Niva Bupa Health Companion Variant 2022
92.02
Claim Settlement Ratio
10000
Network Hospitals
0
Customer Rating
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92.02
Claim Settlement Ratio
10000
Network Hospitals
0
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
AYUSH Treatment
Covers AYUSH treatment expenses up to your annual sum insured during the policy period
Cashless Healthcare Providers
11000+ Healthcare Providers
Claim Settlement Ratio
92.02%
Modern Treatment
Hospital expenses for listed advanced treatments are covered up to your full sum insured during the policy period
Annual Health Checkup
Health check-up is available once every policy year, from day 1 of the policy
Pre-Hospitalisation
You get cover for medical tests and doctor visits up to 60 days before hospitalisation, if your main claim is approved
Maternity Cover
Not Available
Disease-wise sublimits
No
PED Waiting Period
3 years
Outpatient Department Cover (OPD Expense)
OPD expense is not included
ICU Charges
No restriction on ICU room rent
Coverage Options
Available coverage options: ₹3L, ₹4 L, ₹5L, ₹7.5L, ₹10L, ₹12.5L, ₹15L, ₹20L, ₹30L, ₹50L, ₹1Cr
Cumulative Bonus
Your sum insured increases by 20% for every claim-free year, up to 100%
Restoration Benefit
Yes, your sum insured restores to 100% unlimited times after your second claim, for both related and unrelated illnesses
Consumable Cover
No. However, available as an add-on
Initial Waiting Period
30 days.
Deductible Option
Available
Post-Hospitalisation
You get cover for medical bills up to 180 days after discharge, including physiotherapy if your doctor prescribes it
Co-payment
Not Available
Room Rent
The shared room category is covered in your base policy.
If you choose an upgraded room, 20% co-payment is applicable.
Daycare Treatment
Covers medical expenses for treatments not requiring 24-hour hospitalization, up to your annual sum insured
Specific Waiting Period
2 years
AYUSH Treatment
Covers AYUSH treatment expenses up to your annual sum insured during the policy period
Cashless Healthcare Providers
11000+ Healthcare Providers
Claim Settlement Ratio
92.02%
Exclusions
Pre-existing diseases are covered after a waiting period of 48 months from the policy start date.
Any illness diagnosed or treatment required within the first 30 days of policy commencement, except accidental injuries.
Cosmetic or plastic surgery unless required due to accidents, burns, or medically necessary reconstruction.
Treatment related to alcohol, drug abuse, or substance misuse.
Expenses for infertility treatments, IVF procedures, or assisted reproductive technology.
Non-prescribed vitamins, dietary supplements, and hormonal therapy unless medically necessary.
Congenital diseases, external birth defects, or genetic disorders.
Dental treatments and procedures unless required due to accidental injury.
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