Niva Bupa Senior First Platinum
92.02
Claim Settlement Ratio
10000
Network Hospitals
5.6
Customer Rating
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Get a Quote
92.02
Claim Settlement Ratio
10000
Network Hospitals
5.6
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
Room Rent
Single private AC room is covered
ICU Charges
No restriction on ICU room rent
Disease-wise sublimits
No
Co-payment
Yes
Restoration Benefit
Yes, your sum insured restores to 100% unlimited times after your first claim, for both related and unrelated illnesses
Cumulative Bonus
Your sum insured increases by 10% for every claim-free year, upto 100%
Consumable Cover
Not Available
Initial Waiting Period
30 days.
Specific Waiting Period
2 years
PED Waiting Period
2 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 Checkup is covered upto INR5000 per individual per policy year.
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
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 180 days after discharge, including physiotherapy if your doctor prescribes it
Outpatient Department Cover (OPD Expense)
OPD expense is not included
Deductible Option
Available
Claim Settlement Ratio
92.02%
Cashless Healthcare Providers
10000+ Healthcare Providers
Coverage Options
Available coverage options: ₹5L, ₹10L, ₹15L, ₹20L, ₹25L
Maternity Cover
Not Available
Room Rent
Single private AC room is covered
ICU Charges
No restriction on ICU room rent
Disease-wise sublimits
No
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.
Add ons
Add-Ons
Safeguard
Insurance Premium Calculator
Insurance Premium Calculator
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About the company
About the company
FAQs
Frequently Asked Questions
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