Niva Bupa Health Insurance
Cashless Approval TAT | 30 mins Cashless Claim Processing |
Claim Settlement Ratio | 90.70% |
Network Hospitals | 10,000+ |
Pre-existing Disease Coverage From | Day 1 |
Special Benefits | Unlimited restoration |
Starting Premium for Rs. 5 lakhs SI | Rs. 550/month |
Founded in 2008, Niva Bupa Health Insurance Company Limited is one of the well-known insurance providers in India. Formerly known as Max Bupa, Niva Bupa aims to address the complete healthcare and medical needs of people. The company was formed by a joint venture between two companies i.e. True North, an Indian Private Equity Business, and Bupa, a global healthcare service provider. From individual to senior citizen health insurance plans, the insurer offers an array of medical insurance plans designed to meet various needs and fit different budgets. Other than health insurance, Niva Bupa also offers a diverse range of other insurance products such as travel insurance, corporate insurance, etc.[1]
About Niva Bupa Health Insurance
Niva Bupa, a trusted health insurance provider, boasts more than 1000 employees and has gained the trust of over 1.2 crore satisfied customers. The company focuses on making claiming insurance hassle-free, often settling health insurance claims in less than 30 minutes. Moreover, Niva Bupa serves a wide range of customers with personalised health insurance plans like Critical Illness plans, Personal Accident plans, etc. With the 24x7 Insta Assist and Health App, Niva Bupa makes sure that its customers have access to the best-in-class support and information whenever needed. [2]
Health Insurance Calculator
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Niva Bupa Health Insurance Plan List
- Individual (17)
- Family (17)
- Woman (17)
- Blood Pressure (17)
- Kids (17)
- Thyroid (17)
- Diabetes (17)
- Parents (15)
- Maternity (3)
- Heart (7)
- Senior Citizen (9)
Reassure Individual/floater plan
Cover
5 Lakh
Cashless Hospital
10059
Starting From ₹ 773/month*
Health Recharge
Cover
10 Lakh
Cashless Hospital
10059
Starting From ₹ 81/month*
Health Pulse
Cover
5 Lakh
Cashless Hospital
10059
Starting From ₹ 678/month*
Key Features
The critical features of Niva Bupa medical insurance are included below:
- No Copayments: Plans like Reassure 2.0, Health Companion, and Aspire offer a feature of no copayments where you can focus on your health without the hassle of dealing with complications of monetary transactions.
- Maternity Benefits: Niva Bupa Health Insurance Plans like Aspire and Health Premia cover maternity benefits like no additional cost to cover newborn babies, and full healthcare coverage including pregnancy, labor, and delivery.
- Health App Convenience: Niva Bupa's Health App allows policyholders to book appointments, consult doctors online, get medicines delivered, and access health insurance details. The app was awarded the Best Tech for Health Award in 2019. [3]
- Unlimited Restoration: Niva Bupa Health Insurance offers the unique benefit of unlimited restoration. In case the sum insured is exhausted during the policy year due to claims, this feature automatically restores the entire sum insured, providing continued coverage for any new illnesses or medical expenses.
- Room Feature: Niva Bupa health plans have various room-related features depending on the plan and riders you choose. For example, the Health Recharge plan offers a Single AC private room while Aspire offers no capping on room rent.
Key Metrics
The presented table outlines the essential metrics of Niva Bupa Health Insurance:
Key Metrics | Data |
Claim Settlement Ratio (FY 2022) | 90.70% |
Solvency Ratio (March 2023) | 1.67 |
Lives Covered | 1.2 Crore |
Launch Year | 2008 |
*The percentage of claims settled by an insurance company relative to the total number of claims received is known as the Claim Settlement Ratio (CSR). Any company with a CSR of 85% or above is considered to be good to buy insurance from.
**The solvency ratio is a financial indicator that measures a company's ability to meet its long-term debt obligations and signifies its financial stability. Any company having a solvency ratio >1.5 is considered to be good to buy insurance from. [4]
*Life covered here refers to the number of people insured and the data is taken from Niva Bupa’s official website.
