Niva Bupa Heartbeat Gold Plan
92.02
Claim Settlement Ratio
10000
Network Hospitals
8
Customer Rating
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Get a Quote
92.02
Claim Settlement Ratio
10000
Network Hospitals
8
Customer Rating
Our Verdict
Expert Review: Niva Bupa Health Insurance
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Final Verdict
About
About Niva Bupa Health Insurance
Inclusions and Exclusions
Inclusions and Exclusions of Niva Bupa Insurance Company Limited
ICU Charges
No restriction on ICU room rent
Disease-wise sublimits
Yes
Co-payment
Optional
Restoration Benefit
100% of base sum insured restored once every policy year for future claims
Cumulative Bonus
Your sum insured increases by 10% every year, maximum up to 100%
Consumable Cover
Yes
Initial Waiting Period
90 days.
Specific Waiting Period
2 years
PED Waiting Period
3 years
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
Daycare Treatment
Covers medical expenses for treatments not requiring 24-hour hospitalization, up to your annual sum insured
AYUSH Treatment
Covers AYUSH treatment expenses up to your annual sum insured during the policy period
Claim Settlement Ratio
92.02%
Pre-Hospitalisation
You get cover for medical tests and doctor visits up to 60 days before hospitalisation, if your main claim is approved
Post-Hospitalisation
You get cover for medical bills up to 90 days after discharge, including physiotherapy if your doctor prescribes it
Outpatient Department Cover (OPD Expense)
OPD expenses are not available
Deductible Option
Available as an option
Cashless Healthcare Providers
10000+ Healthcare Providers
Coverage Options
Available coverage options: ₹5L, ₹7.5L, ₹10L, ₹15L, ₹20L, ₹30L, ₹1Cr
Maternity Cover
Available with capping based on base sum insured.
Room Rent
Covered up to Sum Insured (except for Suite or above room category)
Advanced Treatments
Covered up to Sum Insured
ICU Charges
No restriction on ICU room rent
Disease-wise sublimits
Yes
Co-payment
Optional
Exclusions
Pre-existing diseases are subject to a 24-month waiting period.
Ancillary hospital charges are not covered.
Hazardous activities leading to injury or illness are excluded.
Artificial life maintenance expenses are not covered.
Autoimmune disorders are excluded.
Behavioral, neurodevelopmental, and neurodegenerative disorders are not covered.
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