Niva Bupa Health Companion Variant 2
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Expert Review: Niva Bupa Health Insurance
Final Verdict
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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).
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.
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About the company
About the company
This content has been reviewed by Karthik Jairam, Senior Insurance Advisor | BQP code: 38325
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