Eligibility to Purchase Niva Bupa Health Insurance Plan
Below are the eligibility conditions for purchasing Niva Bupa health plans [5]:
1. Age
- Individuals between 18 and 65 years are eligible for coverage, with extensions to 70 years in certain instances
- Children aged 16 days to 18 years can also be included, and provisions may exist for newborn and post-natal care in some plans
2. Other Conditions Specific to Niva Bupa Health Insurance
- During the application process, it's crucial to disclose any pre-existing health conditions
Niva Bupa Health Insurance Top Up List
Name of Plan | Sum Insured | |
Health Recharge Policy Min: 18 years; Max: 65 years | 2 Lakh - 95 Lakh | Check Premium |
Top Plans Offered by Niva Bupa Health Insurance
The top plans by Niva Bupa Health Insurance Company are tabulated below:
Plans | Variants | Sum Insured | Ideally Suited For |
Family Floater | Rs. 5 Lakh to Rs. 1 Crore | Family & Married Couples | |
Individuals and Family Floater | Rs. 3 Lakh to Rs. 1 Crore | Senior Citizens, Family & Married Couples | |
Aspire | Individuals | Rs. 3 Lakh to Rs. 1 Crore | Youngsters |
Health Recharge | Individuals & Family Floater | Rs. 2 Lakh to Rs. 95 Lakh | Enhanced Coverage at Cheaper Cost Suitable for Individuals |
Family Floater | Rs. 5 Lakh to up to Rs. 3 Crore | Family & Married Couples |
Health Insurance Coverage Calculator
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- Individual
- Couple
- Family
- Parents
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Riders Offered By Niva Bupa Health Insurance
Below are the top riders offered by Niva Bupa Health Insurance:
- Hospital Cash: This rider covers additional cash expenses incurred during hospitalisation. The insured gets daily cash of anywhere between Rs. 100 to Rs. 10,000 depending on the plan chosen like Reassure 2.0, Health Companion or Health Premia.
- Safeguard: With Safeguard, for the Base Plan with a sum insured up to INR 5 Lacs, 10% of the indemnity benefit premium, including optional benefits related to indemnity, is charged. For the Base Plan with a sum insured above INR 5 Lacs, 7.5% of the indemnity benefit premium, including optional benefits related to indemnity, is charged. Valid for plans like Reassure 2.0, Health Companion.
- Critical Illness: Niva Bupa Health Insurance offers critical illness rider with plans like Health Premia. Health Recharge where you can get coverage for diseases like asthma, diabetes, cancer, etc
- Personal Accident: Plans like Health Recharge, Aspire and Health Premia offer coverage for any case of personal accident with this rider.
*Please note: Riders can be availed by paying an additional premium for them along with your plan. Riders may vary depending on the plan you choose.
How to Purchase Niva Bupa Health Insurance Policy?
When considering the purchase of a Niva Bupa Health Insurance policy, you have convenient options, including online and home visit assistance.
Purchase Niva Bupa Health Insurance Policy Via InsuranceDekho
Buying a Niva Bupa Medical Insurance policy through InsuranceDekho is a seamless and rapid process. You can choose any of the two ways to secure your policy online:
Steps for Purchasing Niva Bupa Health Insurance Policy with InsuranceDekho Online:
Step 1: Provide Details on InsuranceDekho Website
Initiate the process by visiting the health insurance page on InsuranceDekho. Fill in essential details such as your name and phone number in the provided form.
Step 2: Select the Most Suitable Plan
Choose the Niva Bupa health insurance plan that best aligns with your requirements and fits your budget.
Step 3: Pay the Premium Amount
Complete Proposal Form 1 with the necessary details, answer two health-related questions in Proposal Form 2, submit your KYC, and make the premium payment.
Step 4: Post-payment Assistance
After completing the premium payment, an InsuranceDekho relationship manager will reach out to guide you through the policy issuance process.
Purchase Niva Bupa Health Insurance Policy from InsuranceDekho with Complete Assistance
Step 1: Enter Information on the InsuranceDekho Website
Visit www.insurancedekho.com and enter your basic details, including mobile number, age, and pin code.
Step 2: Compare Available Niva Bupa Health Plans
Based on your provided details, a list of the most suitable Niva Bupa health insurance plans will be presented.
Step 3: Request a Call Back
If you require further assistance, you can request a callback by updating the inquiry on the plan page. Additionally, for added support, an InsuranceDekho relationship manager can be arranged to visit your home and provide personalised assistance.
Purchase Niva Bupa Health Insurance Policy From Insurer’s Website
Following are the steps that you need to perform to buy Niva Bupa health plan via the insurer's website:
Step 1: Open the official Niva Bupa health insurance website.
Step 2: Enter your mobile number, name, and DOB in the required field.
