by Insured and rest will be borne by insurer)
Not Applicable -
Plan Entry Age 31 Days to 50 years Flexible eligibility
Plan Premium Entry Age and S/A 7865 NA
Plan Waiting Period 30 NA
Plan Coverage - Group Health
Plan Sample Premium - -
Plan Brochure Brochure URL Brochure URL
Policy Term upto 3 years NA
ICU Charges Not Covered -
Covid-19 Treatment Not Covered -
Cataract Not Covered -
Automatic Restoration Not Covered -
Ayush Treatment Covered -
Modern Treatment Not Covered -
E Consultation Not Covered -
Air Ambulance Not Covered -
Global Coverage Not Covered -
Claim Ratio 99.21 98
Solvency Ratio 2.19 2.55
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Overview

Most often health insurance plans inadequately cover OPD (out-patient department) expenses for an insurance holder, however, Star Outpatient Care is a unique plan to help insurance holders with these expenses. Health Insurance plans at large offer hospitalization expenses, however, are unable to provide satisfactory OPD coverage to the insured individuals. OPD expenses comprises doctor visits, a visit to any clinic or a hospital or any such medical facility for diagnosis as advised by your doctor. Such expenses when not covered by health insurance plans can cause financial stress on your hard earned savings. Over 50% of OPD expenses done by policyholders in India are OPD expenses. Star Outpatient Care is a unique health insurance plan that keeps all such expenses in mind and takes care of all OPD expenses for an insured individual when needed.

Star Outpatient Care launched in 3 different variants namely, Silver, Gold and Platinum offers different sum insured options ranging from INR 25,000 to 1 Lakh along with variants in benefits. Star Outpatient Care Insurance Policy covers individuals for a tenure of one year and can be availed by individuals between 18-50 years.

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Raj Kumar

Reviewed By: Raj Kumar

With over 12 years of rich experience in the BFSI domain, with a specialisation in Life and Health Insurance, I have played a pivotal role in simplifying the insurance-buying process and delivering unparalleled service.