Niva Bupa Health Companion Variant 2
92.02
Claim Settlement Ratio
10000
Network Hospitals
6.6
Customer Rating
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92.02
Claim Settlement Ratio
10000
Network Hospitals
6.6
Customer Rating
Our Verdict
Expert Review: Niva Bupa Health Insurance
Final Verdict
About
About Niva Bupa Health Insurance
Inclusions and Exclusions
Inclusions and Exclusions of Niva Bupa Insurance Company Limited
Room Rent
Normal Room: No limit (any single private room covered)
ICU Charges: Fully covered (as per actual hospitalization expenses)
Co-payment
No mandatory co-payment for most policyholders. However, for individuals aged 65 years and above at the time of entry, a co-payment of 20% applies to each claim.
Waiting Period
Initial Waiting Period: 30 days from the policy start date, except for accidental hospitalizations.
Pre-Existing Diseases (PED) Waiting Period: 48 months from the policy start date before coverage begins.
Specific Illness Waiting Period: 24 months for certain listed conditions like hernia, cataract, and joint replacements.
Maternity Waiting Period: 24 months (if maternity benefits are included in the policy).
Cashless Healthcare Providers
10,000+ network hospitals.
Daycare Treatment
Covered under the policy.
AYUSH Treatment
Covered under this policy
Advanced Treatments
Robotic Surgery Therapy
Bariatric Surgery
Oral Chemotherapy
Proton Beam Therapy
Deep Brain Stimulation
Implantable Devices
Room Rent
Normal Room: No limit (any single private room covered)
ICU Charges: Fully covered (as per actual hospitalization expenses)
Co-payment
No mandatory co-payment for most policyholders. However, for individuals aged 65 years and above at the time of entry, a co-payment of 20% applies to each claim.
Waiting Period
Initial Waiting Period: 30 days from the policy start date, except for accidental hospitalizations.
Pre-Existing Diseases (PED) Waiting Period: 48 months from the policy start date before coverage begins.
Specific Illness Waiting Period: 24 months for certain listed conditions like hernia, cataract, and joint replacements.
Maternity Waiting Period: 24 months (if maternity benefits are included in the policy).
Exclusions
Treatment expenses related to self-inflicted injuries, suicide attempts, or substance abuse.
Cosmetic or aesthetic procedures, unless required due to accidental injury or burns.
Any treatment related to infertility, pregnancy, childbirth, or related complications unless covered under a specific maternity benefit.
Treatment for diseases or conditions arising from participation in hazardous activities, adventure sports, or professional sports.
Expenses related to experimental, unproven, or investigational treatments not approved by medical authorities.
Treatments related to congenital diseases, genetic disorders, or birth defects unless specifically covered.
Any dental, hearing, or vision expenses unless arising from an accident or explicitly covered under the policy.
Hospitalization primarily for rest, rehabilitation, or obesity-related treatments unless covered.
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