Step 3: Click on "Start Now" and the list of all Niva Bupa Health Insurance plans will be visible.
Step 4: Select the right plan as per your requirements and complete the premium payment.
Following a successful payment, you will obtain confirmation of your purchase.
*Tax benefits are subject to changes in Income Tax Act.
Benefits of Purchasing your Policy from InsuranceDekho
- With InsuranceDekho, you will get dual claim assistance that will ensure a smooth claim settlement process
- We help you in getting priority approvals from insurers
- May it be making changes to your existing policy or renewing it, we at InsuranceDekho have got you covered
- We recommend health insurance plans through a thorough analysis of the industry, ensuring impartial recommendations
Documents Required for Purchasing Your Policy
The following paperwork needs to be submitted when purchasing the Niva Bupa Health Insurance Plan:
- Proposal Form copy or OTP verification
- Any of the age verification documents including Voter ID, PAN card, Aadhaar Card, Driver's License, or Passport
- Any of the documents supporting address proof such as Ration card, Driver's license, Passport, Rent agreement if applicable, PAN Card, Aadhaar Card, or Utility Bills
- Passport-size photographs
- Medical reports
How to Claim Your Health Insurance?
Niva Bupa's Cashless Everywhere claims settlement feature allows policyholders to choose cashless treatments at any hospital, even those outside the network, with certain conditions. For planned non-network hospital treatments, inform Niva Bupa 48 hours in advance, and for immediate emergencies, inform them within 48 hours of admission. Remember, getting approval for cashless treatment at non-network hospitals depends on the rules in your policy and the agreements with the hospital.
Check the list of excluded hospitals [6] at Niva Bupa’s website. Niva Bupa won't be able to cover any claims for treatment received at these hospitals.
Awards and Achievements of Niva Bupa Health Insurance
- Best BFSI Brands in 2023 by The Economic Times
- The Economic Times Best Brands Award in 2019 by The Economic Times and Nielsen
- GoActive Health Insurance Plan was recognised as Product of the Year by research agency Nielsen in 2018
- IT Management Best Practices at the Celent Model Insurer Asia Awards in 2016
- Golden Peacock Award in 2015 for its product Heartbeat Health Insurance Plan
- Best Product Innovation Award for Heartbeat Family First at Indian Insurance Awards in 2011
Niva Bupa Health Insurance - Customer Service & Support
Whether you have queries, need assistance, or wish to share feedback, their customer service team ensures a seamless experience. You can contact Niva Bupa's Customer Support [7] team through:
- Niva Bupa Health Application
- Insta Assist Section on their website
- Use their "Chat With Us" option on the website
- Send "Hi" or "Hello" on Whatsapp Number 9811956696
Also, feel free to connect with InsuranceDekho's Customer Support Team either through email at support@insurancedekho.com or by giving them a call at +91-755 1196 989.
Complaints & Grievance Redressal
If you ever have any concerns or grievances, Niva Bupa's efficient Grievance Redressal Process [8] is in place to tackle them. You can contact them in the following ways:
- Contact them on their customer care helpline number 1860-500-8888
- Visit Insta Assist on their website at https://rules.nivabupa.com/customer-service/
- Senior citizens can drop a mail at seniorcitizensupport@nivabupa.com
- Visit a branch if needed. If the issue persists, write them at GrievanceRedressal@nivabupa.com.
If the complaint is still not resolved, contact Grievance Redressal Officer, Vikar Alam, at GRO@nivabupa.com. If you are not satisfied yet, you can escalate the issue to the Insurance Regulatory Authority through the IRDAI Grievance Call Centre.
In case of any concerns or complaints, you can also contact Mr. Rohit Khurana, InsuranceDekho's dedicated Grievance Redressal Officer, at grievance@insurancedekho.com. In case your issue persists, you have the option to escalate it to the Principal Officer by reaching out to PO_GIBPL@girnarinsurance.com. Additional details can be found on our Grievance Redressal page.
References
- https://www.nivabupa.com/
- https://transactions.nivabupa.com/pages/about-us.aspx
- https://www.nivabupa.com/press-release/home-press-release-max-bupa-health-insurance-wins-the-prestigious.html
- https://irdai.gov.in/web/guest/document-detail?documentId=4273788
- https://www.nivabupa.com/health-insurance-plans.html
- https://rules.nivabupa.com/doc/Exclude_List.pdf
- https://rules.nivabupa.com/customer-service/
- https://rules.nivabupa.com/customer-service/grievance#top