Niva Bupa Aspire Gold Plus
92.02
Claim Settlement Ratio
10000
Network Hospitals
7.9
Customer Rating
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92.02
Claim Settlement Ratio
10000
Network Hospitals
7.9
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
Post-Hospitalisation
You get cover for medical bills up to 180 days after discharge, including physiotherapy if your doctor prescribes it
Claim Settlement Ratio
92.02%
ICU Charges
No restriction on ICU room rent
Consumable Cover
No. However, available as an add-on
Initial Waiting Period
30 days
Room Rent
All room categories are covered
Modern Treatment
Hospital expenses for listed advanced treatments are covered up to your full sum insured during the policy period
Co-payment
Not available
Cashless Healthcare Providers
10,000+ Healthcare Providers
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
Disease-wise sublimits
No
Restoration Benefit
Yes, your sum insured restores to 100% each time you make a claim in a policy year, for both related and unrelated illnesses
Cumulative Bonus
Unutilised sum insured can be carried forward up to 3X (entry age 18–35 yrs), 2X (entry age 36–45 yrs), and 1X (entry age 46+ yrs)
Specific Waiting Period
2 years
PED Waiting Period
3 years
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
Outpatient Department Cover (OPD Expense)
OPD expense is not included
Deductible Option
Available as an option
Coverage Options
Available coverage options: 3L, 5L, 7.5L, 10L, 15L, 20L, 25L, 50L, 1cr
Maternity Cover
Available
Post-Hospitalisation
You get cover for medical bills up to 180 days after discharge, including physiotherapy if your doctor prescribes it
Claim Settlement Ratio
92.02%
ICU Charges
No restriction on ICU room rent
Exclusions
Expenses related to the treatment of pre-existing diseases and their direct complications are excluded until the expiry of a specified waiting period.
Treatment expenses for certain listed conditions and surgeries are excluded until the expiry of a 12 or 24-month waiting period.
Expenses related to the treatment of any illness within 30 days from the first policy commencement date are excluded, except for accidents.
Expenses for hospital admissions primarily for diagnostic purposes or evaluations that do not result in active treatment are not covered.
Costs related to admissions primarily for enforced bed rest, custodial care, or services for terminally ill individuals are excluded.
Add ons
Add-Ons
Borderless
Disease Management Option
Safe Guard Plus
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About the company
About the company
FAQs
Frequently Asked Questions
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