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Personal Accident Plan vs Critical Care Plan

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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 benefits, and funeral expenses.

PLAN DETAILS

Personal Accident Plan


Critical Care Plan

Premium Including GST
Product Type Individual and Family Health Insurance Individual and Family Health Insurance
Key Features
(Key features of the plan)
  • Child Education
  • Funeral Expenses Cover
  • TTD/PTD Cover
  • CI Cover
  • Eligibility & Features
  • 30 CI Cover
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)
- 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)
10000 15000
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)
- 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 Covered
Co-pay
(Mentioned %, if any is to be borne by Insured and rest will be borne by insurer)
- Not Covered
Plan Entry Age Adult Entry Age Minimum-18 Maximum-65, For Dependent Child (Max 2 Kids) Minimum-2 Maximum-21 18 to 65 years
Plan Premium Entry Age and S/A - 4088
Plan Waiting Period No Waiting Period 90
Plan Coverage - Individual & Family floater cover
Plan Sample Premium - 4088
Plan Brochure Brochure URL Brochure URL
Policy Term 1/2/3 Years 1/2/3 years
ICU Charges - Not Covered
Covid-19 Treatment - Covered
Cataract - Not 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 1.76
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