Niva Bupa Health Companion Variant 1
92.02
Claim Settlement Ratio
10000
Network Hospitals
7.6
Customer Rating
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92.02
Claim Settlement Ratio
10000
Network Hospitals
7.6
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
Room Rent
Room Rent Limit: No limit on room category, allowing flexibility in choosing any hospital room.
ICU Limit: No capping on ICU charges, ensuring full coverage for intensive care treatments as per the sum insured.
Advanced Treatments
Robotic and CyberKnife Surgery.
Bariatric Surgery.
Modern Cancer Treatments
Organ Transplant Coverage
Co-payment
Niva Bupa Health Companion Variant 1 does not have a mandatory co-payment for policyholders below 65 years. However, for individuals aged 65 and above, a 20% co-payment applies to all claims.
Waiting Period
Initial Waiting Period: 30 days from the policy start date, except for accidental hospitalizations.
Pre-Existing Diseases (PED) Waiting Period: 48 months from the policy start date before coverage begins.
Specific Illness Waiting Period: 24 months for certain listed conditions like hernia, cataract, and joint replacements.
Maternity Waiting Period: 24 months (if maternity benefits are included in the policy).
Daycare Treatment
Covered under the policy.
AYUSH Treatment
Covered under this policy
Cashless Healthcare Providers
10,000+ network hospitals.
Room Rent
Room Rent Limit: No limit on room category, allowing flexibility in choosing any hospital room.
ICU Limit: No capping on ICU charges, ensuring full coverage for intensive care treatments as per the sum insured.
Advanced Treatments
Robotic and CyberKnife Surgery.
Bariatric Surgery.
Modern Cancer Treatments
Organ Transplant Coverage
Co-payment
Niva Bupa Health Companion Variant 1 does not have a mandatory co-payment for policyholders below 65 years. However, for individuals aged 65 and above, a 20% co-payment applies to all claims.
Exclusions
Treatment costs for injuries or illnesses related to hazardous activities, adventure sports, or self-inflicted injuries.
Cosmetic or plastic surgery unless required due to an accident or medically necessary.
Treatment for alcohol, drug abuse, or substance-related disorders.
Congenital diseases, genetic disorders, and birth defects unless explicitly covered.
Infertility treatments, assisted reproductive techniques, and pregnancy-related expenses unless covered under maternity benefits.
Non-prescription drugs, dietary supplements, and health tonics.
Injuries or illnesses resulting from war, terrorism, or nuclear exposure.
Treatment for sexually transmitted diseases, HIV/AIDS, or related complications.
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