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Niva Bupa Health Premia Gold

Niva Bupa Health Premia Gold

Experience India's most trusted health insurance with Niva Bupa Health Insurance. Get instant cashless treatment at 10000 network hospitals with sum insured up to ₹50 lakhs.

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92.02

Claim Settlement Ratio

10000

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0

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Our Verdict

Expert Review: Niva Bupa Health Insurance

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Final Verdict

The Niva Bupa Health Premia Gold and Silver Plans offer comprehensive coverage with options for higher sum insured in the Gold Plan. Ideal for individuals and families, they cover hospitalization, wellness benefits, and critical illness.

About

About Niva Bupa Health Insurance

The Niva Bupa Senior First Gold and Silver Plans provide comprehensive health coverage for individuals aged 60 and above. The Gold Plan offers higher sum insured, covering hospitalization, pre- and post-hospitalization, daycare treatments, AYUSH, annual health check-ups, and wellness benefits. The Silver Plan is more affordable while covering essential healthcare needs, including hospitalization and cashless treatment. Both plans ensure lifelong renewability, making them ideal for seniors seeking financial security and reliable health protection.

Inclusions and Exclusions

Inclusions and Exclusions of Niva Bupa Insurance Company Limited

Advanced Treatments

  • Uterine Artery Embolization and HIFU (High intensity focused ultrasound)

  • Balloon Sinuplasty

  • Deep Brain stimulation

  • Oral chemotherapy

  • Immunotherapy- Monoclonal Antibody to be given as injection

  • Intra vitreal injections

  • Robotic surgeries

  • Stereotactic radio surgeries

  • Bronchical Thermoplasty

  • Vaporisation of the prostrate (Green laser treatment or holmium laser treatment)

  • IONM - (Intra Operative Neuro Monitoring)

  • Stem cell therapy: Hematopoietic stem cells for bone marrow transplant for haematological conditions to be covered.

Co-payment

  • A 20% co-payment applies for treatments in Zone 2. Additionally, policyholders can opt for a 10% or 20% co-payment, which does not reduce the sum insured.

Daycare Treatment

  • The Medical Expenses for a day care procedure or surgery mentioned in the list of are Procedures in this Policy where the procedure or surgery is taken by the insured Person as an inpatient for less than 24 hours in a Hospital.

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Exclusions

  • Pre-existing conditions are not covered until 24 months of continuous coverage have elapsed since the policy's inception.

  • A 30-day initial waiting period applies, during which no claims are admissible, except for those arising from accidents.

  • Specific treatments, such as cataract, hernia, and spinal disorders, have a 12-month waiting period.

  • Mental disorder treatments and LASER surgery coverage have a 36-month waiting period.

  • HIV/AIDS coverage is subject to a 36-month waiting period.

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About the company

About the company

Niva Bupa Health Insurance Company Ltd. (formerly Max Bupa) is a standalone health insurer in India, formed through a joint venture between the UK-based Bupa Group and Indian private equity firm True North. Established in 2008, the company offers a comprehensive range of health insurance products for individuals, families, and senior citizens, designed to make quality healthcare more accessible and affordable. The company operates with a nationwide network of over 10,000 hospitals and provides coverage...

FAQs

Frequently Asked Questions

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